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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Challenges and Opportunities of Durable Medical Equipment Practice (DME)

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The necessity of Durable Medical Equipments (DMEs) had never been so high – in the U.S. 30% to 54% of those over 65 years have some form of disability; around 75% to 90% of such disabled require some form of DME to keep them mobile or enabled.  It is also estimated that around 1.5 million people are currently in need of wheelchairs and braces. And, when you add the population that is likely to be in need of other forms of durable medical equipment – prosthetics, orthotics, and supplies (DMEPOS) – it will be some opportunity for people involved in Durable Medical Equipment Practice Services: physicians, pharmacies, and manufacturers/suppliers. But, because DME services are physician-recommended, we are more interested in how physicians themselves can recommend, source, and administer DMEs.

While physicians can benefit immensely from an integrated DME management, there are challenges on the way – being equipped with a Medicare-enrolled and recognized pharmacy, sourcing supplies from bidders authorized by CMS, and showing up as participating suppliers, who accept Medicare-approved fees on DMEs.

Physicians who are willing to have pharmacies attached with Medicare Part B approval need to have full-fledged Medicare Part B recognized DME supplies.  The importance of having Medicare-approved DMEs at your pharmacy is that it enables patients to have access to DMEs that are fully covered and reimbursed from Medicare Part B.

DMEs cannot be freely traded at your pharmacy; you need to apply for authorization from CMS. First, you need to apply by filling up Form CMS-855S for all likely suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). Applications are verified by National Supplier Clearinghouse (NSC) before being certified for compliance with DMEPOS Supplier Standards, as set forth in 42 CFR 424.57

Browse All: DME Medical Billing

Physicians in DME services are expected to be responsible – being responsible means agreeing to accept Medicare-approved amounts as full payment. Physicians that accept this clause will stand to collect only 20% of the approved amount after the patient has paid the part B deductible. Though not mandatory, being a partner in sharing monetary responsibility may have disguised benefits, such as goodwill and patient-initiated referrals.

To learn more about The Challenges and Opportunities of Durable Medical Equipment Practice (DME), click here: https://bit.ly/3WnOlwE Contact us at info@medicalbillersandcoders.com/ 888-357-3226.

Location: United States

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