Skilled Nursing Facility Medical Billing & Revenue Cycle Services
Skilled nursing facilities carry some of the most intricate reimbursement rules in post-acute care. Between PDPM-driven Medicare Part A per-diems, concurrent Part B billing for therapy and ancillaries, and Medicaid long-term care AR on a separate cadence, every claim depends on payer-specific workflows. Afiablee's SNF coders work these claims daily, with PDPM-aware coding and dual billing built to stabilize your cash flow.
Schedule a ConsultationSNF Revenue Lives in the MDS and the Payer Split
An under-captured PDPM component or a misrouted Part A versus Part B charge can quietly erase per-diem revenue every day of a stay. Generic billers miss it; SNF-specialized coders don't.
- PDPM-accurate coding aligned to the MDS assessment
- Clean dual Part A and Part B billing on the right cadence
- Medicaid long-term care AR management that recovers the full balance
- SNF-fluent coders who know PDPM, MDS and LTC rules cold
Billing Challenges We Solve Every Day
The exact failure points that drain SNF revenue — handled by coders who know them cold.
PDPM Component Coding
PT, OT, SLP, Nursing and NTA per-diem components are each derived from the MDS assessment. We align coding to MDS documentation so every case-mix category is captured and no per-diem revenue leaks.
Part A vs Part B Billing Split
Medicare Part A covers the covered stay while Part B picks up therapy and ancillaries once benefits change. We route every charge to the correct part on the right cadence to prevent double-billing and lost revenue.
Medicaid LTC AR & Co-Insurance
Long-term care billing runs on its own cadence with patient-liability and co-insurance balances that age quickly. We manage Medicaid LTC AR and crossover claims so the full balance is recovered.
Triple-Check Compliance
Before submission, claims must reconcile clinical, MDS and billing records. We run a disciplined triple-check process so coding, dates and charges agree, protecting you from costly denials and audits.
End-to-End Skilled Nursing RCM
Every stage of the revenue cycle, run by people who understand skilled nursing.
Skilled Nursing Billing Questions
Do you code PDPM aligned to the MDS?
Yes. We code all five PDPM case-mix components — PT, OT, SLP, Nursing and NTA — directly from the MDS assessment, validating documentation so every category is captured at the highest supported specificity.
Can you handle dual Part A and Part B billing?
We manage both streams in parallel — Medicare Part A per-diem claims for the covered stay and Part B claims for therapy and ancillaries — routing each charge to the correct part on the right cadence.
Do you manage Medicaid long-term care AR?
Yes. We work Medicaid long-term care AR end to end, including patient-liability, co-insurance and crossover balances, with disciplined aging-bucket follow-up so the full balance is recovered.
Will you work in our EHR?
Yes. We integrate with your current EHR and practice-management platform as an extension of your team — there is no system migration required.
Related Care Settings
Discuss Your Skilled Nursing Billing Needs
Speak with a specialist about how our RCM workflows adapt to skilled nursing facility revenue cycle management.
Schedule a Consultation