 |
 |
 |
|
|
 |
|
|
 |
|
|
 |
|
|
 |
|
|
|
|
|
Pro-Filer™... Unique Methodology |
|
Our software product encompasses our company's unique understanding of the marketplace's information needs, as well as the specific tools designed to facilitate the use of information systems. |
||
|
|
Pro-Filer™ supports multi-company processing within one database. The system provides for the ability to document information on the consumer's request for services (single point of entry) and subsequently refer the consumer to one or more companies for the appropriate clinical care. Within this context, the consumer information is shared by the multiple companies servicing the consumer, therefore eliminating duplication of data entry. The clinical information pertaining to a consumer's care is secured by company and can only be shared if a clinical staff from another company is allowed access to the company records. | |
 |
Pro-Filer™ is designed to assist in monitoring continuity of care. Multiple episodes are stored in the system. Within an episode, a consumer can be admitted to multiple cost centers or programs, each providing a different or similar level of care. In addition, a consumer-centered treatment plan can be structured for the consumer and shared among cost centers or programs. Security for access to the treatment plan is determined by the characteristics of the team of clinicians assigned to the care of the consumer. A review of the multi-disciplinary treatment provided to a consumer within or across cost centers, episodes of care and companies can be performed through the use of a tool designed for that purpose. | |
 |
Pro-Filer™ is designed to seamlessly integrate clinical and reimbursement guidelines. Clinical standards (internally built by the organization, or John Wiley & Sons, Inc. libraries) are used by the clinicians to review clinical "Best Practices" as recommended by the organization. Reimbursement guidelines (internally built) are reviewed at the treatment plan level and evaluated to project reimbursement for services to be delivered. In addition, reimbursement guidelines including managed care requirements are also reviewed at the point of service entry to allow for possible corrective action before the service is posted to the accounts receivable function. | |
|
|
Pro-Filer™ is designed to assist in the monitoring of documentation requirements. Documentation requirements can be defined by cost center or program, client phase and client type, and subsequently monitored by the system. Subsequently, documentation requirements can be tasked to the clinician and monitored for compliance by the clinicians and their supervisors. | |
|
|
The essential elements of Pro-Filer™ revolve around the definition of a company, episode of care, treatment plan, cost centers or programs, and a consumer receiving services. These criteria are required by the system prior to data entry. As such, no service can be entered into the system if a treatment plan is not documented and approved by the multi-disciplinary team. A service can only be recorded if a consumer is registered in a cost center or program in which this service is housed. A cost center or program can only be opened if a consumer has been admitted to an episode of care, and an episode of care can be opened for a consumer only if a consumer is admitted to a company. | |
|
|
Since its deployment in the marketplace, Pro-Filer™ has been successfully implemented in single organizations as well as consortiums of organizations providing services in the private and public sectors. UNI/CARE has implemented its consortium methodology in large networks located in various states including California, Utah, Georgia, North Carolina and Nebraska. UNI/CARE has been selected as a primary vendor because of Pro-Filer’s ability to integrate all of the information in a single database that can be reviewed by the consortium administration, as well as individual member companies. The integration of the database and the comprehensiveness of the functionality available through the use of Pro-Filer™ are unique methodologies offered by UNI/CARE and not yet matched in the marketplace. | |
|
IT
Manager |
|
CONTACT US
|