Skilled Nursing News April 20, 2020
The federal government has granted Medicare Advantage plans significant leeway when it comes to setting payment rates and other rules for skilled nursing facilities. In normal times, the crazy quilt of managed-care policies and exceptions creates headaches for operators and their billing teams.
Amid the ongoing COVID-19 crisis, widespread variations in Medicare Advantage behavior add another potential challenge onto a system already stretched to its limits — and with dire projections about skilled nursing facility finances over the coming months, capturing every possible dollar could mean the difference between quality care and serious danger.
Management and Network Services (MNS) has been compiling routine updates of Medicare Advantage exceptions and requirements related to caring for COVID-19 residents in the skilled nursing...
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