Home Specialities Skilled Nursing
Skilled nursing depends on accurate assessments and daily care documentation that drive reimbursement, where small gaps add up quickly across long stays.
Assessments: Care assessments aligned with billed services to support reimbursement.
Care: Daily documentation captured to back the level of service provided.
Reimbursement: Denials managed before timely filing and appeal deadlines expire.
Skilled nursing depends on accurate assessments and daily care documentation that drive reimbursement, where small gaps add up quickly across long stays.
Assessments: Care assessments aligned with billed services to support reimbursement.
Care: Daily documentation captured to back the level of service provided.
Reimbursement: Denials managed before timely filing and appeal deadlines expire.
Accurate billing. Faster reimbursements. Stronger revenue cycle management for cardiology practices focused on exceptional patient care.
Our mission is to simplify cardiology billing workflows, reduce denials, improve collections, and maximize reimbursements while supporting better heart care.
Cardiology Practices Trust Us
Reduce denials and speed up approvals.
Improve cash flow and reimbursement cycles.
Secure and compliant cardiology billing process.
SNF billing operates under a completely different framework than physician or outpatient facility billing. Our team ensures every claim is accurate, compliant, and supported by the documentation needed to protect your reimbursement.
Medicare coverage, benefit periods, qualifying stays, authorization requirements, and documentation standards verified at admission
HIPPS coding, PDPM assignments, revenue codes, coinsurance tracking, and authorization management handled accurately
MDS assessments, therapy records, nursing notes, and physician certifications reviewed for compliance before submission
Medicare, Medicare Advantage, and Medicaid policies tracked while claims, authorizations, and requests receive follow-up
SNF claims tracked through clearinghouse and CMS portals, with rejections and billing issues flagged
Denied claims corrected and resubmitted with documentation addressing skilled care, MDS, and benefit issues
We follow a structured, end-to-end workflow to ensure your SNF billing is accurate, consistent, and set up for faster reimbursement.
Admission records, MDS assessments, therapy documentation, nursing notes, and payer authorization approvals come in from your facility through your existing workflow. Nothing in your operational process needs to change.
HIPPS codes, PDPM components, revenue codes, and supporting documentation are reviewed for skilled care necessity and payer compliance before the claim is built. Issues are resolved before submission, not after denial.
Claims are submitted electronically to Medicare Part A, Medicare Advantage, Medicaid, and commercial payers based on their individual SNF coverage policies and reimbursement schedules.
We identify why SNF claims are denied and act quickly to correct, appeal, and resubmit them with the documentation needed to support payment.
Denials are worked within 72 hours. Benefit period expiration dates, recertification windows, and Medicare Advantage authorization timelines are monitored continuously. Aging accounts are followed up systematically.
Payments are posted and reconciled. Monthly reporting gives you a clear summary of collections, denial trends, PDPM component performance, and outstanding balances.
The right billing support for every skilled nursing setup.
SNFs requiring accurate PDPM billing, MDS-to-claim alignment, and consistent payer follow-up for Medicare and Medicaid claims.
SNFs requiring accurate PDPM billing, MDS-to-claim alignment, and consistent payer follow-up for Medicare and Medicaid claims.
Hospital-owned SNF units requiring expertise in benefit period management, Part A billing, and Medicare Advantage authorization tracking.
Hospital-owned SNF units requiring expertise in benefit period management, Part A billing, and Medicare Advantage authorization tracking.
CCRCs offering skilled nursing care requiring compliant billing across Medicare, Medicaid, and private pay payer types.
CCRCs offering skilled nursing care requiring compliant billing across Medicare, Medicaid, and private pay payer types.
Operators managing multiple SNF locations requiring consistent PDPM billing and reimbursement management across payer contracts.
Operators managing multiple SNF locations requiring consistent PDPM billing and reimbursement management across payer contracts.
General billing services do not have the specialty knowledge SNF billing requires. The result is HIPPS codes assigned inaccurately, PDPM components underreported, and benefit period errors that trigger significant repayment risk.
Our SNF billing specialists improve MDS-to-claim accuracy, strengthen PDPM component compliance, and help accelerate reimbursement for Medicare and Medicaid skilled nursing claims.
Healthcare providers across the country rely on OneMed Billing to manage their revenue cycle with accuracy, consistency, and specialty-specific expertise. Here is what some of them have to say.
“PDPM component errors were reducing our per-diem reimbursement and we did not have visibility into where the gaps were. OneMed reviewed our MDS-to-claim alignment, corrected the issues, and our Medicare revenue per patient day improved within the first billing period. ”
“Medicare Advantage authorization management was creating denials on high-census weeks and we were losing revenue we had legitimately earned. OneMed put a tracking process in place and those authorization-related denials dropped significantly. ”
“Benefit period errors were creating repayment risk that our previous biller was not catching. Since OneMed took over, our billing is cleaner, our audits are cleaner, and our A/R has tightened considerably. ”
Yes. We handle Medicare Part A, Medicare Advantage, Medicaid, and commercial payer claims for skilled nursing facilities across the US.
We work with most major SNF billing and MDS platforms. Our team adapts to your existing workflow without requiring system changes.
Absolutely. You receive regular reporting and have full access to your billing data at all times.
We review MDS assessment data and PDPM component documentation to ensure accurate HIPPS code assignment and PDPM rate compliance on every claim.
We identify the documentation gap, coordinate with your clinical team to resolve it, and submit a corrected claim or appeal with the supporting skilled care records.
