1 min read

[Webinar - June 9] Pathway Health Co-Hosts "The Life of a Long-Term Care Claim"

By Prime Care Tech Marketing on Thu, Jun 02, 2016 @ 03:24 PM

Presented by Leah M. Killian-Smith, BA, RHIA, NHA
Director of Quality Assurance & Government Services, Pathway Health
Revenue Cycle Management is a hot term thrown around in Long Term Care, but what does it mean and how do you succeed? Optimizing your claims process and engaging every functional area of your organization is an excellent place to start.

This webinar takes you through the life of a claim – identifying key players and to-dos at each stop, as well as potential pitfalls that delay your cashflow. You’ll leave with real takeaways on how to speed up your cash flow!


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



Topics: claims processing revenue cycle LTC Claims RCM Pathway health

[On-Demand Webinar] PointRight Co-Hosts "Overcoming PBJ Obstacles and Ensuring Compliance"

By Prime Care Tech Marketing on Mon, May 23, 2016 @ 11:00 AM

RECAP: May 18, 2016

Thank you to all who participated in our Overcoming PBJ Obstacles and Ensuring Compliance with PointRight webinar.

In case you missed it access:

If you're interested in learning more about our PBJ reporting solution, visit www.primecaretech.com/PBJreporting.

Topics: claims processing CMS PBJ pbj reporting
1 min read

[On-Demand Webinar] 4 Pitfalls to Avoid in Your PBJ Planning with SimpleLTC

By Prime Care Tech Marketing on Thu, May 19, 2016 @ 11:07 AM

Thank you to all who participated in our 4 Pitfalls to Avoid in Your PBJ Planning with SimpleLTC Webinar.

In case you missed it:

If you're interested in learning more about our end-to-end PBJ reporting solution with SimpleLTC, visit www.primecaretech.com/PBJ.

Topics: claims processing CMS PBJ pbj reporting itautomation SimpleLTC
1 min read

[May Webinars] PBJ and LTC Claims with SimpleLTC, PointRight and Pathway Health

By Prime Care Tech Marketing on Thu, May 12, 2016 @ 01:00 PM

In the next month, we'll team up with three long-term/post-acute care partners – SimpleLTC, PointRight and Pathway Health – to provide tips for the upcoming PBJ deadline from CMS and getting paid faster on LTC claims.

Register now for either of our PBJ sessions. Stay tuned to news for registration details for our claims session or check our events section early next week. 

Topics: LTC claims processing automation CMS pbj reporting
2 min read

Do Yourself a Favor - Simplify the Reimbursement Process

By Prime Care Tech Marketing on Mon, Dec 21, 2015 @ 04:29 PM

With a Claims Management Solution - The gift that keeps on paying

Reimbursement Clearinghouse ClaimsAdmittedly, the reimbursement process is complicated. Not only must billers identify who is to pay the bill, they have to know how to bill the payer and get paid as quickly as possible. This is especially the case when billing third party payers, such as Medicare, Medicaid, Managed Care, and private insurances. Each has its own requirements as far as coding, bill timing, and claims processing quirks are concerned which seem to change frequently. If billers are having to prepare, process, track, and follow up with claims manually using spreadsheets, phone calls, emails, letters, logs, and on and on, it is no wonder that billers are stressed and overwhelmed, that dollars are left on the table and claims are lost or misplaced. Reimbursement, or revenue cycle management, does not have to be complicated, however. In fact, it can be relatively simple with an automated claims management solution through a claims clearinghouse. But, buyers beware. Let’s take a closer look.

Keeping it simple – clearinghouse musts

Let’s assume that the strengths of automating claims management are a given. Specific clearinghouse features can considerably contribute to claims management simplicity. To help simplify and accelerate converting revenue to cash, a clearinghouse, like primeCLAIMS, should be able to do the following:

  • In the event a claim is rejected, the clearinghouse should be able to isolate specific claims, not reject the entire batch of claims.
  • The solution should give billers the ability to edit, scrub, monitor, and manage claims throughout the process.
  • The clearinghouse must be able to stay on top of the almost daily changes to submission requirements, even the most obscure.

Visibility and control – an AR manager’s dream

Visibility and control with an enterprise-class claims solution also contributes to process simplification. With one log-in:

  • Billers can connect directly to all Medicare payers via CMS-approved NSVs (Network Services Providers)
  • Billers should have access to tools needed to manage claims, DDE, ADR status tracking, eligibility, secondary billing, and claims denied.
  • AR managers can view each facility’s claims status and provide assistance where necessary.

Such simple tools to help speed cash flow with fewer rejections and cleaner claims. They also reduce costs by:

  • Eliminating unnecessary paperwork
  • Reducing transaction fees
  • Reducing labor through elimination of such labor-intensive inefficiencies as:
  • Log-ins to multiple systems to view all locations, determine eligibility, edit, and track all claims
  • Manually compiling and submitting secondary payer claims

Simplicity in claims processing and managing also delivers peace of mind with:

  • HIPAA checks
  • Up to 10 years of data stored online

The bottom line

Using a clearinghouse to process, submit, and monitor claims yields numerous cost savings and improved cash flow. It’s much simpler and it just make cents.

Claims Process

Topics: automated claims management revenue cycle management claims processing coding rejected claims unnecessary paperwork reimbursement process claims clearinghouse reduce labor-intensive inefficiencies reduced transaction fees


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