Our Services

Everything between admission and reimbursement, handled.

Six services, run by staff who work managed-care authorizations daily. Each one exists to close a specific gap where facilities lose covered days or money — not as a generic add-on.

01
Pre-Admission

Verification of Benefits

Before a resident is admitted, we confirm exactly what their managed care plan covers — network status, authorization requirements, and any conditions on the benefit — so your admissions team isn't guessing or discovering a coverage gap after the fact.

  • Plan and network status confirmed directly with the payer
  • Authorization requirements identified before admission
  • Findings delivered in a format your admissions team can act on immediately
02
Pre-Admission

Prior Authorization

We secure the initial authorization with the managed care plan ahead of or at admission, so the resident's stay is covered from day one and admission doesn't stall waiting on paperwork.

  • Authorization requests submitted with complete clinical documentation
  • Direct follow-up with the plan's UR department, not a call queue
  • Goal: turnaround measured in minutes, not days
03
Ongoing

Concurrent Stay Reviews & Utilization Review Meeting Attendance

As a resident's care needs evolve, we prepare the clinical review and attend the plan's utilization review meeting directly — arguing for every additional day the clinical picture supports, so your DON or business office isn't pulled into a call with the payer.

  • Clinical documentation reviewed and packaged ahead of each Utilization Review meeting
  • Palisades attends and represents the case directly with the plan
  • Outcomes and next review dates reported back to your team
04
Compliance

NOMNC Filing & Appeals

When a plan issues a Notice of Medicare Non-Coverage, timing is everything. We file the NOMNC correctly and, where the clinical picture supports it, file the appeal within the required window — protecting the resident's right to continued coverage while it's reviewed.

  • NOMNCs tracked and filed within required timeframes
  • Appeals prepared with supporting clinical documentation
  • Resident and family kept informed of status throughout
05
Reimbursement

Part B Carve-Outs

We identify and manage Part B carve-out billing for services outside the primary managed care benefit, so those services get billed correctly instead of absorbed into the facility's per diem or missed entirely.

  • Carve-out eligible services identified case by case
  • Billing coordinated with your business office
  • Documentation maintained to support each carve-out claim
06
Reimbursement

Reimbursement Optimization

Every managed care claim is reviewed against the resident's actual acuity and documentation to pursue the highest appropriate reimbursement level — not just the first rate a plan offers.

  • Claims reviewed against clinical documentation and acuity
  • Rate discrepancies flagged and pursued with the plan
  • Findings reported back so your team sees where rates were adjusted

Ready to hand off your managed-care workload?

Tell us about your facility's payer mix and current process — we'll show you exactly where Palisades fits in.

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