Managed Care Operations & Automation
Automated intake workflows, centralized authorization tracking, and a shared real-time view across operators, case managers, and billers.
Overview
Most post-acute care organizations are running managed care on a combination of spreadsheets, recurring census emails, and institutional knowledge that lives in one person's head.
For one growing multi-facility operator, that meant authorization risks going undetected, operators and billers working from different versions of the truth, and no real visibility into what was happening across facilities until it was already a problem.
We built them a platform that changed all of that. Integrated directly with PointClickCare, it automated intake workflows, centralized authorization and denial tracking, and gave every stakeholder — operators, case managers, billers — a shared, real-time view of their entire operation.
Business Impact
The client scaled across multiple facilities without adding administrative overhead. Authorization risks that used to surface as surprises were visible days in advance. Case managers stopped firefighting. Billers and operators stopped working from different data.
- Replaced manual spreadsheets and census emails with automated intake workflows
- Real-time authorization and denial tracking across all facilities
- Secure reporting portals for operators and billers — one source of truth
- Built around existing systems — no rip-and-replace required