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Your Partner in Skilled Nursing Facility Billing Excellence

Optimized and Efficient Billing
Tailored for Your Facility

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Simple, Compliant & Efficient SNF Billing Services

We all understand that billing for Skilled Nursing Facility is challenging and sometimes complex due to the nature of care provided to the patients and treatment episodes. While skilled nursing facilities play a vital role in post-acute care as in-patient rehabilitation and medical treatment centers, it is difficult to maintain a delicate balance between providing a demanding & high-quality care and managing an accurate and efficient billing process

We tailored our comprehensive and standardized revenue cycle management process to make SNF billing simple and focused on efficiently managing the billing process. It is of paramount interest to have a reliable and efficient billing process to safeguard your facility’s financial success. Leveraging our profound expertise and specialization in SNF billing, we, at RCM Workshop, guarantee meticulous and efficient handling of your billing process and exceptional outcomes.

Unbeatable Service, Quality & Price

ACCURACY
0 %
TURNAROUND TIME
< 0 Hours
COLLECTION
0 %
PRICE
Starting from $ 1100 /Month

Challenges

Challenges in SNF Billing

SNF services are mostly covered under Medicare A but sometimes due to exclusion in Medicare A coverage, some of the services may need to be submit under Medicare B. The billing team must have sufficient knowledge of skilled nursing facility coding and experience on services covered under Medicare A/B to bill properly to avoid rejection or under payment and ensure correct reimbursement.  

It is also important to understand that coverage depends on the length of care delivered to patients – long term care and short term care. Medicare and HMO cover short-term care for 100 days. During insurance and benefits verification stage, billers should determine the type of patient plan (HMO, PPO, EPO, etc.) to check whether a SNF can provide services to the patient and still be reimbursed for them.

Leveraging the expertise of our seasoned SNF coding and billing specialties, we comprehend the nuances of specialty specific billing and extend support across diverse physician practices to attain optimal results.  

OUR PROCESS

Our SNF Billing Process Workflow

Backed by a team of dedicated and skilled coders and billers, our billing process for skilled nursing facilities comprehensively addresses all your billing needs, ensuring swift and accurate payments. Our expert billers and coders have extensive knowledge of SNF billing intricacies to support your entire revenue cycle starting from identifying patient eligibility, obtaining prior authorization approval reimbursement to accurately separating items covered under Medicare A and B. Our exceptional denial management and AR. Follow-up team ensures timely and appropriate reimbursement.
Our analytics driven approach helps us monitor, measure and manage every billing process based on key performance indicators (KPI). Our metrics driven reporting tool captures and reports every aspect of process performance – productivity, quality and $ collections in a transparent way and gives you full control over your billing process.

Scheduling & Registration

Well-coordinated appointment scheduling, updating insurance details and handling inbound outbound calls from/to patients. 

Eligibility & Benefits Verification

Confirm patient primary and secondary insurance and benefits coverage and verify the patients’ coverage, co-pays, co-insurance and deductibles

Prior Authorization

Initiate request for prior authorization with the payer, follow-up to check Auth status till closure and finally update the system with Auth approval reference number.

Medical Coding

Check accuracy of codes and modifiers according to specialty and assign corresponding and appropriate charges to the codes.  

Charge Posting

Enter the charges for the services provided in the billing system, including the cost of the medication and the administration fee. 

Claims Edit & Submission

Audit the claims thoroughly to check for accuracy and edit if necessary and submit claims – both EDI and paper format.

Payment Posting

Carry out both auto as well as manual posting for payments received and conduct reconciliation against claims.

Denial Management

Analyze and categorize denial claims according to denial codes, $ amount and payers, and resubmit claims after correction.

AR Management

Follow-up with payers to gather status for unpaid claims, and their resolution.

Patient Collection

Sending patient statements and follow-up with patients for final and outstanding payment.
You have the flexibility to delegate to us either your complete billing process or choose a combination of our specialized physician billing services. Our effortless integration guarantees improved revenue and steady cash flow, seamlessly aligning with your facilities operations.

BENEFITS

Outcomes Guaranteed

By outsourcing skilled nursing facility billing services, you not only improve your revenue but gain patient trust and boost efficiency in your practice. By streamlining this process, we assure you a much-improved financial outcome – maximized revenue, steady cash flow and reduced operational cost. Above all, we are fully compliant with HIPAA and comply with all regulations. 

Efficient benefits verification

>99% clean claim submission

Efficient authorization management

<24 hours turn-around time

Efficient coding & code review

>25% increased reimbursement

Efficient denial management

<5% claims denials

Proactive accounts receivable follow-up

<40 days AR & reduced aging

Better coordination & process optimization

improved patient satisfaction

WHY US?

Why partner with us

Our SNF billing services seamlessly encompasses all facets of your billing needs, from harmoniously integrating into your existing billing infrastructure to maximizing your practice’s revenue. Our billing services cover every aspect of your billing requirements. By following best practices for quality assurance and compliance, we continuously strive for improvement. We are committed to delivering unparalleled support and productivity while helping you optimize revenue cycle management of skilled nursing facilities. Embrace the opportunity to improve your revenue cycle – experience how our services transform your billing process.  

Guaranteed Improvement in Reimbursement and
Cash Flow

Reduction in denials
& AR

Transparent reporting
–NO BLACK BOX

100% data security
& HIPAA compliance

On demand scale up
of operation

Significant Reduction
in Cost > 75% Savings

Simple & No
Cost transition

Flexible & Unbeatable
Pricing Plan