Revenue leak
Misgrouped PDPM stay
Root cause in Yonkers
Late or thin 5-day MDS
How 247MBS closes it
Pre-bill triple-check before every claim
Skilled Nursing billing · Yonkers, NY
Skilled Nursing Billing Services in Yonkers, New York
Skilled nursing billing services in Yonkers work a dense, high-cost Westchester market on the New York City border, where St.
John's Riverside Hospital and the wider metro-area systems feed referrals, a large dual-eligible population fills long-stay beds, and New York Medicaid runs through fee-for-service and Managed Long-Term 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 facilities across southern Westchester, each backed by a dedicated account manager, a free 360° dashboard, and full HIPAA plus SOC 2 Type II protection.
HIPAACompliant
SOC 2Type II
Serving Since2005
Specialty-FocusedRCM
We bill Skilled Nursing for Yonkers practices
Part A Stays
Part B Therapy
PDPM
Consolidated Billing
Medicare Advantage
And More
Where Yonkers Nursing Homes Lose Skilled Nursing Revenue
In a high-cost border market, every unworked denial hurts more, because labor and real-estate expenses give a Yonkers facility no room to absorb write-offs. A late or miscoded 5-day MDS misgroups the Part A stay and sends the per-diem in the wrong direction. Broken dual-eligible coordination — heavy here, where many long-stay residents hold both Medicare and Medicaid — leaves the secondary balance unworked. An incorrect net-available-monthly-income calculation stalls Managed Long-Term Care revenue. And a denied Medicare Advantage continued stay lands as an immediate loss against thin margins.
Revenue leak
Unworked secondary balance
Root cause in Yonkers
Broken dual-eligible coordination
How 247MBS closes it
Crossover and Medicaid secondary follow-up
Revenue leak
Aged MLTC revenue
Root cause in Yonkers
Net-available-income or level-of-care gap
How 247MBS closes it
Managed Long-Term Care reconciliation
Revenue leak
Denied continued stay
Root cause in Yonkers
MA concurrent-review failure
How 247MBS closes it
Continued-stay tracking from admission
How a Skilled Nursing Claim Gets Paid in Yonkers
Medicare Part A pays a per-diem set by the Patient-Driven Payment Model, with five case-mix components fixed on the MDS and carried onto the institutional claim. The table follows a Yonkers Part A stay from assessment to payment.
| Stage | What fixes the rate | 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 |
| Benefit period | Qualifying 3-day stay; up to 100 covered days | Days 1-20 full, 21-100 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 |
Why Yonkers Skilled Nursing Facilities Bill Differently
Yonkers is New York's fourth-largest city and sits directly on the New York City line, so its nursing homes operate in one of the state's most expensive labor and real-estate environments while serving a dense, diverse, heavily dual-eligible population. That makes Medicare-primary and Medicaid-secondary coordination the everyday backbone of the census rather than an exception. New York Medicaid long-term care runs increasingly through Managed Long-Term Care plans, each with its own level-of-care review, care management, and net-available-monthly-income rules, and the metro-area plan landscape is unusually crowded. Medicare Advantage penetration is high across the downstate region, adding authorization and continued-stay review to a large share of short stays. With high fixed costs and no margin to spare, a Yonkers facility depends on a billing partner that already knows dual-eligible coordination and the downstate MLTC workflow cold.
Revenue review
Put a dollar figure on what your SNF claims are leaving behind.
A certified SNF billing specialist reviews your coding, unit counts, authorizations and aged A/R against the payers you actually bill in Yonkers, NY — and puts a number on what your current process is leaving on the table.
- MDS assessment schedule tied to the component rates actually billed
- Consolidated-billing exclusions separated before the claim goes out
- Benefit days and the qualifying stay verified for every admission
HIPAA & SOC 2
Back to you within one business day
No long-term lock-in
Request a Revenue Review
Tell us about your practice.
A SNF specialist will reach out within one business day.
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A SNF specialist will reach out within one business day.
Why Yonkers Facilities Outsource Skilled Nursing Billing to 247MBS
The decision to outsource usually turns on one reality: a high-cost Westchester operator cannot keep every Part A claim tied to a clean MDS while also coordinating dual-eligibles and reconciling a crowded field of Managed Long-Term Care plans. 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 built to 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 New York billing overview, and lean on the national SNF billing hub for the full institutional model.
Who We Serve in Yonkers
Our Yonkers clients cover the southern Westchester skilled nursing mix: non-profit and faith-based nursing homes serving long-stay dual-eligible residents, freestanding SNFs taking rehab referrals from St. John's Riverside Hospital and metro-area systems, hospital-based skilled units, and higher-acuity subacute buildings managing complex residents. We also support long-term custodial homes carrying deep Managed Long-Term Care caseloads and operators that need senior-level MDS expertise without a full in-house office. We serve facilities across the area — Mount Vernon, New Rochelle, Bronxville, and Hastings-on-Hudson — with the same dedicated model and reporting. Skilled nursing facility billing services in Yonkers, run by a team fluent in downstate dual-eligible and MLTC work, keep more earned revenue inside the building.
Medical Billing for Skilled Nursing in Yonkers
Protecting thin margins is the whole reason to hand 247MBS your medical billing for skilled nursing in Yonkers — a high-cost Westchester market on the New York City line where labor and real estate leave no room for write-offs. We tie every Medicare Part A per-diem to a timely MDS assessment, confirm the qualifying inpatient stay, and coordinate the heavy dual-eligible census so Medicaid secondary balances for coinsurance and room-and-board never strand. For buildings taking rehab referrals from St. John's Riverside and reconciling a crowded downstate Managed Long-Term Care field, that discipline keeps earned revenue inside the building. We hold first-pass clean claims near 99% and A/R under 25 days. Request a revenue review to see where your revenue is leaking.
Choosing a Skilled Nursing Billing Services Provider in Yonkers
Skilled Nursing billing across New York
Yonkers practices are billed out of the same New York desk. Statewide payer detail lives on the New York page.
Statewide
New York Skilled Nursing Facility billing — the payer programs, authorities and rules behind every Yonkers claim.
Specialty hub
Skilled Nursing Facility Billing Services — the codes, unit rules and denials nationally, without the local layer.
Frequently Asked Questions
Yes. Dual-eligibles are the backbone of the southern Westchester census, so we bill Medicare as skilled-primary, then coordinate the Medicaid secondary for coinsurance and room-and-board, tracking crossover and follow-up so balances do not strand between the two payers.
We confirm level of care, apply the net-available-monthly-income calculation, work each plan's authorizations, and reconcile balances monthly across the many MLTC plans operating downstate, so custodial revenue keeps moving instead of aging.
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.
PDPM components·MDS schedule·consolidated billing·benefit days
Ready to get more Yonkers claims paid on the first pass?
From solo practices to multi-provider groups, we bill Skilled Nursing for Yonkers 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.
Prefer email? sales@247medicalbillingservices.com