Streamline Case Management Maximize Reimbursement
One powerful platform built for SNF workflows
Managed Care Software
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Boost Reimbursement. Reduce Denials. Protect Margins.
- Executive Dashboard – Real-time insights into reimbursement risk, case status, and contract performance
- Contract Alerts – Automated notifications to avoid missed billable services and high-cost medication exclusions
- Streamlined Staff Workflow – Standardized processes to ensure compliance and reduce manual work
- Contract Summaries – Easy access to payer terms for faster, more accurate decision-making
- Pre-Admission Cost Out – Estimate reimbursement potential before the resident is admitted
Focused Workflow For Managed Care
Upgrade to Pro
The "Animated Statistics" module dynamically counts up numbers from zero to their target value, visually emphasizing the significance and impact of your data.
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Get the Generator ThemeIntegrated Contract Logic
Built-in logic, not “intelligence.”
Managed Care Group's proprietary contract engine uses true data logic. Not AI guesswork to trigger alerts and calculations based on your organization’s real payer rules.
Real-Time Alerts
Stay ahead of denials and exclusions.
Automated alerts surface when billable services, level-of-care limits, or high-cost meds approach thresholds, so your team can act before revenue is at risk.
Expert Q&A Support
Access to real people who know your contracts.
When questions arise, your team connects directly with contract experts who understand managed care language and ensure every summary is accurate and actionable.
Contract Mapping
Every contract, expertly summarized.
Our contract specialists read every managed care agreement to extract payer terms, carve-outs, exclusions, and reimbursement details, turning complexity into clarity for your case management team.
Automate Contracts. Capture Revenue.
managed care MASTER streamlines manual work with smart automation, helping your team stay compliant and get paid. Real-time alerts guide case managers to secure the right level of care, avoid costly oversights, and protect revenue.
- Exclusions and carve-outs
- Level-of-care notifications
- High-cost medications
- Authorization reminders
Know the Numbers Before You Admit
managed care MASTER gives you a clear view of expected reimbursement and costs upfront. Use built-in tools to forecast profitability and make smarter admission decisions.
- Fixed costs and pharmacy pricing
- Customizable cost-out templates
- PDPM grouper and HIPPS estimate
- Projected profit margin
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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Case Management
Coordinating care from admission to discharge. Case managers track authorizations, length of stay, payer documentation, and medical necessity. Real-time alerts and contract-driven workflows support profitable, compliant care.
Admissions and Financial Teams
Know profitability before resident admission. Analyze expected reimbursement and cost of care before admission. Forecasting tools help admissions and finance teams make informed decisions that protect margins from day one.
Billing and Authorization Teams
Clean claims the first time. Billers and authorization staff gain full visibility into payer rules and active approvals. Reduce denials, eliminate document chases, and accelerate cash flow with complete, compliant claims.
Executive and Operational Leadership
Command center visibility across your network. Executives view managed care performance, authorizations, denials, and payer trends in real-time. This clarity drives better staffing, stronger negotiations, and smarter revenue protection across every facility.