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.
Prime Care Technologies