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Neighbors of Dunn County staff brief supervisors on nursing-home payer sources; committee accepts vouchers
Summary
At a Dunn County standing committee meeting, Neighbors of Dunn County staffer Carmen reviewed the facility’s main payer sources — Medicaid, Medicare Part A, Medicare Advantage, private pay and VA — and explained eligibility rules and billing nuances. The committee voted to accept vouchers and financial statements.
Neighbors of Dunn County Standing Committee members heard a primer on the primary payer sources for Neighbors of Dunn County (NDC) and approved the facility’s vouchers and financial statements during their meeting.
Carmen, a Neighbors of Dunn County staff member, told supervisors that “Medicaid is our primary payer source” and that “on any given point, we about have 70% of our residents that are on Medicaid.” She explained Medicaid’s mixed federal-state funding, that Medicaid requires both medical and financial eligibility, and that eligibility can be determined either before admission or after a resident is already at the facility.
The discussion laid out how each payer behaves: Medicare Part A covers most short-term rehabilitation stays and is federally funded; its maximum coverage is 100 days per qualifying hospital stay and payments decline the longer a resident remains on a Part A spell. “Medicare Part A’s payer system is extremely detailed and cumbersome,” Carmen said. She told supervisors that…
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