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What Is SNF Billing? A Guide for New Business Office Managers

SNF billing (skilled nursing facility billing) is the process of submitting claims to Medicare, Medicaid, managed care plans, and private payers for the healthcare services provided to residents in a skilled nursing facility. It includes coding diagnoses on the MDS assessment, generating HIPPS codes under the PDPM payment model, completing UB-04 claim forms, managing authorizations, […]

When Should You Outsource Your SNF Billing?

Outsourcing SNF billing means hiring an external team to handle some or all of your skilled nursing facility’s billing and collections — Medicare, Medicaid, managed care, or all of the above. It’s not the right move for every facility, but for organizations struggling with denials, aging A/R, staff turnover, or compliance concerns, outsourcing can stabilize […]

Medicaid Pending Admissions: Policies That Protect Your Revenue

Medicaid pending status means a nursing home resident has applied for Medicaid benefits but hasn’t yet received an approval or denial from the state. This period — which can last anywhere from 30 days to several months, depending on the state — creates a billing gap in which the facility is providing care but may […]

SNF Billing Guidelines: A Complete Reference

SNF billing guidelines are the rules and procedures that govern how skilled nursing facilities submit claims to Medicare, Medicaid, and other payers. These guidelines cover everything from admission documentation and MDS timing to UB-04 form completion, condition codes, and filing deadlines. Getting them right means getting paid on time; getting them wrong means denials, delayed […]

PDPM in 2026: What SNF Business Offices Need to Know

PDPM (Patient Driven Payment Model) is the Medicare reimbursement system that determines how much your skilled nursing facility gets paid for each Part A resident. Implemented in October 2019, PDPM replaced the old RUG-IV system by shifting payment away from therapy volume and toward patient characteristics — diagnoses, functional status, and clinical complexity. In 2026, […]

5 ways to increase your revenue without adding a single resident

Chances are that you’re leaving revenue on the table. This quick resource guide will help ensure that your office is getting the most from your existing business so you can maximize your revenue without adding a single resident.

For more information, please call 407-977-8878 or contact us. One of our experts will answer all your questions.

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