Why Does a Skilled Nursing Facility Require a Medical Billing Service Expert?
Why Does a Skilled Nursing Facility Require a Medical Billing Service
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:
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
How Do Nursing Homes and Skilled Nursing Facilities Differ From One
immediate and principal contrast between the SNF and the nursing home is that:
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.
What are the Medicare
Guidelines for SNF or Skilled Nursing Facilities?
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
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.
SNF Prospective Payment System (PPS) pays for all Part A amounts of inpatient
Important Aspects to Keep a
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
the PPS rate.
Medicare Part B pays for the
◘ 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
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
Why Should You Get in Touch with a
Nursing Facility Billing Services Provider like Legion Healthcare
Below Are The Main Reasons Why You Should Outsource Your
Medical Billing Services To Legion Healthcare Solutions:
1. Responsible Team of Experts
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
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
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
3. Provide a Detailed Report
provide a detailed report to our clients. This report is in regards to your
facility’s 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
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
Appointment and Other Administrative Work
There Are A Number Of
Administrative Tasks Like:
Check the eligibility and benefits of the patients.
Help with refills of their meds.
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. Aware of All
Aspects of Medicare Coding
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.