Skilled Nursing Facilities

Payer Rules and Rate Schedules define room and board revenue codes, revenue days accounts, and the rates for each room type and schedule for the payer. They insure accurate billing and reimbursement amounts on account receivables. Your resident's census rate entry looks to Payer Rules and Rate Schedules to bill the correct room rate.

Payer Rules & Rates must be configured in every Facility. To help with this process in a multi- facility you can configure payer rules at the Management Console level and copy to the Facility level. Rate Templates are available in both multi and single Facility organizations to help automate the process. 

A new Payer Rules and Rate Schedule must be configured if rates or revenue codes change for the payer, or if there is a new contract for a payer.

Multi-facilities can save significant time by configuring Payer Rules at the Management Console and copying the rules to the payers in each facility.