Improve Your PACE Administration Environment
Our QuickCap PACE Program Platform enhances your PACE and LIFE Programs with faster collaborations, streamlined processes, and better participant outcomes—all in one platform.
The PACE and LIFE Program
The PACE Program, also known as LIFE in Pennsylvania, provides comprehensive medical and social services to qualified elderly participants in the community. These participants are mostly eligible for both Medicare and Medicaid-covered services.
PACE and LIFE programs primarily focus on adult day health centers, supplemented with in-home and referral services tailored to meet each enrollee’s needs, with the goal of achieving
high-quality outcomes.
PACE Programs Continue to Expand and Evolve
PACE programs face increasing pressure to elevate the quality and engagement of healthcare services for an expanding elderly population.
To keep up, PACE and LIFE organizations must meet comprehensive infrastructure standards that emphasize patient-centered, multidisciplinary care and robust financial management. Outdated software solutions simply don’t support the demands of a larger, aging participant pool, making modern, adaptable technology essential for continued success.
QuickCap Simplifies Complex PACE Management
Don’t let ineffective PACE software slow down your success!
Our comprehensive solution empowers your PACE Program to modernize processes
throughout the continuum of care and create long-term value.
QuickCap empowers organizations to deliver
high-quality care to individuals with complex needs by streamlining the demanding administrative tasks of full professional risk-managed care contracts—all within a single,
easy-to-navigate, and comprehensive platform.
Our PACE management software provides compliance and accountability in care coordination, claims, and utilization management. It also offers integrated care and case management software and analytics for managing your Interdisciplinary Team (IDT).
A Single Platform Can Solve Your PACE Workflow Issues
As an integrated management system, you can use QuickCap’s PACE Program Platform to streamline your PACE and LIFE-related processes and experience the following benefits:
PACE Participant Enrollment
Expedite registrations and minimize eligibility denials with supreme accuracy.
Fast and Accurate Health Plan Verification
Verify the eligibility of a health plan participant with great accuracy and speed while reducing denials and fraud.
Customizable Assessments for Healthcare Requirements
Understand and address participant’s healthcare needs. Configure assessment questions for case management, annual health, and more.
Track Participant Status via the RAF Dashboard
Manage participants’ status through the risk adjustment factor (RAF) score dashboard
Review and Resolve Authorization Issues
Quickly check the participant’s authorization and claim-related details. Fix and resolve eligibility discrepancies to complete the final validation successfully.
Population Health Management
Efficiently manage all aspects of participant care, like benefit plans, provider contracts, and patient populations.
Collect Comprehensive Data for Processing
Collect provider and patient reports, health plan records, physician and hospital FFS claims, risk management agreements, and standard codes for end-to-end UM, QM, and claims processing to address your organization's comprehensive data needs.
Real-Time Access to Key Insights
Access clinical, financial, and operative data in real time to gain the collective insights you need to boost productivity while meeting value-based outcomes.
Actionable Data Analytics for PACE Programs
Leverage actionable analytics in identifying and providing care to high-risk members.
Coordinated Care
Provide effective, coordinated healthcare services through powerful, seamless inter-departmental work processes.
Bridge Clinical Information and Communication Gaps
Our web-supported platform enables your team to bridge clinical information and communication gaps throughout your PACE Program, enabling better-informed care delivery.
Improve Care Management with Technology Integration
Increase your PACE Program’s effectiveness in care management with knowledge-engineering networks designed to flawlessly incorporate technology and human resources.
Track Utilization of Care Services
Track and manage utilization of transportation, primary, specialty, and ancillary care services provided to PACE or LIFE members.
Maximize Data Exchange for Flexible Growth
Achieve faster results today with greater flexibility for future growth, all while enhancing data exchange with relevant entities.
Financial Management
Oversee, analyze, and forecast financial movements based on updated health plan information.
Harness Budget Projections and Assess Advantages
Easily harness budgetary projections and quickly assess fiscal advantages through organized reports that track each claim’s process flow.
Define Provider Reimbursement Contracting Details
Define the specifics of provider reimbursement configuration. PACE Programs have flexibility in their downstream capitation and carve-out structures.
Manage Claims and Appeals Efficiently
Manage claims, disputes, and appeals with an advanced automation technology that makes the adjudication process faster and more efficient and with accurate calculation.
Build and Calculate Capitation Reimbursement Structures
Build and calculate capitation-based reimbursement structures with accessible reporting capabilities for monthly or yearly capitation and primary care physician (PCP) capitation checks.
Generate IBNR Reports for Claims Tracking
Generate incurred but not reported (IBNR) reports for paid and unpaid claims containing due amount details to easily organize, track, and monitor medical bills and claims payments.
Security and Compliance
Leverage the highest industry standard payer platform and PHI protection
Secure Patient Information with HIPAA Compliance
Utilize secure, proprietary, and embedded HIPAA-standard EDI formats to protect sensitive patient health information. Powerful encryption measures support your PACE Program with sustained defense against unwanted data breaches.
Maintain Complete Audit Trails for Compliance
Complete the audit trail of all records and activities to comply with health plans and government agencies.
QuickCap Intuitively Streamlines Your Operations
Guide your PACE Program through the whole healthcare process cycle for increased accuracy and efficiency.
Clinical Alerts
Coordinate clinical and administrative workflows through automated, recurring alerts to anticipate population health trends and mitigate risks for both participants and providers.
Referral and Claims Administration
Easily facilitate authorizations and claims data lifecycles from start to finish through a reliable AI-based adjudication system for a more seamless workload integration.
Case Management
Stratify risk and manage the health population through a dedicated case management tool with unlimited programs that can help produce participant data analysis and actionable insights to deliver improved health outcomes.
HEDIS
Build highly effective, quality, value-based healthcare management programs to improve HEDIS ratings and boost your PACE Program’s ranking. Easily integrate intuitive artificial intelligence networks for elevated participant engagement practices.
Who We Support
Empowering Our Clients to Infuse Quality into Elder Care
With QuickCap, we help PACE and LIFE Programs achieve their mission-driven goals in healthcare. From faster interdisciplinary team communications to personalized care delivery, our capabilities enable PACE and LIFE Programs to achieve unparalleled efficiency, transparency, and reliability at every stage of the participant journey.
No More Patching Systems Together—Get the Complete PACE Solution TODAY!
Equip your care team for success with the all-inclusive QuickCap. Join us in the transition to streamlined care and experience seamless interoperability, participant engagement,
decision-making, and better participant outcomes.
