Introducing PayerIndex™

Take Action on Medicare Advantage

Gain leverage & share knowledge to increase Medicare Advantage reimbursement

More than half (54%) of Medicare beneficiaries are enrolled in Medicare Advantage plans.

How Can Post-Acute Providers Win at Managed Care?

SNF operators must quickly adapt to the growing MA market. Getting the right information in your team's hands means better documentation and higher reimbursement.

See How We Do It

Stay Compliant to MA Payer Rules

The RAI Manual provides one set of rules & clearly defines how to document, code, and bill for services to ensure proper reimbursement. We know what is expected and how to submit accurate PDPM data.

But there is no single rules manual for Medicare Advantage.

Every MA payer — UnitedHealthcare, Blue Cross, Aetna, and dozens more — reimburses SNFs per its own rules & requirements, usually known as Levels.

An operator must juggle many different rules, each with its own nuances and updated frequently.

Navigating individual Medicare Advantage payer rules feels like juggling ten different RAI manuals — every single day.

How do We Document to Daily Evidence Rules?

Your dusty payer contracts hold important information your clinical teams need - every day.

The Levels and reimbursement rules applied to your authorizations & claims should be in the hands of the team documenting and billing for the care you give residents.

Start My MA Playbook

Share Payer Playbooks

Help your MDS nurses, therapists and clinical teams document to each payer's unique rules.

• Show daily evidence requirements

• Identify triggers for higher reimbursement

• Avoid ADRs, denials & early discharges

PayerIndex™ Delivers Current Payer Rates

The Transparency in Coverage rule obligates payers & hospitals to publish their provider rates - which generates over a petabyte of new data every month!

PayerIndex™ distills this mess of raw numbers into a powerful Payer Rates engine with actionable insights - just for SNFs.

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Explore & Compare Rates

Monitor payer strategies & market trends to improve negotiations and find new markets for expansion:

• Monitor rate increases given by payers

• Compare rates in your state & metro area

• Benchmark your competitor chains & SNFs

How to Get Curated Rates

Whether you just need rates during negotiations, or want to monitor when and how payers give rate increases, you can:

• Subscribe to alerts to see when & where rates change
• Buy a one-time snapshot of rates in your area
• Test us out with a free sample of your rates

Want to Learn More on Managing MA?

From negotiating favorable Medicare Advantage (MA) contracts, to overcoming authoritzation and claims denials - being able to succeed in the ever-changing MA marketplace is critical to maintaining your revenue.

Read our Clarity Guides to learn more tips and strategies to succeed!

View our Clarity Guides