Simple Real-Time Contract Management
We Create Case Management Superstars
Our managed care MASTER solution automates your case management, integrates with existing systems, and boosts revenue performance!
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What is managed care MASTER and who is it for?
- managed care MASTER is a purpose-built platform designed to simplify, track, and optimize managed care contracts for skilled nursing facilities and long-term care providers.
How does managed care MASTER differ from traditional contract management systems?
- Unlike generic solutions, our platform is tailored for post-acute providers, featuring real-time reimbursement modeling, rate libraries, authorization workflows, and integration with claims and census systems.
Can I track authorizations and payer requirements in real-time?
- Yes. Our platform includes tools to manage pre-authorizations, track changes in payer policies, and ensure contract compliance.
Why do managed care contracts matter to providers?
For providers, managed care contract terms greatly affect key aspects of healthcare operations, including payment structures, daily practices, record-keeping, confidentiality, office organization, and clinical decision-making, all of which influence patient care quality.
What are the 5 parts of PDPM?
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In the PDPM, there are 5 case-mix adjusted elements: Nursing, Occupational Therapy (OT), Physical Therapy (PT), Non-Therapy Ancillary (NTA), and Speech-Language Pathology (SLP). Each resident is to be categorized into one and only one group for each of the 5 case-mix adjusted elements.
How many PDPM codes are there?
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Under the Patient Driven Payment Model, there are a greater number of valid HIPPS codes compared to RUG-IV. Note that there are many fewer assessment signs under the PDPM. PDPM has 25 Nursing case-mix groups, 16 PT/OT case-mix groups, 6 NTA case-mix groups, and 12 SLP case-mix groups, which increases to 28,800 combinations.
Centralized Contract Management
Consolidate critical contract data. Easy access to resident eligibility, reimbursement, and authorization.
Real-Time Visibility
Integrates seamlessly with clinical & billing systems. Avoid revenue leaks with proactive insights.
Streamlined Workflows
Automates manual tasks. Promotes efficiency & reduces administrative burden.
Lean On The Experts
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