Billing

As a leading financial services company, Quality Healthcare Resources fully understands the complexities of skilled nursing revenue cycle management. From pre-admission through claims management, we're here to improve your bottom line. Explore our innovative billing, high-tech payer tracking, and effective patient funding services below:

Add 10% to your bottom line with expert Revenue Cycle Management:

BILLING:

Maximize revenue and increase cash flow with innovative billing strategies and streamlined processes.

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‍Medicare: Part A/B monthly billing with timely follow-up for all unpaid claims
‍Medicaid: Weekly/monthly billing cycles analyzed with comprehensive reviews to correct and re-bill denials
‍HMO: Levels and authorizations verified and billed accordingly with aggressive follow-up on all unpaid claims
‍Private Pay: Billed monthly or upon admission with active follow-up and eventual pursuit of collections for non-payments
‍Income Portion: Billed monthly with direct deposits implemented to ensure all income checks are sent directly to the facility
‍Cash Posting: Structured to receive all Medicaid and Medicare remits electronically with all deposits posted in a timely manner
‍Reporting: All month end census, billing, and cash tied out with appropriate reports, including aging
‍Communication: All reports sent to the controller/accountant and secure, real-time access to the QHCR server

PAYER TRACKING:

You can't be reimbursed if there's no one to bill. Ensure your residents always have a verified payer with our unique Payer Tracking services.

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‍Medicare Admissions: Verify A/B eligibility and available days, monitor last covered day, and ensure a payer plan after Medicare benefits are exhausted‍
Insurance Admissions: Monitor authorization process to ensure authorizations are current and monitor last covered day to ensure discharge plan or alternate payer source is in place‍
Private Pay: Residents billed upon admission with monitoring and collection attempts in place to ensure private paying residents have ample economic resources‍
Medicaid: Review application prior to submission to prevent eligibility issues or penalties and actively coordinate with facility case worker to expedite the approval process

PATIENT FUNDING:

‍Management: Full management and oversight of patient funding duties‍
Posting: Detailed posting of all deposits and reimbursements that take place‍
Reconciliation: Monthly bank records and precise reconciliation to patient fund balance listing‍
Statements: Quarterly statements sent to responsible parties.

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