Boston Senior Home Care Selects Cumulus to Modernize Care Coordination and Claims Workflows

Boston Senior Home Care (BSHC), a private nonprofit Aging Services Access Point that helps older adults, people with disabilities, and caregivers access home- and community-based services and supports, has selected Cumulus Care to provide a new technology platform supporting whole-person care, Senior Care Options authorization management, EVV oversight, claims processing and reporting.

The initiative will give BSHC a more connected operating environment across workflows that currently span multiple systems. Cumulus will provide staff with visibility from referral and authorization through service delivery, billing readiness and claims activity.

Cumulus stood out not only because of the technology, but because the team understands the long-term services and supports environment and the work organizations like ours actually do. We were particularly impressed by the way the platform connects authorization status, billing readiness and claims processing. That gives us an opportunity to identify problems earlier, strengthen oversight and reduce the gaps that can lead to denied claims.

–Meg Hogan, Chief Executive Officer of Boston Senior Home Care

The project will modernize BSHC’s claims workflows. Cumulus will support the creation and submission of 837 claims transactions and the processing of 835 electronic remittance advice, providing visibility into claim status, payments, denials and exceptions. The platform will also help identify missing or problematic authorizations before claims are submitted.

Boston Senior Home Care is taking a thoughtful approach to modernization by looking at whole-person care, referrals, authorizations, and claims as parts of one connected operating model rather than as separate technology problems. Our role is to give BSHC a technology foundation that makes it easier to work with community and healthcare partners, see what is happening across these workflows and identify what needs attention before it becomes a larger problem.

–John Byer, CEO of Cumulus Care

The implementation will proceed in phases, beginning with discovery and data mapping and continuing through configuration, testing, training and production rollout.

About Boston Senior Home Care

Boston Senior Home Care (BSHC) is a private nonprofit Aging Services Access Point serving 13,000 older adults, people with disabilities, and caregivers throughout Boston. Since 1974, the organization has helped people remain independent by providing care management, person-centered planning, caregiver support, and connections to home- and community-based services and long-term support. Working in partnership with health care providers, community organizations, and government agencies, BSHC helps people access the resources they need to live safely, independently, and with dignity. For more information, visit bshcinfo.org.

About Cumulus Care

Cumulus Care provides a cloud-based platform for organizations coordinating health, long-term services and supports, and community-based care. The platform is used by aging and disability organizations, Community Care Hubs, healthcare and Medicaid partners, and other organizations supporting whole-person care.

Cumulus connects care coordination, closed-loop referrals, provider networks, authorization management, service delivery, interoperability, claims workflows and reporting in a single operating environment. The platform helps organizations coordinate services across healthcare and community-based partners, improve visibility across complex workflows, and better understand what is happening around the individual.