Requirements For SNF Consolidated Billing  PPT
                     
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).
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SNFS BILLING ISSUES
SNF can also unbundle a service, thus allowing them to permit providing services 
directly to the patient by an outsider supplier. The outsider then can submit the 
claim to Medicare Part B, where SNF doesn’t need to be involved. This method of 
claim submission, however, caused specific issues:
•           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.
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Taking Care Of The Requirements of 
SNF Consolidated Billing
• The CB makes the SNF coding and billing process quite complex. It requires the SNF staff to 
adhere to these new billing guidelines while keeping track of hundreds of accounts of 
residents, their bills, and the insurance companies’ documents. The need to find ways to 
integrate and configure these data and streamline the billing and management process is 
essential. Since the CB aims at providing better management and revenue to the SNF, the 
facilities must adhere to the rules and regulations. It can be quickly done to save money and 
time while the financial data is managed accurately for the SNF consolidated billing.
• 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.
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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 CB 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.
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ABOUT 24/7 MEDICAL BILLING SERVICES
24/7 Medical Billing Services is the nation’s leading medical billing service 
provider catering services to more than 43 specialties across the entire 50 
states. You can rely on us for end-to-end revenue cycle management. We 
guarantee up to 10-20% increase in the revenue with cost reduction of your 
practice for up to 50%. 
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CALL US TODAY :
Media Contact – 
24/7 Medical Billing Services,
28405 Osborn Road,
 Cleveland, OH, 44140
Tel: + 1 -888-502-0537
Email: [email protected]
Website: https://www.247medicalbillingservices.com/
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