Streamlining the Billing Operations of Nursing Homes with a Focus on Efficiency, Accuracy, & Compliance

In the ever-evolving landscape of healthcare, nursing homes play a vital role in providing care for the elderly and individuals with complex medical needs. Running a nursing facility, however, requires medical staff to stay focused on the core aspects of patient care, making it difficult for the management to deal with their coding and billing processes. Outsourcing your administrative side of your long-term care facility with skilled nursing collections experts is the perfect way to simplify your medical billing and optimize your workflow.

Speak to us Today For Free Billing Analysis

We at Wise Medical Billing understand that nursing facilities require more than standard billing services. That’s why we offer specialized solutions to help them maximize their reimbursement and streamline their workflow.

With years of hands-on industry experience, we have the expertise and knowledge to tactically navigate the complexities of nursing home billing codes, regulations, and payer requirements.

Irrespective of the size and scope of services of your facility, we offer flexible solutions to help you improve your performance, enhance patient care, and ensure regulatory compliance.

From coding accuracy to payment posting and denial management to final payment reconciliation, we optimize every stage of the revenue cycle to ensure maximum compliance.

Get Full Reimbursement for the Compassionate Care You Provide

We code accurately to ensure that you get paid promptly for the services you provide and create a healthy cash flow for your business. By delegating the financial side of your business to us, you can breathe easy knowing that your finances are always on the right track.

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Claim Submission

We utilize state-of-the-art EHR systems and billing software to streamline the billing processes of nursing facilities. Our expert coders ensure timely and accurate submission of claims to Medicare, Medicaid, and private insurance providers to maximize cash flow and expedite reimbursement.

We precisely code each claim and then track it until it is successfully reimbursed to the facility.

Coding and Documentation Review

We meticulously review clinical documentation to ensure accurate coding and compliance with regulatory guidelines. Our extensive industry expertise helps us minimize the risk of errors and denials and optimize revenue capture for nursing facilities.
We leverage our expertise in long-term care billing codes to minimize the likelihood of errors and claim denials and optimize revenue capture for nursing homes.

Compliance Audits & Consulting

The intricacies involved in staying fully compliant with the rules and regulations and the lack of knowledge can lead to claims denials which may cause payment delays. We conduct regular audits to compliance audits and provide consulting services to help nursing homes ensure that they are always fully compliant with regulatory requirements.

Dedicated Account Management

We assign a dedicated account manager to each of the nursing facilities we serve. The manager acts as a primary point of contact, working closely with you to understand your unique needs and provide the support you need to optimize your billing processes.

Choose WMB as Your Billing Partner and See Revenues That You Haven’t Achieved in Years!

Trust us to handle your nursing home billing, and experience the difference that our qualified professionals can make for your facility.
Transparency
We believe in upholding the highest degree of transparency in everything we do. Our experts work on the software provided by our clients to ensure that they are always able to access to the information they need. It helps them achieve reliable cash flow and efficiency throughout their revenue cycle.
Communication
Our experts provide clear and open communication to nursing homes, keeping them informed of their billing status and revenue performance. Our detailed reporting and analytics enable facilities to make informed decisions and track progress toward their financial goals.
Specialized Expertise
Our qualified billing professionals possess extensive experience and knowledge in the long- term healthcare care industry. This enables us to deliver accurate and efficient billing services tailored specifically to their unique needs.

Accessibility

We understand that nursing homes should be able to reach out to us for assistance when they need it most. That’s why our representatives are standing by 24/7 through email and phone call. There is no need to open a support ticket and spend days waiting for someone to get back. We address the queries of our clients in record time.

Achieve the Financial Health Your Deserve with WMB

While you concentrate on the core aspects of patient care, let us handle the complexities of your billing professionally and efficiently.  
Reach out to us today to discover more about what we can do to streamline your financial operations and maximize your profitability.
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What Can Happen if You Don't Get Necessary Preauthorization?

When services are provided without expected preauthorization, what happens next depends on the insurer and the specific policy under which the patient is covered. Some insurance plans state that if a patient seeks services requiring preauthorization, but doesn’t obtain preauthorization, the patient is liable for covering the payment. If a provider neglects to obtain preauthorization and payment is denied by the insurer, it may come down to absorbing the cost of the treatment or trying to collect it directly from the patient, neither of which are good options.

The burden of obtaining pre-authorizations is on the provider because patients don’t know CPT codes and may not know when preauthorization is (or might be) required. Double-checking up front whether preauthorization is required may take some extra time on the front end, but with WMB teams of experts, it can save significant time trying to chase down claims and payments and prevent having to absorb costs for procedures that weren’t preauthorized.

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Benefits of using WMB Prior-Authorization Services:

Pre-approval processing can typically take several days, but a proactive team like WMB can help reduce the time it takes to obtain and process pre-approval.

With WMB (Wise Medical Billing) Team,

Please do not hesitate to contact us today for a quick call consultation or a demonstration of our services.

1-(888) 816-6676

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