Category Archives: Billing & Collections

How Business Office Managers Can Conquer Medicaid Billing

Of the many billing challenges that skilled nursing facilities and business office managers face every day, one of the simplest and yet most difficult, at the same time is Medicaid billing. What? Why would anyone say this? Medicaid billing is easy! In today’s healthcare environment Medicaid has become one of the most dynamically fluid payers…

Medicare Secondary Payer – The Lost Opportunity

Your team here at SNF Solutions has noticed a trend of facilities either not filing or having problems with filing and collecting Medicare Secondary Payer (MSP) funds.  These are claims that should only be filed to Medicare after the Primary Insurance Payer, either makes a reduced payment or no payment and the resident is entitled to…

Reimbursable Revenue-Don’t leave it “Sitting on the Table”!

It’s Flu Season! Is your Business Office prepared? Have they Billed and Collected the money? You are most likely asking, “What are they talking about?’  My Business Office has nothing to do with Flu Season, except for maybe making sure that the Business Office staff get a Flu Vaccine.  Well, yes and no!  Your Business…

“Benefit Exhaust” and “No Pay” are you concerned?

frustrated/overworked man

If you have worked in Long Term Care or Skilled Nursing Facilities for a long time or are just starting your career, seeing or hearing these two terms could cause you to think OH NO!!   What’s happening now?  We have noticed a trend with our new clients, very few if any are doing these…

Are Your Medicare Revenue and Collections at Risk?

Your Medicare Revenue and Collections could be at risk and you might not even know it. The loyal and intrepid staff here at SNF Solutions has noted a recurring trend during reviews of our clients’ Accounts Receivable.  During our research of the Medicare Part A or Medicare Part B Balances we inevitably see a number…

How to Ensure a Wildly Successful Business Office (Part 3)

What is going on with our Insurance & Private money? Are we getting everything in that we should this month? This is the final piece in this series, please check out Part 1 and Part 2. Managed Care Billing If your facility handles a lot of Managed Care, you are certainly aware of the impact…

How To Ensure A Wildly Successful Business Office (Part 2)

What is going on with our Medicaid & Medicare money?  Are we getting paid everything that we should this month? We hope you find this second part of our 3 part series on How To Ensure A Wildly Successful Business Office to be interesting and informative. Part 1 of our series, which deals with the…

Controlling Managed Care Denials – Part 2

Are you getting denials for the same reasons most of our clients are?  This is the follow-up to the previous post titled “Controlling Managed Care Denials – Part 1”, where we covered some of the proactive steps you can take to ensure your claims have the best chance to be paid upon initial submission.

Clean Medicare Audit results start here..

“Do we really need to have meetings?” and “What can we do to make sure we are compliant with our Medicare billing?” are variations of the questions we get most often.  Lately we have been getting questions about Medicare audits, how to avoid them and how to do well in them.

Controlling Managed Care Denials – Part 3

How you respond to claim denials is the single most important factor in getting them paid.  Because of this, the timeliness and effectiveness with which you and your staff respond to denials is a crucial part of your jobs.  Just a few unpaid claims can affect your facility’s bottom line, performance, and even threaten jobs.