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managed care MASTER

Your Case Manager Advocates

SNF-Focused Managed Care Software

Your SaaS tool to gain online visibility of managed care contracts and leverage data-driven alerts and workflows. 

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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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Managed Care Data Integrations
Seamless connections with PointClickCare and other EHRs, contracts, RX costs, and therapy at your fingertips.
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Contract & Case Management Alerts
Request the appropriate level of care for residents, improving the quality of care and supporting facility revenue. 
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Pre - Admission Cost Out

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

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Financial Reporting

Census by facility and health plan, plus daily rate, costs, and margins.

 

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About managed care MASTER

Our Quality System is Ready to Help You!

The success of managed care relies on effective management throughout a resident's stay, from admission to discharge.

Operationally sound case management systems, along with best practices and efficiency, are crucial for financial stability.

managed care MASTER offers automated workflows for case management, helping facilities capture missed reimbursements. It also analyzes and maps contracts, ensuring case managers are informed about all exclusions, carve-outs, and high-cost medications.

  • Gain Efficiency 
  • Enhance Resident Care
  • Increase Reimbursements

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Simplified Real-Time Online Case and Contract Management

Simplified Real-Time Online Case and Contract Management

 
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Single System

One login streamlines case management across multiple payers

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Clinical Updates

Real-time clinical updates for case management

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Executive Reporting
Executive-level reporting for enterprise-wide visibility
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Greater Output
Increased efficiency, effectiveness, and job satisfaction for case managers
MCM WEBPAGE

Complete Solution for Case Managers 

Post-implementation results show a 45% increase in case manager caseload capacity and a 50% reduction in time spent on concurrent reviews. The application also enhances organizational visibility into the managed care process, providing leaders with clearer oversight and control.

Additionally, the platform’s alerts engine identifies contract exclusions that can boost revenue; each flagged exclusion averages a $600 increase in stay reimbursement.

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Testimonials

"With web-based data at our fingertips, we process updates during our morning meetings, which can save us up to 30 minutes per update."

– Managed Care VP, Symphony Post-Acute Network


"Real-time alerts prompt case managers to request higher levels of care. In most cases, we receive authorizations for increased levels, which help our revenue."

– Managed Care VP, Symphony Post-Acute Network

Frequently Asked Questions

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.
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Industry News and Blogs

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Address:
6650 Sugarloaf PKWY
Duluth, GA 30097
Phone: (877) 644 2306