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Nursing home medical billing services

Nursing Home Billing Services

We handle everything from claims to collections for your nursing home billing needs.

WeCare streamlines your nursing home billing with comprehensive RCM solutions and expert handling of claim denials for maximum reimbursements.

Reduce Outstanding Payments with Our Nursing Home Billing Solutions

Outsourcing medical coding and billing has gained popularity as an effective solution for a wide range of medical institutions, and it can be particularly advantageous for nursing homes. To ensure a smooth and secure transition, it is essential to partner with a professional organization like WeCare. Our team consists of certified coders and staff members who are trained in HIPAA best practices and possess extensive experience in nursing home medical billing. This expertise and dedication to compliance and efficiency can significantly benefit nursing homes, allowing them to focus on providing quality care to their residents while leaving the administrative tasks to the experts.

Healthcare administrator managing denial management processes in an office setting.
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Escape Complicated Medicare Rules

Navigating the ever-evolving Medicare guidelines can indeed be overwhelming, particularly in the context of nursing home billing. Medicare’s coverage for nursing homes is subject to frequent rule changes, and even minor coding errors can lead to payment losses.

Our nursing home medical billing company is committed to simplifying this process for you. We specialize in accurately coding and meticulously documenting each claim, and we continue to track each claim until we are certain that you have received successful reimbursement. Our goal is to provide peace of mind by ensuring that your nursing home facility can operate efficiently and maintain financial stability within the changing Medicare landscape.

Know How to Bill Multiple Insurers

Medicare Part A typically covers nursing home stays that require skilled nursing care for a limited duration, particularly when it follows a recent hospitalization. However, many individuals may need to reside in a nursing home for reasons unrelated to a recent hospital stay. In these cases, private insurers may offer long-term care plans to provide coverage. Additionally, Medicaid is a government program that provides coverage for individuals who require nursing home care but lack the financial means to pay for it.

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Correctly Code the Exceptions to Consolidated Billing

In nursing homes, most services and medications are typically included in the daily rate established through “consolidated billing” by the Centers for Medicare & Medicaid Services (CMS). However, there are certain categories of exceptions, such as oncology services, that fall outside the consolidated billing arrangement. Claims for these specialized services must be processed separately through the nursing home. Therefore, it is of utmost importance for medical billers to be well-informed about these additional services, understand how to accurately code them, and ensure they are billed correctly to avoid complications in the billing and reimbursement process.

WeCare Relieves Medical Billing Stress

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Certified and Experienced

Our innovative approach to nursing home medical billing makes the process simple and efficient, starting with our proprietary nursing home billing software that makes sure all the latest code changes are incorporated. Our additional RCM services include annual payback, compliance reviews, bill collection, payer credentialing, and much more.

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Innovative Proprietary Software

Our innovative approach to nursing home medical billing is designed to simplify and streamline the process. It begins with our proprietary nursing home billing software, which ensures that all the latest code changes are seamlessly incorporated. In addition to our cutting-edge software, we offer a comprehensive range of Revenue Cycle Management (RCM) services. These services encompass annual payback, compliance reviews, bill collection, payer credentialing, and much more. Our goal is to optimize your billing efficiency, ensuring that you receive the proper reimbursement for the services you provide while reducing the administrative burden on your nursing home facility.

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