Sunknowledge Services Inc.

Follow my blog with Bloglovin 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. 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 resubmi...

Follow my blog with Bloglovin There’s a general lack of clarity in the healthcare industry on skilled nursing facility Medicare billing and ancillary services around it. The complexity comes from a lack of awareness of how a Skilled Nursing Facility (SNF) works. The confusion intensifies with not having proper information about the Medicare qualified coverage of the services it renders. Different aspects of nursing home billing such as bundled services consolidated billing, Prospective Payment System (PPS), etc. need expert handling. Often even the in-house staffs of the SNFs are not competent enough to efficiently and accurately handle consolidated billing and other stuff. However, it will be an injustice to doubt their ability considering the workload they take owing to the fact that these SNFs are run by a very limited workforce, forcing the staffs to do a lot including patient care. Obviously, they cannot solely focus on the very important aspect of consolidate billin...