1 min read

[Recap] 5 Things heard at OHCA annual

By Prime Care Tech Marketing on Mon, May 23, 2022 @ 01:45 PM

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.

Post-OHCA-Soundbytes

If you would like to learn more about our primeVIEW and primeCLAIMS SaaS applications, get in touch for a demo or 30-minute consult. 

Request a demo

Topics: revenue cycle management claims reimbursement staffing OHCA COVID-19 clinical audits
2 min read

Documentation Critical to CMS Claims, Patient Care and Medical Reviews

By Prime Care Tech Marketing on Thu, Jun 17, 2021 @ 04:10 PM

As outlined by the Centers for Medicare and Medicaid Services (CMS), Complying with Medical Record Documentation Requirements remains critical to senior care success.

Proper documentation:

  • 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. 

Top-5-cms-claims-errors-primeclaims-snf-revenue-cycle

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?

Improper documentation disrupts the revenue cycle, which results in loss of financial revenue. CMS claim denials also cost your staff time, requiring them to:

  • 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?

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.

Learn More

Topics: revenue cycle management SNF CMS primeCLAIMS denial management
1 min read

[Event] CAHF Annual Convention and Expo - Booth 1004

By Prime Care Tech Marketing on Wed, Nov 07, 2018 @ 10:05 AM

 

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 managementSNF 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!

 

Topics: automated revenue cycle management system revenue cycle management managed care optimization SNF business intelligence CAHF Annual Convention and Expo managed care contracting
1 min read

[Event] 2018 NIC Spring Investment Forum

By Prime Care Tech Marketing on Mon, Feb 26, 2018 @ 02:04 PM

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.

Topics: revenue cycle management BI dashboard reimbursement process Five Star ratings payment models labor technology investment value-based care
2 min read

[VIRTUAL TRADESHOW] Transform Operational Drag into Excellence - Aug 2-3

By Prime Care Tech Marketing on Tue, Jul 18, 2017 @ 09:52 AM

email-graphic.jpg

Join us for Prime Care Technologies' August 2-3 Virtual Tradeshow. This show features seven strategic sessions with top post-acute providers and vendors who will discuss highly-efficient solutions for meeting your operational demands in purchasing, regulatory, staffing, revenue, claims and more.

Wednesday, August 2

10:30-11:30 a.m. ET

Executive Decision-Making: Leveraging Facility Data as Business Intelligence

Speaker: Kim Sonderegger, Pinnacle Quality Insight

Panel: Samantha Broussard, Plantation Management; Eric Rivard, Plum Healthcare Group, Cheryl Field, Prime Care Technologies


12:30-1:30 p.m. ET

E-Procurement: Innovative Management of Healthcare Spend

Speaker: Jessica Spencer, Medline Industries

Panel: Pam Mink, Foundation Health Services and Rusty Zosel, Procurement Partners


2-3 p.m. ET

CMS Requirements for Participation: Need-to-Know Compliance Tips for Long-Term Care

Speakers: Clifton Porter, AHCA; Clint Maun, Maun-Lemke, LLC

Panel: Cheryl Field, Prime Care Technologies



Thursday, August 4

10:30-11:30 a.m. ET

Revenue Cycle Management; Cash is King

Speaker: Clint Maun, Maun-Lemke, LLC

Panel: Becky Yocum, American Healthcare, Patti Bolen, Southern HealthCare Management and Kimberly Sturm, Prime Care Technologies


12:30-1:30 ET

Cybersecurity: Protecting Your Critical Points of Access

Speaker: Fred Layfield, Prime Care Technologies

Panel: Jim Hoey, Prime Care Technologies


2-3 p.m ET

Attracting and Retaining Staff in a Competitive Market

Speaker: Lisa Thomson, Pathway Health

Panel: Diane Harrison, Magnolia Manor; Barbara Wilkins, Kindred Care/Rehab-Greenbriar; Joe Stone, Prime Care Technologies

3-4 p.m. ET

Healthcare Risk Management: Employee Safety Practices to Prevent Liability

Speaker: David Mathog, USI Insurance Services

Panel: Joe Stone, Prime Care Technologies

Topics: KPI automated revenue cycle management system revenue cycle management applicant tracking BI dashboard dashboard, data data warehouse resident liability Using Business Intelligence patient liability business analytics LTC Claims staff reporting managed services CLAIMS AUTOMATION LTC recruitment CMS compliance for LTC LTC insurance solutions LTC risk management healthcare risk management employee safety cybersecurity e-procurement healthcare spend management LTC facility data CMS requirements

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