1 min read

[Event] Visit Our Virtual Booth During McKnight's Fall On-line Expo

By Prime Care Tech Marketing on Fri, Aug 25, 2017 @ 08:52 AM

McK VTS.jpg

McKnight's Fall Online Expo will feature three separate webcasts starting at 11 a.m. ET on Wednesday, September 20. A panel of experts will discuss essential long-term care issues such as payment, wound, technology, quality, and capital. Attendees will be eligible for 3 free continuing education credits (1 for each webcast that is attended live).

Our Post-Acute Performance Cloud is the first and only cloud-based hosting and self-service platform for running your entire long-term care business. Use our applications to automate claims processing, procurement and workforce, or leverage dynamic operational views to visualize and control financial outcomes.

Meet you there!

Topics: automated procurement automated revenue cycle management system claims management IT hosting services centralize purchasing operational excellence multi-facility operations managed care claims managed services
1 min read

[Event] Visit Our Virtual Booth This Week

By Prime Care Tech Marketing on Mon, Mar 13, 2017 @ 07:22 PM

McK VTS.jpg

Don't miss free educational webinars offered through the McKnight's 2017 Spring Online Expo this Tuesday and Wednesday. And be sure to pop by our virtual booth to chat with the team or download our videos and brochures. We'll also be raffling off a free AMAZON ECHO to those who complete our post-acute business intelligence quiz.

Our Post-Acute Performance Cloud is the first and only cloud-based hosting and self-service platform for running your entire long-term care business. Use our applications to automate claims processing, procurement and workforce, or leverage dynamic operational views to visualize and control financial outcomes.

Meet you there!

Topics: automated procurement automated revenue cycle management system claims management IT hosting services centralize purchasing operational excellence multi-facility operations managed care claims managed services
3 min read

What Billers Should Know to Help Jumpstart 2016

By Prime Care Tech Marketing on Wed, Dec 23, 2015 @ 01:48 PM

Billers 2016 ClaimsValuable highlights from 2015 blogs to prepare for 2016

Hard to believe that 2015 is rapidly passing into history. Another year, but what a year it has been for Long Term Post-Acute Providers (LTPAC) providers especially considering the incredible number of claims billers have had to prepare, submit, monitor, and manage. We congratulate billers across the country for what they have been able to accomplish in converting claims to cash in the bank.

The primeCLAIMS team works just as hard to provide an excellent clearinghouse service and also to communicate worthwhile tips and advice to help make billing tasks easier to complete. Looking back on our blogs in 2015, we have covered such topics as ICD-10, processing secondary claims, dealing with claims rejections, principles of successfully Revenue Cycle Management, tips for submitting clean claims, and what to look for in a LTPAC clearinghouse.

Regarding secondary claims, one of our recent blogs, entitled, “What you’re wasting by processing secondary claims manually,” discusses the why’s of automation. The days of manually identifying, preparing, processing, and tracking secondary payer claims is long past. If they haven’t already, we suggest billers retire such costly practices forever and start the new year right.

Managing claims does not have to be complicated we argued in the blog, “Do yourself a favor - Simplify the reimbursement process,” if billers automate the process.

Not all clearinghouses are created equal. In “How well is your claims management solution moving cash flow,” we share some insight into what a clearinghouse, processing LTPAC claims, should offer. Further, because no matter how automated the process may be, claims is still about people. And people and machines need support. In another blog, we ask the question, “Clearinghouse support – is it there when you need it?”

These blogs represent the kind of information billers and their managers should know to be successful not only in 2015, but also in 2016. We look forward to continuing to share our insights and the experiences of your peers in future blogs. After all, it just makes cents.

For your convenience, we’ve grouped the recent blogs by category:

Topics

Related blogs

ICD-10

ICD-10 – It’s here. Now what?

Maintain a solid financial footing through the quagmire of ICD-10 implementation

Secondary claims

Taking the Headaches Out of Secondary Claims

What you’re wasting by processing secondary claims manually

The Importance of Using a Clearinghouse for Secondary Claims

Rejections

How to handle claims rejections

RCM

Mitigate shrinking margins with revenue cycle management

Do yourself a favor - Simplify the reimbursement process

Simplifying the Managed Care Claims Process

It’s the Holidays! How to have financial Peace of Mind at this busy time.

Clearinghouse

How well is your claims management solution moving cash flow?

Clearinghouse support – is it there when you need it?

Clean claims

Giving Payers a Clean Claim – 11 tips to getting paid faster

Happy Holidays! May this season bring you and yours joy.

Claims Process

Topics: revenue cycle management claims management clearinghouse LTPAC, Long Term Post-Acure Care, ICD-10 claims rejections secondary claims clean claims LTPAC providers billers managing claims
3 min read

Improve claims turnaround and business processes – a case study

By Proclaim Partners on Wed, Aug 13, 2014 @ 09:00 AM

istock_000017882928smallCMS Says Skilled Nursing Will Face Negative Margins By 2040,” so read the headline in last Wednesday’s AHCA/NCAL Gazette. In fact, it was the top story. Yep. It grabbed my attention really quick. Now granted, I may likely not be around by 2040, but judging by my parent’s longevity, I could. I’ve been affiliated with LTC since 1978 and it’s in my blood. I care. And, yes, to be frank, the article somewhat spooked me when I read the following, “By 2040, two-thirds of skilled nursing facilities will be operating in the red, signaling more consolidations, partnerships and accountable care organizations (ACOs) on the horizon, according to a recent memo issued by the Centers for Medicare & Medicaid Services’ (CMS) Office of the Actuary.”

Here are a couple of reasons why I am spooked. First of all, I have seen projections of the future, especially those going further out than 10 years, either flat out ignored or at least not effectively addressed. Perhaps, we hope the projections are wrong or that someone someday may do something about the issue at hand. It never ceases to amaze me that the future eventually becomes the present. Have you noticed that too? Rephrased, have you acknowledged that truism as well?

Secondly, I am spooked because I’ve noticed that when it comes to health care policy, government at the federal and state levels feels that it will have the answers. Their track record has not convinced me that government is or should be the problem solver. So what can LTC providers do today to meet the challenges the years leading up to 2040 will pose? Well, they can start today to embrace and implement available practices and technologies to build a solid financial footing by quickly collecting claims processed.

Ensign Services did just that. A recently-published ProClaim Partners case study revealed that Ensign Services faced several challenges:

  • Ensign Services needed to replace a legacy clinical and financial software application which included a basic claims submission automation feature.
  • The new software Ensign Services implemented met its EMR requirements, but lacked automated claims submission to Medicare. This also became the catalyst for consideration and conversation about clearinghouse services to all payers.
  • To compensate, Ensign Services selected a widely-used clearinghouse. The new clearinghouse was unwilling and unable to support Long Term Care-specific claims submission and management requirements.

To overcome these challenges, company executives arrived at the following conclusions:

  • Ensign Services needed a responsive and easy-to-use enterprise-class claims clearinghouse designed specifically for Long Term Care to help its clients meet their respective cash flow objectives, save money, reduce unnecessary claims processing and collections tasks, increase user satisfaction, and streamline business workflows.
  • Because of its relationship with Prime Care Technologies, Inc. for IT hosting services, Ensign Services investigated PCT’s affiliate, ProClaim Partners, LLC, and discovered that it could assist them in managing client claims.

The results? Since fully implementing the ProClaim Partners solution, Ensign Services has been able to:

  • Decrease claims turn-around time
  • Significantly improve claims management-related business processes
  • Reduce frustrations related to new client on-boarding
  • Experience quicker special requests and support issues response times

Is this THE answer to the spooky negative margins providers may experience by 2040? Not entirely. But as margins get tighter, a quicker turnaround of claims processed will be critical. The fact is it is critical today. Those providers who take steps today to improve cash flow through claims automation will not only have the advantage in the future, but also right now. At least with a better cash flow position, providers can focus on the factors influencing the bottom line.

At least those are my “thunks”.

Have you fully automated the claims management process? If so, what advantages are you seeing today?

Topics: Improved Business Processes claims management clearinghouse IT hosting services claims turnaround claims turn-around clinical and financial software claims processing EMR claims management process

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