Non-Skilled Nursing Facility Billing Services
Turn Denials into Approvals
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4,000+
Claims Filed Monthly
80+
First-Pass Acceptance
99%
Faster Reimbursements
100%
Nationwide Coverage
Understanding the Difference
What Is a Non-Skilled Nursing Facility?
Not every long-term or post-acute care provider is a Skilled Nursing Facility and billing them as one leads to claim rejections, compliance risk, and lost revenue.
A Skilled Nursing Facility (SNF) is a Medicare-certified inpatient facility providing medically necessary skilled care such as IV therapy, wound care, or post-surgical rehabilitation typically after a qualifying hospital stay.
A Non-Skilled Nursing Facility (Non-SNF) is any care setting that provides custodial, supportive, or lower-acuity services that do not require daily skilled clinical intervention. These include assisted living communities, adult day health programs, home health agencies, outpatient therapy centers, hospice programs, and independent living facilities.
The billing codes, payer rules, cost-reporting requirements, and compliance frameworks differ substantially between the two. MedFeeTree specializes in getting Non-SNF claims coded correctly and reimbursed on time regardless of which payer mix your facility handles.
| Feature | SNF | Non-SNF |
|---|---|---|
| Requires Medicare 3-day inpatient stay? | ✔ Yes | ✘ No |
| Daily skilled care required? | ✔ Yes | ✘ No |
| Custodial / ADL support billing? | ✘ Limited | ✔ Yes |
| Uses UB-04 claim form? | ✔ Typically | ✔ Setting-dependent |
| Uses CMS-1500 claim form? | ✘ Rarely | ✔ Common |
| Long-Term Care Insurance billing? | ✘ Rare | ✔ Frequent |
| State-specific payer compliance? | ✔ Yes | ✔ Yes (more varied) |
Who We Serve
Non-SNF Facility Types We Bill For
From adult day health centers to home health agencies, we understand the unique billing rules, payer contracts, and compliance obligations of each care setting.
Assisted Living Facilities (ALF)
We handle custodial care billing, room-and-board claims, long-term care insurance submissions, and Medicaid waiver billing for ALF providers across all acuity levels.
Adult Day Care & Day Health Programs
Billing for adult day services including Medicaid waiver reimbursements and private-pay invoicing managed with full documentation compliance and audit readiness.
Home Health Agencies
We manage Medicare home health episode billing (RAPs & final claims), OASIS compliance support, Medicaid home care billing, and commercial payer submissions for home health providers.
Outpatient Rehabilitation Centers
Accurate CPT coding, modifier application, and payer-specific billing for physical therapy, occupational therapy, and speech-language pathology services in outpatient settings.
Hospice & Palliative Care Programs
Compliant hospice billing under Medicare Conditions of Participation, per diem level-of-care coding, and coordination of patient election and revocation documentation.
Independent Living Communities
Private-pay invoicing, ancillary service billing, and coordination with long-term care insurance payers for independent living operators offering optional care services.
What We Do
Our Non-SNF Billing Services
A full-spectrum billing engagement from eligibility verification on day one to denial resolution and AR recovery across all your payer contracts.
Eligibility & Benefits Verification
We verify patient coverage before service delivery confirming payer-specific eligibility, benefit limits, prior authorization requirements, and long-term care insurance policy details to prevent front-end denials.
Medical Coding (CPT, ICD-10, HCPCS)
Certified coders assign accurate procedure and diagnosis codes for custodial, therapeutic, and supportive care services billed in non-SNF settings including proper modifier usage and level-of-care coding.
Claim Submission & Scrubbing
Every claim undergoes a pre-submission scrub for completeness, payer rule compliance, and format accuracy before electronic or paper submission reducing first-pass rejection rates significantly.
Long-Term Care Insurance Billing
We manage the documentation, ADL substantiation, benefit trigger verification, and direct billing to LTC insurers a complex process we handle end-to-end so your team doesn't have to.
Denial Management & Appeals
Our denial team analyzes every rejection, identifies root causes, and files timely, well-documented appeals. We track denial trends across payers to prevent recurrence and protect your revenue.
Accounts Receivable Recovery
For facilities carrying aged AR from non-SNF claims, our sprint-based recovery process prioritizes high-dollar, high-probability accounts first recovering revenue you may have written off.
Medicaid Waiver & State Plan Billing
We navigate state-specific Medicaid Home and Community-Based Services (HCBS) waiver billing rules, prior authorization workflows, and EVV compliance for home-based and community care providers.
Reporting & Revenue Analytics
Transparent, practice-level reporting on claim status, payer performance, denial rates, collection ratios, and cash flow giving administrators the data needed to make informed operational decisions.
Why MedFeeTree
Built for Non-SNF Complexity
Non-SNF billing isn't a simplified version of SNF billing it's a distinct discipline with its own payer rules, documentation standards, and compliance landscape. Our team is trained for it.
Non-SNF Billing Specialists
Our billers and coders are trained specifically on non-SNF care settings not repurposed from acute-care billing teams. We know the nuances of ALF, adult day, home health, and outpatient billing inside out.
100% HIPAA Compliant Operations
All data handling, claim transmission, and communication follows strict HIPAA security protocols. Your patients' protected health information is never at risk in our hands.
Faster Reimbursement Cycles
Clean claims submitted within 48 hours of service documentation receipt. Our first-pass acceptance rates consistently exceed industry benchmarks, putting money in your account faster.
Multi-Payer Expertise
We bill across Medicare, Medicaid, commercial insurance, long-term care insurance, Medicaid waivers, auto liability, ERISA plans, and private-pay all under one engagement.
Dedicated Account Management
Every Non-SNF client gets a dedicated account manager who understands your facility type, your payer contracts, and your operational workflow available by phone or email, not a ticket queue.
Audit-Ready Documentation
We maintain clean, organized billing records and are available to support payer audits, state surveys, or RAC reviews so you're never caught scrambling for documentation.
Ready to Optimize Your Non-SNF Billing?
Let our specialists review your current billing workflow at no cost. Most facilities identify recoverable revenue within the first audit.