An Essential Guide to the REVEX Bolt-on Services

Nowadays, growing and managing a successful SNF, home health, or hospice organization requires you to automate and streamline activities across the business. And your financial practices are no exception. 

Financial process automation can improve your team’s efficiency, provide you access to critical managerial information, and increase your profitability. That’s why so many organizations have relied on our REVEX AR automation software. Automating your AR management with REVEX provides your organization with the real-time, interactive AR data you need to manage and grow a successful organization. 

If you’re new to REVEX, learn more about how your team can experience a more innovative way to manage your AR in our previous blog

Suppose your organization has been leveraging the power of REVEX for a while. In that case, you already know that the efficiency, simplified workflows, and accelerated collections available with REVEX are top-notch. But are you aware that REVEX offers 4 bolt-on services that can help you enhance your REVEX software experience?

Take your team’s efficiency to the next level with our essential guide to the 4 REVEX bolt-on services.

Essential Guide to the REVEX Bolt-on Services 

REVEX provides your organization with the efficiencies of outsourced AR data management with the level of support that fits your needs. Whether you are using REVEX as a standalone AR tracking system or taking advantage of our investigation support or denial management, our 4 bolt-on services are always available. And, you can pick and choose which services you need. 

Let’s take a deeper dive into the REVEX bolt-on services.

Text Statements to Patients

Expedite your patient’s collection, gain greater access to the financially responsible party, and improve your patient’s experience.

That may seem too good to be true, but with our text statements services, we send your patient statements directly to patients (or their financially responsible party) via text message. Statement notifications sent via text message allow the financially responsible party easy access to issuing payment without waiting on an email or paper statement. This on-demand service can help resolve open balances more quickly and improve the patient and family’s experience.

On-Demand Billers

Were you in need of medical billing staff…yesterday? 

Our on-demand medical billers provide exclusive access to professional billers with experience in revenue cycle processes when and where you need them. Both providers and billing groups can utilize this service to scale their teams without investing in hiring internal staff or making costly contracts with other medical billing vendors. 

Private Pay Collections

Collect more from your private pay accounts.

Turning over private pay accounts to a collection agency after it has become apparent that you’re not making any progress may help you recover around 14% of the accounts. With our private pay collections service, we help providers close at least 16.4%, if not more, of their private accounts. All while offering exceptional customer service focused on building and supporting a long-lasting relationship. 

RAC Audit Denial Management

Prevent recoupments based on medical necessity.

Gain unrestricted access to our RAC audit professionals, who will carefully review the post-payment audits and coordinate a response for any missing information required for a response. Plus, they will track the progress of the audit to ensure the provider wins their appeal. 

No matter what level of service your facility may require, you can expect that REVEX and our team of experts will support you. Start automating your AR or learn more about our bolt-on services by visiting

REVEX – AR Management Software

REVEX is a revolutionary AR management platform designed to help skilled nursing facilities and hospice and home health organizations streamline the management of their AR tracking process. By combining the control of in-house medical billers and the efficiency of outsourcing data processing, REVEX provides you with the real-time, interactive AR automation you need to manage and grow a successful organization.

Professional medical billers designed REVEX with extensive experience managing SNF, home health, and hospice AR. Our intuitive program provides a fresh approach to AR management software, allowing you to create streamlined workflows for your medical billers and insightful dashboards in minutes.

We begin by extracting your accounts receivable data from your patient management system and securely post it to our HIPAA-compliant portal. From our secured portal, you and your medical billers can access information and reporting that allows you to provide consistency and transparency in all you do. 

Free up your medical billers to focus on more meaningful responsibilities and streamline your AR management by incorporating REVEX into your medical billing process.

The Value of REVEX

The key to a financially successful healthcare organization is efficient, automated AR management. REVEX helps remove any obstacles that prevent timely cash collections while enabling better communication and visibility your leaders need to monitor the organization.

With automated AR management and our optional bolt-on services, REVEX helps improve your cash flow, efficiency, transparency, and more.  

Improve Cash Flow.

Increase cash and decrease days in AR with automatic daily claims updates and next step instructions on all denied claims

Boost Efficiency.

Sort AR by claim status, date of service, payor, amount, and urgency to manage, prioritize, and delegate accounts to specific billers. 

Increase Transparency.

Know the status of any claim at any time with real-time notes and claim status updates accessible via our cloud-based servers. 

MCA – Expert Help for Difficult Claims 

Our unique combination of highly-skilled billers, long-standing SNF, hospice, and home health billing experience, and our dedicated support team makes MCA a reliable partner to help support your most complicated claims. When you leverage REVEX to help automate your AR management, the experts at MCA are just a click away. Free up your medical billers to focus on more meaningful responsibilities by incorporating REVEX into your AR management process.

Together, we can pave a better financial future for your facility. 

Drop us a note or call us at 866-609-5880 to learn more about how MCA can help your SNF, hospice, or home health organization automate your AR management process. Plus, ask how you can use REVEX for free!

About MCA Medical Billing Solutions

MCA is a full-service revenue cycle management company dedicated to helping skilled nursing, home health, and hospice facilities advance their revenue cycle management. We provide claims creation, submission, and follow-up to Medicare, Medicaid, and all commercial insurers.

When choosing MCA, you can expect experienced business insight, skilled billing intelligence, data extraction and management, and cloud-based documentation. MCA is here to help you streamline your revenue cycle process to produce consistent, high-quality outcomes.

Providing outstanding medical care is at the core of all skilled nursing facilities (SNF) missions. However, providing exceptional care for your patients is just one part of running a SNF. Your revenue cycle management (RCM) also needs to be optimized to provide the high levels of care your patients require.

Running an efficient, highly optimized RCM means that you can expedite reimbursement while keeping expenses low. Optimizing your RCM ensures that your submitted claims get paid and you can continue to provide excellent patient care. 

There are many areas within the RCM process that you can evaluate for optimization opportunities. We’ll begin by exploring three simple ways (and a few other bonus ideas) that you can start optimizing your skilled nursing facility’s RCM.

3 Simple Ways SNFs Can Optimize Their RCM

Optimizing your skilled nursing RCM allows you to increase your opportunities to capture missed revenue while enhancing your patient experience. That’s why it’s so important to keep your RCM process as free from issues as possible. 

Begin making your RCM processes both efficient and effective with these 3 simple tips:

1. Communication is Critical

Communication is the act of transmitting information from one person, place, or group to another. Yet, the type, clarity, quality, and regularity of communication from the front to the back of your RCM are critical.   

I’m guessing you didn’t think communication would be our first suggestion. You may have thought about denial management, technology improvements, or insurance verification first. But, communication delays or roadblocks can impact your entire RCM process.

Improve your team’s communication by ensuring you have these processes in place:

  • Clearly define tasks and responsibilities for both individuals and groups. 
  • Schedule regular status updates with a formal agenda available in advance.
  • Utilize software to track claims status, capture notes, and communicate issues. 
  • Provide opportunities for regular feedback on what is and is not working.
  • Communicate in multiple formats to adapt to various communication styles. 

2. Streamline Workflows

For optimal revenue cycle management, it’s essential to review workflows regularly to ensure all of your processes are working smoothly. It may seem easier to address issues as they crop up, but it is safer and more efficient to optimize your workflows preventatively. 

Begin by asking yourself these questions to identify workflows that may require attention.

How can our processes be more efficient? How can we reduce waste? How can we improve our current performance levels? How can we maximize our cash flow? 

In addition to regularly reviewing workflows, you may also want to consider automated workflow management tools that enable streamlined communication and information sharing. 

Revenue cycle management process tools can support:

  • Concurrent coding, editing, and retrospective coding capabilities 
  • High-quality data collection
  • Denial reasons and remedy guidance
  • Compliance reporting
  • Data security reporting

3. Benchmarking and Key Performance Indicators (KPIs)

Medical billing KPIs allow you to monitor your revenue cycle on a consistent schedule and compare your processes to industry standards. Tracking your KPIs will equip you with regular performance information to quickly identify bottlenecks, prevent avoidable issues, and reduce delays. 

It’s important to understand your financial health and the KPIs that allow you to continuously monitor days in collections, denial percentages, account balances, and more. Giving your financial leaders critical information to identify deficiencies and implement solutions to resolve issues.

There are a few KPIs that we believe every SNF should be monitoring. Learn more about these KPIs and why they are important here. 

Here are a few bonus ideas

There are so many simple ways to optimize your SNF RCM that we couldn’t resist throwing in a few more ideas. 

Leverage integrated technology systems. 

Technology will not solve all of your optimization issues. However, leveraging information system features can help improve efficiency, streamline processes, and prepare you to face challenges. 

For example, automating AR management using REVEX can help you improve your cash flow, efficiency, and transparency, allowing you to create streamlined workflows for your billers and insightful dashboards in minutes. 

Don’t forget about your aging AR.

Your accounts receivable can get out of hand quickly. And, the older your AR becomes, the more difficult it is to collect. Make writing off your old AR a thing of the past with innovative ways to collect these medical claims from REVEX.

Keep your patients and their families in mind.

Understanding your patient preferences is vital. Some want everything electronically. Others would prefer a paper copy or to talk with someone over the phone. The more satisfied your patients are ultimately lead to improvements in your RCM.

Optimize Your SNF RCM With Outsourcing Support From MCA

Following these 3 simple tips to optimize your RCM will not solve all of your issues. But, they will help you move forward in a better, more efficient way. Ensuring that your submitted claims get paid faster, with fewer denials, to continue to provide excellent patient care. 

Optimizing your SNF RCM by outsourcing with MCA can help you streamline your revenue cycle processes to produce consistent, high-quality outcomes. We solely help skilled nursing facilities experience the benefits of outsourcing, including decreased costs, strengthened cash flow, and reduced write-offs. 

You can expect that MCA will process your claims and provide reporting the right way, the same way, every day, helping you to optimize your skilled nursing facility.

Drop us a note or call us at 866-609-5880 to learn more about how MCA can help optimize your skilled nursing facility’s RCM. 

About MCA Medical Billing Solutions

MCA is a full-service revenue cycle management company dedicated to helping skilled nursing facilities advance their revenue cycle management. We provide claims creation, submission, and follow-up to Medicare, Medicaid, and all commercial insurers.

When choosing MCA, you can expect experienced business insight, skilled billing intelligence, data extraction and management, and cloud-based documentation. MCA is here to help you streamline your revenue cycle process to produce consistent, high-quality outcomes. 

How would your Skilled Nursing Facility (SNF) answer this question?

Are you meeting your financial goals? 

Perhaps you’d rattle off a set of metrics you’re tracking. Or, maybe you’re not sure how to answer this question. Either way, it’s almost impossible to answer with a simple ‘yes’ or ‘no’ to this question. To adequately answer this question, you need to have an in-depth knowledge of the metrics your facility should use to measure financial success. 

If your facility is outsourcing your medical billing or handling its billing in-house, it’s always important to have a good understanding of your financial health. It’s important to be able to identify where your facility is performing well and where you could make some improvements. That’s why identifying and monitoring key performance indicators (KPIs) for medical billing is critical.

What is a Key Performance Indicator?

A key performance indicator (KPI) is a measurable value that indicates how well you’re achieving key business objectives. In our case, how well your medical billing and coding are performing. 

KPIs can be used to track a variety of business objectives. But, the key (pun intended) to a strong KPI is that it must be measurable. The most effective KPIs provide you with data points that you can compare over time, help you to identify trends, and potential improvement opportunities. 

Medical billing KPIs provide a way for you to monitor a part of your revenue cycle on a consistent schedule. Helping you determine whether you’re on target to achieve your established goals. Additionally, KPIs provide a basis for decision making, provide focus areas for operational improvements, and help you focus on what matters most.

How to Choose the Right KPIs for Your Facility

When selecting a KPI, it’s crucial to understand the metrics that are most important to your medical billing department. For example, Accounts Receivable (AR) might seem like an easy choice. But, there are more specific AR metrics that you can drill down into. Metrics that will help improve decision-making and operational management in the future. 

To begin, assess the KPIs that your medical billing team is currently tracking. This will provide you with a snapshot of where you’re at. And, help clarify if the KPIs you are currently monitoring provides you enough information, are measurable, and support your operational imperatives.

Keep in mind that monitoring too many KPIs can be overwhelming. Focus on the KPIs related to the work your medical billing and coding team does. Narrowing your focus will make any opportunities for improvement clear.

5 Medical Billing KPIs Your SNF Should be Tracking

Regularly monitoring your medical billing KPIs helps ensure that your facility is collecting what’s expected. But, there are a few KPIs that every SNF (or outsourced medical billing partner) should be monitoring. The following 5 medical billing KPIs are a great place to start.

1. Collection Performance

Collection performance is a snapshot of your SNFs financial health and efficiency. Associated with days in AR, this measures how effective your SNF is at collecting all forms of reimbursement for services. This is typically the amount owed after payer contract adjustments have been made.

If a facility has a low collection rate it’s likely an indicator that there is a persistent problem gathering revenue. The facility could be struggling with revenue collection due to late filings, coding errors, bad debt, or claim underpayments. 

MCA strives to have facilities reach a 90% collection rate in their first 30 days and 98% in their first 60 days from the submission date.

2. Days in AR

A SNFs accounts receivable (AR) provides insights into how long it takes to collect on balances after billing. This includes payments that have not yet been collected for both insurance reimbursements and out-of-pocket services. 

Healthy days in AR metric should be between 30 and 40 days. This ensures that your operational processes are streamlined and your facility is getting paid faster. If your days in AR are greater than 40 days this could indicate billing and coding errors or process inefficiencies that need to be addressed. 

3. AR Greater Than 120 Days

The percentage of AR over 120 days helps to illustrate how healthy the AR is. After 90 days, outstanding bills and claims become much more difficult to collect. And, it’s unlikely you’ll collect any AR over 120 days which will result in a write-off.

If more than 15% of your claims are spending 90 to 120 (or more) days in AR, this indicates there are inefficiencies in your billing process. Also, tracking the percentage of AR over 90 to 120 days allows your billing team to review these claims to reduce the risk of a future write-off. 

4. Denial Rates

Denial rates help show how many claims are denied. Denial rates in the U.S. healthcare industry tend to range from about 6 to 13%. And a large percentage of claims denials are avoidable with medical billing and coding process improvements. 

If your denial rate is right, it’s important to drill down into the reasons. For example, a high percentage of your denials come from a particular payer, there may be issues to resolve with that payer. MCA recommends that your average denial rate should be less than 5% each month.

5. Clean Claim Rate (CCR)

Clean Claim Rate (CCR) indicates the quality of claims data being collected and reported. A high CCR means decreased cost, less time in AR, and improved cash flow. A low CCR means that your staff is investing extra time in reworking and resubmitting the claim.  

Claim rejections are costly and a CCR lower than 95% means your facility is losing revenue. On average, SNFs have a CCR that varies between 75% to 85%. This indicates that approximately 15 – 25% of submitted claims must be worked twice each month. 

MCA – Expert Help to Improve Your SNF Billing KPIs

Identifying and monitoring KPIs for medical billing is important and a great first step. Yet, making improvements to KPIs that you are struggling with can be a challenge. 

MCA is here to help! We’re skilled nursing medical billing experts and we work with clients every day to improve and monitor import KPIs. We provide regular reporting and support meetings to help ensure you are meeting and exceeding your operational metrics. 

Drop us a note or give us a call at 866-609-5880 to learn more about how MCA can improve your SNF billing KPIs.

About MCA Medical Billing Solutions

MCA is a full-service revenue cycle management company dedicated to helping skilled nursing facilities advance their revenue cycle management. We provide claims creation, submission, and follow-up to Medicare, Medicaid, and all commercial insurers.

When you choose MCA you can expect experienced business insight, skilled billing intelligence, data extraction and management, and cloud-based documentation. MCA is here to help you streamline your revenue cycle process to produce consistent, high-quality outcomes. 


“Over Third of Hospital Execs Report Claim Denial Rates Nearing 10%.” 7 Jun. 2021, Accessed 20 Apr. 2022.

Every facility strives to build a group of high-performing professionals. But, the widespread use of technology and a global pandemic have increased the demand for remote work opportunities. In fact, some estimates believe that more than 60% of American employees have the option to work virtually. And, that number is only growing.

But, building a high-performing virtual team presents unique challenges. After all, when managing a virtual team you eliminate your face-to-face interactions, interrupt your culture, and introduce new technology. All bringing new challenges for your team and your managers. 

The medical billing field isn’t immune to the changing demands for remote work opportunities. In early 2020, many facilities had to migrate non-patient-facing employees into virtual opportunities. Yet, many facilities continue to use traditional management methods designed for on-site employees. Leaving employees feeling disconnected, creating inefficiencies, and impacting your bottom line. 

If you’ve had the opportunity to manage a virtual team or are dipping your toe into managing virtual employees, let’s review 6 tips to help you create a high-performing virtual team.

Tips for Managing A Remote Medical Billing Team

As a manager of a virtual team, you need to ask yourself how you will continue to motivate and inspire your team when you can’t be with them all the time. How will you communicate? How will you measure productivity? How will you stay connected on an individual and team level?

These are great questions that require you to identify and implement new strategies. So, not only are you no longer face-to-face, but now you need to consider changes in employee engagement, communication, and culture. 

It can feel like a lot to take on! Let’s start by reviewing 6 tips to help you develop a high-performing virtual team of medical billers. 

1. Communication is Key

Communication with your team is everything! You can no longer assume that how you communicated when you were in the office will work. It’s important to enable an open dialog with your team about how they receive communication best. Do they prefer a quick text message or online chat when you need something? Do they like to have an email to refer to later? Or, do they prefer to talk through questions over the phone or in a video chat? 

Plus, don’t forget about yourself. What type of communication do you want from your team? Don’t be afraid to let them know your preferred communication method as well.

2. Set Clear Performance Expectations

Having clear performance expectations for your team will help you continue to drive results. Yet, it’s more than their job description. It’s important to think through your business goals and identify the right objectives and deliverables for each member of your virtual team. 

Expectations might include how and when productivity will be measured, what their working hours will be, identifying standards, and impacts for poor performance. 

The key is to be very clear about your (and the business) needs. And, set actionable, measurable performance indicators. 

3. Meet Regularly

Just because you can’t have in-person meetings doesn’t mean you shouldn’t have meetings. In fact, a well-run, regularly occurring meeting can help your team stay on task, align to key objectives, and stay up-to-date on changing business demands. 

How often you meet depends on the needs of your team. However, just because your team is virtual doesn’t mean you need more meetings. If you would have handled a topic over email in the past, keep it in email. Instead, consider having regularly scheduled meetings with standing agenda topics. And be sure to encourage employees to ask questions and share best practices during these times together.

4. Keep Remote Employees Engaged

A noticeable downside to working remotely is that employees can feel disconnected from their company, manager, and co-workers. Creating opportunities to interact remotely can resolve this.

  • Try creating virtual chat rooms to enhance real-time collaboration. 
  • Incorporate opportunities for employees to share personal updates during team meetings. 
  • Recognize birthdays, anniversaries, or other important life events.
  • Create an employee recognition program and reward top performers

With a little bit of planning, employees will be able to take advantage of the many benefits of telecommuting and still feel engaged and supported by their team. 

5. Utilize Technology Tools and Apps

To set your virtual team up for success they need to have high-quality, reliable technology to do their job. Also, ensure that they have access to the applications and documentation needed. This will likely require some extra support from your IT team. 

Work together to develop an IT infrastructure plan that helps ensure the tools your team needs are always available. Additionally, ensure your team knows how to engage with your IT team. They’ll need to work together on troubleshooting, repairing, and maintaining any needed technology or applications.

You may also want to consider programs, tools, or platforms that can boost productivity and communication. There are several tools that can help improve communication with virtual teams. If you aren’t using one of these already, consider a few of these options:

  • Trello helps you plan, manage, and track projects with a great deal of flexibility.
  • Slack brings together multiple communication channels, documents, and more to a single point of reference. 
  • Skype or Zoom to enable video conferencing

6. Provide Continuing Education

When your team initially becomes virtual some training will likely be required. This can include how to access files, use new applications, or establish updated policies. These initial pieces of training should focus on the changes the employee will face. As well as provide a platform to ask questions.

Ongoing training is also important. Not only to help keep your employees educated on changing job requirements but also to help educate them on new tools, upgraded programs, or business changes. 

Continuing education for your medical billing staff is a great opportunity to put your new technologies to use, share knowledge amongst team members, and build team culture. 

Get Expert Assistance from MCA

MCA is a market leader for skilled nursing billing services. As a full-service Revenue Cycle Management company, we provide electronic claims submission to Medicare, Medicaid, and all commercial insurers. 

MCA is here to help skilled nursing facilities advance their revenue cycle management. Contact us to learn about how MCA can help support your virtual medical billing team.

Annually, the Centers for Medicare and Medicaid Services update regulations to Medicare payment policies for Skilled Nursing Facilities (SNFs). Reviews and updates of the regulations account for patient-care-related payment adjustments, inflation factors, and wage index adjustments.

The CMS FY 2022 final rule included updates for Medicare payment policies and rates, SNF quality reporting, and the SNF Value-Based program. This final rule allows SNFs to continue to focus on their response to the COVID-19 pandemic with streamlined requirements and regulations. 

Many of the changes made in the CMS rule have a minimal impact on many organizations. But, it is important to be aware of any changes that are impacting an organization and its fiscal health. 

Below you will find our key observations from the CMS final rule for skilled nursing facilities. 

Key Observations

  • CMS confirmed payment increases by 1.2% for SNFs. This will result in an estimated $410 million increase in payments compared to last year. 
  • The SNF quality program had minor changes. Changes included the introduction of two new quality measures. 
  • The Patient-Driven Payment Model (PDPM) did not have any changes. 
  • SNF readmission rates will still be calculated but will not be used to score facility performance for the FY 2022 Value-Based Purchasing program. 
  • Introduced Part A billing exemption for blood clotting factors and related services and items.

Need help understanding how the CMS final rule might impact your skilled nursing facility?

The team at MCA is here to help!

Schedule a Call

For more detailed information on the Centers for Medicare and Medicaid FY 2022 final rule for skilled nursing facilities, you can download the full rule from the Federal Register. Or, check out the CMS fact sheet.

Overview of the CMS FY 2022 Final Rule for Skilled Nursing Facilities (SNFs)

Market Basket and Payment Update

CMS has set the market basket rate for FY 2022 at 2.7%. This rate update increases payment by 1.2%. Resulting in an estimated increase of $410 million for Medicare Part A payments to SNFs. The rate increase includes a forecast error adjustment of 0.8% and a productivity adjustment of 0.7%. These are subtracted from the market basket percentage.

Consolidated Billing

To account for the exclusion of certain blood clotting factors, CMS finalized a reduction of the Medicare Part A SNF rates. Additionally, the final rule did include added HCPCS codes that were not included in the proposed rule. These codes are billed separately under Part B when associated with a SNFs Part A resident. CMS finalized a $0.02 in the adjusted urban and rural rates to reflect the exclusion of the blood clotting factors.

Find more information about the excluded codes on the SNF Consolidated Billing website under our resource section below.

Patient-Driven Payment Model (PDPM)

CMS determined that the PDPM had paid approximately 5% more in FY 2020 than it would have under the previous payment model. CMS had noted that a recalibration of the PDPM parity adjustment is needed. They proposed various methodologies in the proposed rule. It was determined that no changes to the PDPM will occur for FY 2022. Instead, CMS intends to propose recalibration methods on the FY 2023 SNF PPS Proposed Rule.

SNF Value-Based Purchasing Program

The final rule acknowledges that COVID-19 has impacted the readmission measure and resulting performance scores. Because of this, CMS will continue to suppress the use of SNF readmission measure data for scoring and payment adjustments in the SNF value-based purchasing (VBP) program. 

CMS confirmed that SNF readmission rates will still be calculated. But, the score would not be used to rank SNFs, score facility performance, or calculate the incentive payment. Instead, all SNFs participating in the VBP program will receive a score of zero regardless of their performance. To compensate for suppressing this score, CMS plans to reduce each eligible SNFs adjusted federal per diem rate by 2% and return 60% of the withhold as their incentive payment. This results in a 1.2% payback to the SNFs.

CMS does plan to report the FY 2022 SNF readmission rates noting the data limitations due to the COVID-19 public health emergency.

Quality Reporting

CMS confirmed that the SNF quality reporting program (QRP) will continue as a pay-for-reporting program. Additionally, any SNFs that do not meet the reporting requirements may be subject to a 2% reduction in their annual update. 

CMS finalized the adoption of two no measures for FY 2023.

  • COVID-19 Vaccination Coverage Among Healthcare Personnel Measure –  CMS has determined that it is important to assess whether SNFs are taking steps to reduce COVID-19 transmission. This measure requires facilities to disclose healthcare personnel vaccination data to the CDC and National Healthcare Safety Network. 
  • Skilled Nursing Facilities Healthcare-Associated Infections (HAI) Outcomes Measure – This risk-standardized measure is being implemented to help identify facilities that may see higher rates of infection in the event of another pandemic. This is a claims-based measure so no additional data will be required from the SNFs. 

CMS also finalized updates to the Transfer of Health Information to the Patient – Post-Acute Care Measure. For this measure, the denominator will exclude residents discharged home under the care of an organized home health service or hospice. 

How can we help

We recognize that the CMS final rule changes can have a broad impact on your organization. The information and breakdown of the CMS final rule is our summary. It is our goal to ensure that all our clients remain informed of any changes that may impact the financial health of their organization.

Should you have questions about the CMS final rule, we’re always here to help. But, we also encourage all our clients to review the final rule with their legal and compliance teams. This helps to ensure you’re applying these decisions to your organization appropriately.

At the end of the day, we strive to provide you with information and support. So, if there is anything we can do to help, don’t hesitate to reach out.

Contact MCA


FY 2022 Skilled Nursing Facility PPS Final Rule

FY 2022 Skilled Nursing Facility PPS Final Rule Fact Sheet

Skilled Nursing Facility Quality Reporting Program

Skilled Nursing Facility Value-Based Purchasing Program

Patient Driven Payment Model 
SNF Consolidated Billing