Dealing with Nursing Home Accounts Receivables (An Insight)

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Ask any nursing home facility about its greatest operational concern and the probable answer will be -Nursing home accounts. The in-house staffs and their lack of skill to properly handle account receivables and absence of appropriate management policy of account receivables negatively affect the account books.

Nursing Home Accounts Receivable
The major reason for the nursing home account receivables or bad debts as we know generally is due to the lack of timely follow-up on outstanding claims, mostly regarding Medicare/Medicaid pending and private pays, affecting the timely collection. In many cases, the extent of account receivables goes up to 4 -5 years or more. A sound nursing home account receivable management process must possess the ability to analyze the reasons, ways to address and build good practices. The Operations Manager at a leading medical billing service company points that at least 14% of all claims submitted to the payers are either denied or require resubmission, appeal, or providers’ write-off as applicable. In addition to this, 50% to 70% of denied claims have a great probability of getting recovered. That means, with an aggressive follow-up mechanism through continuous communication with the insurance company, recovering the doubtful debts is highly achievable on all accounts and at any phase of the aging bucket.  Leading nursing home billing services like Sunknowledge and others through their teams of highly skilled AR experts, use of the latest technology, and modern infrastructure, help the nursing homes to salvage the situation.

The prime point highlighted through the observations is the difference between the nursing home in-house staff and a nursing home accounts receivable service company. The skilled nursing facility (SNFs) staffs often fail to afford to follow the online and automated claim follow-ups due to their overburdened work schedule and lack of infrastructure and lack of proper training.

On the contrast, outsource to a professional company and they will take care of your claim denials, claim corrections, and resubmission tactics. With a team comprising experienced billers and coders, their approach of gathering the payer-specific information and claims processing tactics help to establish the best practice.  

For a quick reference, here’s what leading nursing home billing services can offer:

  1.         80% reduction in billing costs
  2. ·       100s of clients with excellent references
  3. ·         100% HIPAA Compliance
  4. ·         Insurance cover for clients
  5. ·         Free dedicated account manager
  6. ·         Reduction in  accounts receivable by 30% within 1 month
  7. ·         Low fee standalone services
  8. ·         99% accuracy
  9. ·         Increased revenue collection up to 97%
  10. ·         Unsurpassed speed
  11. ·         No binding contracts
  12. ·         100% client retention
  13. ·         Free daily/Weekly/Monthly customized reports
  14. ·         Telemedicine platform


Some real trusted names also help you with solving your coders and billers staffing issues.


Location: New York, NY, USA

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