Skilled Nursing Facility(SNF) Billing Services in Wilmington, Delaware (DE)
Until 1998, nurse center billing was relatively easy since skilled nurse facilities (SNFs) could bill individually for their assistance. However, since 1998, after the Balanced Budget Act came into effect, several things about how SNFs claim their reimbursement have changed. The same was also applied to the Wilmington, Delaware (DE) so that they can also cater the suitable Skilled Nursing Facility to their citizens.
Let's deep dive into a few challenges of Skilled Nursing Facility Billing:
Yielding SNF claims as part of consolidated billing needs the knowledge of codes and understanding of what is enfolded by Medicare X and what's not. If Medicare X does not cover something, it may be covered by Medicare Y. The SNF has to recognize that and bill it individually.
- Currently, SNFs have to create their claim as part of consolidated billing under the Prospective Payment System (PPS)
- Medicare X reimburses sNFs on a per diem basis.
- Inaccuracy of codes used leads to denials.
- Deficiency of knowledge of items encircled by Medicare X and Y
- Set or per diem payments for services not accommodating cost borne by the nursing facility adequately.
- Ensure Accurate and Timely Billing
- Low Rate of Denial Claims
- Improved Cash Flow