The Revenue Multiplier: How Reimbursement Oversight Scales
As skilled nursing organizations grow, reimbursement does not just become more complex. It becomes more consequential. More residents, more payers, and more documentation mean there is simply more at stake. Small gaps that once felt manageable in a single building start
Between the ARDs: Where Skilled Nursing Reimbursement Is Actually Lost
Why Strength on Assessment Days Is Not Enough If you ask an MDS or reimbursement leader where their process performs best, the answer is usually assessment days. ARDs are structured, scheduled, and receive focused attention. Most organizations execute them well. The challenge
Humana, Aetna, United: Same Resident, Different Rules
Medicare Advantage is often talked about as if it’s a single payer category. For skilled nursing teams doing the work every day, that framing doesn’t hold up. Humana, Aetna, United — the same resident, the same care, and three very different
Seeing the Whole Picture: AI Uncovers Reimbursement Opportunities Throughout the Long-Term Care Journey
In long-term care, reimbursement accuracy isn’t a one-time event. It’s a continuous process that evolves as a resident’s needs and payer requirements change. From admission to discharge, every assessment, update, and transition creates a potential opportunity — or risk —
Mastering Medicare Advantage: The New Era of Reimbursement Intelligence
Medicare Advantage is reshaping how skilled nursing facilities think about reimbursement. Enrollment keeps rising, and payers are creating their own level-based payment models that demand agility and insight. Among MedaSync clients this year, nearly 70% of contracts are level-based, while