Get Paid: The Operator's Working Manual for Medicare, Medicaid, VA, and Insurance Reimbursement

By Allen Chaney

A license doesn't create revenue. Payers do.

Get Paid is a working manual for senior care operators who have the license and the care skills and now need to be reimbursed for them. It covers Medicare, Medicaid, VA, long-term care insurance, and private pay, with the rules, steps, and real numbers for each.

2026 is different. Medicare home health and hospice enrollment is frozen. Enforcement is heavier. Medicaid eligibility and funding rules are changing, and rates are moving. This edition is built around those changes, with dates, sources, and re-check points.

Every chapter gives you: The rule in plain EnglishStep-by-step instructionsA checklistA worked example with real mathCommon mistakes to avoidA "where your state may differ" box
Inside: Which payer fits your license and cash, and what a dollar nets after denials, billing costs, and waitingA state scorecard and a one-day method for researching your own stateEntity, tax, NPI, insurance, exclusion screening, and capitalization before your first claimMedicare: eligibility, PDGM, hospice, Medicare Advantage, cost reports, survey readinessMedicaid: eligibility, HCBS waivers, managed care, EVV, billing, self-direction, I/DDVA programs, long-term care insurance, assisted living economics, PACE, and private payDenials, appeals, compliance, lawful referrals, overpayments, and cash flowPlaybooks by operator type, plus checklists, templates, codes, and a state worksheet
Written by an operator. Allen Chaney has spent more than a decade in Maryland assisted living and home care, co-founded CNA 2 CEO, runs Comfort on the Severn, and coaches new operators through licensing across multiple states.

Rules and figures are described as of September 28, 2026. This book is operating guidance, not legal, tax, or financial advice.

• Format: Paperback
• Language: English
• ISBN: B0HMW2664C
• ISBN13: 9798160419428
• Release Date: October 2026
• Publisher: Independently Published
• Length: 504 Pages
• Weight: 1.47 lbs.
• Dimensions: 1.0" x 6.0" x 9.0"