PrimeENTERPRISE
PrimeENTERPRISE™ is an application that helps you effectively manage your healthcare enterprise's tasks by providing tools that streamline business processes and functions, giving you the ability to make more informed decisions.
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Who Uses PrimeENTERPRISE
PrimeENTERPRISE is used by organizations, such as Management Service Organizations (MSO), Billing Services and Ambulatory Surgery Centers, that need autonomy and separation among practices, while managing operations from a centralized location. Other groups, such as Independent Physician Associations (IPA), may also use PrimeENTERPRISE to provide services, such as fee schedule updates and practice analysis.
Stark Changes and PrimeENTERPRISE
Because of the recent Stark law changes that allow hospitals to invest in technology for physician offices, many hospital organizations are motivated to purchase PrimeSUITE and offer it to practices affiliated with their healthcare system. In turn, with many practices using PrimeSUITE within a given area, PrimeENTERPRISE can be used to facilitate controlled sharing of data and master files by those practices.
Designed with Flexibility in Mind
At the forefront of any large enterprise is a plan for growth. And with this growth comes the demand for a solution that allows for easy addition of new practice entities and quick changes in setup options. PrimeENTERPRISE has this flexibility – it can easily establish multiple configuration options for varying types of practices in the organization and add and remove practices from the enterprise.
Features
Centralized business functions
- Claims processing
- Statements processing
- Payment posting
- Collections follow-up
Enterprise level roll-up reporting
- Service analysis
- Productivity analysis
- Reimbursement analysis
- Payer mix
- Denial analysis
- Clinical condition analysis
Data sharing
- Patient demographics and insurance
- Account balance
- Account flags
- Clinical summary
Centralized master file maintenance
- Insurance
- Fee schedules
- Adjustment codes
- Procedure codes
- Providers
- Configuration files