Skilled Nursing Facility Billing Operations
Beyond Compliance and Management: Advis Expertise Extends into Billing Operations
The consultants at Advis have extensive experience in the efficient operation of compliant post-acute care services. We have an incredibly successful record with turn-around projects, operational management, and optimization strategies; being a full-time resource for skilled nursing facilities all over the country helps define us. Advis is excited to announce that we are enhancing our services to provide the expertise and capability required to address skilled nursing facility billing needs. Whether it is full or partial outsourcing, oversight, problem resolution, optimization, or billing issues, Advis can help.
Is your facility receiving the appropriate reimbursement for care provided? Is your facility experiencing denials even after extensive PDPM training? Is your triple check process running efficiently and accurately? Have you recently lost billing staff and need some assistance? Perhaps some extra training could do the trick?
Advis provides the following SNF business office and billing services:
- Business Office Assessment, Improvement and Streamlining Strategies
- Business Office and Billing Operations Turn-Around
- Skilled Nursing Billing
- Interim Staff or partial outsourcing
- Outsourcing
- Optimization of Billing processes
- Training of Business Office, Billing and MDS staff
- MDS Case Management Optimization
- ADR Management
- Federal and State regulatory updates, changes, and management
- Revenue Cycle Management
- Claim Submission efficiency, denial management and follow-up
- Accounts Receivable review and optimization
If your skilled nursing facility or hospital-based unit is seeing an abundance of denials, or your reimbursement is not being optimized, Advis can help. We can do a rapid assessment of your program and help you create an action plan to address any issues identified or opportunities found during the assessment process.
Are you staying up to date with annual changes and updates from CMS ?
The Centers for Medicare and Medicaid issued its final rule in the fall of 2023, including an overall increase of 4% in payments to SNFs for the 2024 fiscal year. The final rule also included a 2.3% decrease for the second phase of the Patient Driven Payment Model parity adjustment. Recently, regulatory changes introduced new billing codes for SNFs, with an intent to enhance specificity and accuracy. Staying up to date on annual changes and updates, with training of staff and updating of procedures, is vital in a proactive billing strategy.
