What's top of mind for senior care operators in Ohio this year? Working smarter to achieve desired outcomes. And technology can help. As we illustrate in the infographic below, our customized software for senior care – primeVIEW and primeCLAIMS – can help with the top five priorities discussed at OHCA.
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DULUTH, GEORGIA (PRWEB) APRIL 28, 2022 – The primeCLAIMS application, offered by Prime Care Technologies, is now integrated with PointClickCare’s electronic health record (EHR) system, empowering post-acute care organizations with the automation to efficiently get paid for every dollar, every day. PointClickCare is the leading cloud-based healthcare technology platform, enabling meaningful collaboration and access to real-time insights at any stage of a patient's healthcare journey.
Says Jonathan Duvall, Senior Director, Product Management, Prime Care Technologies, "This integration allows claim files and data updates to pass seamlessly between the two systems to simplify workflows and maintain the system of record in PointClickCare.” He continues, "We are very excited to offer the primeCLAIMS solution in the PointClickCare Marketplace, but more so, to bring time-saving value to our mutual customers in the post-acute care market."
Additional information regarding this integration is available in the PointClickCare Marketplace – an online platform for customers to easily evaluate authorized third-party technology partners. Partners listed on the PointClickCare Marketplace offer integrated apps and/or services designed to be quickly deployed and work seamlessly with providers' existing workflows.
“The PointClickCare Marketplace offers the widest range of integrated solutions available to the market,” says Chris Beekman, Marketplace Director, PointClickCare. “Our partnership with primeCLAIMS is further testament to our continually growing partner network and ecosystem, and the wealth of possibilities it provides our customers to extend their technology capabilities.”
PrimeCLAIMS is a product of ProClaim Partners, LLC and an affiliate of Prime Care Technologies, Inc.
About Prime Care Technologies
For nearly two decades, innovative senior care operators have relied on Prime Care Technologies for the integrated data and technologies they need to make real-time, performance-impacting decisions, within facilities and across communities. An Atlanta-based company, more than 7,500 facilities leverage our technologies. The interoperability we drive across 70+ apps and 3,500+ payers within the senior care market makes Prime Care Technologies the industry-leading data warehouse. The same highly secure IT services we offer clients to support and integrate their most valuable healthcare data are available to all markets as part of our primeCLOUD managed IT services suite. Visit primecaretech.com for more.
PointClickCare is the leading healthcare technology platform enabling meaningful collaboration and access to real‐time insights at any stage of a patient's healthcare journey. PointClickCare's single platform spans the care continuum, fostering proactive, holistic decision‐making and improved outcomes for all. Over 22,000 long‐term, acute and post‐acute care providers, and over 1,600 hospitals use PointClickCare today. For more information on PointClickCare, please visit pointclickcare.com.
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As outlined by the Centers for Medicare and Medicaid Services (CMS), Complying with Medical Record Documentation Requirements remains critical to senior care success.
- Helps patients get reasonable and necessary items/services
- Facilitates proper claim payment
- Supports favorable medical review decisions
Specific to claims reimbursement, CMS identified the top five reasons for errors. Note, two are related to documentation.
So, what does insufficient documentation mean?
- It does NOT mean documentation doesn’t exist.
- It means something was incomplete or missing at claim submission.
And, what are the consequences of improper documentation?
- Complete forms
- Submit additional documentation
- Send a letter explaining why the claim should be paid
- Resubmit claim
Secondarily, if your order for item/service is illegible, your patient care suffers.
What are some tips for improved documentation?
- Send ALL associated documentation supporting the item/service billed
- Some information may come from a prior claim or test
- If you're not sure if certain documentation is required, send it anyway
- Send the documentation by the deadline indicated in the request
- Review documentation to make sure it:
- Answers who, what, when, why, and how
- Verifies item/service was performed
- Verifies medical necessity
Where can I get more information regarding CMS claims errors, including documentation?
- Complying with Medical Record Documentation Requirements
- Complying with Medicare Signature Requirements
Lastly, senior care and skilled nursing facilities (SNFs) can greatly simplify claims revenue management by employing a system customized for this industry, and supported by seasoned claims professionals. Get in touch if we can help.
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We're heading to CAHF Annual Convention and Expo to showcase technologies that will help improve your operational and quality outcomes in 2019. Stop by Booth 1004 to see our advances in revenue cycle management, SNF business intelligence and managed care optimization.
Join Susie Mix, President/CEO of Mix Solutions and our partner in the development of our Managed Care MASTER application, will present Making the Most of Your Managed Care Contracting on Tuesday, November 13, at 10:00 a.m.
Schedule a meal or meeting with us to talk about 2019 game changers!
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Prime Care Technologies is heading to the NIC Spring Investment Forum March 7-9 to meet with skilled nursing operators, care coordinators, financial leaders and other healthcare professionals who are looking to improve outcomes and reduce costs in post-acute and long-term care.
Our exec team will be onsite to provide expertise and discuss best practice strategies through technology solutions such as primeCLAIMS and primeVIEW – each designed specifically for the LTPAC environment. We look forward to hearing specifically what is top of mind for your organization in 2018 and how investment in the right technology can change the game.