Cheryl Field, Chief Product Officer, offers McKnight's readers her insights from this year's AHCA Quality Summit on PBJ, the new LTC Survey process, quality goals and more. 

February 7, 2018, Duluth, Ga. – Prime Care Technologies, Inc. today announced that Mission Health Communities has optimized its managed care contract administration and reimbursement with the adoption of Managed Care MASTER.

With Managed Care MASTER, Mission Health is better equipped to manage skilled stays from pre-admission through the inpatient stay and billing cycle preparation. The application synthesizes data from managed care contracts and EMR systems to support case management staff in managing cost effective care delivery. These near real-time integrations power level-of-care alerts, making it easier for providers to adhere to patient care plans and optimize reimbursement.

“I really appreciate Managed Care MASTER’s timely level-of-care alerts, so we are able to act on issues in real time,” said Paris Girginis, RN and Vice President of Clinical Reimbursement and Compliance, Mission Health Communities. “These best practices help us more efficiently manage stays and improve quality of care overall.”

Prime Care Technologies and managed care experts at Mix Solutions bring together 18 years of data integration expertise and managed care consulting to deliver Managed Care MASTER. For more information on the app and other technology-driven solutions, visit www.primecaretech.com.

About Prime Care Technologies
Since 2003, Prime Care Technologies has equipped long-term care providers with flexible hosting, managed services and cloud software that evolve with industry demand. Based in Atlanta with 150 employees and 200+ healthcare/IT partnerships, its technology-driven solutions are installed in 6,500+ facilities. With deep multi-vendor interoperability expertise, including the integration of 70+ healthcare applications and 3,500+ EDI payers, Prime Care Technologies offers the leading data warehouse and claims clearinghouse in post-acute care. Learn more at www.primecaretech.com.

About Mission Health Communities
Mission Health manages independent senior living, assisted living, rehabilitation and skilled nursing facilities across Georgia, Tennessee, Wisconsin, Minnesota and Kansas, with services that are intended to meet the health and wellness needs of the local area. Learn more at www.missionhealthcommunities.com.

About Mix Solutions
With over 15 years of healthcare business and operations experience, Mix Solutions provides expert business consulting and contract negotiation services to healthcare industry clients. Leveraging relationships with major Health Plan organizations, Mix Solutions also optimizes managed care contracts for clients. Susie Mix, founder and CEO, is a licensed Nursing Home Administrator as well as a licensed Life Agent. Learn more at www.mixsolutionsinc.com.

CONTACT
Prime Care Technologies
Marketing
marketing@primecaretech.com
866-871-2888

"Managed Care MASTER is changing the game for post-acute care organizations, enabling them to mitigate varying contracts with ease so they can instead focus on quality patient care,” Susie Mix, CEO of Mix Solutions.

Prime Care Technologies, Inc., today announced its affiliate Managed Care Group LLC and intent to offer its Managed Care MASTER case management and reimbursement app to the post-acute care market. Synthesizing data from managed care contracts, EMR systems and case management reports, the application empowers skilled nursing facilities (SNFs) to maximize managed care reimbursement.

Managed Care MASTER incorporates best practices from 18-year managed care expert, Mix Solutions, Inc., to help providers more efficiently process skilled stays. Near real-time integration with EMR systems also enables it to deliver level-of-care alerts, making it easier for providers to adhere to patient care plans.

Having spearheaded a 10+ organization, 300+ facility pilot program, Prime Care Technologies also helped shape Managed Care MASTER, offering input from providers like Welcov Healthcare, Nexion Health, and CommuniCare. An early adopter, Mission Health Communities is leveraging the app across 29 facilities in Georgia, Kansas, Tennessee, Minnesota and Wisconsin.

“I really appreciate Managed Care MASTER’s timely level-of-care alerts, so we can act on issues in real time,” said Paris Girginis, RN and Vice President of Clinical Reimbursement and Compliance at Mission Health Communities.

“Operating within the confines of managed care contracts can be complex and labor-intensive,” added Cheryl Field, Chief Product Officer at Prime Care Technologies. “Managed Care MASTER delivers years of expertise into the hands of case management staff, providing step-by-step, best-practice processes. The result is a significant reduction in time spent managing in-patient stays.”

Added Susie Mix, CEO of Mix Solutions “Managed Care MASTER is changing the game for post-acute care organizations, enabling them to mitigate varying contracts with ease so they can instead focus on quality patient care.” She continued, “We are pleased to invest our deep expertise in managed care contract negotiation and case management systems into this application.”

Mix Solutions joins Prime Care Technologies in offering Managed Care MASTER to its post-acute care clients.

About Managed Care Group

Since 2017, the Managed Care Group has partnered with leading post-acute care vendors and subject-matter experts to develop software that drives automation and efficiency to the relationships between providers and managed care organizations. Synthesizing data from managed care contracts, EMR systems and case management reports, Managed Care MASTER empowers skilled nursing facilities (SNFs) to maximize managed care reimbursement.

About Prime Care Technologies

Since 2003, Prime Care Technologies has equipped long-term care providers with flexible hosting, managed services and cloud software that evolve based on industry demand. Based in Atlanta with 150 employees and 200+ healthcare/IT partnerships, its technology-driven solutions are installed in 6,500+ facilities. With deep multi-vendor interoperability expertise, including integration of 70+ healthcare applications and 3,500+ EDI payers, Prime Care Technologies offers the leading data warehouse and claims clearinghouse in post-acute care. Learn more at www.primecaretech.com.

About Mix Solutions

Recognized as a managed care industry expert, Mix Solutions brings over 18 years of extensive knowledge and versatile experience to the senior care industry with specialization in skilled nursing facility operations. Supporting clients in 36 states, Mix Solutions provides managed care case management system development and training, business consulting, contract negotiation and billing/collections services. With established health plan relationships, familiarity with managed care organizations contracting steps, claims processes, case management systems and knowledge of nationwide market rates, Mix Solutions provides a real road map to managed care success for its clients. Susie Mix, founder and CEO, is a licensed Nursing Home Administrator. Learn more at www.mix.solutions.

CONTACT

Prime Care Technologies

marketing@primecaretech.com

866-871-2888

Prime Care Technologies is heading to the NIC Spring Investment Forum March 7-9 to meet with skilled nursing operators, care coordinators, financial leaders and other healthcare professionals who are looking to improve outcomes and reduce costs in post-acute and long-term care.

Our exec team will be onsite to provide expertise and discuss best practice strategies through technology solutions such as primeCLAIMS and primeVIEW – each designed specifically for the LTPAC environment. We look forward to hearing specifically what is top of mind for your organization in 2018 and how investment in the right technology can change the game.