SKILLED NURSING FACILITY
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 its 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? Perhaps Advis can 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
- Optimization of Billing processes
- Training of Business Office, Billing and MDS staff
- MDS Case Management Optimization
- ADR 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 perhaps 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 through analysis.
OR CALL NOW: (708) 478-7030
New Reporting Requirements for SNFs During the COVID-19 Pandemic.
With the new regulatory requirements, nursing homes are required to report the first week of data to the CDC beginning May 8, but no later than May 17. For the first time, all 15,000 nursing homes will be reporting this data directly to the CDC through a new reporting tool. More information on these requirements can be found here.
What is PDPM and Why did we need this change for SNFs?
As of October 1, 2019, Skilled Nursing providers must bill for services under PDPM using the HIPPS code that is generated from a 5-day PPS assessment and Interim Payment Assessment (IPA). Thus, instead of the therapy focused RUG-IV format that encouraged an incentive for SNFs to provide therapy services, the PDPM format discourages this incentive. Instead, this format is targeted to improve the overall accuracy and appropriateness of the reimbursement by focusing on patient classifications based on specific, date-driven patient characteristics. Although, this is supposed to help reduce the administrative burden on SNFs, the transition has been tumultuous to say the least.