PrimeCLAIMS Clearinghouse Propels Proclaim Partners to "Company of the Year"

The Financial Services Review has awarded ProClaim Partners “Company of the Year in its Claims Processing Solutions Providers category for 2022,” for outstanding innovation with its primeCLAIMS clearinghouse.  We are honored to be acknowledged for the technology and performance we bring to Post Acute Care and other industry claims processing.

When healthcare billers transitioned out of COVID, they had to do more with less. In 2022, primeCLAIMS streamlined the claims process, creating a higher standard of superior performance through technology.

Jonathan Duvall, Senior Director of Product Management, says, “Our goal is to provide software that goes beyond processing claims and integrates into an organization’s revenue cycle workflow. By studying workflow, primeCLAIMS delivers an intuitive experience to get companies paid every dollar for every day of patient care.”

- primeCLAIMS Clearinghouse facilitates seamless electronic claim submissions by automating the claims handling process.

- primeCLAIMS Sequential Billings compares month-to-month billing through side-by-side, claim-to-claim comparisons to detect discrepancies.

- primeCLAIMS Enhanced Aging lets you compare what was billed VS what was paid and highlights discrepancies of missing payments.

- primeCLAIMS EzDDE enables billers to edit hundreds of lines quickly and move to the next claim - saving up to 30 minutes per claim.

PrimeCLAIMS continues to work towards innovations and deliver technologies that focus on billers. Don't hesitate to contact Jae Sparks VP of Sales & Marketing, at 770-543-0473, to schedule a demo.

The team is gearing up for the November 1-4, PointClickCare Summit in Las Vegas. We're excited to sponsor two booths – Prime Care Tech is at #419 and our primeCLAIMS affiliates are at #306. 

Stop by for a chance to win a Louis Vuitton purse – and stay for a demo of our industry-leading applications.

If you're looking to take advantage of educational opportunities, we'll lead two breakout sessions:

• Wednesday, 4:15-5p
  We're not Great At PDPM, Yet; Using Data & Tools to Improve Care and Reimbursement
  Jonathan Duvall/Prime Care Tech and Tammy Tuminaro/Century Rehabilitation
• Thursday, 2:45-3:30p 
  Get Paid–Every Dollar, Every Day!
  Jonathan Duvall/Prime Care Tech and Kimberly Sturm, primeCLAIMS

After a busy year of enhancements, we look forward to sharing what makes our technologies the smartest in the marketplace. Get in touch if you'd like to connect!

Last week our team connected with leaders from senior care communities at the Senior Living Innovation Forum (SLIF) Spring event. Topics of discussion were around strategies for surviving and thriving among the anticipated shifts. Here are three key takeaways.

1. Stay True to Your Roots: Don’t chase shiny objects or the next new thing to attract residents. Trust, connection, consistency, and service are still key influencers in residents/families choosing your community.
2. Expect New Payer Types and Alliances: Expect payer types to grow beyond private and self-pay in assisted living (AL). This may trend further into AL operators joining forces with skilled nursing facilities (SNFs).
3. Focus on the Continuum of Care: Seniors value integrated healthcare and expect caregivers to review all medical data to deliver proactive, predictive, and prescriptive care – or complete senior health. 

So, how can we help with these strategies? Your chief ally in our software-as-a-service suite is primeVIEW, which offers an integrated analytics dashboard, customized with trends meaningful to your success. By using it to monitor areas of high (and low) performance, you can stay true to your roots – trust, connection, consistency, and service.

When it comes to bringing on new payers or aligning with SNFs, you may need our other apps:

• Our primeCLAIMS app with two-way PointClickCare EHR integration, coupled with other senior care customization, empowers you to do more with less staff while expediting payment.
• Our Managed Care MASTER case-to-contract app ensures you meet the quality care requirements of your payers while capturing every dollar promised in the contract.

We can also help with the technology and security infrastructure you need to run your business cost-effectively and wisely. Ask us about our primeCLOUD managed IT services.

If you missed us at SLIF, catch up with us for more recommended strategies and how our technologies can help.

Last week our team connected with leaders from long-term and post-acute care at LTC 100. As always, these events help us stay on top of the challenges our customers face in their day-to-day operations. Here's what we heard at LTC 100 and how we can help.

In addition to our software-as-a-service (SaaS) suite, we can help with the technology and security infrastructure you need to run your business cost-effectively and wisely. Ask us about our primeCLOUD managed IT services.

If you missed us at LTC 100, catch up with us for recommended strategies and how our technologies can help.

For more recap details, see McKnights Long-Term Care News: Distressed or ready to reset? At LTC 100, execs share thoughts on 2022 outlook.

If you missed the recent press release, primeCLAIMS is now leveraging PointClickCare (PCC)’s advanced claims API interface. We are offering a live demo of how the systems communicate on May 25, 12:30 p.m. ET, so please tune in.

primeCLAIMS-PCC API interface

We are excited to bring you this integration, which drives faster processing and faster reimbursements. Here are just a few efficiencies you'll gain:

• Claim files (837s) transmit automatically between PCC and primeCLAIMS
• Payment files (835s) pass back to PCC through primeCLAIMS
• Edits sent to payers automatically synchronize to PCC for future claims integrity and EHR compliance

If PCC is not your EHR vendor, primeCLAIMS will work with any EHR vendor that can produce a claim file – in any format!

primeCLAIMS post-acute innovation

We focus on streamlining workflows, empowering billers to efficiently collect every dollar, every day. Working with post-acute customers to understand these workflows enabled us to deliver the most intuitive interface and simplest training for:

• Primary claims editing/processing
• Secondary claims automation/filing
• Medicare DDE via modernized EzDDE interface
• Denials/ADRs submission/management
• Flu roster billing
• Eligibility
• And more – leaving users saying ‘Am I done already?’ 

More information

• Visit primeCLAIMS on the PCC Marketplace
• Visit primeCLAIMS on our website.
• Tune in to our webcast – Top 5 Ways SNFs Can Supercharge Claims
• Catch the May 25 demo live with Q&A – PrimeCLAIMS + PointClickCare: The Power of Two-Way EHR Integration

Or, get in touch – we're happy to tell you more.