Category: Blog

A resident arrives from the hospital on a Friday afternoon. Therapy is scheduled. The admissions team has Medicare information. The business office sees a post-acute stay. The clinical team prepares…

A Medicaid claim can look perfectly ordinary on the day a resident is admitted. The resident has coverage. The facility records the payer. Care begins. The business office expects the…

A 90+ day unpaid claim is rarely one problem. It is usually the last visible result of a chain of events: a coverage change missed at admission, an authorization that…

The most important question in a nursing-home A/R meeting is not: What are our AR days? It is: Which claims are preventing cash from arriving this month, and what must…

Why did cash miss forecast when billing payroll stayed flat? That question should change the way an SNF leadership team evaluates its in-house billing operation. A monthly P&L may show…

A billing backlog usually does not begin with one major failure. It begins with small manual tasks that multiply: checking eligibility in several portals, entering authorization dates in a spreadsheet,…

A skilled nursing facility can have solid clinical documentation and an experienced billing team and still lose revenue when the clinical record and the claim do not match. A payer…

A skilled nursing facility rarely loses revenue through one obvious catastrophe. It usually happens through small, repeatable breakdowns: one payer transition entered late, one authorization that expires unnoticed, one patient-liability…

The most useful revenue-cycle report is not the one that tells an SNF it has a denial problem. It is the one that tells the business office which payer, workflow,…

How facilities can manage cash flow and admission risk during the Medicaid-pending period, before eligibility is confirmed.

Digital transformation is a journey, not a destination, and 2024 is poised to be another promising chapter, continuing the breakthrough trends we have

Digital transformation is a journey, not a destination, and 2024 is poised to be another promising chapter, continuing the breakthrough trends we have