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Requirements For SNF Consolidated Billing

Skilled Nursing Facility (SNF) differs from nursing homes, so their services are also different. Many confuse the two, but nursing homes can have experienced nurses who do not require professional care like SNFs, which marks the difference between the two. In most cases, the care provided by SNF is by occupational therapists, physical therapists, speech-language pathologists, and common and licensed practical nurses

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Requirements For SNF Consolidated Billing

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  1. Requirements For SNF Consolidated Billing Skilled Nursing Facility (SNF) differs from nursing homes, so their services are also different. Many confuse the two, but nursing homes can have experienced nurses who do not require professional care like SNFs, which marks the difference between the two. In most cases, the care provided by SNF is by occupational therapists, physical therapists, speech-language pathologists, and common and licensed practical nurses. Though the list is not exclusive, patients in SNFs that are part of the Medicare practice can be admitted to skilled nursing residents in several cases. Thereby, the billing process resulted in problems that were eventually rectified with the SNF consolidated billing (CB). https://www.247medicalbillingservices.com https://www.247medicalbillingservices.com info@247medicalbillingservices.com info@247medicalbillingservices.com

  2. SNFs Billing Issues • The confusion between nursing homes and SNF often results in claim rejection and denials. In the Balanced Budget Act of 1997, Congress mandated that most nursing services be provided under the SNF in the potential payment bundle. The bundle was to be paid through Part A of MAC (Medicare Administrative Contractor). • Hence, the SNF can furnish services covered in Part A in the consolidated billing (CB). In fact, it can be done by using the resources of the SNF directly, transfer agreement with the SNF, or with a particular therapist as agreed by the SNF. https://www.247medicalbillingservices.com https://www.247medicalbillingservices.com info@247medicalbillingservices.com info@247medicalbillingservices.com

  3. Requirements for Consolidated Billing For SNF • The Balanced Budget Act of 1997 (BBA), Public Law 105-33, Section 4432(b), was enacted by Congress, and it required the SNF to undertake Consolidated Billing (CB). Under this enactment, the SNF had to submit the claims provided to the residents to Medicare. The only services that could be exempted were the ones that were not listed. • CB ensures no duplication of the billing while meeting the responsibilities it has towards the patients. But there are certain exceptions, which are excluded from the CB. Hence the billing can be done separately. https://www.247medicalbillingservices.com https://www.247medicalbillingservices.com info@247medicalbillingservices.com info@247medicalbillingservices.com

  4. Taking Care Of The Requirements of SNF Consolidated Billing • Many facilities and their admin staff find managing the SNF consolidated billing process challenging. It often leads to revenue loss and, worst case scenario, getting investigated by the authorities and fined for wrong billing and coding. All these problems can be quickly resolved with the help of an expert partner like 24/7 Medical Billing Services. https://www.247medicalbillingservices.com https://www.247medicalbillingservices.com info@247medicalbillingservices.com info@247medicalbillingservices.com

  5. Why Outsource SNF Billing and Coding? • The experts of 24/7 Medical Billing Services in SNF consolidated billing are equipped with the latest guidelines and knowledge of the CB in Skilled Nursing Facilities. They also have the necessary EHR software to manage SNF consolidated billing. The EHR software can process high-volume data, including coverage of the residents and the payer plans. • Apart from such software, the trained staff understands the importance of proper coding, which is required in CB for skilled nursing facilities. Hence by working with the experts, any SNF can get the best-streamlined billing and coding process. It eventually ensures every bill is claimed on time, no delays in A/R, and no claim denials, rejections, and issues with reimbursement of the services. In the long run, the admin can put in place a better revenue management cycle for the SNF by adhering to the CB guidelines and warranting a better ROI for the facility. • Read more: 7 Common Challenges With SNF Billing Services https://www.247medicalbillingservices.com https://www.247medicalbillingservices.com info@247medicalbillingservices.com info@247medicalbillingservices.com

  6. Call us Today : Media Contact – 24/7 Medical Billing Services, 28405 Osborn Road, Cleveland, OH, 44140 Tel: + 1 -888-502-0537 Email: info@247medicalbillingservices.com Website:https://www.247medicalbillingservices.com/ https://www.247medicalbillingservices.com info@247medicalbillingservices.com

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