COMING AND GOING
SHOW ME THE MONEY
WHO'S GONNA PAY?
CAN'T SEE THE FOREST FOR THE TREES
FOR YOUR BENEFIT
100
I'm on my way to the hospital, but I'll be back for sure!!
What is a "Transfer Out"?
100
Our holiday dinner was a big success - we collected $500 from our guests!!
What is miscellaneous cash?
100
I've saved a lot of money in my lifetime, and won't need to depend on the state to pay for me!!
What is Private Pay Room and Board?
100
Medicare Part B pays for 80% of my therapy charges - but who will pay for the remaining 20%??
What is Part B coinsurance?
100
I'm 65, Blind or Disabled and this Federal program is going to pay for my skilled care.
What is Medicare?
200
Unfortunately, my family moved to Michigan, and they'll be taking me along. I'm sad to go, but you'll have to ____ me.
What is a Discharge?
200
I know our daily rate is $500, but that insurance company only pays $400. What do we do with the difference?
What is a Contractual Allowance?
200
What do you mean my insurance policy is no longer valid? Who's going to pay for that $161 a day in coinsurance?
What is Medicare Part A Coinsurance from Private?
200
I used to have traditional Medicare B - but I went to a meeting at Denny's and signed up for a Medicare Advantage program, now THIS payer will cover my therapy services.
What is Managed Care Part B? (or Med Advantage B)
200
I can no longer take care of myself, and really need to be in the Nursing Home - but have no money!! Help - who will pay for me??
What is Medicaid or Managed Medicaid?
300
Nursing Homes don't sell a product - they sell a service. The owners love it when we have lots of this...
What is Revenue??
300
Aetna paid for my stay at the nursing home, but they said that I owe $50 a day!
What is Patient Co-Pay?
300
This payer is used to show the amount due from the resident for their monthly income.
What is Patient Liability?
300
Before you take that next Medicare admission, you'd better make sure that they have had this.
What is a Qualifying Hospital Stay?
400
I went to that other nursing home for 15 days, but their food was not very good. Now I'm here at the Richter SNF where the food is great - especially the chili!!
What are "previous days used"?
400
It's great when our beds are full, but the boss isn't so happy when nobody pays. We've got LOTS of this....
What are Accounts Receivable??
400
Please sent that bill to my son each month. He's got my checkbook.
What is the Responsible Party?
400
I didn't have time to set up that Payer Tree....so all the charges are going to book to.....
What is Private Pay??
400
I'm only 55, but need to have a knee replacement - and will have to go to a nursing home for therapy! I've got insurance through my job to pay for my stay.
What is Commercial Insurance?
500
I'm on Medicare A, but just had a quick trip to the emergency room. I was back within 24 hours!!
What is a Medicare less than 24 hour leave?
500
There are this many slots on a Payer Tree. They allow you to create the list of payers that will cover all of a resident's charges.
What is 5?
500
I signed up for an insurance plan that will pay me $30 a day for every day I'm in the nursing home!
What is Long Term Care insurance?