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 Identify Hospice Claims: A Billing Reference for Providers and Payers

Identifying a hospice claim correctly is the starting point for managing billing coordination, Medicare coverage limitations, and compliance obligations correctly in a hospice setting. For hospice providers, understanding the specific coding elements that identify a claim as a hospice claim...

MDS 3.0 Assessments Explained: What They Are, Why They Matter, and How They Drive SNF Reimbursement

The Minimum Data Set 3.0 is the federally mandated clinical assessment tool used in Medicare and Medicaid-certified skilled nursing facilities. Every resident admitted to a certified SNF must be assessed using the MDS 3.0 at defined intervals, and the data captured in those assessments drives...

Outsourced MDS Support Services: What They Cover and When Your Facility Needs Them

The Minimum Data Set assessment is simultaneously one of the most important clinical documents and one of the most important billing documents in a skilled nursing facility. It captures the clinical information that drives PDPM reimbursement calculations and under PDPM, an inaccurate MDS does...

Medicare Part D in Skilled Nursing Facilities: What SNFs Need to Know About Drug Coverage and Billing

Medicare Part D and Medicare Part A interact in the skilled nursing facility setting in ways that generate billing confusion and billing errors with surprising regularity. The fundamental rule is straightforward - during a covered Medicare Part A SNF stay, most drugs are bundled into the...

LTC Billing Services Explained: What Long-Term Care Facilities Need and What to Look for in a Billing Partner

Long-term care billing operates in one of the most complex reimbursement environments in healthcare. A single long-term care facility may bill Medicare Part A for post-acute rehabilitation stays, Medicare Part B for outpatient skilled services, Medicaid through a state-specific...

Outsource SNF Billing Services or Keep It In-House? A Practical Decision Guide for SNF Administrators

For most skilled nursing facility administrators, the billing department is simultaneously one of the most consequential and least visible parts of the operation. It runs in the background, generating claims and posting payments, while clinical operations, staffing, and survey compliance...