Skilled Nursing Facility has been confusing and leads to several denials, hence during the Balanced Budget Act of 1997 congress mandated to provide a majority of services under the SNF to be included in a potential payment bundled through a Part A Medicare Administrative Contractor (MAC).
Legion Healthcare Solutions (LHS) has always worked towards providing a complete over of payment cycle, however, bundled payment for Medicare Part A leads to reduced reimbursement for payment causes.
“Skilled nursing facilities are separated from other bills, typically when the care is needed when a patient has undergone a certain medical procedures. This brings us to question what would be rates, they are decided by the CMS for such cases.”Medicaid Billing Manager at Legion”
– Certified Coder for Skilled Nursing Facility Billing at LHS