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 Advantage Is Changing SNF Reimbursement: What Nursing Home Administrators Need to Know in 2026

One of the most consistent financial complaints from Skilled Nursing Facility administrators in 2026 is this: the building is full, but cash flow is tight. Census is solid. Care is being delivered. Referrals are coming in, and yet collections lag, denials pile up, and revenue feels harder to...

The Hidden Revenue Leaks in Skilled Nursing Facilities: 9 Warning Signs Your SNF Is Losing Money in 2026

Many Skilled Nursing Facilities enter 2026 with steady census numbers and a full building but declining cash flow. The gap between occupancy and revenue is one of the most frustrating financial realities in post-acute care today. Beds are filled, care is being delivered, and yet collections...

Why PDPM Still Confuses Skilled Nursing Facilities and How to Get It Right

The Patient-Driven Payment Model launched on October 1, 2019. Skilled nursing facilities had months of advance notice. CMS published detailed guidance, released updated MDS manuals, held stakeholder calls, and provided crosswalk documentation showing how the prior RUG-IV system mapped to the...

The Complete Guide to SNF CPT Codes for Stronger Revenue Cycle Management

One of the most common points of confusion in skilled nursing facility billing is where CPT codes fit in the revenue cycle and where they do not. The short answer is this: CPT codes are not part of Medicare Part A SNF billing, which uses revenue codes and HIPPS codes on the UB-04 under PDPM....

Comparing Skilled Nursing Facility Billing and Medical Billing Specialist Roles

Ten years ago, outsourcing nursing home billing was a decision most facilities made reluctantly a response to a vacancy that lasted too long or a billing crisis that could not be resolved internally. The assumption behind in-house billing was that it was the standard, and outsourcing was the...

Why More Nursing Homes Are Choosing Outsourced Billing Services

Ten years ago, outsourcing nursing home billing was a decision most facilities made reluctantly a response to a vacancy that lasted too long or a billing crisis that could not be resolved internally. The assumption behind in-house billing was that it was the standard, and outsourcing was the...