Nursing Home & SNF Medical Billing Services
Nursing home and skilled nursing facility billing depends on correct Part A/Part B split billing, SNF consolidated-billing rules, and accurate visit-frequency documentation for physician rounding. CoreStone's nursing-home-trained billing team keeps facility, physician, and consolidated-billing claims clean and on schedule.
Billing That Understands Nursing Home Care
From physician rounding visits to SNF consolidated-billing rules, nursing home and long-term care billing runs on a payment structure unlike office-based practices — each with its own Part A/Part B split and visit-frequency requirements. Our coders and billers are trained specifically on the codes and payer rules unique to nursing home care.
- ICD-10 coding for multi-morbidity long-term-care resident diagnoses
- CPT coding for physician rounding visits & SNF-specific E/M levels
- SNF consolidated-billing and Part A/Part B split-billing accuracy
- Prior authorization support for referrals, imaging & specialty services
- Visit-frequency compliance tracking for physician rounding schedules
Medical Practices Who Can Use Our Nursing Home Billing Services
Whether you're a solo provider just getting started or a multi-location group, our team scales to fit how your practice actually operates.
- Solo Physicians
- Independent Practice Groups
- Medical Clinics
- Physician Groups
- Hospital-Owned Practices
- Urgent Care Centers
- In-Home Health Providers
- Laboratories
- Freestanding ER Centers
- Hospitals
- Non-Emergency Medical Transport
- New & Growing Practices
Nursing Home Billing Services We Handle
Every claim type your nursing home or SNF-affiliated practice generates, coded and billed by a team that already knows long-term care.
Physician Rounding Visit Billing
Rounding visits coded and billed to the correct SNF-specific E/M level and visit-frequency schedule.
SNF Consolidated Billing Compliance
Part A/Part B split-billing and consolidated-billing rules applied correctly to avoid duplicate-billing denials.
Prior Authorization Management
Prior authorizations and appeals for referrals, imaging, and specialty services, handled before they delay resident care.
Visit Frequency Compliance
Physician visit schedules tracked against Medicare frequency limits to avoid non-covered-visit denials.
Denial Management
Appeals for medical-necessity and consolidated-billing denials common to nursing home claims.
Specialty Credentialing
Payer enrollment and credentialing for physicians and NPs practicing in skilled nursing facilities.
Caring Revenue Cycle Management For Nursing Home Practices
Nursing Home practices are under constant pressure to raise the standard of care while facing reduced reimbursement, growing regulatory risk, and thinner margins. Maximizing your revenue cycle — billing, coding, and accounts receivable — is essential to keeping up with an increasingly complex payer landscape.
CoreStone is committed to offering the best nursing home billing services available, covering nearly every aspect of the billing and patient revenue cycle. We work to secure the fastest possible reimbursement for your practice — the sooner a clean claim goes out, the sooner you get paid. That's why our billing experts are on call around the clock, working while you sleep.
Nursing Home Billing: Your Needs, Our Solutions
Nursing Home billing isn't one-size-fits-all — practices across the country have different needs when it comes to revenue cycle management. That's why our nursing home billing solutions are highly personalized, giving your practice real autonomy over its finances and workflow while we handle the coding, claims, and collections behind the scenes.
Our Medical Billing Process
A clear, repeatable process from intake to payment. The steps below outline how this service runs day to day — other CoreStone services follow their own version of this same process.
Practice Audit & Assessment
We start with a free trial-base audit of recent claims and reports to pinpoint exactly where your practice is losing revenue.
Enrollment & Credentialing
We confirm payer enrollment status and handle any outstanding credentialing before your first claim goes out.
Data Entry & Charge Capture
Patient encounters and superbills are entered into our system quickly and accurately, saving your staff hours of manual work.
Certified Coding & Billing
Certified coders and billers scrub, code, and submit every claim — compliant, accurate, and up to date with current payer policy.
We Work Within The Software You Already Use
No need to switch systems — our billing team plugs directly into the EHR and practice management platform you're already running.
98%
Clean Claim RatioUp to 30%
Average Revenue IncreaseSpecialty-Trained
Nursing Home Coding & Billing TeamHere to Help You
Revenue cycle management is a complex maze of coding, claims, registrations, collections, remittance, and follow-ups — but we can help.
Enhanced Infrastructure
CoreStone has the infrastructure and expertise to avoid the costly troubles that come from regulatory changes and unexpected billing errors.
Higher Competency
Revenue cycle management is one of the biggest challenges healthcare organizations face. We streamline the process with proven technology and experienced medical billing experts.
One-Stop Solution
We're your trusted, one-stop outsourcing partner for every healthcare billing need — medical billing, coding, claims adjudication, credentialing, and more.
Offering Nursing Home Billing Services at Affordable Rates
We believe in offering quality Nursing Home billing services at reasonable prices, so your practice stays financially stable and healthy.
Starter
Collections under $10,000 / mo.
- Credentialing
- Dedicated Billing Team
- Claim Submission
- Payment Posting
Growth
$10,001 – $25,000 / mo.
- Credentialing
- Dedicated Billing Team
- Claim Submission
- Payment Posting
- Daily Reporting
Established
$25,001 – $50,000 / mo.
- Credentialing
- Dedicated Billing Team
- Claim Submission
- Payment Posting
- Daily Reporting
Enterprise
Collections over $50,000 / mo.
- Credentialing
- Dedicated Billing Team
- Claim Submission
- Payment Posting
- Daily Reporting
Frequently Asked Questions
Nursing home billing runs on SNF consolidated-billing and Part A/Part B split rules that general billing teams often miss.
Yes. We track physician rounding schedules against Medicare frequency limits to avoid non-covered-visit denials.
Yes. We apply Part A/Part B split-billing and consolidated-billing rules correctly to avoid duplicate-billing denials.
Our coders review documentation against E/M guidelines for complex, multi-morbidity residents, so visits are billed at the correct level every time.
Yes. Our billing team plugs directly into the EHR and practice management platform you're already running — no need to switch systems.
Most practices are fully onboarded and submitting claims within 5-10 business days, depending on payer credentialing and EHR access.
Request Your Free Billing Quote
Tell us about your practice and one of our billing specialists will follow up within one business day.
CoreStone Medical Billing Services
Serving healthcare providers across all 50 states with accurate, compliant, and technology-enabled medical billing.