primeCLAIMS

The comprehensive claims system built exclusively for skilled nursing and long-term care.

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Fact Sheet

Uniquely supported end-to-end by post-acute claims experts.

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CAHF and Prime Care Technologies present an in-person training: Maximizing Reimbursement!

June 11, 2024, Walnut Creek Marriott

8 am - 5 pm

Click To Register!

June 13, 2024, Hotel Fera Anaheim 

8 am - 5 pm

Click To Register!



Maximizing Reimbursement

 

PointClickCare/EHR Data Exchange

Manage claims transmission, status, and edits; or update related patient data without leaving the PointClickCare application. Benefit from real-time, two-way data exchange not currently available through other claims apps.

 

  • Initiate 837 claim in EHR system with automated clearinghouse retrieval/review
  • Review and easily edit errors for resubmission and auto-update to EHR system
  • Automatically receive 835 remits in EHR system, which generates cash receipt
 

Automated, Full-Service Payer Enrollment

With all payers and each of their enrollment processes built in to primeCLAIMS, enrollments are virtually painless.

 

  • All payer forms
  • Customized processes
  • Near real-time status
 

SNF Eligibility and Clearinghouse

With eligibility checking across all payers, coverage is easily verified upfront. When it's time for claims submission, primeCLAIMS catches nearly 100% of errors, while offering fast editing functionality to quickly adjust any flagged errors.  

  • Medicare/Medicaid
  • Commercial payers
  • HETS verification
  • Batch submission without batch rejection
 

SNF-Focused Submission, Editing and Tracking 

Once claims are submitted, your team can log in daily to see updates and work the lists that require attention. Our EzDDE interface offers instant submission, status, and editing -- without leaving our app. 

  • Patient-centric
  • Simplified editing/tracking
  • Direct DDE connection
  • Easy to train

primeCLAIMS DASHBOARD


SNF Revenue Cycle Management


 

 

Claims Analytics and Unique Biller Expertise

Unlimited reports offer everything you need to analyze trends and focus attention on the areas most in need.

  • Actionable reports
  • Support staff with billing experience
  • Centralized or decentralized billing

primeCLAIMS Actionable Analytics


primeCLAIMS Revenue Cycle ManagementRevenue Cycle Management in Healthcare


 

Expert Support from Experienced Billers

Clients truly can't say enough about our claims support team and are pleased with fast responses and issue resolution with tenured senior care billing experts.

"The primeCLAIMS support team—accessible by phone or email—was faster in addressing questions/issues"

– Wyndridge Health

 

"Training was simple, resulting in a significant reduction in the transition to full productivity."

– AR Manager & Clinical Billing Specialist, Southern Healthcare

 

One Simple System with Powerful Results

Fast Pay on All Types

Commercial claims paid as fast as 14 days

Super-Clean Submit

Nearly 100% errors found pre-submission

Short Turn-Times

Claims turn time shortened by up to 50%

Less Follow-Up 

Fewer days sales outstanding (DSO)

We previously used a clumsy system that catered to hospitals. It didn't give us the attention we needed when encountering problems and responses were not timely.
SHCM
Nearly 40 Locations
Reduced cash turnaround time by at least 1/2 and as much as 2 days.
Everything promised was achieved, allowing us to focus time elsewhere.
wyndridge-health-rehab
Single Location
Claims were paid faster by at least a week.
"Not every software vendor takes the time to hear the customer and what they need. The primeCLAIMS team is flexible, open to discussion, and let customers help drive product."
Jeff Cantrell, CFO
Central Management Company
Download case studies

Claims Processing Doesn't Have to be Tedious

Hear what our clients say about how easy it is to cut processing time and days sales outstanding (DSO), with pain-free execution using our SNF revenue cycle management application.

Review Case Studies

 

 

Care together, heal together: Uniting nursing and therapy for improved resident care

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Listen Now!

 

 

Frequently Asked Questions