Financial Analyst Supervisor, LaTrisha Wright
Nursing Home Providers
- Covers institutional care for recipients who are unable to remain at home or in the community.
- The quality of nursing home care is regulated by Healthcare Facility Regulation, a division of the Georgia Department of Community Health.
If your facility has received certifications from Joint Commission or the American Health Care Association (AHCA), please see chart below to determine the total Quality Incentive percentage applicable for your facility.
| Nursing Hours | MyInnerView (Inclusive of AHCA Bronze Accreditation) | AHCA Silver Accreditation | AHCA Gold Accreditation | Joint Commission Accreditation | Total Quality |
|---|---|---|---|---|---|
| (Max 1%) | (Max 2%) | (Max 1%) | (Max 2%) | (Max 2%) | |
| 1% | 1% | 2% | |||
| 1% | 1% | 1% | 3% | ||
| 1% | 1% | 2% | 4% | ||
| 1% | 1% | 2% | 4% | ||
| 1% | 1% | 1% | 2% | 5% | |
| 1% | 1% | 2% | 2% | 6% | |
| 1% | 2% | 3% | |||
| 1% | 2% | 1% | 4% | ||
| 1% | 2% | 2% | 5% | ||
| 1% | 2% | 2% | 5% | ||
| 1% | 2% | 1% | 2% | 6% | |
| 1% | 2% | 2% | 2% | 7% |
Each of the quality incentives listed above are applied using the same timing principal. See application chart below.
| Quality Incentives Earned | Effective Rate Period |
|---|---|
| Jan 1 to March 31 | July 1 |
| April 1 to June 30 | October 1 |
| July 1 to Sept 30 | January 1 |
| Oct 1 to Dec 31 | April 1 |
Reimbursement rates are calculated quarterly (July 1, October 1, January 1, and April 1).
Please note that you will still have to access the Myers & Stauffer Web Portal (https://myersandstauffer.com/client-portal/georgia/) in order to download the Preliminary and Final Listing of Resident file.
Senior Manager, Angelica Clark Hester
Director of Reimbursement, Kim Morris