All You Want To Know About Skilled Nursing Billing Services
                     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 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. 
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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 patient’s 
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 SNF’s 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 SNF’s 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 :  +1 888-502-0537
                          Email us: [email protected]
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