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Overview

MCO Manager is designed to help case managers stay on top of their game. It manages authorizations for Subacute Care and Managed Long Term Care. By using Intelligence based off of contracts combined with real time clinical information from PointClickCare, MCO Manager determines which documentation, authorizations, and progress updates are due by creating tasks, alerts, and next steps. High cost medication alerts, and service carve-outs ensure the facility can be reimbursed with 100% accuracy. Communication is simplified with templates, fax cover letters, and ability to send customized emails and faxes directly from the software. MCO Manager is a revolutionary software which promotes productivity and clarity.

Features and Benefits

Timeline focused around authorizations and contracts

Visually helpful timeline helps case manager identify missing opportunity and verifies that they have followed the case properly.

Case Managers and Supervisor Dashboards

Dashboard categorizes tasks by type so that productivity is maximized.

Recurring update schedules with many variations

Users can set an update schedule, weekly, biweekly, monthly, by day of the week, by date. Set it and forget about it!

Management of Facility Level Payers and Contracts

Friendly user interface for input of contracts, services and rates, so that authorizations and clinical care can be assessed.

Email/fax, file upload, communication logs.

Easily communicate with Insurance companies with the ability to create customized personalized merge documents that can be emailed or faxed. Full visibility into fax statuses, with ability to print fax confirmations and resend failed faxes.

Automated Census & Clinical information from PointClickCare

Obtain real time census and care information which is analyzed to determine accurate level of reimbursement

Integrated with PointClickCare

Integrates with ADT and Payers to determine what documentation needs to be sent. Integrates with clinical side: medications, diagnosis, progress notes, scrubs data and alerts for services which are out of contract or exceeds authorizations level.

Partner Details


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Website:

https://cmsauths.com/

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