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Medonix

Industry · Skilled Nursing & Long-Term Care

Medical billing and RCM for skilled nursing & long-term care.

SNF consolidated billing and PDPM rate optimization. Medonix runs a dedicated skilled nursing & long-term care playbook with AAPC- and AHIMA-credentialed coders, AI agents tuned to your payer mix, and engagement-specific service-level targets aligned to MGMA top-performer benchmarks (95%+ first-pass clean claims, sub-30-day A/R), written into your contract.

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95%+Clean-claim target (MGMA)
<30dA/R target (HFMA)
<5%Denial rate target
98%Net collection target

The challenge

Why skilled nursing & long-term care need a dedicated billing playbook.

Skilled nursing and long-term-care billing runs on consolidated billing, PDPM rates, MDS-driven case-mix groups, and Medicare Part A / B coordination that does not look like ambulatory billing at all. Medonix runs a SNF playbook tuned for the consolidated billing rules and the rate optimization that drives most of the revenue.

What you get

Inside a Medonix skilled nursing & long-term care engagement.

Every contract in this vertical includes the same four operational pieces, sized to your volume and complexity.

  • Piece 01

    Consolidated billing logic with exclusion checking per Part A or B coverage.

  • Piece 02

    PDPM-driven rate analysis with MDS assessment-timing review.

  • Piece 03

    Resident liability and Medicaid waiver coordination.

  • Piece 04

    Therapy-minute capture, ARD-window monitoring, and assessment-cycle compliance.

Frequently asked

Skilled Nursing & Long-Term Care medical billing, answered.

The questions decision-makers in skilled nursing & long-term care ask before they switch. Book a 30-minute call if yours is not here.

Yes. Consolidated billing rules, Part A / B exclusion logic, and resident-liability calculation are part of the standard SNF engagement. We work with both freestanding skilled facilities and hospital-attached units.

Other industries we serve

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Related:Revenue cycle managementMedical codingDenial managementBrowse specialties

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  • 30-day parallel-run guarantee
  • Targets written into the contract
  • HIPAA · SOC 2 Type II · HITRUST
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