Get Paid: Medicare, Medicaid, VA & Insurance Reimbursement Manual for Home Care & Assisted Living Operators — 2026 National Edition

You learned the care. Now learn how to get paid. Having a license does not automatically create revenue. Every payer has its own enrollment requirements, documentation standards, billing rules, deadlines, and compliance risks. Get Paid is a practical, 49-chapter working manual designed to help Home Care and Assisted Living operators understand how reimbursement works across Medicare, Medicaid, the VA, long-term care insurance, and private pay. Written by senior care operator and consultant Allen Chaney, this approximately 316-page National Edition takes operators beyond licensing and into the financial side of running a sustainable senior care business. What You'll Learn Inside, you'll learn how to navigate: Medicare — skilled vs. custodial care, Home Health Agency enrollment, PDGM, hospice, Medicare Advantage, cost reports, and survey readiness Medicaid — waivers, provider enrollment, client eligibility, managed care, EVV, billing, self-direction, HCBS, and I/DD funding VA Programs — understanding opportunities to serve eligible veterans and their families Long-Term Care Insurance — documentation, claims, authorizations, and working with insurance carriers Private Pay — setting rates, contracts, pricing strategy, and understanding true operating margins Assisted Living Economics — reimbursement, resident payment structures, and pricing beds Revenue Cycle Management — billing, collections, denials, appeals, authorizations, and follow-up Compliance & Risk — overpayments, audits, investigations, documentation, and lawful referral development Cash Flow & Workforce Costs — understanding what billed revenue actually becomes after payroll and overhead Growth & Acquisition — buying and selling agencies, rate advocacy, and planning for the 2026–2030 reimbursement environment This Isn't Just a Book. It's a Working Manual. Every chapter is designed to help you put the information into practice. Included: ✅ 49 detailed chapters ✅ 343 checklist items ✅ A checklist at the end of every chapter ✅ Worked examples using real-world numbers ✅ State-variation guidance ✅ Sources and re-check dates ✅ 12 fill-in templates ✅ Codes and forms reference ✅ State research worksheet ✅ Senior care reimbursement glossary ✅ Operator-specific implementation playbooks Who This Book Is For Get Paid was created for: 🏡 Home Care agency owners ❤️ Assisted Living operators 🏥 Home Health operators 🩺 Hospice operators ♿ I/DD and HCBS providers 📋 Licensing consultants and senior care coaches 💼 Entrepreneurs evaluating senior care business models 🤝 Buyers and sellers of healthcare agencies Whether you're just entering senior care or already operating, understanding reimbursement can be the difference between simply having a license and building a financially sustainable operation. The Bottom Line A license does not create revenue. Payers do. You need to understand: Who pays. What they pay for. How you enroll. What you document. How you bill. How you avoid denials. And how you actually collect. That's what Get Paid was built to teach. --- Title: Get Paid Subtitle: The Operator's Working Manual for Medicare, Medicaid, VA, and Insurance Reimbursement Edition: 2026 National Edition Series: Senior Care Operator Series Author: Allen Chaney Length: Approximately 316 pages Format: 49-Chapter Working Manual Important: This book provides educational and operating guidance and is not legal advice. Medicare, Medicaid, VA, insurance, licensing, reimbursement, and compliance requirements can change. Operators should verify current requirements with the applicable payer, state agency, regulator, or qualified professional before acting.