BILLING STATEMENTS:
Private pay statements are mailed approximately the 25th of each month and are due by the 10th of the
next month. Services are billed advance for room and board charges.
OTHER INVOICES:
We contract with outside vendors for pharmacy, x-rays, laboratory services, dental, transportation, etc that
are not included in the daily room & board rate. These ancillary charges will be invoiced to you by each
provider of service. Any questions pertaining to these invoices must be directed to the vendor that
performed the service.
PERSONAL ACCOUNT:
Residents have the opportunity to open a personal account for incidentals such as weekly visits to the
barber/beauty shop, shopping trips, newspaper deliver, telephone bills and other miscellaneous items. A
statement of activity is mailed quarterly to the guarantor along with a letter notifying you to sign the form
and return it to the business office.
MEDICAID APPLICATION PROCESS:
We encourage you to start the Medicaid application process 4 months prior to depleting your funds.
Medicaid applications are available at the County Department of Social Services or ask Lisa Hubbard for a
form.
This process can be very trying. We are here to assist you in obtaining some of the required documents.
Additionally, when copies are needed for the process our receptionist is able to make your photo copies for
you. Please call for an appointment.
While you are applying for Medicaid you are considered Private Pay and will continue to receive monthly
billing statements. Once we receive the County budget letter we will send you a revised statement.
The monthly income you will be receiving while pending Medicaid needs to be saved until a budget letter is
received from the County. The County determines who will be paid from the monthly income and the
amount that is owed to the nursing home from that income.
NAMI:
NAMI is the Net Amount of Monthly Income as determined by the County Department of Social Services in
the budget letter.
MEDICARE UTILIZATION:
We are required by law to inform you when you are admitted or readmitted to the facility whether or not
you qualify under Medicare Part A for skilled nursing facility benefits. These letters contain the mandatory
wording from Medicare. If Medicare Part A benefits are utilized we are required to inform you when
someone is transferred to the hospital, discharged or the services rendered no longer meets Medicare
criteria for coverage. These letters are sent to the guarantor each time there is a change. We typically
receive telephone calls regarding the content of these letters. Non coverage letters seem to imply that
Medicare eligibility no longer exists; it does, but we will not be billing any of our services to Medicare
beginning the date of the letter.
INSURANCE:
We are providers for most insurance companies. Prior to admission, we verify with the insurance company
the benefits available for skilled nursing facility coverage. It is very important to notify the business office
of any changes in your insurance coverage.
Private pay statements are mailed approximately the 25th of each month and are due by the 10th of the
next month. Services are billed advance for room and board charges.
OTHER INVOICES:
We contract with outside vendors for pharmacy, x-rays, laboratory services, dental, transportation, etc that
are not included in the daily room & board rate. These ancillary charges will be invoiced to you by each
provider of service. Any questions pertaining to these invoices must be directed to the vendor that
performed the service.
PERSONAL ACCOUNT:
Residents have the opportunity to open a personal account for incidentals such as weekly visits to the
barber/beauty shop, shopping trips, newspaper deliver, telephone bills and other miscellaneous items. A
statement of activity is mailed quarterly to the guarantor along with a letter notifying you to sign the form
and return it to the business office.
MEDICAID APPLICATION PROCESS:
We encourage you to start the Medicaid application process 4 months prior to depleting your funds.
Medicaid applications are available at the County Department of Social Services or ask Lisa Hubbard for a
form.
This process can be very trying. We are here to assist you in obtaining some of the required documents.
Additionally, when copies are needed for the process our receptionist is able to make your photo copies for
you. Please call for an appointment.
While you are applying for Medicaid you are considered Private Pay and will continue to receive monthly
billing statements. Once we receive the County budget letter we will send you a revised statement.
The monthly income you will be receiving while pending Medicaid needs to be saved until a budget letter is
received from the County. The County determines who will be paid from the monthly income and the
amount that is owed to the nursing home from that income.
NAMI:
NAMI is the Net Amount of Monthly Income as determined by the County Department of Social Services in
the budget letter.
MEDICARE UTILIZATION:
We are required by law to inform you when you are admitted or readmitted to the facility whether or not
you qualify under Medicare Part A for skilled nursing facility benefits. These letters contain the mandatory
wording from Medicare. If Medicare Part A benefits are utilized we are required to inform you when
someone is transferred to the hospital, discharged or the services rendered no longer meets Medicare
criteria for coverage. These letters are sent to the guarantor each time there is a change. We typically
receive telephone calls regarding the content of these letters. Non coverage letters seem to imply that
Medicare eligibility no longer exists; it does, but we will not be billing any of our services to Medicare
beginning the date of the letter.
INSURANCE:
We are providers for most insurance companies. Prior to admission, we verify with the insurance company
the benefits available for skilled nursing facility coverage. It is very important to notify the business office
of any changes in your insurance coverage.
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| St. Johnsville Rehabilitation & Nursing Center, Inc. 7 Timmerman Ave., St. Johnsville, NY 13452 518-568-5037 |
| Suggested Visiting Hours: 10am - 8pm additional hrs. can be requested through RFS |
| Frequently Asked Questions |
| Finance Department |
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