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`PPMSI Brings Web Technology and Automated Efficiency to West Coast Medical Groups,' says Health Management Technology Magazine, August 2002.


Business Editors/Health & Medical Writers

FOSTER CITY, Calif.--(BW HealthWire)--Aug. 8, 2002

Pacific Partners Management Services Inc. (PPMSI), a managed care service organization, was singled out in the August 2002 Health Management Technology magazine for its development of PPMSI Online--web-browser-based utilization management Utilization management is the evaluation of the appropriateness, medical need and efficiency of health care services procedures and facilities according to established criteria or guidelines and under the provisions of an applicable health benefits plan. , financial and administrative decision support software for IPAs, medical groups and health plans.

The article details the positive impact PPMSI Online has had on PPMSI operations, reporting 20 percent improved administrative efficiencies versus 1998 for SCCIPA, the first PPMSI client.

"PPMSI Online protocols and authorization guidelines work together to automate more than 50 percent of authorization requests...This allows medical review staff to dedicate ded·i·cate  
tr.v. ded·i·cat·ed, ded·i·cat·ing, ded·i·cates
1. To set apart for a deity or for religious purposes; consecrate.

2.
 their time to requests that genuinely require their review," writes Health Management Technology. "Profiting from its own automation development, PPMSI today requires 34 percent fewer authorization staff, 43 percent fewer nurses and 25 percent fewer medical directors (per thousand commercial HMO HMO health maintenance organization.

HMO
n.
A corporation that is financed by insurance premiums and has member physicians and professional staff who provide curative and preventive medicine within certain financial,
 members) than it did in 1998."

In addition to MSO (1) (Multiple System Operator) Typically refers to a cable TV organization that owns more than one cable system, but it may refer to an operator of only one system.  savings, recent queries to physician office managers with PPMSI Online yielded much improved office administrative efficiencies. Family practice, internal medicine and specialist offices reported savings of 10 to 20 hours per week, with savings of $10-20,000 per year in employee costs per office.

According to according to
prep.
1. As stated or indicated by; on the authority of: according to historians.

2. In keeping with: according to instructions.

3.
 Health Management Technology, "The developers realized that many physician practices, even in Silicon Valley, lacked the computer systems necessary to accommodate complex software installations--and sometimes lacked office staff sufficiently knowledgeable to manage them. (They) knew their solutions had to be viable for the most basic (physician) office computers, easy to learn and easier yet to use every day."

Here's a recap of the key findings included in the article:

PPMSI Online Results

MSO Utilization Management/Administrative Savings vs. 1998
-- Family Practice with 2,700 HMO members and 55 authorizations/week saves 10
hours/week and over $10,000/year in employee costs

-- Internal Medicine group with 2,300 members and 75 authorizations/week saves
up to 20 hours/week and $20-$25,000/year

-- Podiatry practice with 55 authorizations/week saves $12-$15,000/year
employee savings


Sample Physician Office Savings with PPMSI Online


-- Family Practice with 2,700 HMO members and 55 authorizations/week saves 10
hours/week and over $10,000/year in employee costs

-- Internal Medicine group with 2,300 members and 75 authorizations/week saves
up to 20 hours/week and $20-$25,000/year

-- Podiatry practice with 55 authorizations/week saves $12-$15,000/year
employee savings


About PPMSI Online

PPMSI Online web software is designed to expedite utilization management referrals and authorizations, and to provide secure online messaging, HMO patient eligibility, lab results, payment tracking, and electronic claims submissions. UM protocols, authorization guidelines and reviewer queuing can be customized for each physician group and health plan. Concurrent review can be managed from hospitals, care centers or corporate facilities.

PPMSI Online software is available on an ASP basis or for license to health plans, IPAs, MSOs, PHOs and other healthcare entities. It readily interfaces with many claims processing systems including IDX (IDX Systems Corporation, South Burlington, VT, www.idx.com) One of the largest health care information systems companies in the country, acquired in 2006 by GE Healthcare (www.gehealthcare.com), a unit of the General Electric Company. (R), OAO OAO Orbiting Astronomical Observatory
OAO Over and Out
OAO One And Only
OAO Ontario Association of Orthodontists
OAO Owned and Operated
OAO Ontario Association of Optometrists
OAO Opticians Association of Ohio
OAO Orthogonalized Atomic Orbital
(R) MC400 and EZ-CAP(R) software. Physician offices require only an Internet connection and a personal computer capable of running Microsoft(R) Internet Explorer Microsoft's Web browser, which comes with Windows starting with Windows 98. Commonly called "IE," versions for Mac and Unix are also available. Internet Explorer is the most widely used Web browser on the market. It has also been the browser engine in AOL's Internet access software.  5.x software with a Windows 95, 98, NT or 2000 operating system operating system (OS)

Software that controls the operation of a computer, directs the input and output of data, keeps track of files, and controls the processing of computer programs.
. Contact Randall Frakes, Executive Vice President, at rfrakes@ppmsi.com or 650-358-5804 to arrange for a web demonstration of PPMSI Online.

About Pacific Partners Management Services, Inc.

Launched in 1998, the MSO currently manages over 2,000 physicians and 200,000 senior and commercial HMO members in four IPA IPA - International Phonetic Alphabet  (independent practice association) medical groups including Santa Clara Santa Clara, city, Cuba
Santa Clara (sän`tä klä`rä), city (1994 est. pop. 217,000), capital of Villa Clara prov., central Cuba.
 County Individual Practice Association (SCCIPA), Affinity Medical Group, Premier Care Medical Group of Northern California Northern California, sometimes referred to as NorCal, is the northern portion of the U.S. state of California. The region contains the San Francisco Bay Area, the state capital, Sacramento; as well as the substantial natural beauty of the redwood forests, the northern , and Golden State Physicians Medical Group. The PPMSI health technology development team has fifteen years experience working together to streamline MSO software and workflow. Besides MSO services, PPMSI provides other services including practice management, physician office software and online purchasing. http://www.ppmsi.com
COPYRIGHT 2002 Business Wire
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2002, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Publication:Business Wire
Geographic Code:1USA
Date:Aug 8, 2002
Words:655
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