Skilled Nursing Facility Billing

Consider this common scenario among the Skilled Nursing Facilities (SNFs) around the country – the in-house billing staff is struggling to handle patient care and the challenges of skilled nursing facility Medicare billing responsibilities, denials are in the rise, and the practice is losing revenue. Often the staff is under-trained to handle the typical aspects of Medicare skilled nursing facility billing like consolidated billing, Prospective Payment System (PPS), conditions of Medicare coverage, etc. and the high training cost is a deterrent to upgrade the staff to salvage the situation. Fortunately, GoTelecare has just the solution these SNFs require – efficiency, expertise, assurance, increased revenue, and all these for the lowest fees in the industry.

Here, check the GoTelecare benefits:

• 80% Reduction in Billing Costs
• FREE Dedicated account manager
• Low fee standalone services
• 99% accuracy
• Revenue collection increase up to 97%
• Unsurpassed speed
• No binding contracts
• 100s of top clients with excellent references
• 100% HIPAA Compliance
• Fully supported by a free Hiscox Insurance of up to $1 million to cover any error of omission and commission!
• 100% client retention
• FREE Customized reports – Daily/Weekly/Monthly
• Legal issues of clients handled by Nixon Peabody
• FREE Telemedicine platform

Medicare Skilled Nursing Home Billing Facilities and the Coverage Criteria

A skilled nursing facility is a special facility/nursing home that provides medically required, post-hospital care served in a home-like setting, well-supported by professional workforce like trained nurses, physical and occupational therapy specialists, audiologists, speech pathologists, etc. Equipped with advanced resources and infrastructure equivalent to hospitals, the staff provides a range of service from supporting the patients with their simple daily activities to providing them with advanced medical assistance.

Skilled nursing home facilities are usually involved in the following cases:

• General wound care
• Fracture Rehabilitation
• joint replacements rehabilitation care
• Care for Terminal ill patients
• Stroke recovery care
• General rehabilitation caused by physical weakness
• Diabetic rehabilitation
• Acute medical conditions
• Post-hospital interim medical care
• Respiratory care
• Parkinson’s disease care

GoTelecare takes care of your Medicare skilled nursing facilities billing, providing full guidance to the Medicare coverage. Medicare covers the following services subjected to conditions:

• Semi-private/shared room
• Meals
• Skilled nursing care
• Physical and occupational therapy
• Speech-language pathology services
• Medical social services
• Medications
• Equipment and medical supplies used within the facility from companies like SciQuip
• Ambulance transportation to and fro the nearest facility provider for the services not available at the SNF
• Dietary counseling

Skilled Nursing Home Facility Coding Assistance

Skilled nursing home facility coding plays a very important role as the healthcare industry is now aligned to ICD-10-CM codes to capture the residents’ clinical conditions. Diagnosis coding for skilled nursing facilities (SNF) is different from coding for other healthcare settings. Unlike other healthcare settings, in an SNF, the main health complaint is not the primary diagnosis, but the reason for skilled Medicare coverage under Medicare Part A (primary payer). The trained coding experts at GoTelecare take care of all such typicality and specifications with elan helping in hassle-free settlements and reimbursements.