SNF Billing Vendor Transition Checklist: Protect Cash Flow, Compliance, and Collections

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Changing an SNF billing vendor is more than a contract change. It is a revenue cycle transition that can affect claims, accounts receivable, resident balances, payer communication, compliance, and cash flow. A poorly managed transition can create claim backlogs, delayed payments, lost follow-ups, incomplete AR records, and unnecessary billing disruptions. A structured transition, however, can allow a skilled nursing facility to clean up aging AR, improve reporting, strengthen billing controls, and establish better revenue cycle processes. This is especially important in 2026 because SNFs must keep pace with Medicare billing and consolidated billing updates. CMS issued 2026 updates to SNF consolidated billing HCPCS codes, including additional quarterly updates during the year. For facilities considering a change in SNF Billing Services , the following checklist can help protect revenue and maintain operational continuity. Why an SNF Billing Transition Requires Careful Planning SNF billi...
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CMS announcement for durable medical equipment suppliers

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The Centers for Medicare and Medicaid Services (CMS) announced updated guidance regarding several emergency waivers identified with Medicare and Medicaid policies and regulatory updates during this pandemic for durable medical equipment suppliers. The CMS probably will continue to announce supplemental guidance on the sweeping waivers. 

Here we have a definite summary of the significant waivers that will influence durable medical equipment suppliers, prosthetics, orthotics, and supplies (DME) and are projected to set up the American healthcare system with maximum adaptability to respond to the public health emergency. These brief changes will remain as a result across the U.S. healthcare system for the duration of the pandemic emergency declaration. 

By enacting these waivers, CMS hopes to "put patients over paperwork" to give some relief from the vast documentation work, reporting, and audit requirements. Presently providers and regulators can focus on providing the required consideration to Medicare and Medicaid beneficiaries impacted by a coronavirus. 

Prior Authorization 

CMS waiving certain Medicare, Medicaid, and Youngsters' Health Insurance Program (CHIP) requirements to release the administrative head of consistency during public health emergencies. In ordinary conditions, DME suppliers are required to undergo a prior authorization process to ensure that the applicable coverage, payment, and medical coding rules are met before the durable medical equipment supplier delivers DME supplies to beneficiaries. 

According to CMS announcement, CMS is pausing this public prior-authorization program for certain DME suppliers to ease the administrative burden. 

Lost and Harmed DME 

On the off chance that DME is harmed or lost, DME Medicare Administrative Contractors presently have the privilege and adaptability to forgo certain substitution requirements, regularly such requirements are required by Medicare. According to CMS, for an eye to eye encounter, new medical required documentation, new physician orders, which ordinarily are required to support reimbursement for a substitution thing, are postponed during the public health emergency. 

Though CMS has loosened up this regulation it cautioned durable medical equipment suppliers that they should still include a story description on the case clarification why the durable medical equipment must be supplanted. This incident must be appropriately documenting the loss or harm of equipment. CMS announced this 'documentation waiver' retroactive to include 'Dates of Service' on or after Walk 1, 2020. 

Increase in DME Payment 

As it is essential by the Coronavirus Aid, Relief, and Economic Security (CARES) Act, CMS will continue to regulate the fee schedule payments for equipment and services furnished in non-contiguous and rural, non-serious bidding areas based on a fifty-fifty mix of adjusted and unadjusted rates for the remainder of the coronavirus pandemic. 

Specifically, to durable medical equipment suppliers, CMS will give higher payment to certain durable medical equipment and services furnished in non-serious bidding areas within the contiguous United States with dates of service on or after Walk 6, 2020, through the remainder of the Coronavirus public health emergency as required by the CARES Act. 

CMS is presumably to announce supplementary guidance on these regulatory changes and Medical Billers and Coders will continue to screen coronavirus pandemic related developments and give updates. 

About Medical Billers and Coders 

We are catering to in excess of 40 specialties, Medical Billers and Coders (MBC) are capable in handling services that range from revenue cycle management to ICD-10 testing solutions. The main objective of our association is to assist physicians looking for billers and coders.

Location: 108 W 13th St, Wilmington, DE 19801, USA

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