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Medical Billing Service

Nursing Home & Residential Billing

Billing built around skilled nursing and long-term residential care — Medicare Part A/B, Medicaid, and managed care claims.

Nursing home and residential billing covers claims for skilled nursing facilities (SNFs) and long-term residential care, including Medicare Part A and B, Medicaid, and managed care payers. Xylo Med Solutions manages this billing cycle, including PDPM-based claims and level-of-care documentation support.

Overview

Skilled nursing and residential care billing comes with its own layer of complexity — PDPM case-mix classification, Medicare Part A/B coordination, and long-term Medicaid claims. We manage this billing cycle end to end, so your facility gets reimbursed accurately for the level of care actually provided.

What's included

  • Medicare Part A and Part B claim billing for SNFs
  • PDPM case-mix and level-of-care claim support
  • Medicaid and long-term care claim submission
  • Managed care and Medicare Advantage billing
  • Resident census and billing reconciliation
  • Denial follow-up on nursing home claims

Why it matters

01

Accurate reimbursement for skilled nursing level of care

02

Fewer denials tied to PDPM or documentation gaps

03

Coordinated Part A/B and Medicaid billing

04

Clear reporting across your resident billing cycle

Nursing Home & Residential Billing FAQ

Do you bill Medicare Part A and Part B for skilled nursing?
Yes. Both Medicare Part A (facility) and Part B (ancillary services) claims are billed and tracked as part of nursing home billing.
What is PDPM and how does it affect billing?
PDPM (Patient Driven Payment Model) is the case-mix classification system Medicare uses to reimburse skilled nursing facilities. Claims are billed in line with the resident's PDPM classification and supporting documentation.
Do you handle long-term Medicaid billing too?
Yes. Medicaid and other long-term care payer claims are billed and followed up on alongside Medicare claims.
Client Voices

What clients say about our nursing home & residential billing.

"Between Part A, Part B, and Medicaid claims, our billing used to fall behind constantly. Now it's handled on schedule every month."

SN
Business Office Manager
Skilled Nursing Facility

"Our denial rate dropped noticeably within the first two months. The team actually calls us back the same day — that alone was worth the switch."

FM
Practice Administrator
Family Medicine Group

Ready to fix your nursing home & residential billing?

Get a free, no-obligation audit — we'll show you exactly where revenue is being left on the table.

Our Location

Find Us

1 Neshaminy Interplex Dr #205, Feasterville-Trevose, PA 19053

Get In Touch

Let's talk about your revenue cycle.

Tell us a bit about your practice and we'll follow up within one business day with next steps for your free audit.

Office
1 Neshaminy Interplex Dr #205,
Feasterville-Trevose, PA 19053
Hours
Mon – Fri, 8:00 AM – 7:00 PM EST

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