Revenue leak
Wrong PDPM group
Root cause in Reno
Late or inaccurate 5-day MDS
How 247MBS closes it
Pre-bill triple-check on every Part A claim
Skilled Nursing billing · Reno, NV
Skilled nursing billing services in Reno anchor northern Nevada's post-acute network, where Renown Health and Northern Nevada Medical Center feed rehab referrals, a steady retiree influx grows the long-stay census, and Nevada Medicaid blends fee-for-service with managed care — the institutional revenue cycle 247 Medical Billing Services (247MBS) has run since 2005. We manage Medicare Part A per-diem under PDPM, MDS case-mix, consolidated billing, Medicare Advantage authorization, and Medicaid long-term care for Washoe County facilities, each backed by a dedicated account manager, a free 360° dashboard, and full HIPAA plus SOC 2 Type II protection.
Reno is the medical hub for the whole northern half of Nevada, so its nursing homes take post-acute admissions from Renown Health and Northern Nevada Medical Center plus transfers from rural counties without their own skilled beds. Those short-stay rehab admissions run on Medicare Part A under the Patient-Driven Payment Model, where the 5-day MDS sets a per-diem across five case-mix components and the variable per-diem adjustment tapers therapy payment after day 20 while front-loading non-therapy ancillary payment early. Get the assessment right and payment follows; get it late or thin and the stay lands in the wrong HIPPS group. Beneath that Medicare flow sits a growing long-stay population — Reno's retiree and aging-in-place draw keeps custodial beds full — billed through Nevada Medicaid's mix of fee-for-service and managed care organizations, each with its own level-of-care, patient-liability, and prior-authorization rules. Managed Medicare is climbing here too, adding authorization and continued-stay review to a rising share of stays. A billing partner in Reno has to hold all three books at once.
Medicare Part A pays a per-diem set by PDPM, with five case-mix components captured on the MDS and carried onto the institutional claim. The table follows a Reno Part A stay from assessment to paid claim.
| Stage | What fixes the payment | Claim detail |
|---|---|---|
| MDS assessment | 5-day PPS assessment sets PT, OT, SLP, Nursing, NTA | HIPPS on revenue code 0022 |
| Per-diem | Variable adjustment tapers PT/OT past day 20; NTA front-loads | Bill type 21X, 837I institutional |
| Coverage window | Qualifying 3-day stay; up to 100 benefit days | Days 21-100 carry daily coinsurance |
| Part B fallback | Off Part A or benefit days exhausted | Bill type 22X, therapy modifiers |
| Consolidated billing | Bundled ancillaries versus excluded services | Value and occurrence codes applied |
The decision to outsource usually turns on one question: can an in-house office keep every Part A claim tied to a clean, timely MDS while also clearing Medicare Advantage authorizations and sorting Nevada's Medicaid fee-for-service and managed-care rules? For most Reno facilities the answer is no, and the gap is expensive. As a medical billing services company built specifically for institutional long-term care, 247MBS runs the entire revenue cycle — eligibility verification, MDS and PDPM billing support, denial management, credentialing, and A/R recovery — under one accountable team. Our numbers are the kind a facility can plan around: a 99% first-pass clean-claim rate, up to 40% fewer denials, 90% of worked denials recovered, and days in A/R under 25. A 98% client retention rate reflects two decades of professional, consistent SNF work since 2005. As a billing services company focused on this single domain, we are not a generalist billing company learning PDPM on your dime. Review our reach on the Nevada billing overview, and lean on the national SNF billing hub for the full institutional model.
Revenue review
A certified SNF billing specialist reviews your coding, unit counts, authorizations and aged A/R against the payers you actually bill in Reno, NV — and puts a number on what your current process is leaving on the table.
A SNF specialist will reach out within one business day.
A SNF specialist will reach out within one business day.
Most preventable losses in Washoe County trace back to a short list of failures. A late or thin 5-day MDS drops a Part A stay into the wrong HIPPS group, so the per-diem no longer matches delivered care. A missing Medicare Advantage authorization forfeits an admission the plan never approved. Confusion between Nevada Medicaid fee-for-service and managed-care rules leaves custodial balances unworked. And unresolved patient-liability or level-of-care determinations quietly age long-stay revenue a facility is counting on.
Wrong PDPM group
Late or inaccurate 5-day MDS
Pre-bill triple-check on every Part A claim
Denied MA stay
No prior auth or continued-stay review
Authorization tracking from admission
Aged Medicaid balance
FFS vs managed-care rule confusion
Payer-specific long-term-care follow-up
Stalled long-stay revenue
Patient-liability or level-of-care gap
Monthly liability reconciliation
Our Reno clients span northern Nevada's full skilled nursing mix: freestanding SNFs taking rehab referrals from Renown Health and Northern Nevada Medical Center, non-profit nursing homes serving long-stay Medicaid residents, hospital-based skilled units, and higher-acuity subacute buildings managing complex residents. We also support long-term custodial homes carrying growing retiree caseloads and small operators that need senior-level MDS expertise without a full business office. Because Reno serves as the skilled bed for much of northern Nevada, we handle out-of-county eligibility and transfer documentation as routine work. We serve facilities across the region — Sparks, Carson City, and the surrounding Truckee Meadows communities — with the same dedicated model, so a single non-profit home gets the rigor a regional operator would buy.
Medical billing for skilled nursing in Reno has to carry three books at once — Part A short-stay rehab from Renown Health and Northern Nevada Medical Center, a climbing Medicare Advantage share, and Nevada Medicaid split between fee-for-service and managed care — and 247MBS runs all three for Washoe County facilities. We handle eligibility verification, MDS-driven case-mix billing, consolidated-billing splits, authorization tracking, and long-term-care level-of-care and patient-liability work, including the out-of-county transfers that fill Reno's skilled beds. The results hold steady: a 99% first-pass clean-claim rate, up to 40% fewer denials, and days in A/R under 25. Request a revenue review and see where your Truckee Meadows revenue is leaking.
Reno practices are billed out of the same Nevada desk. Statewide payer detail lives on the Nevada page.
Skilled Nursing Facility billing services in Nevada — the payer programs, authorities and rules behind every Reno claim.
Outsource Skilled Nursing Facility Billing — the codes, unit rules and denials nationally, without the local layer.
Yes. Those short-stay Medicare admissions run on PDPM, so we verify the qualifying 3-day stay and benefit period, tie the per-diem to an accurate 5-day MDS, and submit the Part A claim clean — protecting the highest-value stays a Reno facility handles.
We bill custodial care under the correct fee-for-service per-diem or managed-care plan, confirm level of care, calculate patient-liability, and reconcile each payer's rules monthly so a growing long-stay census does not age in limbo.
Before any Part A claim drops, we reconcile the MDS, therapy and nursing documentation, physician orders, and census and eligibility. This triple-check catches HIPPS and consolidated-billing errors while they are still fixable — the single biggest safeguard against SNF denials.
From solo practices to multi-provider groups, we bill Skilled Nursing for Reno practices with a dedicated account manager, certified coders and a live dashboard — so the units, authorizations and appeals that decide your month stop being the thing nobody has time for.
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