Our red alerts ensure you keep on top of any tasks that affect reimbursement, such as 24 hour notifications, exclusions and changes in Levels. The dashboard is automatically populated though the PointClickCare ADT integration and keeps your staff on top of the critical activities needed to get the most from your Managed Care payor contracts.

SMART Case Manager keeps your staff on top of Levels rules, exclusions and the all important prior authorizations needed. At the end of the month your billers see exactly what you are entitled to get reimbursed – compliant with your contract. Billing is based on authorizations obtained and includes rev codes, dates, and rates for each level of care the resident has achieved.

Features:

• 24-hour referral notification

Immediate visibility of 24-hour referrals needed for new patients

• Missing referral authorizations

Focus on the patients lacking payor approval

• Daily level achieved

Find patients who are eligible for higher reimbursement

• Embedded medication costs

All covered medication costs available instantly

• On-demand patient activity/cost

Never look up an activity cost by hand again

• Therapy and care delivery

Data delivered from EMR automatically to your fingertips

• Automated smart contracts

No searching for levels requirements in paper contracts

• Concurrent review forms

Embedded forms make documentation and submission a snap

• NOMNC forms

Patient data auto-populates for fast form completion

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