The Challenges

Complex Contracts

Multiple contracts. Different rules. Limitations. Exclusions.

Manual Process

Tracking dates, authorizations, appeals. Concurrent patient updates.

Revenue Loss

Pinpointing where the loss of revenue is happening.

Your Solution

Meet managed care MASTER.

Optimize Your Managed Care

Learn how managed care MASTER can help optimize your revenue by guiding your case management based on contract terms.

Web-Based Contract Portal

Convert paper and binders into convenient online access. managed care MASTER breaks your complex contracts down into measurable pieces, integrating your resident population with payers and contractual limitations.

• All managed care contracts online
• Quick-reference contract summaries/PDFs
• Contract renewal alerts

Pre-Admission Cost Out

Visualize revenue at pre-admission with level of care mapping and PDPM predictive tools built into managed care MASTER.

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

Case Management Workflow

Best practices in case management are built into this app to guide staff in properly managing skilled care stays. Say goodbye to paper; complete patient updates in real-time, as a team.

• Track authorization end dates
• Complete concurrent reviews online
• Utilize payer-specific patient update forms
• Manage when updates are due to the payer

Call-to-Action Alerts

Acting as an automated gatekeeper, our system provides calls-to-action for your staff and delivers actionable steps for resolution.

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

KPI Dashboard and Reports

Decision-makers can customize dashboard views to monitor performance and outcomes daily and in near real-time.

• Dollars at risk
• Census by payer
• Therapy provided vs. contract limits
• Unresolved alerts
• Denials and appeals