Defining the Provider’s Role in Value-Based Care Moving to managed care can change workflow but create new opportunities for providersRead More
Qualifacts Knows Minnesota
Qualifacts is one of the most trusted healthcare technology partners for leading behavioral health and human services providers in Minnesota. Our 2014 Ambulatory Complete electronic health record (EHR), CareLogic Enterprise, currently provides integrated clinical, financial, reporting and administrative solutions for 11 organizations in Minnesota.
To ensure our customers meet state reporting requirements, CareLogic includes functionality enabling agencies to electronically collect, batch and submit required information to the Minnesota Department of Human Services and individual payers.
We built this functionality to accommodate our customers and the programs they are currently running. Because CareLogic is a Software-as-a-Service (SaaS) platform, any new functionality is seamlessly distributed to Minnesota customers without upgrades, patches or service interruptions.
Mental Health Information System (MHIS)
The MHIS Reporting Manual is a reference guide for mental health providers who are required to report client-level outcome measures in Minnesota. It includes reporting requirements, client data elements and batch requirements. Each provider is responsible to reference and implement the manual information. The standard CareLogic state functionality is available for batching data and the download/upload to MHIS system.
County-specific Billing Functionality
Within CareLogic, you can bill specific amounts (expected rates) on a per-county basis, based on your current contracts.
Chemical Dependency Rate Adjustments
Chemical Dependency programs in Minnesota require different rates to be billed out for a given procedure or revenue code. The authorization number sent with the claim allows DHS to determine if the correct fee is being billed. The standard fee override feature was built in CareLogic to accommodate this business need.
The following EDI File Types have been built and are available to all customers:
- Availity 837P Medicaid 270
- Medicaid 837P
- Medicare 837P
The Perfect Solution for Providers of All Sizes
Qualifacts is revolutionizing EHR affordability by connecting providers to form multi agency collaboratives. Regardless of size or budget constraints, these collaboratives are building strong networks of local peer agencies and creating opportunities for collective cost savings, accelerated return on investment and shared best practices.