Issues facing Nursing Home Operations

• Misinterpreted Medicare and Medicaid Payment Guidelines
• Most skilled nursing facilities have been improperly instructed, regarding payment guidelines of Medicare and Medicaid.
• Most facilities are not billing Medicare to the extent allowed by law, which entitles beneficiaries up to 100 days of coverage per condition, under the Social Security Entitlement Act.
• Most facilities are being reimbursed at a Medicaid rate, rather than a higher Medicare rate, due to misinformation they are receiving from their intermediary.

• Problematic Organization and Infrastructure
• Psychosocial programs are no longer reimbursed, so are not being addressed.
• Most providers are not equipped, or staffed, to provide restorative rehabilitation to their patients.
• Many providers have not organized their staff, for efficiency, based on their level of training.

• The Resulting Fallout
• The results of improper billing, 40 of the 50 United States’ Medicaid programs face underfunding, and the federal Medicare program is expected to be bankrupt by 2018.
• Due to employee turnover and absenteeism, facilities are faced with, injury, inefficiency, low productivity, inactivity of patients, and inconsistent quality of care, costing taxpayers an additional $400 billion per year.

Read about solutions for owners and providers...