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.

Medicare and Medicaid Billing Guidelines Every Nursing Home Administrator Must Know in 2026

Nursing home billing guidelines are not static. They change annually with CMS fee schedule updates, ICD-10-CM coding revisions, PDPM policy refinements, Medicaid managed care program expansions, and the ongoing evolution of Medicare Advantage coverage rules. For a nursing home administrator...

A Complete Nursing Home Billing Solutions Guide for SNF Administrators in 2026

Nursing home billing in 2026 is not the same function it was five years ago. The transition to PDPM in 2019 changed how Medicare calculates daily reimbursement. Medicare Advantage enrolment crossing 50% of Medicare beneficiaries changed who is authorizing coverage and how. Medicaid managed...

The Hidden Gaps in Your Nursing Home Billing Software That Are Costing You Revenue

Nursing home billing software is one of the largest technology investments a skilled nursing facility makes. PointClickCare, MatrixCare, and other purpose-built SNF platforms cost significant money to license, implement, and maintain. The expectation when that investment is made is that...

How to Switch to Outsourced Nursing Home Billing Without Disrupting Cash Flow

The decision to outsource nursing home billing services is rarely made in a moment of comfort. It is usually made when something has gone wrong a billing vacancy that has lasted too long, a denial rate that keeps climbing, AR that keeps aging, or a PDPM audit that revealed coding gaps no one...

Medicaid Billing Software Integration for SNFs: The MCA Medical Billing Solution and PointClickCare Advantage

Medicaid billing for skilled nursing facilities is among the most complex billing environments in healthcare not because the claim submission mechanics are uniquely difficult, but because the requirements vary so significantly across states, across managed care organizations within the same...

Medicare Coverage Rules Every SNF Administrator Should Know

Medicare coverage rules for skilled nursing facilities are not just a topic for billing specialists and compliance teams. They are operational knowledge that every SNF administrator needs because coverage decisions made at admission, or misunderstood during a resident's stay, create billing...