Category: Blog

Every long-term care operator faces the same unavoidable question, every single month: What do we do with the accounts that aren’t paying? Whether it is a Medicare Advantage claim stuck…

The Medicaid cost report is one of the most financially consequential documents a skilled nursing facility files every year yet for many LTC administrators, it is also one of the…

In long-term care finance, few decisions carry more downstream consequences than the ones made in the first five minutes of an admission call. Who gets admitted, under what payer, and…

Medicare Advantage enrollment has crossed a historic threshold: more than 50% of all Medicare beneficiaries are now enrolled in a Medicare Advantage plan rather than traditional fee-for-service Medicare. For skilled…

Long-term care facilities are awash in software. Electronic health records, point-of-care documentation tools, billing platforms, payroll systems, accounts payable software, scheduling applications the average SNF or assisted living community is…

Virtual nursing the use of remote nursing professionals via telehealth technology to supplement or extend bedside care in long-term care settings has moved from a pandemic-era experiment to a genuine…

Artificial intelligence is no longer a future-state concept in healthcare billing; it is actively reshaping how long-term care facilities manage their revenue cycles right now. From predictive denial prevention to…

Electronic Visit Verification  EVV  has moved from a federal mandate on the horizon to a compliance deadline that assisted living operators can no longer defer. Under the 21st Century Cures…

For the first time since the COVID-19 pandemic upended the long-term care sector, skilled nursing facility occupancy is approaching pre-pandemic levels  and that is welcome news for administrators, CFOs, and…

If your SNF has ever asked, “Is this Part A or Part B?” and the room went quiet, you are in good company. Medicare billing in skilled nursing is not…

Medicaid billing in nursing homes is not “hard” in the way brain surgery is hard. It is hard in the way a thousand tiny rules become a thousand tiny leaks.…

If your SNF is waiting 90+ days for payment, it is rarely because payers are simply “slow.” More often, the claim got stuck in a predictable bottleneck: eligibility confusion, authorization…