As the Payroll-Based Journal reporting deadline looms, many vendors have spent the spring selling new solutions. Jim Hoey, president of Prime Care Technologies, said his users can view/monitor a summary of employee and contractor hours, automate the mapping of labor codes to CMS codes and export one inclusive file per facility for quarterly upload to CMS.

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• Steps from admission through collecting revenue
• Common challenges with revenue cycle management 
• Methods to minimize effects on cash flow

It’s no secret the Affordable Care Act has greatly changed the healthcare landscape. It’s become a value-based industry with financial penalties and incentives involving 33 quality metrics, including hospital readmission rates. As a result, many accountable care organizations (ACO) have recognized the need to partner with post-acute care facilities to ensure quality of care is maintained throughout a patient’s entire treatment. They understand the valuable roll skilled nursing facilities (SNF) play in supporting patient transitions.

In order to ensure their patients are treated by the most effective SNF, many hospitals are establishing Preferred Skilled Nursing Facility Network partnerships. While each hospital or ACO will have its own criteria, here are some of the things they examine when creating their Preferred SNF Networks:  high quality of care, effective communication, and current technology.

Here’s an overview of the top criteria ACOs look for in SNFs:

• High quality of care
  Many ACOs require SNFs to have a CMS three-star rating or higher. The reason is simple. Proactive treatment in the rehab process and good risk management help prevent unnecessary hospital readmissions. 

• Effective communication
  It’s all about transparency, collaboration, and open communication with providers throughout a patient’s entire treatment. ACOs want to know how their patients are doing and be apprised of any changes to their conditions.
  

• Current technology
  Electronic medical records (EMR) and adequate data security are an essential part of sharing patient status with providers. ACOs want to work with SNFs who are able to easily share and protect pertinent patient information.

ACOs are a key driver of referrals for many SNFs. The financial risk is extremely high for any acute or post-acute care provider who doesn’t become part of a preferred SNF network.

You may find that our primeVIEW business performance dashboard for long-term care can help ensure your SNF maintains the high-quality of care expected by ACO/other networks. Its real-time snapshots of integrated data allows SNFs to proactively monitor performance around census, staffing, AR, clinical, financial, five star rating and more.

Resources:

• Hospitals create preferred networks for post-acute care
• Accountable Care Organizations and Skilled Nursing Facilities:  What Providers Should Know

DULUTH, Ga. and WHITE BEAR LAKE, Minn., May 18, 2016 (GLOBE NEWSWIRE) -- Pathway Health(www.pathwayhealth.com), a leading post-acute consulting services, executive search, interim management and education services organization and Prime Care Technologies (www.primecaretech.com), a leading long-term care source for cloud-based hosting and revenue cycle management apps, announce a new strategic partnership that will empower long-term/post-acute care (LTPAC) providers with both the consulting expertise and the cutting-edge technology to sustain performance improvement organization-wide.

For two decades, healthcare leaders have turned to Pathway Health to improve quality, reimbursement and clinical outcomes. Now Pathway Health’s signature expertise and resources will be combined with Prime Care’s technology platform, evolved over a decade for long-term care needs, to make streamlined operational performance and control over financial outcomes…a reality.

“We have been seeking the right business intelligence technology partner to support our clients in the new era of health care reform and value based payment models,” commented Pathway Health President and Chief Executive Officer, Peter B. Schuna. “Prime Care has a robust, cloud-based hosting and application suite to help providers optimize operational performance in areas ranging from claims processing to procurement, workforce management, interoperability and more. Their dashboard, which provides a single point of access to all of an organization’s critical systems, is a game changer.”

“Pathway Health is highly respected in the industry, with more than 150 clinical and operational experts in long-term and post-acute care,” observed Prime Care Technologies president, Jim Hoey. “This collaboration leverages Pathway Health’s highly-revered and in-demand expert insights with Prime Care’s technology solutions and business intelligence. It’s a powerful combination of critical expertise and leading edge technology not seen before in this industry.”  

The Pathway Health-Prime Care partnership will give providers the technology to streamline processes and harness their data for real business intelligence, along with the expert insights to leverage that data to drive unprecedented performance across the enterprise.

About Pathway Health
Pathway Health is a professional management, consulting, interim management, executive search and education services organization, serving clients across the post-acute care continuum. Since 1997, Pathway Health has been keeping a pulse on industry clinical, regulatory, quality and reimbursement trends to keep clients on the path to success. With over 150 experienced professionals, we engage and employ leading clinical and operational experts to assist our clients in achieving the next level of performance. For more information, call 877-777-5463 or visit www.pathwayhealth.com.

About Prime Care Technologies
Since 2003, Prime Care Technologies has delivered cloud-based solutions to meet the complex data needs of post-acute care. Today, it offers the first and only self-service operations cloud for managing long-term care revenue cycles and compliance mandates, including CMS Payroll Based Journal reporting. Integrating data from third-party and in-house systems, Prime Care Technologies automates workforce, procurement and claims reimbursement, while empowering leaders with real-time visualizations and control over financial outcomes. Learn more at www.primecaretech.com.