--- title: Maximize Reimbursement with Managed Care Checklist description: "A checklist summary of Skilled Nursing News article All Or Nothing for SNFs: ‘Managed Care Is Not Something You Can Dabble In' to help you grow revenue." image: https://info.primecaretech.com/hubfs/Email%20Banners/maximize-managed-care-reimbursement-news.png --- [![PCT PCD Email Signature (524 x 102 px) (300 x 100 px) (1)](https://www.primecareholdings.com/hs-fs/hubfs/PCT%20%20PCD%20Email%20Signature%20(524%20x%20102%20px)%20(300%20x%20100%20px)%20(1).png?width=300&height=100&name=PCT%20%20PCD%20Email%20Signature%20(524%20x%20102%20px)%20(300%20x%20100%20px)%20(1).png) ](https://www.primecareholdings.com/prv) [![Request A Demo](https://no-cache.hubspot.com/cta/default/79917/f5e6168c-e0a4-45aa-912f-32a380cc04e5.png)](https://cta-redirect.hubspot.com/cta/redirect/79917/f5e6168c-e0a4-45aa-912f-32a380cc04e5) ###### 2 min read # [Maximize Reimbursement with Managed Care Checklist](https://www.primecareholdings.com/news/maximize-reimbursement-with-managed-care-checklist) By [Prime Care Tech Marketing](https://www.primecareholdings.com/news/author/prime-care-tech-marketing) on Sun, Oct 11, 2020 @ 07:00 PM ![](https://info.primecaretech.com/hubfs/Email%20Banners/maximize-managed-care-reimbursement-news.png) ![maximize-managed-care-reimbursement-news](https://info.primecaretech.com/hubfs/Email%20Banners/maximize-managed-care-reimbursement-news.png) The days fly by so fast; we suspect excellent articles like this one from *Skilled Nursing News* do as well. In [All Or Nothing for SNFs: ‘Managed Care Is Not Something You Can Dabble In](https://skillednursingnews.com/2020/08/all-or-nothing-for-snfs-managed-care-is-not-something-you-can-dabble-in/),' experts from Blue Sky Therapy and BKD are interviewed. We compiled their advice into a [one-page checklist](https://info.primecaretech.com/hubfs/Edu-Tools/maximize-managed-care-reimbursement-checklist.pdf) to help you maximize your managed care reimbursements. If you prefer to keep reading versus downloading our checklist, here are the highlights: 1. Establish authorization process with therapy partners  2. Take an inventory of managed care contracts  3. Communicate contract terms to staff - reimbursement criteria, pay types, delivery of care mandates, authorization requirements  4. Determine method of reimbursement - PDPM, visit rate, old RUG model Review inventory for outdated contracts  5. Research and target new payers - review declined admissions/payer out-of-network or CMS list of payers with highest local enrollment.  6. Stay on top of CMS Five Star ratings - minimum three stars to negotiate with MCOs; five stars likely required in metro areas  7. Monitor your outcomes - readmissions, discharge to home/hospice /other, average length of stay, admissions by insurance company  8. Compare your stars and outcomes to competitors  9. Diligently document care - a top reason for denial is neglecting authorization of care requirements  10. Seek out forums with hospital liaisons and competitors to jointly address various payer issues  We can't say it enough – technology can help! Our [Managed Care MASTER](https://www.primecareholdings.com/managedcaremaster) was designed to address nearly everything on this checklist. We did a [30-minute recorded demo](https://www.primecareholdings.com/demo-day-webinar-managed-care-master) of it just last month if you'd like to check it out, or get in touch for a [live demo](https://www.primecareholdings.com/request-a-demo-managed-care-master). 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