Skilled nursing billing is a process by which nurses bill patients for services they provide. There are different types of skilled nursing billing, but all of them involve documenting and tracking the care your loved one receives.
Here are the most common types of skilled nursing billing:
-Medicare Fee-for-Service (FFS) Nursing Billing
SNF solutions provide Medicare FFS nursing billing which is the most common form of skilled nursing billing. This type of billing is used by the government to track how much money it spends on care for seniors and people with disabilities. To qualify for Medicare FFS nursing, your loved one must be received at least one hour per day of skilled nursing care.
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-Prospective Payment System (PPS) Nursing Billing
Another common is PPS nursing billing. PPS nursing is used by private insurance companies to determine how much they will pay for the care provided to their customers. To qualify for PPS, your loved one must be receiving at least one hour per day of skilled nursing care. However, not all insurers use PPS billing, so it's important to check with your insurer before you begin receiving care.
– Cost-Containment Model (CCM) Nursing Billing
The CCM nursing billing model is used by facilities that provide long-term or hospice level care services to their patients. Under this model, each patient's bill is based on a percentage of his or her annual income rather than a set amount per hour or day spent in skilled nursing care.