by Theresa Saunders | Nov 20, 2020 | General
There is still time to sign up for Electronic Funds Transfer (EFT) so your facility can receive daily reimbursement. There are two ways to sign up:
Ms. Ford joined Management and Network Services in October 2020 as a Senior Reimbursement Specialist, bringing deep industry knowledge from her 30+ years of billing, claims, and collections experience within the Skilled Nursing environment. Rhonda has extensive experience with billing Medicare Part A and Part B, Managed Medicaid, Dual Eligible Plans, along with Traditional Medicare and Medicaid as well as using RFMS for Resident Trusts. Rhonda has spent considerable time utilizing and developing strong proficiency with a wide array of industry applications, including Point Click Care, Quadax, Navinet, Availity, MITS, Pay Trace, CMS DDE, and Zirmed just to name a few.
Having spent most of her career working with SNFs (ranging from small independent facilities to large multi-facility corporations), Rhonda works across multiple MNS customer segments and geographic markets assisting providers resolve their most complex billing and claims issues. In addition, Rhonda is also responsible for developing and implementing reimbursement best practices within MNS while also serving as a trusted advisor and subject matter expert (SME) to SNFs from across the MNS platform.
Mr. Hoffman joined MNS in 2015 as a member of the Business Development team and is responsible for assisting payors, ACOs, and other risk-bearing entities with their skilled nursing facility (SNF) networks. Justin has assisted multiple payors in establishing/contracting new SNF networks, converting and re-contracting existing networks to implement value-based reimbursement structures as well as introducing various clinical support models. In addition, Justin also facilitates ACO 3-Day waiver implementation, preferred provider and fee reduction agreement strategy, project management, as well as network analysis. For the past several years Justin has also begun collaborating with UM teams to pilot the proprietary MNS Payor Portal: a HIPAA compliant, real-time, electronic care coordination platform designed to reduce turnaround times, promote communication efficiency, and mitigate LOS. Justin dually holds a Bachelor of Science (BS) in International Business as well as Bachelor of Arts (BA) in French from Wright State University.
Ms. Glidewell joined Management and Network Services in 2019 as the Manager of the Care Coordination Department, bringing 13 years of clinical experience with a special focus in MDS and Skilled Nursing Reimbursement. Priscilla oversees the MNS Care Coordination team and works directly with payors to ensure streamlined admissions processes.
Prior to joining MNS, Priscilla was a Regional Director of Clinical Reimbursement for a Skilled Nursing Facility. Priscilla earned her RN from Fortis College and her BSN from Western Governors University. She is a member of the Reimbursement Committee for the Ohio Healthcare Association, a member of the American Association of Post-Acute Care Nursing, and a Certified Dementia Practitioner.
Mrs. Barrie joined MNS in 2021 to lead the claims and collection activities of the Reimbursement team by building payor relationships and providing valuable and quality claims services for our customers.
Judy has nearly 40 years of experience in insurance and managed care claims and customer service. Starting in 1985, Judy entered managed care as a Claims Manager for a start-up HMO in Toledo, Ohio. Moving to Cleveland as Claims Manager for Blue Cross and Blue Shield of Northern Ohio, Judy managed a group of health claims and customer service teams and ventured into provider contracting and credentialing, building one of the original Medicaid HMO networks in northern Ohio. For the past 23 years, she successfully operated a high-volume, fast-paced medical billing, customer service, and health information management departments of a workers’ compensation managed care organization as Vice President. Judy is a graduate of Bowling Green State University.
Ms. Shandor joined Management and Network Services in 2001. Prior to becoming the Senior Regional Manager for Business Development in 2005, she served as Marketing Analyst and Business Development Manager. She was instrumental in the development of MNS’ operating policies and procedures as well as a comprehensive marketing plan, which contributed to the growth of the company. In 2009, Melissa was promoted to Director of Business Development in which she oversees payor contracting across the country. She is also responsible for obtaining new insurance contracts, building and maintaining relationships with current contracted insurance companies, as well as researching and analyzing health care data.
Melissa has over 19 years of experience in managed care and the post-acute environment. Prior to MNS, she worked as a financial analyst for a national institutional food service provider. She received her Bachelor of Science in business administration with a major in finance from Youngstown State University.
MNS provides you with customizable reports enabling you to monitor your referral sources, utilization data, and key process metrics, trends, and turnaround times.
Fast-track managed care admissions processes and authorizations. Minimize denials and payment disruptions.
Our credentialing experts oversee your organization’s status for current and future managed care contracts, regardless of whether the contract is provided by MNS.
MNS has helped numerous national payors to design, develop, implement and maintain a variety of reimbursement models with thousands of SNF providers.
Accelerate and optimize your claim generation/submission to provide for optimal reimbursement on managed care stays.
Advise on marketing strategies and building key relationships with acute care providers and referral sources to drive utilization.
MNS experts will review your existing contracts and evaluate your current rates while also identifying opportunities, analyzing potential gaps, and providing recommendations.
One contract provides immediate access to all facilities in a designated market or thousands of facilities nationwide.
MNS’ credentialing standards are the highest in the industry, and MNS has been granted delegated credentialing by dozens of contracted payors.
Our care coordination team saves payors valuable time by gathering and reviewing SNF documentation prior to submission to the payor’s case manager.
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!
Advise on marketing strategies and building key relationships with acute care providers and referral sources to drive utilization.
Maximize your admissions and overall occupancy by completing one MNS contract and credentialing packet, giving you access to multiple insurance companies.
MNS works extensively with health systems, managed care organizations, and other types of payors to manage preferred post acute provider networks.
Mrs. Hope joined MNS in 2007 as a Case Manager and since that time has been promoted to Senior Team Lead, Care Coordination Manager and currently serves as MNS’ Director of Care Coordination. Voni has been involved with and/or responsible for the development and implementation of the procedures and policies of the Care Coordination Department in a fast-changing insurance environment.
Prior to joining MNS, Voni earned her RN at the age of 20. After a short term working in a Skilled Nursing Facility and then the VA, Voni found her clinical calling as an Emergency Room nurse. She spent the next 15 years working in the ER, building crisis management skills, and a strong clinical knowledge base.
Ms. Tausel joined Management and Network Services in 1999 as a credentialing nurse. In 2002, she was promoted to Director of Network Development and was responsible for building and maintaining skilled nursing facility networks, credentialing all network facilities and addressing all provider quality issues. She also assisted in the development of the Provider Quality Management Policy and Procedure Manual, which enabled MNS to obtain delegated credentialing with national accredited insurance companies.
Heather implemented and developed the Provider Education Department to improve communication and customer service to the MNS providers. In 2010, Heather began working with the payors to build and expand provider networks. In 2014, Heather was named Chief Development Officer.
Heather has more than 20 years of long-term care experience. Prior to MNS, she worked as an account specialist and a nurse consultant for a national long-term care pharmacy. She holds a nursing degree and recently earned her master’s degree from the University of Phoenix.
Mr. Deeley joined Management and Network Services in 2014 after having served for several years on the MNS Board of Managers. Brian has more than 25 years of experience in strategic planning and development, including stints with two global consultancies as well as corporate development roles within two fortune 500 corporations in the insurance and healthcare arenas. Brian’s specialties include driving growth via new organic initiatives as well as strategic alliances, joint ventures, and acquisitions. During his time with MNS, Brian has worked extensively with various managed care organizations to develop and implement novel reimbursement strategies to reinforce SNF network quality initiatives. In addition, under Brian’s leadership MNS has refined and expanded the suite of value added services available to SNF customers across the country.
Brian holds a Master of Business Administration (MBA) from the University of Chicago’s Booth School of Business and a Bachelor of Science in Mathematics and Computer Science from the University of Notre Dame.
Mr. Hoffman helped found Management and Network Services in 1996, originally serving as Vice President of Business Development. In 1997, Jon was named President and CEO and served in that capacity for more than 20 years. Jon continues to work closely with many of MNS’ customers and currently serves as MNS’ Chief Operations Officer, focusing his efforts on continuously improving and enhancing the services MNS provides to customers.
Jon has nearly 40 years of long term care experience. Jon began his career in 1983, serving as the business office coordinator for six Volunteers of America nursing facilities in Ohio, with a special focus on accounts receivable and collections. In 1987, Jon was the administrator of Leisure Oaks Convalescent Center in Defiance, Ohio, and in 1990, he was the administrator for Trinity Retirement Community in Beavercreek, Ohio. Jon is a graduate of Wright State University.
Mrs. Wehner joined MNS in 2006 as a member of the Care Coordination team and has since held various roles within the Business Development, Network Development and Compliance departments. She is currently the Director of Managed Care Contracting and Compliance and serves as the MNS Compliance Officer. Her responsibilities include the review of all payor and provider contracts, regulatory compliance, and oversight of provider credentialing activities. Over more than 20 years in the Skilled Nursing sector, Joyce has been involved in the evaluation and negotiations of literally thousands of payor and provider contracts.
Joyce began her career in the accounting department at Health Care and Retirement Corporation and also spent several years with a consulting group assisting in acquisition evaluations, operational turnarounds and auditing vendor contracts.