One point of contact for all your managed care needs.
For more than 25 years…
MNS has helped nearly 5,000 Skilled Nursing Facilities…
navigate the managed care landscape with over 100 different plans…
encompassing 1,000+ unique products…
facilitating more than 200,000 covered admissions…
ensuring the accurate and timely collection of $1.3 BILLION in claims!
Admissions
Timely Payments
Provider Solutions
MNS is the nation’s leading independent expert in managed care within the skilled nursing environment.
What we do best!
Skilled Nursing providers large and small from all over the country utilize MNS for the following:
CHOW Services
CHOW Services
Seamlessly transition existing agreements to new owners, management groups, or while aligning with hospital partners to avoid a lapse in par status. Includes rate and existing language review and negotiations!
Contract Management
Contract Management
Keep all your managed care contract data in one place – accessible whenever or wherever you are! Quickly view contract details, identify high-value contracts, and stay up-to-date on payor trends in your local market.
Contracting
Contracting
Maximize your admissions and overall occupancy by completing one MNS contract and credentialing packet, giving you access to multiple insurance companies.
Credentialing
Credentialing
Our credentialing experts oversee your organization’s status for current and future managed care contracts, regardless of whether the contract is provided by MNS.
Clinical Services & Admissions Support
Clinical Services & Admissions Support
Fast-track managed care admissions processes and authorizations. Minimize denials and payment disruptions.
Claims Processing & Payment Services
Claims Processing & Payment Services
Accelerate and optimize your claim generation/submission to provide for optimal reimbursement on managed care stays.
Education & Marketing
Education & Marketing
Advise on marketing strategies and building key relationships with acute care providers and referral sources to drive utilization.
Market Analysis & Consulting Services
Market Analysis & Consulting Services
MNS experts will review your existing contracts and evaluate your current rates while also identifying opportunities, analyzing potential gaps, and providing recommendations.
Customized Reporting & Online Services
Customized Reporting & Online Services
MNS provides you with customizable reports enabling you to monitor your referral sources, utilization data, and key process metrics, trends, and turnaround times.
Payor & ACO Solutions
MNS is your one point of contact for SNF network needs, value-added services, and efficient solutions.
What we do best!
Well established and emerging managed care plans alike utilize MNS for the following:
Contracting
Contracting
One contract provides immediate access to all facilities in a designated market or thousands of facilities nationwide.
Credentialing
Credentialing
MNS’ credentialing standards are the highest in the industry, and MNS has been granted delegated credentialing by dozens of contracted payors.
Clinical Services & Admissions Support
Clinical Services & Admissions Support
Our care coordination team saves payors valuable time by gathering and reviewing SNF documentation prior to submission to the payor’s case manager.
Provider Mapping
Provider Mapping
MNS works extensively with health systems, managed care organizations, and other types of payors to manage preferred post acute provider networks.
Data Analysis & Customized Reporting
Data Analysis & Customized Reporting
Reports can provide a wealth of information including diagnoses, length of stay, inpatient costs, and readmissions. If the data is in our software, we can design a report!
Specialty Reimbursement Models
Specialty Reimbursement Models
MNS has helped numerous national payors to design, develop, implement and maintain a variety of reimbursement models with thousands of SNF providers.
Our Successes
Making Managed Care Manageable!
Our goal is to provide our partners with valuable information, reporting, and solutions.
Here are a few examples of how we have helped our partners:
MNS has partnered with both payors and SNF providers to design and implement new reimbursement models (value-based, episodic, risk-based, etc.) that consistently exceed initial savings estimates, delivering…
Admissions
Typical Increase: 50-60%
ALOS
Typical Decrease: 20-40%
Rehospitalization
Typical Decrease: 20-40%
Average Daily Rate
Typical Increase: 50-150%
Build and Manage Networks
MNS was engaged by a multi-state Next Generation ACO to quickly and effectively develop a post-acute network of 500+ providers.
Delegated Credentialing
As a delegated credentialing entity for 25+ payors, MNS manages all aspects of credentialing and re-credentialing for thousands of SNFs, undergoing rigorous annual audits/inspections with a 99% pass rate.
Credentialed/Recredentialed
Each year, MNS typically updates and reviews thousands of re-credentialing packets while completing hundreds of CHOWs ensuring NO LAPSE in coverage and par status.
Expedited Admissions
MNS successfully implemented a Rapid Referral Program, reducing TAT from 48 hours to less than 1 hour!
Mapping Tools
Provider Mapping
MNS works in collaboration with health systems, managed care organizations, and other types of payors to manage preferred post-acute provider networks.
We specialize in analyzing, identifying, developing, and managing networks of preferred providers. Even if you already have a network established, MNS can help you organize, manage, and display your network with our state-of-the-art mapping software. Our software tracks changes in your network while maintaining an accurate and real-time directory, giving you a visual depiction of your network and the ability to quickly and easily identify areas of saturation or deficiency.
“We do recommend MNS…”
“We made a conscious decision to make sure we expanded our network of relationships with Managed Care organizations and have found MNS experience to be helpful to us and a positive experience to our results. We do recommend MNS to our Long Term Care friends.”
Administrator
“our managed care census has more than quadrupled!”
“MNS has played an integral part in helping our company understand how managed care works in the sub-acute rehab setting. With the support of MNS, our managed care census has more than quadrupled over the past 5 years. The leaders and frontline staff at MNS have been nothing less than resourceful, professional, and responsive to our needs. I highly recommend MNS to other skilled nursing providers.”
VP of Contracting & Business Integration
“They provide support on a daily basis…”
“MNS has been our credentialing provider of choice for many years. As the operator of several skilled nursing facilities throughout the state [Ohio], we appreciate their ability to stay on top of the ever-changing insurance regulations and plan specifics. They provide support on a daily basis at both a facility level as well as at the corporate level when it comes to claims processing.”
Director of Administration
