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.

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...

Hospice Type of Bill Codes Explained: What 81X Means and How to Use It Correctly

When a hospice organization submits a Medicare claim, one of the first things the payer reads is the Type of Bill code. It appears in field locator 04 of the UB-04 claim form, and it tells Medicare two things simultaneously: what kind of provider is submitting the claim, and where that claim...

The Top SNF Billing Software Platforms Compared – Features, Strengths, and What Each Is Best For

Choosing SNF billing software is one of the most consequential technology decisions a skilled nursing facility makes. The platform you run determines how Medicare Part A claims are generated, how PDPM case-mix codes connect to MDS assessment data, how Triple Check validation is executed...

How One Midwest SNF Recovered $990K in Revenue and Cut Aged AR by 76% in Under a Year

Aged accounts receivable is one of those problems that tends to grow quietly. A missed follow-up here, a payer processing issue there, a private pay balance that sits unaddressed for a few months none of it looks catastrophic in isolation. But over time, those gaps compound. The 30-day...

Outsourcing Home Healthcare Billing: Costs, Benefits, and What to Look for in a Billing Partner

Home healthagencies operate in one of the most administratively complex billing environments in healthcare. The Patient-Driven Groupings Model (PDGM), 30-day billing periods, Notice of Admission filing deadlines, OASIS accuracy requirements, and state-specific Medicaid variation create a...

Outsourcing Hospice Billing: What It Costs, What You Gain, and How to Choose the Right Partner

Hospice providers dedicate themselves to delivering compassionate care at life's most difficult moments. The administrative and financial management required to sustain that mission including the precise billing processes that determine whether a hospice organization remains financially...