Louis area, it may not be reflective of the actual costs at other sites. However, Medicare reimbursement (payments) averages 5 to 7 % below allowable Medicare costs for inpatient and outpatient services, 11.4 % above costs for IRFs, and 13.1 % above costs for skilled nursing facility (SNF)...
The rules around the use of an MNF and meeting Medicare’s medical necessity requirements are extensive and cannot be captured adequately here. Aetna and ASM crews are trained, reviewed, remediated and subject to a rigorous quality assurance process in this regard. If you represent a facility in...