Why Does a Skilled Nursing Facility Require a Medical Billing Service Expert? - PowerPoint PPT Presentation

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Why Does a Skilled Nursing Facility Require a Medical Billing Service Expert?

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In this article, we will try to comprehend how Medical Billing Service Experts can help talented and skilled nursing facility run their administrative affairs and revenue cycle in a much better manner. However, before we get into why a Skilled Nursing Facility requires a medical billing service expert, let us understand what a skilled nursing facility is in the first place – PowerPoint PPT presentation

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Title: Why Does a Skilled Nursing Facility Require a Medical Billing Service Expert?


1
Why Does a Skilled Nursing Facility Require a
Medical Billing Service Expert?
2
Why Does a Skilled Nursing Facility Require a
Medical Billing Service Expert?
Why Does a Skilled Nursing Facility Require a
Medical Billing Service Expert? In this article,
we will try to comprehend how Medical Billing
Service Experts can help talented and skilled
nursing facility run their administrative affairs
and revenue cycle in a much better manner.
However, before we get into why a Skilled Nursing
Facility requires a medical billing service
expert, let us understand what a skilled nursing
facility is in the first place What is a
Skilled Nursing Facility? A Skilled Nursing
Facility is also called SNF. Whenever a person
has a health-related crisis, then a skilled
nursing facility comes to the rescue. This spot
works as a temporary home for people who need
clinical consideration. The clinical staff work
day in and day out to support their patients and
give them all the help they need to be in the
best of health. The clinical staff offer support
and service as long-lasting permanent specialists
or they have been recruited on a legally binding
premise like a contract. Many times, they are
confused with nursing homes, which are poles
apart. How Do Nursing Homes and Skilled Nursing
Facilities Differ From One Another? The immediate
and principal contrast between the SNF and the
nursing home is that At the nursing home, the
inhabitants are for a permanent period of time.
On the other hand, in the Skilled Nursing
Facility, patients come for restoration and
rehabilitation purposes and leave the facility in
a brief timeframe. Usually, the skilled nursing
facility releases the patients as soon as they
recover.
3
Why Does a Skilled Nursing Facility Require a
Medical Billing Service Expert?
What are the Medicare Guidelines for SNF or
Skilled Nursing Facilities The nurses that
provide such services to the patients are of a
secondary level and not so complex. It is
important to note that these services play an
important part in making sure that the patient is
completely healed from the injury or ailment.
However, a number of insurance companies like
Medicare ignore these services. SNF
Reimbursement System The other important aspect
is that there are 2 types of coverage for SNF, or
skilled nursing facilities. The first part is
called Medicare A and the second part is called
Medicare B. The SNF Prospective Payment System
(PPS) pays for all Part A amounts of inpatient
services. Important Aspects to Keep a Tab of
In order to make sure Medicare pays you should
make sure that that particular day is covered by
Medicare Medicare does not allow ancillary
charges for the days that are covered. However,
they are included In the PPS rate. Medicare
Part B pays for the following services ? Some
services for patients that reside in a SNF but
those whose benefit period is completed ?
Outpatient services are covered for patients who
are not inpatients of a SNF ? Medicare B also
consists of Services that are not a part of SNF
PPS and SNF Billing in an integrated form.
4
Why Does a Skilled Nursing Facility Require a
Medical Billing Service Expert?
If a Skilled Nursing Facility wants to get the
complete reimbursement of its claims, they have
to submit all the information correctly. They
should also be aware of the Medicare guidelines
and codes. If the details are filled wrong, there
is a chance of claim denial, and, in certain
circumstances it might lead to a penalty as
well. Therefore, it is a good idea. To leave the
work of medical billing in the hands of the
experts. Why Should You Get in Touch with a
Skilled Nursing Facility Billing Services
Provider like Legion Healthcare Solutions? Below
Are The Main Reasons Why You Should Outsource
Your Medical Billing Services To Legion
Healthcare Solutions 1. Responsible Team of
Experts Legion HealthCare Solutions has a good
team of coders who are well-versed with the
Medicare guidelines and other rules that apply to
skilled nursing facilities and Skilled Nursing
Billing. They are well aware of all the Skilled
Nursing Facility Billing Revenue Codes and can
work together with the facility to increase the
revenue of the organization through timely
payment of fees from patients and reimbursements
from insurance companies. 2. Complete the
Entire Billing Service from Start to Finish Our
Skilled Nursing Facility Billing Services team
would be able to supervise the entire process of
billing patients from start to finish. We would
be able to check the status of claims, submit
bills, and ensure that payments are received.
5
Why Does a Skilled Nursing Facility Require a
Medical Billing Service Expert?
3. Provide a Detailed Report We provide a
detailed report to our clients. This report is in
regards to your facilitys performance and how we
are planning to improve the administrative and
revenue parts of the facility. Moreover, we
always try to find an opportunity to connect with
our clients and discuss how the facility revenue
cycle can be improved and made more
efficient. 4. Denial and Delay Claim
Management We have in-depth knowledge of Skilled
Nursing Facility Billing Codes. Not only that we
make sure that we help the Skilled Nursing
facility to follow up on denied delayed or
rejected claims. Not only that they also give you
regular reporting on such claims 5. Handle
Appointment and Other Administrative Work There
Are A Number Of Administrative Tasks Like 1.
Booking appointments 2. Check the eligibility
and benefits of the patients. 3. Help with
refills of their meds. Legion Healthcare
Solutions has expertise in them as well which
will make the facilities work easier and help
them concentrate on their core body of work.
6
Why Does a Skilled Nursing Facility Require a
Medical Billing Service Expert?
6. Aware of All Aspects of Medicare Coding We
are the Skilled Nursing Facility Billing Services
Company of USA because we are completely familiar
with Medicare coding. There are a number of
patients that have Medicare insurance coverage.
Therefore, in-depth knowledge about Medicare
coding is inevitable to get reimbursements from
Medicare. Hope you liked the blog please get in
touch with us in case of any medical billing
assistance on 727-475-1834 or email
Info_at_legionhealthcaresolutions.com
7
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