SNF billing built around PDPM and the MDS.
SNF revenue depends on getting PDPM, the MDS, and consolidated billing exactly right. Quantix Health manages Medicare Part A per-diem, Medicaid, and dual-eligible billing with a disciplined triple-check process so your facility is paid accurately.
- PDPM & MDS-driven rate accuracy
- Medicare Part A per-diem & consolidated billing
- Medicaid, dual-eligible & triple-check process
Specialty expertise, not generic billing
PDPM & MDS alignment
We tie billing to MDS assessments so PDPM case-mix and rates are captured accurately.
Consolidated billing handled
We manage SNF consolidated billing correctly so bundled services are billed — and excluded services aren’t missed.
Triple-check discipline
A structured pre-bill triple-check across clinical, MDS, and billing prevents costly errors before claims go out.
Dual-eligible & Medicaid
Medicare, Medicaid, and dual-eligible coordination so no payer source is left on the table.
Where skilled nursing facilities lose revenue
These are the specialty-specific leaks we watch for — and fix at the root.
- A primary diagnosis that does not map as expected under current PDPM logic, stalling the claim
- MDS assessment data inconsistent with the claim, distorting case-mix classification
- Consolidated-billing errors — paying twice for a bundled service, or missing a separately payable exclusion
- Interrupted-stay, transfer, and readmission dates not reconciled across systems
- Assuming Medicare Advantage follows fee-for-service billing mechanics
- Ancillary invoices arriving after the billing period has closed, with no reconciliation
Full support for skilled nursing facilities
One accountable partner for billing and the business side of your practice.
Revenue Cycle Management
End-to-end RCM — eligibility, coding, claims, denials, A/R, posting, and reporting, all under one roof.
Learn moreCredentialing & Enrollment
Payer enrollment and credentialing so your providers can bill without delay.
Learn moreMedical Support Staffing
Vetted, remote billers, coders, and back-office staff — dedicated to your practice, when and where you need them.
Learn morePractice Management Consulting
Operational, financial, and compliance consulting to run a healthier, more profitable practice.
Learn moreCommon questions
Do you bill under PDPM?
Yes. We align claims to MDS assessments and PDPM case-mix components for accurate Medicare Part A per-diem billing.
Can you run our triple-check process?
Yes. We support a structured monthly triple-check across clinical, MDS, and billing to catch errors before submission.
Do you handle dual-eligible and Medicaid billing?
Yes — Medicare, Medi-Cal/Medicaid, and dual-eligible coordination, including crossover claims.
Billing guides for skilled nursing facilities
Let's strengthen your skilled nursing facilities revenue
Book a free, no-obligation consultation. We'll review your billing and show you the opportunity — no pressure.