Focused Workflow For Managed Care

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MCMdiagram
About Headshot Example 1 copy
About Headshot Example 1 copy

Features

Successful managed care relies on effective management from admission to discharge. Efficient case management systems and best practices are essential for financial vitality.

  • Executive Dashboard
  • Contract Alerts
  • Streamlined Staff Workflow
  • Contract Summaries 
  • Pre-Admission Cost Out 
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About Headshot Example mcm.2.homepage (9)
About Headshot Example mcm.2.homepage (9)

Reports

End-of-Month Triple Check Reporting

  • Dollars at Risk 
  • Payer and Level Details 
  • Therapy Management 
  • Alert Details 
  • Estimated Payer Revenue 
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Automating Your Contracts & Why It Matters!

managed care MASTER takes your manual processes and automates the workflow to capture reimbursements. Real-time alerts assist case managers in requesting the appropriate level of care for residents, improving the quality of care and supporting facility revenue. 

  • Exclusions and carve-outs
  • Level-of-care notifications
  • High-cost medications
  • Authorization reminders

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About Headshot Example mcm.2.homepage (10)
About Headshot Example mcm.2.homepage (10)
About Headshot Example Track revenue gain and visibility into ROI-1
About Headshot Example Track revenue gain and visibility into ROI-1

Pre-Admission Process 

Visualize revenue before admission using level of care mapping and PDPM predictive tools integrated into managed care MASTER.

  • Fixed costs and pharmacy pricing
  • Custom and dynamic cost-out template
  • PDPM grouper and HIPPS estimate
  • Estimated profit margin
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