Practice Management Alert

Be prepared to get full reimbursement with this handy form.

Figuring out the reimbursement your practice deserves can be a headache when you’re seeing patients from skilled nursing facilities (SNFs) due to the consolidated billing requirement. Streamline the necessary coordination by using a template like this.

Consolidated billing — in which you bill the skilled nursing facility (SNF) directly for some

If your physician performs frequent services with a SNF, you should consider creating a contract between your practice and the SNF. Consider tailoring the following sample contract to your practice’s 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: _______________________