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CWF Eligibility Systems to Sunset Fall 2019; HETS Access Required

By Kimberly Sturm on Wed, Jul 03, 2019 @ 03:20 PM


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eligibilityEffective July 1, 2019, HIQA ELGA, ELGH and HIQH started notifying users that in fall of 2019, the CMS plans to terminate access to these eligibility systems. If you are not using the HIPAA Eligibility Transaction System (HETS), you will need to obtain access before then.

The Health Insurance Query Access (HIQA) gives Medicare providers direct access to the CMS Common Working File (CWF) host database. The Medicare contractor or satellite uses its best available information on beneficiary/patient eligibility and remaining benefits to fully adjudicate claims.

Rather than utilizing the HIQA in DDE, HETS allows users to check Medicare benefits in real time utilizing a HIPAA-compliant 270 eligibility request file over a secure connection.

Because it's HIPAA-compliant, HETS access has always been part of our simple, yet comprehensive primeCLAIMS clearinghouse. If you’d like to learn more about how our cost-effective claims solution can speed reimbursement, check out our solution.






Cheryl Field Cited as Group Contributor to PDPM Parody in McKnight's

By Prime Care Tech Marketing on Wed, Jun 26, 2019 @ 11:06 AM
In the June 24 McKnight's article, Portmanteau, a PDPM parody, part Deux, Steven Littlehale writes,
"Through humor we directly confront Patient-Driven Payment Model myths and nonsense, as well as offer key “aha!” moments that ultimately lead to success under PDPM."

Join Cheryl Field for Executive PDPM Session at THCA June 25

By Cheryl Field on Thu, Jun 20, 2019 @ 10:54 AM
THCA Summer Conference June 25-1 

The Patient-Driven Payment Model and its role in care delivery and reimbursement are top of mind for today’s providers. How will your team effectively manage cost of services provided? What outcomes of care will you measure and share with your referral sources? Please join me at THCA Summer Conference as we explore answers and provide tips on how to transition with success:

PDPM for Executives: Costs and Outcome Metrics Essential for Success 

Tuesday, June 25 - 1:30 p.m. (Lost Pines 6-7-8):

  • State three key topics for mastery under PDPM
  • Define three means for measurement of costs and outcomes relative to PDPM
  • Identify three strategies for success under PDPM, while maintaining high quality care, network membership and financial stability

Touch base with me after my session to see how primeVIEW and Managed Care MASTER can help align your data and processes for PDPM.

Adopting Telehealth to Change Your Game

By Joe Stone on Tue, Jun 18, 2019 @ 09:13 AM

It was great to have many of you check out our exclusive medical tablets in action at the Telehealth Summit in Atlanta. Telehealth is revolutionizing how we deliver care – with the same clinical accuracy. You're wise to consider early adoption.

Our telehealth solution has all the options you need for success.

  • Largest virtual provider network
  • HIPAA-compliant video platform
  • Virtual clinic software
  • Exclusive tablets, carts and devices
  • Remote patient monitoring by virtual RNs

Get in touch today to set up a consult.



Telehealth Summit 2019: Improving Quality Outcomes Across Continuing Care

By Joe Stone on Tue, May 28, 2019 @ 01:11 PM


Join me at Telehealth Summit 2019 to discuss how Resident Telehealth powered by primeFORCE can help reduce readmissions and improve outcomes for patients with acute and behavioral conditions.

  • Nationwide licensed provider networks
  • Industry-leading behavioral health assessments
  • Videoconferencing equipment, software and med carts
  • Remote patient monitoring with telemetry nursing

Stop by to hear how our tools can help, regardless of where you are on the telehealth journey. Or, if you miss me at the event, download our primeFORCE Resident Telehealth E-Sheet, or get in touch!



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