For skilled nursing teams managing Medicare Advantage

Know exactly how to work with every payer.

The MA Playbook gives your clinical and ops teams the specific MA rules - documentation rules, auth thresholds & interactions needed - embedded in their daily flow.

  • Comply with unique documentation & evidence rules
  • Equip your team with payer-specific guidance
  • Standardize workflows across every plan
  • Reduce denials before they happen, not after
Get paid what your SNF earned
Clear payer rate data for SNFs
Provider further agrees to provide Health Care Services to individuals covered under other third party payers (hereinafter referred to as “Payer”) health benefits contracts and agrees to comply with such Payers policies and procedures. For Covered Services rendered to such individuals, Provider acknowledges and agrees that...
Deploy your MA Playbook

Document per Payer Rules. Every time.

Every Medicare Advantage plan has its own documentation standards, prior auth criteria, and coverage rules. Your clinical team shouldn’t have to learn them through denials.

The Playbook translates each payer’s requirements into clear, shareable guidance - then puts it where your team works.

  • Build: Put each payer’s documentation & auth rules into a Playbook
  • Deploy: Share your Playbook with clinical, therapy, & billing teams
  • Embed: Access guidance in daily workflows, not buried in a binder
  • Update: Revise rule changes in one place; your team stays current
For Nurses, Case Managers & Therapy Team

Know what each payer needs BEFORE you document.

MA plans score your clinical documentation by their own criteria - not yours. Aetna’s daily skilled nursing standards aren’t UHC’s. UHC’s therapy expectations aren’t Humana’s.
The Playbook gives every clinician on your team payer-specific guidance at the moment they need it, so documentation reflects what each payer actually requires.
  • Payer-specific documentation requirements in plain language
  • Evidence and daily note standards by plan
  • Auth criteria and coverage thresholds before the case, not after
  • Shareable across care teams and facilities
See Nearby Competitors' Rates
See Nearby Competitors' Rates

Benchmark rates to peer SNFs by location, chain operator & payer. Uncover gaps & find opportunities.

Are Your Payer Rates Accurate ?

Avoid Underpaid Claims. Never Miss a Rate Change.

New regulations require payers to disclose their provider rates.
PayerIndex™ tracks rate changes and gaps - so your contracts and claims systems stay accurate without the manual work.
  • Audit Claims: Uncover rate discrepancies in recent claims
  • Compare Contracts: Verify your rates match what payers say
  • Capture Rate Changes: Implement rate updates right away
  • Benchmark: Compare rates against peers by location & chain
Easily find & update rates to your EHR & billing systems.
PayerIndex™ Pricing

Try your Playbook before you commit

Deploy a Playbook & see your facility's rates in a live demo.

Subscribe to keep your Playbook current and monitor ongoing rate changes.

Monitor Payer Trends

Find the payers & plans that matter to your market

Medicare Advantage is changing fast. PayerIndex tracks enrollments trends, payer market share, & plan activity so you know which relationships to build - & which markets to enter.

Stay on top of local enrollment shifts by plan
Build the right relationships before your competitors do
Discover expansion opportunities with enrollment trends
Find Key Payers in your Market

Why Choose PayerIndex™?

Our experienced post-acute team builds tools designed for the realities of SNF managed care - to reduce administrative burden and put the right information in the hands of the people doing the work.

 You're probably already using something we've built! 

Post Acute Software Builders
Medicare Advantage Resources for Post-Acute Care

Learn how SNFs win at managed care

Ready to give your team the Playbook?

See how PayerIndex™ can help your facilities know and follow every payer’s rules.

My Badge