We run billing, denials, and Medicaid eligibility for nursing homes — so the money you already earned actually lands in your account.
Built for independent operators running one to five buildings.
Industry benchmarks we manage your book to — not a claim about your facility. Send us a month of aging and we'll show you where you actually sit.
Put those together: a facility running a 2.1% margin, denying one claim in ten, on a resident base that's two-thirds Medicaid. There is no version of that business where billing performance is a back-office concern.
Not a software licence and a login. People who work your claims, chase your denials, and tell you where the money is.
Every claim scrubbed before it leaves, filed on the day it's ready, and reconciled against the remittance line by line.
Denials get worked, not filed. We track every one to a root cause and fix the cause, not just the claim.
The single biggest source of aged A/R in this industry, and the one most in-house teams don't have time to chase.
One page, first business day of the month. Written so an administrator can act on it without a finance degree.
Send one month of aging. We come back with what's collectable, what's aging out, and what it's costing you.
We agree the payers, the buildings, the reporting cadence, and the fee. BAA signed before anything moves.
System access, payer enrolments, and a clean-up plan for the aged balances already on your books.
Claims out, denials worked, eligibility chased, and a one-page report on the first business day of every month.
We don't also do dermatology and dental. PDPM, MDS timing, triple-check, Medicaid pending, bed-hold rules, and the way a five-day assessment turns into a paid claim — that's the whole job here, and it's a different job from physician billing.
One named account lead who knows your buildings and answers the phone. Big outsourcers give you a ticket queue; the reason claims sit is almost always that nobody owned them.
Days in A/R, clean claim rate, and denial rate every month, measured against published industry targets. If a number is off, it's on the report with what we're doing about it.
Published targets for skilled nursing A/R performance. Your monthly report shows where you actually sit against each one.
| Payer | Days in A/R target | Over 90 days | Denial rate |
|---|---|---|---|
| Medicare Part A | under 20 | under 5% | under 5% |
| Medicare Advantage | 30–45 | under 10% | under 8% |
| Medicaid | 45–60 | under 15% | under 6% |
| Private pay | 30–45 | under 10% | — |
| All payers | under 45–50 | under 15–20% | — |
Benchmarks per published skilled-nursing A/R standards, 2026. Monthly write-offs target: under 1–2% of net revenue.
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Reserved for a named client quote once written permission is on file. We don't publish reviews we wrote ourselves.
We'll tell you what's collectable, what's aging out, and what it's costing you. No fee, no obligation.