- February 21, 2025
- Posted by: Josh Knoll
- Category: Nursing Home Billing
It is true that staffing shortage in healthcare has extended farther than the clinical sphere. Billing specialists and registrars are in high demand, according to a survey of 411 hospitals, CFOs and leaders in revenue cycle management.
The survey was published on March 17th and was commissioned by the operations provider AKASA. Here is a ranking of the highest roles that need to be filled with finance leaders telling that they need more talent in the role.
The details of the ranking are as follows:
- Billing Specialists (54.7%)
- Registrars (59.6%)
- Patient Follow-ups (42.4%)
- Front Office Staff (38.7%)
- Denial Specialists (37.1%)
- Authorization Staff (36.1%)
- Claims Collections (35.2%)
It is evident that as a hospital, making sure that you are comfortable with your accounts receivable figures should be the idea ahead.
Technical expertise is a must have for any front office staff of a nursing home. All you need is a competitive team that can fight with your denials and provide the necessary intervention that will prevent any recurring issues.
You need robust customized reporting that meets your daily, weekly and monthly standards, which allows you to receive full and timely reimbursement that is owed to you as a healthcare organization. Ensuring that your pending bucket of receivables gets converted to collections quickly is imperative today, especially during these times of changing circumstances.
A quality pool of experts that knows the ins and outs of your processes will be able to extend timely support, reducing your overall expenses and guaranteeing payments as a true next-gen nursing home billing and collections company. However, a trained team can be a hard find in a market crowded with a lot of players with lack of exposure in claim adjudication norms.
Resolve Challenges with a Trusted Nursing Home Billing Guide
Making sure that your outsourcing partner, offering complete nursing home coding and billing support, has the requisite experience and workforce can be an uphill task. Some basic rules with nursing home care facilities have to be followed and the billing must be for a single month and has to be submitted in the sequence of dates. The broad services and the Medicaid room provided by an LTC provider have to be reported on claims as revenue codes.
The monthly credit amount of the patients is applied to the fee for service LTC or the hospice claims, and is submitted on a first come first serve basis. The credit amount is always reported with a different code value. Expert intervention is a must in nursing home billing as it needs experience. Someone with the right exposure knows how to handle all front and back end efforts in the right vein.
A number of enrollment, or registration, needs to be met by a nursing home care provider as well as a nursing home. A reliable team understands what it takes to work out a perfect plan to meet all the revenue cycle management goals of an SNF facility.
Many a time, we all falter in finding someone who can elevate our practice management efforts in the right manner. Creating a critical checklist eventually depends on how well researched you are with your understanding of the best practices across the nursing home billing outsourcing industry.
Eventually we all need someone who can help us in taking care of all our patients. Finding the perfect balance between nursing home billing and patient care is what separates the right one from the rest.
Eliminating Problems with a Reliable Partner
One of the major questions that need to be addressed is how to choose someone who can implement quality measures and help you stand the test of time. Moreover, it is imperative that you select a guide that has complete understanding of the latest guidelines in the world of nursing home billing and coding services. This guide can seriously change the dimension of your receivables bucket in the best possible manner, and can make sure that all your priorities are attended to with compliance and you are able to stand tall in the competitive landscape.
Delivering excellence eventually boils down to finding a serious guide who can quicken your flow of cash and help you stand the test of time. A dedicated vendor working on your nursing home billing has the ideal knowledge to do it for you at next door rates. It can actually bring about a serious transformation.
Why Choose Sunknowledge as Your Collections Partner
At these challenging times, with healthcare providers looking to make their presence felt in the competitive landscape, Sunknowledge is here to offer you an effective business synergy. Over the last decade, we have emerged as a dynamic nursing home billing services company in healthcare and have been working with both the payer and the provider sides of the healthcare business.
Our team is experienced in delivering billing, coding and collections related support for skilled nursing home facilities and long term care centers. The activities involve reaching out to payers regarding the status of the submitted claims, following up on denials, and working on underpayments and appeals.
We have a comprehensive understanding of the claims form (UB-04) and know how to bill using clean claims. Our team has the versatility and knowledge of pursuing claims with different payers. In fact, we are thoroughly versed in all with guidelines followed by different payers for authorization, timely filing process, case rates, per diem rates, DRG etc.
Sunknowledge has an extensive pool of CPC certified coders as well as medical billers who know how to work as your ideal operational arm. We demonstrate trust and excellence with experience across all major practice management systems in use.
We will be putting same level of focus on every amount of cash irrespective of size and source. With expert handling of accounts receivable by a highly capable team, you can expect an increase in collections by 30% to 40% within the first month itself!
With a special plan in handling your aging buckets (45/60/90 days), we do it all with new patient entry, eligibility verification, authorization, claims submission, denial management, payment posting as well as customer care.
As a dynamic company offering nursing home billing services, we have the credentials to serve as your dedicated extension. Our team will be delivering actionable support, offering a streamlined approach in recovering your aging A/R’s , improve on your follow up process and putting all in place with documents. We promise a reduction of your operational costs by almost 70%.
At $7 per hour, Sunknowledge guarantees:
- Handling of your accounts receivable by highly experienced staff
- Expertise in working on difficult-to-recover aging A/R
- Complete focus on every amount of cash irrespective of size
- Experience in claims adjudication serving major insurance plans
- Increase collections by 30 to 40%
- Reduce operational costs by 80%
Speak to our experts and discover why we are hailed as among the best in the world of nursing home billing management. Our experts will love to share their ideas of a business partnership with you. Get in touch and discover what makes us consistent in the world of healthcare revenue cycle management.