Revenue Cycle Management for Skilled Nursing Facilities

Stay up-to-date on skilled nursing regulations along with tips and tricks to improve your medical billing from the experts at MCA.

How to Prepare Your Skilled Nursing Facility for a CMS Billing Audit in 2026

A CMS billing audit does not arrive with much warning. Depending on the audit type, a skilled nursing facility may receive an Additional Documentation Request (ADR) letter with a 45-day response window, or a notification from the Targeted Probe and Educate program requesting specific medical...

PDPM Coding Errors That Cost SNFs Thousands in Lost Reimbursement

There is a category of revenue loss in skilled nursing facility billing that does not appear anywhere in a denial report, an AR aging analysis, or a cash flow summary. Claims are submitted. Claims are paid. The revenue arrives on schedule. And the facility is still losing thousands of dollars...

The MDS Documentation Errors CMS Is Targeting in 2026

The MDS assessment sits at the centre of every Medicare Part A billing decision a skilled nursing facility makes. Under PDPM, it determines the daily reimbursement rate. Under Medicare's compliance framework, it is the clinical record that auditors use to evaluate whether the care provided,...

The SNF Compliance Checklist for 2026: Billing, Documentation, and PDPM Readiness

A compliance checklist is only useful if it reflects the actual compliance risks the facility is managing not the generic billing and documentation standards that apply to every healthcare provider, but the specific requirements that apply to skilled nursing facilities and that CMS audit...

The SNF Triple Check Process: Common Errors That Lead to Payment Delays

The Triple Check is one of those billing requirements that most skilled nursing facilities complete every month, and most billing teams could not explain in detail. It is on the checklist. It gets done. The claims go out. And then the denials arrive from errors the Triple Check was...

7 Reports Every Nursing Home Administrator Should Review Monthly to Protect Cash Flow.

There is a version of nursing home financial management where the administrator receives a monthly summary, reviews the total numbers, and moves on. Revenue is up or down from last month. AR is higher or lower than last quarter. Everything looks manageable until it does not. By the time a...