Prime Care Technologies Enhances Managed Care MASTER with PDPM Predictive Tools and Physician Certification

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Prime Care Technologies' Managed Care MASTER application upgraded to help healthcare providers predict PDPM reimbursement and comply with physician certification.

Prime Care Technologies, Inc. today announced enhancements to Managed Care MASTER, the application that syncs patient care with payer contracts to optimize reimbursement. The new functionality empowers healthcare providers with improved assessment capabilities for Patient Driven Payment Model (PDPM) reimbursement, as well as physician certification compliance.

The PDPM Grouper Tool and HIPPS Calculator within Managed Care MASTER work together to better assess and predict PDPM revenue at pre-admission. Once the PDPM Grouper Tool identifies the HIPPS code for a resident, the HIPPS Calculator then estimates revenue for the patient stay.

Also added to Managed Care MASTER, the Physician Certification feature alerts providers of required physician certification/recertification per The Centers for Medicare and Medicaid Services (CMS) timelines. Operators can upload the signed forms to the application for easier compliance.

“Now that all Medicare beneficiaries have moved from RUG to PDPM billing, we’ve updated Managed Care MASTER to help predict PDPM revenue – a giant stride for operators in their initial assessments,” noted Cheryl Field, Chief Product Officer. “Our two PDPM tools work together so operators can visualize the per diem rate over time and make better decisions on admission.”

About Prime Care Technologies
Since 2003, Prime Care Technologies has equipped long-term care providers with flexible hosting, managed services and cloud software that evolve with industry demand. Based in Atlanta with 150 employees and 200+ healthcare/IT partnerships, its technology-driven solutions are installed in 6,500+ facilities. With deep multi-vendor interoperability expertise, including the integration of 70+ healthcare applications and 3,500+ EDI payers, Prime Care Technologies offers the leading data warehouse and claims clearinghouse in post-acute care. Learn more at

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