All You Want To Know About Skilled Nursing Billing Services

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All You Want To Know About Skilled Nursing
Billing Services
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 thats
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.
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All You Want To Know About Skilled Nursing
Billing Services
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Problems faced by Skilled Nursing Facilities in
Billing

• The payment on a per diem basis, on the other
  hand, means CMS pays a fixed amount to SNFs under
  Medicare A. In such a case, the SNFs pay the
  providers of the contracted nursing services.
• To get this payment, the SNF has to follow
  specific procedures
• For getting paid, SNF has to claim the
  consolidated billing for Prospective Payment
  Systems (PPS)
• Medicare A pays the SNFs on a per diem basis

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Other Problems faced by Skilled Nursing
Facilities in Billing
Since SNF billing is a complex process, it is
exposed to quite a few problems regarding revenue
collection. Some of the situations that lead to
reimbursement for the services rendered
are Applying incorrect codes for the services,
which leads to claim rejection Staff lacking
sufficient knowledge of the services covered by
Medicare A and B The nursing facility fails to
accommodate or understand the cost borne for the
per diem or fixed payment. Since there is a range
of elasticity in the cost of services that fixed
rates offer, services often fail to encompass
that, which results in loss of payment In all
the above cases, the SNF exposes itself to
revenue leakage. In one scenario, it is by claim
rejection whereas in another, it is by getting
underpaid for the service. Also, the lack of
knowledge in how to bill for services provided by
the facility when excessive time is spent with
the patient on non-medical activities means a
loss of revenue. However, all these situations
and factors can be mitigated with proper revenue
cycle management software and trained people who
can process all these while having proprietary
technology for the facility.
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How To Make The Skilled Nursing Facility Thrive?
There is a rise in the aging population and the
demand for skilled nursing facilities. But many
SNFs fail to prosper because of the above
challenges and problems. However, the best way to
mitigate them is by outsourcing the SNF billing
services to a third-party organization such as
24/7 Medical Billing Services. Over the years,
24/7 Medical Billing Services has helped nursing
facilities improve their revenue. The focus of
24/7 Medical Billing Services has been to reduce
claim rejections while helping nursing facilities
to build better services. 24/7 Medical Billing
Services, medical coders and billers have
extensive knowledge about the intricacies of SNF
billing and coding. As a result, they take the
burden on them to ensure the entire medical
billing cycle runs appropriately. They start with
identifying the edibility of the patients
reimbursements to separating the Medicate A and
Medicare B items, so the billing is done
correctly. The team looking after the SNF billing
system also conducts regular post-claim
submission and follows it up to ensure timely
payment for the services done by CMS.
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Conclusion
24/7 Medical Billing Services offers a flexible
model for the SNF. It allows them to choose the
service that fits them. It also offers in-house
SNF billers and coders through the 24/7 Medical
Billing Services portal to the off-shore location
of billers and coders. While the while can
dedicate itself to providing nursing care to the
patients, the outsourced team will work on the
entire coding and billing range to ensure on-time
payment. Also, the RCM model offered by 24/7
Medical Billing Services for any SNF involves an
in-depth study of the services revenue cycle
management to identify areas that causes loss of
revenue. Also whenever needed, we help replace
the outdated and legacy-based revenue collection
process with the latest software that can be
customized as per the particular SNFs
requirement. It also helps train the staff to
understand the new environment and ways to get
the best out of the outsourced billing management
system. Since SNF, at times, operate differently
based on federal and state laws, 24/7 Medical
Billing Services has the knowledge to work as per
the local and national network to meet the SNFs
billing and coding requirements.
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About Us
We are a medical billing company that offers
24/7 Medical Billing Services and support
physicians, hospitals, medical institutions and
group practices with our end to end medical
billing solutions. We help you earn more revenue
with our quick and affordable services. Our
customized Revenue Cycle Management (RCM)
solutions allow physicians to attract additional
revenue and reduce administrative burden or
losses.
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Contact Us
Media Contact 24/7 Medical Billing
Services Georgia 3001 Greenfield Drive, Marietta
GA Ohio 28405 Osborn Road, Cleveland, OH
4414030068 Texas 2028 E Ben White Blvd,
240-1030 Austin TX, 78741 Delaware 16192
Coastal Highway, Lewes, Delaware 19958, United
States Phone no / Fax [phone]
Email us info_at_247medicalbillin
gservices.com
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