Recovery of Accelerated and Advance Medicare Payments

The Centers for Medicare and Medicaid Services (CMS) has passed Medicare-certified providers more than $100 billion under the Accelerated and Advance Payments (AAP) program. Under the terms of this program, CMS plans to keep 25% of a given facility’s Medicare payments for the first 11 months of the recoupment period, starting one year from the date of the first receipt.

To learn more about this please see the article below.

Pandemic Encourages SNFs To Move To Private Rooms

There are many things payers are looking for when requesting a contract, private rooms being of them.

This article shows how the pandemic has encouraged skilled nursing facilities to move to private rooms and why it’s imperative to take advantage of the financial support the government is offering to renovate and remain competitive.

Occupancy Struggles For SNFs

A recent report showed that the national median occupancy for skilled nursing facilities is around 69% at the start of this year.

Access Advantage can help with your out-of-network problems! With our routine meetings with payers and a Four Star network, we are your managed care solution.

Medicaid Managed Care Rule Changes

In November of this year, the Centers for Medicare and Medicaid Services (CMS) finalized revisions to Medicaid managed care regulations that had been proposed two years prior.

Changes include updates to network adequacy standards, beneficiary protections, rates and payment.

For more on this, see the article below.

MA Capitation Rates Rising In 2022

An increase in capitated rates may prove positive for Medicare Advantage (MA) payers like Humana, UnitedHealthcare, Aetna and Anthem in 2022. To combat improper inflation of risk scores, the Centers for Medicare and Medicaid Services (CMS) is proposing to rely on encounter data to calculate patient risk.

For more on this, please see the article below.