Maximizing Reimbursement in SNFs: Strategies for Financial Sustainability
KENNESAW, GA / ACCESS Newswire / July 22, 2025 /In today 's healthcare environment, Skilled Nursing Facilities (SNFs) face the dual challenge of delivering high-quality care while navigating a complex and often uncertain reimbursement landscape. With 60-70% of nursing home residents relying on Medicaid, leaving even a few reimbursements on the table can have significant financial repercussions. Now more than ever, it 's essential for you and your skilled nursing facility to adopt strategic, proactive approaches to secure appropriate reimbursement and ensure operational sustainability. This article covers three key ways your facility can do that.
Comprehensive Documentation
Accurate, detailed documentation is the cornerstone of maximizing reimbursement. Medicare and other insurance companies require clear evidence of medical necessity and skilled care. Inadequate or incomplete records can lead to denied claims, audits, and lost revenue. Your skilled nursing facility needs to invest in robust documentation protocols and provide clinicians with ongoing training to reinforce best practices. From admission to discharge, every detail of the resident 's condition, care plan, therapy, and progress must be clearly documented to support billing.
If your facility partners with BenCura, our clinical pathways can help monitor the patient 's experience and support accountability for outcomes of care. By implementing structured clinical programs, BenCura ensures that documentation aligns with care provided, enhancing the accuracy and completeness of records. This approach not only supports reimbursement but also contributes to improved Five-Star Quality Measures and compliance.
Utilization of Technology
Leveraging data analytics and electronic health records (EHRs) can significantly improve both care quality and financial performance. Technology solutions can track resident outcomes, flag incomplete documentation, and provide predictive insights into reimbursement trends. These tools not only help clinicians create more targeted care plans but also ensure that services rendered are appropriately captured and billed. Moreover, integration with billing software can streamline the entire revenue cycle, reducing lag time and errors.
BenCura helps our partner Skilled Nursing Facilities with this issue through our commitment to exceptional ongoing education. This means we invest in therapists learning new skills and keeping up with the latest in medical knowledge, including how best to utilize technology. This continuous learning can help your facility use technology to monitor patient outcomes and optimize care plans more effectively. Additionally, BenCura 's co-management approach ensures that technology is seamlessly integrated into daily operations, enhancing both clinical and financial performance.
Staff Training
Ongoing education is essential for both clinical and administrative staff. Coding errors, missed documentation, and incorrect MDS (Minimum Data Set) submissions can cost SNFs thousands in lost or delayed payments. Staff should be trained not just in the "how" of documentation and billing, but also the "why"-understanding the impact of their work on the facility 's financial health. Investing in annual compliance and coding updates ensures your team stays aligned with the latest CMS regulations and payer requirements.
BenCura helps our partnered facilities make sure they are not missing out on any reimbursements, especially when it comes to physical and occupational therapy care and our restorative programs. We will gladly work with your staff to ensure coding and documentation is being done consistently and accurately to keep your skilled nursing facility from losing out.
BenCura Rehabilitation Services is a premier contract rehabilitation service committed to providing quality care to patients. BenCura partners with acute care and critical access hospitals and skilled nursing facilities to provide high quality physical, speech, and occupational therapy at a lower cost than traditional in-house models. For more information about BenCura Rehabilitation Services and our partnership with hospitals and long-term care facilities, please visit: bencura.com.
CONTACT:
855.423.6287
info@bencura.com
SOURCE: BenCura
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