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Nursing Home Billing Services

Optimize Nursing Home Reimbursements. Simplify Long-Term Care Billing. Strengthen Your Revenue Cycle.

Central Health Solutions provides specialized Nursing Home Billing Services that help skilled nursing facilities (SNFs), nursing homes, long-term care centers, post-acute care providers, and residential care facilities maximize reimbursements, reduce claim denials, improve billing accuracy, and optimize every stage of the revenue cycle.

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Nursing Home Billing by the Numbers

Helping nursing homes improve financial performance through specialized revenue cycle management.

98%

First-pass claim acceptance

35%

Faster reimbursement cycle

99%

Billing accuracy rate

24/7

Revenue cycle monitoring

Specialized Revenue Cycle Management for Nursing Homes

Nursing home billing requires specialized expertise in skilled nursing care, long-term custodial care, post-acute rehabilitation, Medicare Part A and Part B billing, Medicaid reimbursement, Managed Care plans, hospice coordination, therapy services, pharmacy billing, laboratory services, Minimum Data Set (MDS) documentation, Patient-Driven Payment Model (PDPM), resident assessments, and regulatory compliance. Accurate documentation, payer coordination, eligibility verification, and coding are essential to maximizing reimbursements while maintaining compliance with federal and state regulations.

Central Health Solutions delivers comprehensive Revenue Cycle Management services tailored specifically for nursing homes and long-term care providers. From resident admission and insurance verification to claims submission, payment posting, denial management, accounts receivable, MDS billing support, compliance monitoring, and financial reporting, our experienced billing specialists help improve collections while reducing administrative burdens.

Why Nursing Homes Choose Central Health Solutions

Revenue Cycle Expertise Designed for Long-Term Care Providers

Helping Nursing Homes Deliver Compassionate Resident Care While We Optimize Every Reimbursement

Our billing professionals understand the reimbursement complexities associated with skilled nursing facilities, long-term care, PDPM reimbursement, therapy services, hospice coordination, Medicare, Medicaid, managed care organizations, and evolving regulatory requirements. We streamline your revenue cycle so your care teams can focus on providing high-quality resident care.

Comprehensive Nursing Home Revenue Cycle Solutions

End-to-end billing services designed specifically for nursing homes and long-term care providers.

Resident Registration & Admission Support

Capture complete demographic, payer, physician, and resident information to minimize billing delays and claim rejections.

Insurance Eligibility & Benefits Verification

Verify Medicare, Medicaid, Managed Care, commercial insurance, and supplemental coverage before admission and throughout the resident stay.

Prior Authorization Management

Coordinate payer authorizations for skilled nursing admissions, therapy services, specialty treatments, and post-acute care programs.

Admission Documentation Review

Validate physician certifications, resident assessments, MDS documentation, and medical necessity requirements before billing.

Long-Term Care Billing & Coding

Accurate ICD-10, CPT, HCPCS, PDPM, therapy, laboratory, pharmacy, and evaluation coding for long-term care services.

Claims Submission

Prepare and submit clean electronic claims for skilled nursing services, rehabilitation therapy, pharmacy, laboratory testing, hospice coordination, and ancillary services.

Payment Posting

Accurately reconcile Medicare, Medicaid, Managed Care, commercial insurance reimbursements, resident payments, and contractual adjustments.

Denial Management

Identify, appeal, and resolve denied, delayed, or underpaid nursing home claims.

Revenue Cycle Management

Comprehensive end-to-end nursing home billing support.

Accounts Receivable Management

Accelerate collections while reducing aging receivables.

Compliance & Audit Support

Maintain compliance with CMS regulations, PDPM requirements, MDS guidelines, HIPAA standards, Medicare policies, Medicaid regulations, and state licensing requirements.

Financial Reporting & Analytics

Gain actionable insights into occupancy reimbursement, payer mix, PDPM performance, Accounts Receivable trends, and overall financial health.

Who We Serve

Skilled Nursing Facilities (SNFs)

Skilled Nursing Facilities (SNFs)

Nursing Homes

Nursing Homes

Long-Term Care Facilities

Long-Term Care Facilities

Post-Acute Rehabilitation Centers

Post-Acute Rehabilitation Centers

Why Choose Central Health Solutions for Nursing Home Billing?

  • Nursing Home Revenue Cycle Management specialists
    Expertise in skilled nursing, PDPM reimbursement, Medicare Part A & B, Medicaid, Managed Care, and long-term care billing
    Accurate ICD-10, CPT, HCPCS, PDPM, therapy, and ancillary service coding
  • Comprehensive resident eligibility verification and payer coordination
  • Reduced claim denials and accelerated reimbursements
  • HIPAA-compliant billing operations
  • Dedicated account management
  • Transparent reporting and financial analytics
  • Seamless EHR, Long-Term Care, MDS, and Practice Management integration
  • Scalable solutions for nursing homes, skilled nursing facilities, and post-acute care providers

Why Our Nursing Home Billing Experts Deliver Better Results

Long-Term Care Revenue Cycle Specialists

Long-Term Care Revenue Cycle Specialists

Extensive expertise in skilled nursing, long-term care, rehabilitation, and post-acute billing.

Accurate PDPM & Coding Expertise

Accurate PDPM & Coding Expertise

Proper coding for skilled nursing services, therapy, pharmacy, laboratory, hospice coordination, and ancillary care.

Faster Claims Processing

Faster Claims Processing

Accelerate collections through accurate, compliant claims submission.

Dedicated Account Support

Dedicated Account Support

Personalized support from experienced nursing home billing professionals.

Built to Support Modern Nursing Homes

Helping nursing homes improve operational efficiency, strengthen compliance, and maximize reimbursements.

Workflow Automation

Workflow Automation

Streamline admissions, MDS documentation, billing, claims processing, and reimbursement workflows.

Revenue Intelligence

Revenue Intelligence

Access real-time dashboards and financial performance analytics.

Scalable Solutions

Scalable Solutions

Support independent facilities, multi-location organizations, rehabilitation centers, and healthcare systems.

Regulatory Compliance

Regulatory Compliance

Stay aligned with evolving CMS regulations, PDPM requirements, Medicare policies, Medicaid rules, and state compliance standards.

What Our Clients Say

Frequently Asked Questions

Yes. We support skilled nursing facilities (SNFs), nursing homes, long-term care facilities, rehabilitation centers, transitional care units, post-acute care providers, and continuing care retirement communities.

Absolutely. Our specialists are experienced in Medicare Part A and Part B billing, Medicaid reimbursement, PDPM billing, Managed Care plans, therapy billing, and long-term care reimbursement requirements.

Yes. We support MDS-related billing workflows, insurance verification, payer coordination, authorization management, and documentation review to reduce claim denials and payment delays.

Yes. We integrate with leading Electronic Health Records (EHR), long-term care software, MDS platforms, Practice Management systems, and Revenue Cycle Management solutions.

Yes. Our Revenue Cycle Management services fully comply with HIPAA regulations while adhering to CMS guidelines, PDPM requirements, Medicare and Medicaid policies, state regulations, and healthcare industry best practices.