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 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...

Is Your Nursing Home Software Actually Improving Billing Performance or Just Processing Claims?

There is an assumption embedded in most nursing home software conversations that deserves more scrutiny than it usually receives: the assumption that having the software is the same as benefiting from it. When a skilled nursing facility implements PointClickCare, MatrixCare,or another...

SNF Software and Billing Accuracy: Why the Platform Is Only Half the Answer

If you operate a skilled nursing facility, you almost certainly run PointClickCare or MatrixCare. Between them, these two platforms serve most of the U.S. skilled nursing market. Both are sophisticated, purpose-built systems with billing capabilities that when fully utilized can significantly...