Healthcare

Enhancing business potential by minimizing nursing home billing denials

Enhancing business potential by minimizing nursing home billing denials

Nursing home billing services have gained popularity over the years. It is primarily because of how easily they help nursing homes reduce their operational challenges and minimize claim denials.

Skilled nursing facilities provide a wide range of medical services. From rehabilitation to speech therapy patients with varying medical requirements rely on nursing homes for swift recovery.

  • In addition to the range of medical services, and backgrounds & medical history of patients billing operations at skilled nursing facilities require a comprehensive knowledge of billing workflows and processes.
  • Nursing homes and in house also seek support from various healthcare professionals like physical therapists and assistants and nurses.
  • The billing process and workflow for every skilled nursing facility service will have different billing criteria and requirements.
  • Errors in the process lead to denials, increasing costs, and delaying reimbursement for the provider.

Avoiding these challenges and denials has become even more difficult recently. The shortage of experienced staff and high wages has made most skilled nursing facilities complete most of their admin functions in-house. However, during times of high billing volumes and patient care requirements, these facilities experience errors and denials.

So let us discuss how you can get rid of your admin challenges with Nursing home billing services.

How can skilled nursing facilities benefit

Facilities with skilled nursing have an important role to play with critical introspection. Hundreds and thousands of people across the country rely on their services. Due to reimbursement and profitability issues, a number of these facilities have had to close down. However, in most cases that can be avoided with help from Nursing home billing services.

Here are some ways providers can reduce denials and benefit from operational support by Nursing home billing services:

High accuracy in nursing home billing

A high first pass rate has multiple benefits. It helps reduce errors and improve the accuracy of billing claims. The higher the number of error-free claims, the higher the FPR. And a high first-pass score often results in shorter reimbursement cycles and in turn higher collections.

Lesser mistakes

The entire billing process has many steps. Documents and medical records are collected at almost every step of this process. For skilled nursing facilities, it is very important to avoid billing or documentation errors. Expert Nursing home billing services help these providers reduce their billing errors by streamlining the workflows.

Billing operations at skilled nursing facilities are complicated. All the preparation of the consolidated bills happens at these facilities. These consolidated bills are prone to errors.

  • Skilled nursing facilities or long term care centers are usually short-staffed. And that is why professional Nursing home billing services can improve accuracy and reduce labor costs.
     
  • It is important to note that the upgrades with the minimum wages didn't have a major impact with skilled nursing facilities finding it tough to get ample staffs that can manage their overall nursing home billing and coding details.
  • In addition to these challenges, it is not at all a surprise that not finding the right resources are making nursing home billing outsourcing such an important aspect.

So, if you are looking for a medical billing partner that increases efficiency & accuracy while cutting costs by up to 80%, Sunknowledge is the right medical billing partner for your skilled nursing facility.

Elevated operational activities with nursing home billing activities

The nursing home billers and coders working for Sunknowledge have extensive knowledge of the latest guidelines and training. All the details give them the platform to get on the information on the policies of industry guidelines and the imminent alterations. We give all our Nursing home billing staff access to updated billing guidelines and SOPs.

Our team has knowledge of the latest workflow with nursing home billing and can assist in the process of implementation of quality standards.

Here the details on how we assist in helping to achieve competitive excellence:

Regular billing and coding workshops & training sessions

  • Billing audits to check for errors or inconsistencies
  • Tracking KPIs to ensure optimal billing performance
  • Swift feedback mechanism to eliminate operational errors

Managing HIPAA compliance is critical

Non-compliance is responsible for most denials. Simple data-entry errors and mistakes in including supporting documents cause most of the denials due to regulatory issues. With skilled nursing facility billing services and their optimized processes, providers can reduce their billing errors and claim denials significantly.

Reasons to select Sunknowledge as a reliable nursing home billing guide

Over the last decade or more, we have excelled in the art of delivering quality revenue cycle management services for some of the largest providers across the country. Also, we have made sure that all the efforts with patient documentation.

Our team has the precise understanding on how to manage everything with complete propriety that will be transforming all your RCM demands by lowering operational expenses by almost 80%.

Another major feature of our medical billing services is that we offer all our clients a seamless transition period to try out our industry-recognized billing services. For more information on our Nursing home billing services or to get our list of excellent references, do not wait to get in touch with Sunknowledge.

About the author

Lois McMaster

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