Medicare Compliance & Reimbursement

Expedite SNF coordination with an upfront agreement.

If you find your practice is coordinating more and more with skilled nursing facilities (SNFs) to better care for patients, a basic consolidated billing agreement will help to outline your arrangement.

Reminder: Consolidated billing occurs when you bill a SNF directly for some services, and the SNF in turn bills Medicare. This can require a lot of coordination between your practice and the SNF. Moreover, if contracted incorrectly, it can lead to billing snafus.

If you perform frequent services with a SNF, you should consider creating a contract between your practice and the skilled nursing facility. Consider tailoring the following sample contract to your practice needs:

Date:

I am Dr. ___________. Occasionally I may be providing services to patients in your skilled nursing facility. My protocol is [insert brief clinical protocol written by doctor here]. I will then bill your facility for the services provided at your request. Payment will be expected regardless of your facility’s reimbursement status with Medicare.

Payment should be sent to the address below within X number of days from receiving my bill.

Provider tax ID number:

Please send payment to: Billing Office Address City, State, ZIP code

Signed:

Dr. ____________________ SNF administrator:______________________