Category: Blog

A billing company can protect or quietly drain your SNF’s cash flow. Use five reports, 25 due-diligence questions and three operating scenarios to find out whether a prospective partner can…

In the median U.S. skilled nursing facility, fee-for-service Medicare paid for just 8 percent of resident days in 2024, while Medicaid paid for 64 percent, according to (MedPAC’s March 2026…

The decision to replace your billing company may already be made. The harder question is how to change your SNF billing company without losing track of claims, payments or residents…

Every long-term care operator eventually faces the same difficult question: When should we keep pursuing an unpaid account, and when should we recognize that it is no longer collectible? The…

A Medicaid cost report should never be treated as a document that appears once a year, gets signed, and disappears into a filing portal. For long-term care leaders, it is…

High occupancy does not always mean a financially healthy long-term care operation. A skilled nursing facility or assisted living community can improve occupancy while weakening cash flow, increasing authorization work,…

In 2026, 55% of Medicare beneficiaries eligible for both Part A and Part B—35.2 million people—are enrolled in Medicare Advantage plans. That is more than double the 19% enrolled in…

How many systems does your team touch before one resident admission becomes a clean claim, a posted payment, and an accurate financial report? If admissions enters payer information in one…

Virtual nursing creates three different financial outcomes in long-term care: it may support care already included in an SNF payment, support a separately billable practitioner telehealth service when current payer…

A claim does not need to be denied before an AI-enabled billing process identifies that it is at risk. That is the practical change underway in long-term care billing. Instead…

An ALF can have caregivers using an EVV (electronic visit verification) app every day and still be exposed to Medicaid billing and compliance risk. The reason is simple: EVV compliance…

A census report can look like good news and still conceal a financial problem. Admissions are up. Empty beds are fewer. Referral volume is improving. Yet the CFO sees a…