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.

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...

How SNF Coverage Determination Affects PDPM Reimbursement

Medicare coverage determination and PDPM reimbursement is discussed as separate topics in most SNF billing conversations. Coverage is treated as an admissions and eligibility function. PDPM is treated as a coding and MDS function. In practice, they are directly connected and errors in...

When Your SNF Biller Leaves: How to Protect Revenue Cycle Performance During a Billing Vacancy

When an SNF biller gives notice, the instinct is to treat it as a staffing problem. Post the job, cover the work in the interim, hire a replacement, train them up. It is a familiar sequence that feels manageable in the moment. What gets underestimated almost universally is how quickly a...