Accounts Receivable (A/R) Management
When we start working with you, we ensure that we clean your old, aging buckets, even those over 90 days old, to keep your cash flow running smoothly.
The Trusted Name For Nursing Home Billing Services
After working with numerous skilled nursing facilities, we understand the depth of care you provide to residents in their most vulnerable moments. Your 24/7 dedication to patient care demands billing support that’s just as attentive, accurate, and relentless. That’s precisely what our nursing home billing services in the USA bring to you. We cover all essential aspects of SNF revenue cycle management, including:
Our Core Services Cover Every Aspect of Billing
Denial Management
We don’t rest until we find the root cause of denials for your existing claims and resubmit them to payers within the correct timeframe.
Credentialing/Re-credentialling Services
We not only handle your billing but also ensure a smooth enrollment in the payer's network. Our long-term care RCM outsourcing manages applications, follow-ups, and other related tasks.
Audit Ready Reporting
We help nursing home facilities stay fully prepared for audits by maintaining in-depth, real-time reporting that aligns with CMS and private payer requirements. Moreover, we proactively work and identify overpayment risks (annual payback) before audits occur.
Strong Clinical Documentation Support
We take preventative measures by maintaining accurate and up-to-date documentation from the start. Properly document medical necessity and physicians' orders to avoid confusion.
Eligibility Verification Services
We keep things right from the start. Through eligibility verification, we ensure that your patients are informed upfront about whether insurance companies cover their long-term care or not.
Comprehensive Resident Records
We keep everything on record — care plans, diagnoses, treatments, and more — so your claims are accurate, timely, and fully aligned with payer rules.
ICD-10 Coding
Our MDS & consolidated-billing experts accurately and carefully use CPT, ICD-10, and HCPCS codes to avoid coding and billing errors.
Accurate Medicare Part A & B Billing
We bill eligible services under Medicare Part A and charge excluded services to Part B only when it’s the right fit.
Compliance Management
We stay ahead of CMS, OIG, and HIPAA updates, including SNF PPS changes, QRP data-element additions, telehealth flexibilities, and ICD-10-CM revisions.
Up‑to‑date Knowledge of the Latest Services Guidelines
Nursing home billing involves navigating complex PDPM coding, managing ever-changing Medicare & Medicaid eligibility requirements, and handling intricate SNF billing workflows. It often feels overwhelming when you have to juggle between patients and administrative tasks.
Our PDPM billing solutions are truly a breath of relief for your practice. We carefully follow SNF consolidated billing rules, incorporate CMS’s daily rate requirements, and ensure that every billable service is correctly submitted to payers (leaving no chance of losing revenue).
Our goal is to optimize payments and help you avoid denials, penalties, and unnecessary stress that comes with it. We save you from bad debt! And carefully bill services covered under Medicare Part A or B.
- Inaccurate or outdated ICD-10 coding
- Duplicate claims (Medicare Part A services incorrectly billed under Part B)
- Incomplete or insufficient clinical documentation
- Authorization errors (missing or unverified insurance eligibility)
- Non-compliance with payer or CMS billing guidelines
- Lack of documented medical necessity or missing medical records
Common Reasons for Denials
With us, it’s not just about claims — it’s about closing loops, reducing AR days, and getting your facility paid faster than ever before!
- Late or improperly submitted claims
- EDI (Electronic Data Interchange) formatting or submission errors
- Unverified or ineligible PIP (Personal Injury Protection) insurance coverage
- Incorrect Use of Revenue or Condition Codes
- Billing for Non-Covered Services
- Failure to Submit Timely NOA (Notice of Admission)
- Eligibility lapse
Let Dastify Be Your Detective!
What’s New in Nursing Home Billing
We continually learn, ensuring your post-acute care centers meet all standards of compliance & regulations:
Implement PDPM ICD-10-CM mapping changes
New HIPPS Codes, Revenue Codes (0022/023X), and Condition Code 20
Incorporate the Medicare telehealth rules
Apply Proper Telehealth Billing Codes (rev-code 78)
Support Telehealth Flexibilities Under CMS (SEPT, 2025)
Implement MDS 3.0 RAI Manual v1.19.1 Updates
Monitor and Implement Consolidated Billing Exclusion List Changes
Apply CMS FY 2025 SNF PPS Rate
Your Revenue , Protected Against Denials and Policy Shifts
Nursing homes often face underpayment issues due to the per diem rate for nursing homes. However, our MDS and billing experts ensure your facility is placed in the correct case-mix groups to maximize per-patient reimbursement.
We include medical necessity in your claims when needed to help you get paid for additional services and avoid denials. Our nursing home billing services are fully compliant with HIPAA regulations and current CMS rules.
We also identify the loopholes in your existing billing workflows and resubmit denied claims to payers to protect your practice from revenue leakage. To maintain high clean claims rates, we continuously process your claims through our AI scrubbers to detect early coding errors before final submissions.
Choose the best for your long-term care facilities by trusting us because we care like no other nursing home billing company does!
Why Do Nursing Home Facilities Trust Dastify Solutions?
We have been leading the way in skilled nursing facility billing services for decades, as our experienced experts know the key to achieving high numbers for your practice. We utilize industry best practices to ensure your claims get reimbursed successfully, without getting stuck in the pipeline of delays and rejection.
Raising the Bar in SNF Billing Excellence
PEPPER outlier audit for SNF
AI denial prediction for nursing home claims
A/R over 90-day cleanup strategy
No Surprises Act price estimator for post-acute care
Timely iQIES submission
Transparent room-&-board rates
Offer text-to-pay
Guardianship billing workflows
Automated prior authorization management
RPA bots for 276/277 status
Charges submitted within 48 hours
RCM management
Common Nursing Home Billing Codes We Use
| Codes | Purpose |
|---|---|
| Rehabilitation Services | 97110: Therapeutic exercises to develop strength 97110: Therapeutic activities to improve functional performance. |
| Mental Health Services | 97110: Psychotherapy, 30-minute session 97110: Emotional or behavioral assessment |
| Palliative and Hospice Care | 97110: Physician management of hospice patient care. 97110: Physician management for higher-complexity hospice care. |
| General Medical Care | 97110: Primary nursing facility care, 97110: Subsequent nursing facility care |
Frequently Asked Questions
What is included in skilled nursing facility (SNF) billing services?
Our SNF billing services encompass comprehensive revenue cycle management, from claim creation and accurate PDPM coding to MDS assessments, consolidated billing, and denial management. We also handle eligibility verifications, EDI submissions, and secondary billing, ensuring compliance with CMS guidelines and HIPAA regulations.
How can PDPM billing solutions help improve reimbursements for my facility?
PDPM billing solutions streamline the way your SNF captures patient complexity, ensuring accurate ICD-10 coding and case-mix classification. This helps maximize per diem reimbursement, reduce underpayments, and support medical necessity documentation, resulting in faster and more precise payments.
Why should I outsource long-term-care RCM services?
Long-term-care RCM outsourcing brings in dedicated experts who stay updated on CMS policy changes, prevent billing errors, and reduce claim rejections. It allows your staff to focus on patient care while we handle compliance, charge entry, A/R follow-ups, and ensure audit-ready reporting for your skilled nursing facility.
Need an All-in-One Billing Solution?
Your accurate, fast, & streamlined skilled nursing facility billing services are just one click away!