Skilled Nursing Facility (SNF) Billing

Eligibility & PDPM Verification

What We Do: Validate payer, coverage dates, and PDPM components up-front; coordinate Notice of Admission (NOA) and timely MDS submissions.

How You Benefit: Fewer hold-ups, accurate rate assignment from Day 1

Consolidated Billing & Therapy Caps

What We Do: Map ancillary services to allowable revenue codes; prevent double-billing with outside suppliers.

How You Benefit: Compliance peace-of-mind; maximized revenue on ancillary items

Clean-Claim Creation

What We Do: Automated claim scrubs against 1,200+ SNF edits (LCD/NCD, HIPAA, payer-specific).

How You Benefit: First-pass acceptance rates that routinely exceed 97 %

Denial Management & Appeals

What We Do: Root-cause analytics, rapid resubmissions, ALJ prep, and tracking by denial code.

How You Benefit: Denial rate drops, reclaimed dollars you assumed were lost

Cash Posting & Reconciliation

What We Do: Daily EFT/ERA posting, short-pay research, secondary claims and patient statements.

How You Benefit: True-time A/R visibility, no “hidden” balances

Executive Dashboards

What We Do: Days Cash on Hand, DSO, net collection %, and aging heat maps—updated nightly.

How You Benefit: Data-driven decisions instead of guesswork

LONG-TERM CARE (LTC) BILLING

Room & Board Charge Automation

Auto-generate recurring private-pay and Medicaid room charges tied to admission contracts.

Level-of-Care & Service Package Tracking

Seamless upgrades/downgrades captured in billing and resident ledgers the same day they’re authorized.

Family-Friendly Statements & Payment Portals

Clear, easy-to-read invoices; credit-card, ACH, and mobile pay options to shrink self-pay A/R.

Aging Reduction Strategies

Monthly payer-by-payer action plans that have cut > 40 % of 120-day balances within two quarters for new clients.

Next Steps

Ready to elevate your billing performance or upskill your team?

Schedule a no-obligation revenue-cycle assessment and discover how Taz Consulting, LLC can safeguard your bottom line—so you can focus on delivering exceptional care.

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