MBC for Physicians

Skilled Nursing Facility Billing Services

Optimize Your Practice Revenue &
Billing Efficiency

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Getting Started

Managing the financial aspects of a Skilled Nursing Facility (SNF) requires precision, compliance, and a deep understanding of the unique challenges in long-term care billing.

Our medical billing services for Skilled Nursing Facilities are crafted to address these challenges, ensuring accurate claims, timely reimbursements, and reduced administrative workload. From handling Medicare and Medicaid intricacies to meeting compliance requirements, we empower nursing facilities to streamline their operations and focus on delivering high-quality patient care.

Let us simplify your Skilled Nursing Facility billing services while maximizing your revenue potential.

Medical Billing At A Glance

Explore key figures that highlight our commitment to
seamless coding and optimized reimbursement.

Claims Processing
Metrics

First Pass
Resolution Rate

Percentage of claims paid on the first submission.

Average Days to
Payment

Average number of days it takes for claims to be paid.

Financial Metrics

Net Collection
Rate

Percentage of total charges that are collected.

Average Denial
Resolution Time

Average number of days taken to fix and resolve a denied claim.

Operational Metrics

Average Claims
Submitted Per Month

Volume of claims
submitted.

Staff Productivity
Rate

Claims processed per biller per day.

Skilled Nursing Facility Billing Services

Maximizing claim efficiency and compliance for
superior revenue management

  • Challenges of Skilled Nursing Facility (SNF) Billing
  • Billing Process Under the PPS and Consolidated Billing
  • Revenue Leakage Due to Billing Errors and Rejections
  • The Need for Expertise in Skilled Nursing Facility Billing
  • Outsourcing Skilled Nursing Facility Billing to MBC
  • Flexible Service Models Offered by MBC
  • Benefits of Outsourcing SNF Billing to MBC
  • Local Knowledge and National Network

Since the Balanced Budget Act of 1998, Skilled Nursing Facility (SNF) billing has become more complex. SNFs must comply with new regulations, including consolidated billing under the Prospective Payment System (PPS). Key challenges include:

  • Medicare Coverage Complexity: SNFs must distinguish between what is covered under Medicare Part A and Medicare Part B, often leading to errors in coding and claim submission.
  • Fixed Per Diem Payments: Medicare A reimburses on a per diem basis, which often does not account for the full cost of services, leaving gaps in payment.
  • Revenue Leakage: Improper coding and misidentification of services covered by Medicare A and B lead to rejected claims and underpayments.

Mastering Every Code for
Skilled Nursing Facility Specialty

Our expertise spans the full code range, ensuring precision and
compliance in every claim we process

Evaluation and Management (E&M) Codes

99304

Initial care (low complexity)

99305

Initial care (moderate complexity)

99306

Initial care (high complexity)

99307

Subsequent care (low complexity)

99310

Subsequent care (very high complexity)

Rehabilitation Therapy Codes

97161

PT evaluation (low complexity)

97162

PT evaluation (moderate complexity)

97163

PT evaluation (high complexity)

97165

OT evaluation (low complexity)

97166

OT evaluation (moderate complexity)

Wound Care Codes

97597

Wound debridement

97598

Tissue removal

97602

Wound care and dressing

97605

Negative pressure wound therapy

Psychological and Psychiatric Codes

90832

Psychotherapy (30 min)

90834

Psychotherapy (45 min)

90837

Psychotherapy (60 min)

96116

Neurobehavioral exam (60 min)

96127

Brief emotional assessment

Medication Administration Codes

96372

 Injection (up to 5 agents)

96365

IV infusion (initial, 1 hour)

96366

 IV infusion (additional hour)

99508

Nutrition services (admin)

Download Your Skilled Nursing Facility
Billing Guideline Here

Why Choose Us?

Analyze Practice & Benchmark

Data-driven analysis to compare and enhance your practice’s performance.

Practice Documentation SOP

Standardized operating procedures for seamless practice documentation.

Measure Results Consistently

Continuous monitoring to deliver reliable and consistent results.

Ready To Optimize Your
Skilled Nursing Facility Billing Process ?

Real Physicians, Real Results

Discover how physician groups thrive with us

Help Us Understand Your Requirements

Get in touch with us for more Information.
We're ready to assist with your billing and coding needs.

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