Expert SNF Billing Services That Maximize Reimbursements
When searching for reliable Skilled Nursing Facility (SNF) Billing Services, Synergy HCLS delivers specialized revenue cycle management—navigating complex PDPM rules, ensuring flawless Minimum Data Set (MDS) accuracy, managing consolidated billing, and mastering the Triple Check process. We ensure your facility captures every legitimate dollar so you can focus on resident care.
Did You Know? Real Challenges in SNF Billing
Where Skilled Nursing Facilities frequently lose revenue every single month.
SNF Billing Built Around Strict Medicare Rules
Every skilled nursing claim depends on precise PDPM grouping, spotless Triple Check compliance, and aggressive AR follow-up. Our SNF Billing Services master every layer of complexity.
PDPM & MDS Coding Alignment
Ensuring primary diagnosis codes and all patient characteristics from the Minimum Data Set match exactly to generate the optimal, compliant HIPPS code.
Medicare Part A & Part B Billing
Properly managing the complex transition of patients between Part A (skilled stays) and Part B (outpatient therapy) without dropping revenue.
Consolidated Billing Compliance
Identifying which ancillary services (labs, x-rays, pharmacy) are bundled into your per-diem rate, preventing you from double-paying outside vendors.
The Triple Check Process
Facilitating seamless collaboration between your MDS coordinator, therapy team, and our billers to ensure claims are 100% clean before submission.
End-to-End SNF Billing Services
We handle every phase of the skilled nursing revenue cycle—from admissions to Medicaid pending tracking—protecting your facility's bottom line.
Benefit Verification (Medicare/Medicaid)
Rigorous upfront checks of Medicare benefit days (100-day limit), managed care authorizations, and Medicaid status.
Pre-Authorization Management
Aggressively tracking Managed Medicare and commercial HMO approvals to prevent costly retrospective denials.
MDS/HIPPS Code Generation
Working alongside your clinical team to ensure the Minimum Data Set accurately reflects patient acuity for proper PDPM reimbursement.
Co-insurance & Deductible Tracking
Managing the critical transition when Medicare Part A co-insurance kicks in (days 21-100), billing secondary payers or patients promptly.
Notice of Admission (NOA) Tracking
Ensuring timely 5-day assessment and NOA/NOE submissions to Medicare to avoid late-filing financial penalties.
Account Resolution & Denial Management
Rapidly appealing ADRs and untangling dual-eligible (Medicare/Medicaid) billing overlaps to keep aging AR under 30 days.
Addressing Real Challenges with SNF Billing Services
Managing PDPM Transitions
Failing to capture accurate clinical categories, comorbidities, and functional scores costs facilities thousands. We audit the MDS alignment.
Overcoming Consolidated Billing
Navigating the complex list of excluded services (like certain ER visits or specialized imaging) so you don't absorb costs inappropriately.
Reducing ADRs
High audit risks exist when therapy logs don't match the physician's orders. We ensure medical necessity is clearly documented before billing.
Handling Triple Check Meetings
We take the stress out of month-end Triple Check meetings by pre-auditing the UB-04, MDS, and therapy logs for discrepancies.
Medicaid Pending Tracking
Patients waiting on Medicaid approval can stall cash flow for months. We manage these accounts rigorously to ensure timely payment once approved.
Administrative Burnout
Facility administrators are burdened with complex Medicare compliance. We take over the entire revenue cycle so they can focus on operations.
Comprehensive SNF Billing Expertise
SNF Billing Software Experience
We Also Provide the Following Services to
Skilled Nursing Facilities
Frequently Asked Questions
Trusted by Skilled Nursing Facilities Nationwide
See how we’ve helped SNFs eliminate denials and optimize revenue cycles.
"Synergy’s team completely streamlined our Triple Check process. Their pre-billing audits caught critical MDS mismatches our in-house team was missing. Our cash flow has never been stronger."
"Switching to a SNF-specific billing team changed everything. They understand the nuances of PDPM and consolidated billing better than anyone we've worked with."
"Our days in A/R dropped from 48 to under 28 days within the first three months. The way they handle Medicaid Pending accounts is incredibly efficient."
"Their meticulous handling of our Medicare Part B therapy caps and KX modifiers has saved our facility from costly ADRs. Highly recommend their services."
"Synergy’s team completely streamlined our Triple Check process. Their pre-billing audits caught critical MDS mismatches our in-house team was missing. Our cash flow has never been stronger."
"Switching to a SNF-specific billing team changed everything. They understand the nuances of PDPM and consolidated billing better than anyone we've worked with."
"Our days in A/R dropped from 48 to under 28 days within the first three months. The way they handle Medicaid Pending accounts is incredibly efficient."
"Their meticulous handling of our Medicare Part B therapy caps and KX modifiers has saved our facility from costly ADRs. Highly recommend their services."
Stop Losing Revenue to
Complex Medicare Rules
Let our specialty billing team streamline your operations, secure your PDPM coding, and collect the maximum reimbursements your skilled nursing facility deserves.
Get Your Free Billing Audit