Requirements For SNF Consolidated Billing (CB)
                     Requirements 
For SNF Consolidated Billing (CB)
HTTPS://WWW.247MEDICALBILLINGSERVICES
.COM
/
Requirements For SNF Consolidated 
Billing (CB)
Skilled Nursing Facility (SNF) differs from nursing homes, so their 
services are also different. Many confuse the two, but nursing homes 
can have experienced nurses who do not require professional care like 
SNFs, which marks the difference between the two. In most cases, the 
care provided by SNF is by occupational therapists, physical therapists, 
speech-language pathologists, and common and licensed practical 
nurses. Though the list is not exclusive, patients in SNFs that are part of 
the Medicare practice can be admitted to skilled nursing residents in 
several cases. Thereby, the billing process resulted in problems that 
were eventually rectified with the SNF consolidated billing (CB).
HTTPS://WWW.247MEDICALBILLINGSERVICES
.COM
/
SNF Billing Issues
The confusion between nursing homes and SNF often results in claim 
rejection and denials. In the Balanced Budget Act of 1997, Congress 
mandated that most nursing services be provided under the SNF in 
the potential payment bundle. The bundle was to be paid through Part 
A of MAC (Medicare Administrative Contractor).
Hence, the SNF can furnish services covered in Part A in the 
consolidated billing (CB). In fact, it can be done by using the 
resources of the SNF directly, transfer agreement with the SNF, or 
with a particular therapist as agreed by the SNF.
•           There could be duplication of bills when both SNF and the 
supplier billed for the same services
•           Beneficiaries often incurred the out-out-pocket liability for the 
deductible of Part B despite the supplier billing the insurer for that.
•           The residents’ quality of care was adversely affected when 
different outside care suppliers were brought into the program.
HTTPS://WWW.24MEDICALBILLINGSERVICES.COM/
Requirements for Consolidated Billing For 
SNF
The Balanced Budget Act of 1997 (BBA), Public Law 105-33, Section 
4432(b), was enacted by Congress, and it required the SNF to undertake 
Consolidated Billing (CB). Under this enactment, the SNF had to submit 
the claims provided to the residents to Medicare. The only services that 
could be exempted were the ones that were not listed.
CB ensures no duplication of the billing while meeting the responsibilities 
it has towards the patients. But there are certain exceptions, which are 
excluded from the CB. Hence the billing can be done separately.
However, many facilities and their admin staff find managing the 
SNF consolidated billing process challenging. It often leads to revenue 
loss and, worst case scenario, getting investigated by the authorities and 
fined for wrong billing and coding. All these problems can be quickly 
resolved with the help of an expert partner like 24/7 Medical Billing 
Services.
HTTPS://
WWW.247MEDICALBILLINGSERVICES.COM/
Why Outsource SNF Billing and Coding?
The experts of 24/7 Medical Billing Services in SNF consolidated billing 
are equipped with the latest guidelines and knowledge of the CB in 
Skilled Nursing Facilities. They also have the necessary EHR software to 
manage SNF consolidated billing. The EHR software can process high-
volume data, including coverage of the residents and the payer plans.
Apart from such software, the trained staff understands the importance 
of proper coding, which is required in Consolidate Billing 
for skilled nursing facilities. Hence by working with the experts, any 
SNF can get the best-streamlined billing and coding process. It 
eventually ensures every bill is claimed on time, no delays in A/R, and 
no claim denials, rejections, and issues with reimbursement of the 
services. In the long run, the admin can put in place a better revenue 
management cycle for the SNF by adhering to the CB guidelines and 
warranting a better ROI for the facility.
HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/
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.
HTTPS://
WWW.247MEDICALBILLINGSERVICES.COM/
Contact Us
Media Contact:
24/7 Medical Billing Services
Georgia
3001 Greenfield Drive, Marietta GA 30068
Ohio
28405 Osborn Road, Cleveland, OH 44140
Texas
2028 E Ben White Blvd, #240-1030 Austin TX, 78741
Delaware
16192 Coastal Highway, Lewes, Delaware 19958, United States
Phone no / Fax :  +1 888-502-0537
                          Email us: [email protected]
HTTPS://
WWW.247MEDICALBILLINGSERVICES.COM/