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.

February 1, 2018, Duluth, Ga. – Prime Care Technologies, Inc. today announced that Superior Healthcare Management has accelerated their productivity and decision-making with the addition of primeVIEW integrated performance dashboard.

By frequently pulling data directly from EHR and other systems, primeVIEW offers a single analytics dashboard for your post-acute operations. One simple login delivers a multi-dimensional view of operational performance, empowering senior care providers to accelerate decisions and drive productivity using critical benchmarks, rankings and trends.

“With primeVIEW’s enterprise-wide views, our executive team has a much better grasp on our operations, giving us added confidence in our decisions,” said Steve Katz, COO, Superior Healthcare Management. “I thought primeVIEW could help us run our business better, but now I wonder how we were running our business without it!” 

A cloud-based, performance dashboard designed specifically for post-acute care, primeVIEW integrates census, labor, accounts receivable, satisfaction scores and Five-Star quality ratings. With the ability to drill down to the resident level or view at a high level, evaluating outcomes such as rehospitalization rate by admitting hospital, facility or diagnosis is quick and easy. The primeVIEW app also syncs resident-level data with associated MDS and UDA reports, resulting in better decision making and risk mitigation strategies.

For more on primeVIEW and other post-acute solutions, visit 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 Superior Healthcare Management

Superior Healthcare Management is a Minnesota-based network of nursing and rehabilitation centers, which provides superior healthcare services in 15 facilities across the state of Minnesota, including long term, transitional, hospice and respite care, as well as specialty services. Superior’s key objectives were to establish operational benchmarks and to manage facilities quickly and effectively.

CONTACT

Prime Care Technologies

Marketing

marketing@primecaretech.com

866-871-2888

In McKnight’s January article, An IT game changer, Chief Product Officer Cheryl Field offers insight on technology solutions best suited to help improve quality of healthcare against growing hospital readmission rates.

Field believes software with broad and flexible measurement capabilities provides the most desirable solutions.

“If you want to score high marks with an ACO provider, you will need to know rehospitalization rates for a variety of payer types, and for a variety of diagnostic groups.”

Read the full article from McKnight's.

Prime Care Technologies was recently asked by Rowan Consulting to join the Electronic Visit Verification (EVV) model discussion, in response to the 21st Century Cures Act mandate. Summarized in Homecare Technology’s Report’s December article, “Statewide Single Source EVV; There Has to be a Better Way,” Prime Care Technologies execs discuss their Vendor-Neutral EVV Repository as a provider/vendor-friendly solution for state-mandated EVV requirements.

Prime Care Technologies has worked with a number of EVV vendors to promote this aggregator model, including Dial-N-Document, CareWatch and the EVV Standards Workgroup for Home Care.

To learn more, see Vendor-Neutral EVV Repository.