CareManager® Modules
Enrollment
Basic client information is recorded for billing and management reporting.
Assessment
Assessment data are gathered and stored, including baseline behaviors, client needs and assets, cultural issues, diagnosis and other relevant assessment information.
Plan of Care
Used by care managers to document individualized treatment plans they develop in conjunction with clients, families and professional team members. The emphasis is on integrated, culturally competent plans that utilize client strengths, and organize a support system that includes family, community and professionals.
Planned Actions
Allows system managers and supervisors to review monthly service authorizations and monitor the appropriateness, utilization and cost of services in a timely manner, as well as ensure prescribed services are consistent with treatment goals.
Progress Notes
Allows care managers and professionals to enter progress notes and review those of others to ensure a coordinated, integrated plan and that services authorized are being provided.
Claims Adjudication
Claims are approved or denied, based upon prior authorized plans. The adjudication process automatically generates remittance advice reports along with explanation of benefits.
Financial Management
After the claims adjudication process is complete, revenue and expenditure information can be transmitted to accounts receivable, and accounts payable systems and general ledgers.
Electronic Third-Party Billing
Claims Adjudication and Financial Management modules can be adapted to fit the specifications for electronic claims submission for third-party reimbursement by Medicaid, private insurance and other payers.
Copyright © 2006 Community Care Systems, Inc.
Questions or Comments? Email us: info@communitycaresystems.com
Last Updated: 4/18/2007
1 Sherman Terrace • Madison, WI 53704 • (608) 255-1875 • Fax (608) 255-2213
www.communitycaresystems.com