Nursing Home Billing Services
A Medi Solution streamlines your workflow with end-to-end revenue cycle management (RCM) services. From accurate coding to handling claim denials, our expert team ensures faster reimbursements and maximized revenue for your practice. Let us simplify your billing process so you can focus on patient care.
Reduce Outstanding Payments with Our Nursing Home Billing Services
Outsourcing medical clinic billing services has become a strategic solution for clinics aiming to streamline operations and maximize revenue. With effective revenue cycle management (RCM) being vital to sustaining profitability, partnering with A Medi Solution ensures your clinic is supported by certified, experienced billers and coders who specialize in medical clinic workflows. Our team understands the unique billing challenges faced by clinics and works to reduce denials, accelerate reimbursements, and improve overall cash flow.
We Bill with Skill: Experience Our Nursing Home Health Billing Solutions
Operating a nursing home demands full attention to patient care, leaving little time for managing billing tasks. A Medi Solution’s skilled nursing collections team handles all aspects of medical billing and coding with precision. With deep expertise in industry regulations and payer guidelines, we help maximize reimbursements and reduce administrative burden.
Escape Complicated Medicare Rules
Medicare coverage for nursing homes is complex and constantly changing. Even minor coding errors can lead to denied claims and lost revenue. At A Medi Solution, our expert billing team ensures accurate coding and thorough documentation for every claim. We track each submission until full reimbursement is secured—so you can focus on patient care, not paperwork.
Know How to Bill Multiple Insurers
Medicare Part A provides limited coverage for nursing home stays when skilled nursing care is needed following a qualifying hospital stay. However, many individuals require long-term nursing home care for chronic conditions unrelated to recent hospitalizations. In such cases, different billing codes, documentation, and reimbursement rules apply. Private insurance plans may offer long-term care coverage, while Medicaid steps in for those who meet specific financial and medical eligibility criteria. It’s important to note that Medicaid rules, covered services, and payment limits vary widely by state, adding to the complexity. Because of these overlapping programs, strict requirements, and frequent exclusions, working with experienced medical billing professionals is essential. Skilled billers ensure accurate claim submissions, minimize denials, and manage appeals effectively to maximize reimbursement.
Correctly Code the Exceptions to Consolidated Billing
Most services and medications provided in a nursing home fall under the “consolidated billing” daily rate established by the Centers for Medicare & Medicaid Services (CMS). This means the nursing home receives a bundled payment that includes the majority of routine care. However, certain specialized services—such as chemotherapy, dialysis, and other oncology-related treatments—are exceptions to this rule. These services must still be billed separately but routed through the nursing home rather than the individual provider. Accurate billing for these exceptions requires detailed knowledge of CMS guidelines and proper coding practices. Experienced billers must stay up to date on which services are excluded from consolidated billing to ensure claims are processed correctly and reimbursements are not delayed or denied.
A Medi Solution Relieves Medical Billing Stress
Certified and Experienced
Medical professionals are trained to provide exceptional patient care—but navigating complex nursing home billing paperwork can be time-consuming and stressful, often leading to reduced job satisfaction. At A Medi Solution, we specialize in nursing home billing services and comprehensive revenue cycle management. Our certified and experienced billing experts are dedicated to delivering accurate, timely, and compliant billing solutions, allowing your team to stay focused on what matters most—patient care. Let us streamline your billing process and help you optimize reimbursements with confidence.
Innovative Proprietary Software
At A Medi Solution, our innovative approach to medical billing simplifies and accelerates the entire process. It starts with our proprietary medical billing software, which is regularly updated to reflect the latest coding changes—ensuring accuracy and compliance from day one. Beyond billing, we offer a full suite of revenue cycle management (RCM) services, including annual payback analysis, compliance reviews, bill collection, payer credentialing, and more. Our goal is to maximize reimbursements while minimizing administrative burden, so your practice runs more efficiently and profitably.
Give us a call today to learn how A Medi Solution can help increase your revenue and take the burden of CMS compliance off your staff. Our experts are here to answer your questions and provide customized solutions that fit your facility’s unique needs. Let us handle the billing—so you can focus on care.