We are responsible for overseeing and administering successful claims and collections processes for you

Welcome to Skilled Billing, where unwavering professionalism meets the time-tested ethos of excellence in skilled nursing facility billing. We are dedicated to the meticulous collection and optimization of claims, adhering to the highest standards of precision and efficiency.

With a seasoned team of industry experts, we navigate the complex realm of healthcare reimbursement with a steadfast commitment to compliance and an acute understanding of the unique challenges faced by skilled nursing facilities.

Our client-centric approach is rooted in old-school values, where personalized attention, rigorous protocols, and a relentless pursuit of financial success converge. We are not just a service provider; we are your trusted ally in streamlining billing processes, minimizing denials, and maximizing revenue—because in the world of healthcare, professionalism and results speak louder than words. 

Billing and collections  companies have several functions.

A skilled nursing facility billing organization, commonly known as a billing company, is a specialized administrative entity tasked with managing billing processes for healthcare facilities, particularly skilled nursing facilities, within a designated area. These organizations are instrumental in sustaining the financial health of healthcare providers and ensuring a smooth revenue cycle by overseeing the efficient and equitable collection of fees for services rendered. They handle diverse billing components, including service charges, reimbursement claims, and facility fees, requiring expertise in rate setting, processing billing statements, and securing payments from insurance providers and patients. The meticulous management of skilled nursing facility billing is paramount to sustaining quality healthcare services and facility operations.

Claims Collection Structure

Billing companies have their advantages

Selecting the appropriate skilled nursing facility billing organization is contingent upon several factors, encompassing the characteristics of the healthcare facility, ownership structure, liability considerations, and billing-related implications. It is imperative to seek guidance from a proficient billing specialist to ascertain the optimal skilled nursing facility billing organization that aligns with the unique circumstances of your healthcare operation.

Partnership

Collaborative billing arrangements enable multiple individuals or entities to jointly shoulder the responsibility and financial obligations of skilled nursing facility billing operations. Such collaborative efforts provide flexibility in distributing revenue and making critical decisions related to billing processes within the healthcare facility.

Diverse Responsibility

A skilled nursing facility billing company is responsible for efficiently managing billing processes, from processing reimbursement claims to optimizing revenue cycles. Their expertise in compliance, navigating insurance reimbursements, and strategically reducing denials plays a vital role in sustaining the financial health of healthcare institutions, allowing them to prioritize high-quality patient care.

Reporting and Projections

Our detailed reports include comprehensive cash flow projections, offering a clear forecast of expected revenue. Additionally, we provide precise collection percentage data, allowing clients to gauge the effectiveness of our billing strategies. We empower providers to make informed decisions and proactively optimize resource allocation. our transparency fosters a deeper understanding of your financial landscape.

Improved Cash Flow

We speed up reimbursement and proactively address potential issues to reduce denials. We excel in optimizing coding practices, staying current on regulations, and maximizing reimbursements to prevent underpayments. Through efficient accounts receivable management and effective follow-up procedures, Skilled Billing ensures quicker payment timelines, delivering tangible improvements in cash flow for our clients. 
Main Mission

Fiscal responsibility

Our mission is to empower skilled nursing facilities by streamlining billing processes, maximizing revenue, and navigating the complex landscape of healthcare reimbursement. We strive to be the catalyst for positive change in the financial health of our clients, allowing them to focus on delivering exceptional patient care.

Main Purpose

Provision of services

We recognize that every skilled nursing facility is unique, with its own set of challenges and opportunities. That's why we tailor our services to meet the specific needs of each client. Our customized solutions are designed to enhance efficiency, reduce administrative burden, and ultimately contribute to the financial well-being of our partners.

A Client Centric Approach to RCM

Our clients are at the heart of everything we do. We foster strong, collaborative relationships, working closely with each client to understand their unique goals and challenges. By providing personalized attention and responsive support, we aim to be a true partner in their success.
Choose Skilled Billing for a transformative approach to skilled nursing facility billing. Let us be your trusted ally in optimizing financial performance, so you can focus on what matters most—providing exceptional care to those who need it.

Revenue Cycle

Successful Billing and Collections

Multi-departmental Communication

Set standards for how you want information ot be sent between departments. For example, you might want the admissions department to send daily census updates and eligibility and authorization information to your billing department so they can be aware of changes and account for discrepancies. Reduce your denied claims and navigate your revenue cycle more effectively.

Education and Learning

Invest time in making sure your staff is learning about the eligibility and authorizations and keeping up to date on the newest and best software to minimize denials down the road. Improve the fundamental concepts such as eligibility, payer responsibility, authorization portals, and payer tracking. Utilize online resources, payer portals, claims resources and expand your RCM knowledge.

Billing Methodology

Collect claims from private pay and insurances effeciently.

Bill Through a Cost Effective Clearinghouse

One of the most common methods for sending claims is a file transfer through a clearinghouse. These intermediaries transfer billing files from your EHR to the proper insurances. Clearinghouse services can often be overpriced and unnecessary. Make sure you are utilizing the correct clearinghouse offerings without overspending.

Timely Filing Guidelines

Billers are required send claims within a timely range which varies by payer. These guidelines provide a serve as a hard end date for claims to be submitted to ensure payment. Billers need to be up to date on all timely filing regulations and how to proceed in case of timely denials.

Estimated Payer Projections

Businesses often need projections of cash flow to send to their owners and managing partners. At times, banks who are providing loans will want to be sure that the facility has claims that are soon to pay. This is common for self many types of skilled nursing facilities and requires a detailed reporting department.

Payment Posting and Month End Close

Billing organizations encourage timely cash posting and month end close processes to accompany the billing and cash projections. Billers can often post payments automatically through imported payment files from the clearinghouse. Establishing a strong payment posting process and month end close is paramount for your business.

Skilled Billing Management

Our management oversees several departments that work together to ensure accurate information, facilitating the collection of claims on the first attempt. While we are experts in the corrected claims process as well, there is typically a lower percentage of payments from corrected claims than original claims so it behooves the provider to get it right the first time. Detailed payer tracking also plays a crucial role in collecting revenue for nursing facilities which begins at claim submission through the clearinghouse, sending private pay through the postal service, or sending paper claims for secondary payments with tracking numbers.

Collection
Department

Collecting delinquent claims from older dates of service to minimize bad debt.

Bookkeeping
Department

Posting payments and keeping accurate accounting for lenders and owners.

Compliance
Department

Comply with HIPAA regulations for billing and MDS.

FAQ

Skilled Billing

You may need seasoned professionals to establish billing procedures and manage the informational flow between departments like admissions, clinical and MDS, billing, and accounting.

You can typically find contact information for insurance organizations online, but billing professionals like Skilled Billing will have this information on hand. Basic insurance information can often be found on patient ID cards.

HIPAA compliance involves following all health laws and regulations regarding the security and exchange of patient information. It's crucial to avoid penalties, fines, and legal consequences associated with non-compliance.

Timely filing can vary by insurance, insurance type, and state. Medicare timely filing is 365 days from the date of of service, Medicaid can be 90, 120, or 180 days for original claims depending on the state, while corrected claims are usually 365 days.

Claims can be sent to most insurances online through a clearinghouse which accepts files from your EHR that are dispersed to the correct parties. You can also use the clearinghouse to track the claims and expected payments.

If you aren't collecting enough, it is essential to examine your entire revenue cycle. Are patients covered by insurance upon admission? Are claims sent timely? Are payments being misapplied? Skilled Billing can help with these areas.

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