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Efficient billing is essential for nursing homes to maintain financial stability while providing exceptional care to residents. Nursing Home Billing Services ensure accurate claims submission, compliance with regulatory standards, and prompt reimbursements. These services handle complex billing processes, including Medicare, Medicaid, and private insurance claims, reducing denials and improving cash flow. By leveraging expertise in long-term care billing, providers can focus on delivering quality care without administrative burdens. With a team of specialists and advanced technology, nursing home billing services streamline revenue cycle management, optimize collections, and ensure transparency, enabling facilities to thrive in a competitive
Nursing homes encounter distinct challenges in medical billing due to the complexities of long-term care, varying payer policies, and the integration of medical and non-medical services. Efficient billing ensures financial sustainability while allowing providers to prioritize resident care.
By partnering with Synergy HCLS’s Nursing Home Billing Services, facilities can enhance revenue cycle management, reduce denials, and minimize administrative strain, enabling them to focus on delivering compassionate, high-quality care.
Common CPT Codes for Nursing Home Billing:
General Medical Care:
99304: Initial nursing facility care, low complexity.
99309: Subsequent nursing facility care, moderate complexity.
Rehabilitation Services:
97110: Therapeutic exercises to develop strength and range of motion.
97530: Therapeutic activities to improve functional performance.
Mental Health Services:
90832: Psychotherapy, 30 minutes with a patient.
96127: Brief emotional or behavioral assessment.
Nutritional Support:
97802: Medical nutrition therapy, initial assessment.
97803: Medical nutrition therapy, re-assessment.
Palliative and Hospice Care:
99377: Physician management of hospice patient care.
99378: Physician management for higher-complexity hospice care.
At Synergy HCLS, we provide customized billing solutions tailored to meet the specific needs of nursing homes. Our services are designed to streamline billing processes, enhance revenue cycle management, and ensure compliance with ever-evolving regulations.
Key Services We Offer:
Eligibility Verification Services:
We verify patient insurance coverage for long-term care, identifying benefits, deductibles, and co-payments to minimize claim errors and improve approval rates.
Comprehensive Billing Analysis:
Our specialists conduct detailed reviews of nursing home billing operations, ensuring accurate coding for medical and non-medical services, reducing denials, and securing timely reimbursements.
Accounts Receivable (A/R) Management:
We efficiently handle A/R processes, reducing payment delays and optimizing cash flow, allowing nursing home staff to focus on resident care.
Denial Management:
Our team investigates claim denials, identifies the root causes, and resubmits corrected claims to maximize revenue and minimize losses.
Credentialing Services:
We assist nursing home providers in navigating payer credentialing, ensuring smooth enrollment and maintaining steady revenue streams.
With Synergy HCLS, nursing homes can rely on expert billing solutions, enabling them to prioritize the well-being of their residents while achieving financial stability.
Nursing Home Billing Services by Synergy HCLS
Key Features of Our Nursing Home Billing Services:
Comprehensive Resident Records
We maintain detailed records, including medical histories, care plans, diagnoses, and treatments, to support accurate and timely claims processing while aligning with payer requirements.
Precise Coding and Service Documentation
Our billing experts use CPT, ICD-10, and HCPCS codes to ensure accurate coding for nursing services, therapy, medications, and other treatments, reducing rejections and improving reimbursements.
Accurate Diagnostic and Care Reports
We ensure thorough documentation of diagnoses, treatments, and care plans, validating medical necessity and meeting the stringent requirements of long-term care billing.
Clear Physician Orders
Our services include precise documentation of physician orders for therapies, medications, and care adjustments, supporting claim validity and compliance.
Detailed Care Logs
From daily nursing tasks to specialized treatments, we meticulously document every aspect of resident care, creating a robust trail for accurate and compliant billing.
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