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.

A Step-by-Step Guide to the SNF Billing Process and Where Revenue Gets Lost at Each Stage

The SNF billing process is not a single event it is a sequence of interconnected steps that begins before the first day of care and continues through final payment and AR resolution. Every step carries compliance obligations and revenue risk. Miss one step, execute one incorrectly, or allow...

Medicare Hospice Billing Explained: Levels of Care, Election Statements, and Cap Management

Medicare hospice billing operates under a set of rules that are distinct from every other healthcare billing environment. The payment structure is different four daily rates tied to levels of care rather than fee-for-service procedure codes. The eligibility framework is different from a...

A Step-by-Step Guide to Medicare Hospice Billing Guidelines

Medicare hospice billing is not a single event it is a sequence of interconnected steps, each with its own compliance requirements, documentation standards, and timing obligations. Miss a step, execute one out of sequence, or apply the wrong billing rule at the wrong point in the process, and...

Choosing a Hospice Billing Company: The Questions Every Provider Should Ask First

When a hospice organization decides to outsource its billing, the stakes are high. The billing partner you choose will have direct access to sensitive patient information, responsibility for your Medicare reimbursement accuracy, and significant influence over your organization's aggregate cap...

Home Health Care Medicare Billing: How Agencies Get Paid Under PDGM

Before January 2020, Medicare paid home health agencies based primarily on the volume of therapy visits provided during a 60-day episode of care. More therapy visits meant higher payment. The incentive structure was straightforward, if not always well-aligned with patient needsp. The...

Home Health Medicare Billing Guidelines: Coverage Rules, Documentation Requirements, and Compliance Essentials

Medicare home health billing operates within a specific set of coverage rules and documentation requirements that determine, claim by claim, whether the care your agency provides is reimbursable. These guidelines are not aspirational standards they are the criteria against which every claim...