Managed Care Contracts in LTC
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Who in your facilities handles the Managed Care patients?....who gets the authorization to admit and who deals with the insurance company's case manager? I've had the job and got rid of it and now have it back again. I had it when I was the Medicare (PPS) coordinator and had it as the day supervisor and now have it back as the ADON. It takes HOURS sometimes just to get an answer from the insurance companies and in the meantime the Admissions Coordinator starts to freak and pages me 6 times in an hour to get an answer.