Introduction: Welcome the comprehensive resource on Understanding Payor Sources in Skilled Nursing. This training is designed to provide valuable information to a diverse range of audiences, including healthcare professionals, patients and their families, administrators, and policymakers. Whether you are seeking to understand the financial aspects of skilled nursing care or looking to make informed decisions about care options, this training is tailored to meet your specific objectives.

Intended Audiences:

1. Healthcare Professionals:
   • Nurses and Nurse Practitioners: Gain insights into billing processes and reimbursement methods in skilled nursing facilities.
   • Social Workers: Understand how different payor sources impact patient care plans and discharge planning.
   • Administrators: Stay updated on the latest trends in healthcare payment systems and regulations.
   • Therapists (Physical, Occupational, Speech): Learn how payor sources affect therapy services in skilled nursing.
2. Patients and Families:
   • Patients: Discover how your insurance coverage, Medicare, or Medicaid can influence your skilled nursing care.
   • Families and Caregivers: Navigate the complex world of healthcare payments to make informed decisions for your loved ones.
3. Administrators and Facility Owners:
   • Skilled Nursing Facility Owners and Operators: Stay informed about reimbursement trends, compliance, and strategies for financial sustainability.
   • Finance and Billing Staff: Understand the intricacies of billing and coding in skilled nursing to optimize revenue.
4. Policymakers and Advocates:
   • Government Officials: Get insights into the impact of policy decisions on payor sources and their consequences for skilled nursing facilities.
   • Healthcare Advocates: Advocate for equitable access to skilled nursing care through a deeper understanding of payment systems.

Objectives:

1. Educate Healthcare Professionals:
   • Provide healthcare professionals with a clear understanding of various payor sources, including Medicare, Medicaid, private insurance, and self-pay.
   • Explain the impact of payor sources on patient care, documentation, and reimbursement.
   • Offer insights into navigating complex billing and coding procedures in skilled nursing.
2. Empower Patients and Families:
   • Help patients and their families make informed decisions about skilled nursing care based on their financial circumstances and available payor sources.
   • Explain the eligibility criteria and coverage options for Medicare and Medicaid.
   • Provide resources and tools for estimating out-of-pocket costs and managing expenses.
3. Support Administrators and Facility Owners:
   • Keep administrators and facility owners updated on changes in reimbursement policies and regulations.
   • Offer strategies for optimizing revenue and managing the financial aspects of skilled nursing facilities.
   • Promote compliance with payor source requirements to ensure facility sustainability.
4. Inform Policymakers and Advocates:
   • Provide policymakers with data and insights to inform policy decisions related to skilled nursing reimbursement and access.
   • Advocate for policies that promote equitable access to quality skilled nursing care for all individuals, regardless of their payor source.

This resource training on Understanding Payor Sources in Skilled Nursing is designed to serve the needs of multiple stakeholders within the healthcare ecosystem. Whether you are a healthcare professional seeking to enhance your knowledge, a patient or family member making care decisions, an administrator managing a skilled nursing facility, or a policymaker shaping the future of healthcare, this page aims to empower you with the knowledge and tools you need to navigate the complex world of payor sources in skilled nursing.