CASE STUDY
Reducing SNF Length of Stay 37% Without Adding UM Burden
How Episodic Payment Shifted Post-Acute Clinical Management to SNFs and MNS
Program Results
%
LOS
%
ALOS
Savings Per Episode
READMISSIONS STAB
2,500+ EPISODES MANAGED
These outcomes reflect utilization improvements achieved after implementing the value-based reimbursement model described in this case study.
Overview
Most Medicare Advantage plans have already achieved SNF network adequacy. But many still operate through hundreds of one-off facility agreements that make performance-based reimbursement difficult to implement at scale.
Provider Mapping
- Identify, develop, and manage a preferred network of post-acute providers.
- Track and maintain! 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.
- Already have a preferred network? MNS can help organize, manage, and display your provider network with “smart searches.”
Data Analysis & Reporting
Start to finish: We’re here for you!
- 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 for it!
- Forecasting and budgeting! MNS’ reports provide valuable data and insights for strategic planning purposes.
- Real-time reporting! Available to contracted payors right on the MNS website.
- Increase efficiency and accuracy! MNS’ proprietary software connects our care coordination data and billing information.
Claims
One contact for payments and collections!
Our billing teams touch more than 1,000 unique claims per day achieving extraordinary levels of accuracy.
- MNS bills daily! EFT/ERA to one entity.
- Claim verification! MNS will verify claims are clean and in the required format prior to submission.
- Billing and payment concerns are handled directly with MNS.
- Accurate claims! MNS’ proprietary software connects care coordination data and billing information to ensure accuracy and help prevent against fraudulent billing.
- Payor payment obligations are met as soon as MNS receives payment.
