Nursing Facility Billing involves the billing process for services provided in Skilled Nursing Facilities (SNFs), where certified nursing assistants (CNAs), licensed practical nurses (LPNs), and various non-physician staff members offer diverse types of support. While CNAs and LPNs handle day-to-day care, the initial doctor’s visit is typically conducted by the admitting physician in accordance with long-term care regulations.
Skilled Nursing Facilities offer a range of services including Long Term Care and Rehabilitation Care. Billing for nursing homes typically occurs monthly, with SNFs utilizing Form CMS-1450 for Medicaid Part A payments. Monthly claims must be promptly submitted following specific resident events such as Discharge, Drop from skilled care in an SNF, or Exhaustion of their benefit period.