Medical Billing Blogs

  Skilled Nursing Facilities (SNF) must ensure they get timely payment, for which they need to follow an efficient revenue cycle management practice. The practice needs to look after proper submissions that are denial free for effective account receivable management. The SNF must conduct efficient payer-follow-ups, stay compliant with the healthcare regulations, and do other admin works to warrant their survival in the business. With the increase in the growth of SNFs, which are now being funded by Medicare, Medicaid, and private insurance companies, the facility must be able to stay up with the reforms. In the SNFs, there is quite a significant increase in the regulatory restrictions. In this, the consolidated medical billing and coding has become a patent system in covering the services within the scope of SNF care. Hence the medical biller must have a sound understanding of the inclusions and the exclusions in the consolidated billing to ensure timely reimbursement. Unless t...

  Most skilled nursing facilities (SNF) face a double quandary because first, they have to operate under increasing financial pressure, and second, there is rising anxiety over staffing and infrastructure. Added to the Balanced Budget Act of 1998 changes the way SNF reimbursements are done. This article will give a comprehensive guide on SNF billing and problems and how to overcome them. Challenges of Billing with Skilled Nursing Facilities For successful reimbursements in SNF claims, one needs to know the consolidated billing requirements. But that’s not all. The billing staff needs to have comprehensive knowledge about the codes and the procedures and facilities covered by Medicare A. Anything that is not covered will lead to claim denial. But the complexity continues as there are some benefits which are not covered by Medicare A are covered by Medicare B. The SNF, in such a case, has to identify the difference and bill it separately to get paid. The payment on a per diem...