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Showing posts with the label Texas Skilled Nursing Facility Billing

Is Your OBGYN Practice Sitting on Six Figures of Recoverable Legacy AR?

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A healthy patient schedule does not always mean a healthy revenue cycle. For many OBGYN practices, the real financial opportunity may already be sitting inside the accounts receivable (AR) report. Claims that are 90, 120, or even 180+ days old are often treated as difficult or uncollectible. But some of that legacy AR may still be recoverable with the right strategy. For a high-volume OBGYN practice, recovering even a portion of old receivables can mean hundreds of thousands of dollars in additional cash flow. What Is Legacy AR? Legacy AR refers to outstanding balances that have remained unpaid for an extended period. These balances can come from denied claims, underpayments, unresolved payer disputes, coding issues, missing documentation, authorization problems, or claims that were never properly followed up. Over time, old AR becomes harder to collect. Timely filing deadlines can expire, documentation may become difficult to locate, and payer records may require additional research. ...

Texas SNF Medical Billing Outsourcing: Year-End Revenue Challenges & Solutions

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  Why Texas Skilled Nursing Facilities Need RCM Support at Year-End As the year ends, Skilled Nursing Facilities (SNFs) across Texas face high operational pressure—increased patient volumes, PDPM billing complexities, and Medicaid authorization challenges. More than 76% of Texas SNFs experience cash flow delays due to claim denials and backlog in Aging AR . Meanwhile, insurers and government payers tighten audits and documentation checks, increasing payment risk for the facilities. This is where partnering with an experienced medical billing company  becomes crucial. Texas SNF Billing Challenges Right Now Texas SNFs are dealing with: • Medicaid Managed Care claim confusion and authorization errors • Delays in reimbursement due to PDPM documentation gaps • Labor shortages affecting billing and follow-ups • Increased scrutiny from Texas Health & Human Services (HHSC) on compliance • High volume of 60–120+ days Aging AR stuck in payer queues These problems lead...