Arming yourself for new Medicare Advantage rules

McKnight's May 2, 2023
Foster Stubbs

For years, says skilled nursing reimbursement expert Maureen McCarthy, managed care organizations have gotten away with denying appropriate care and denying or reducing payments to providers using less-than-ideal methods.

But a new federal rule governing Medicare Advantage payments aims to right past wrongs and ensure beneficiaries who need a skilled nursing stay can get it more easily. If it works, providers should also see a smoother path to the pay they’ve earned.

But it’s critical to understand what the new...

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