Billing & Revenue Cycle Solutions for
Skilled Nursing Facilities
In a Skilled Nursing Facility, your clinical mission is to provide complex post-acute care and long-term support. However, your financial success is dictated by the highly regulated Patient-Driven Payment Model (PDPM). The administrative challenges are constant: managing consolidated billing requirements, ensuring accurate MDS (Minimum Data Set) coding, and navigating the nuances of Medicare Part B therapy caps and physician rounding. These hurdles can lead to significant revenue leakage and “administrative fatigue” for your nursing and therapy teams.
UnisLink provides a dedicated and professional approach to revenue cycle management (RCM), designed to streamline your operations and secure your facility’s financial health. We handle the intricacies of SNF-specific billing so your team can focus on what they do best—enhancing the quality of life for your residents.
UnisLink – Tailored Specifically for Skilled Nursing Facilities
Experience the UnisLink Difference
- The Complexity of PDPM & MDS Accuracy: Under PDPM, reimbursement is driven by clinical characteristics rather than therapy minutes. UnisLink’s certified professional coders and AI technology ensure that ICD-10 clinical categories and nursing components are captured with 95% accuracy, ensuring your HIPPS codes accurately reflect the acuity of your residents.
- The Consolidated Billing & Triple Check Bottleneck: Managing the “Triple Check” process for Medicare Part A claims is essential to avoid non-payment for “excluded” services. We integrate directly within your existing EHR (such as PointClickCare or MatrixCare) to verify that all pharmacy, lab, and radiology services align with consolidated billing rules before the claim is released.
- Managing Part B Therapy & Physician Rounding: Billing for outpatient therapy services and attending physician visits requires precise documentation to avoid audit triggers. Our expert team ensures that therapy caps are monitored and that physician rounding services are captured across multiple provider types, significantly increasing your first-pass clean claim rate.
- Proactive Denial Management & AI Resolution: We don’t just react to denials; we prevent them. Our expert team identifies and resolves issues related to medical necessity, prior authorization for managed care stays, and NCCI edits before they result in a denial. And when denials do happen, UnisLink’s advanced AI systems (CLARA™) help resolve and appeal them automatically.
- Lack of Visibility into Per-Patient-Day (PPD) Profitability: Most SNF leaders struggle to see the true margin of their Medicare versus Medicaid populations in real-time. Our Engage Analytics™ platform provides real-time, transparent access to your data, allowing you to monitor average daily rates, occupancy trends, and collection ratios across your entire facility or portfolio.
Comprehensive, Single-Source Revenue Cycle Management (RCM) Solution
UnisLink empowers Skilled Nursing Facilities with a streamlined billing process that maximizing revenue, powered by a comprehensive, single-source Revenue Cycle Management (RCM) solution. Our expert team handles every aspect of the revenue cycle, from charge capture and coding to claims submission and payment posting.
We stay ahead of evolving payer regulations and quality measures, ensuring your practice remains compliant and receives maximum reimbursement. With UnisLink, you can focus on what matters most: providing exceptional patient care.
Discover how UnisLink can transform your Skilled Nursing Facilities financial performance.
Build Your Custom Plan
Just the services YOU want.
Start Building Your Perfect RCM Solution Today.