For skilled nursing facilities (SNFs)
SNF Billing & Back Office — Clinical Revenue Cycle, Run Right
Skilled nursing runs on a revenue cycle few other providers face: Medicare Part A consolidated billing, Medicaid room-and-board, PDPM case-mix, and a monthly triple-check that has to catch errors before claims drop. We run that business office — billing, AR, credentialing, and month-end — so a resigning office manager or an aging AR report never becomes a cash-flow emergency.
Quick Answer
SS Support Network runs the business office for skilled nursing facilities — Medicare Part A consolidated billing, Medicaid room-and-board with patient-liability applied, PDPM assessment-to-claim reconciliation, monthly triple-check coordination, accounts receivable, and payer credentialing — inside your existing billing and clinical systems. It is built for SNF administrators and business-office managers who need the clinical revenue cycle handled without losing cash flow when a key person leaves. Our team works SNF claims every day, so a resigning office manager or an aging AR report never becomes a cash-flow emergency. Every team member is HIPAA-trained, we sign a Business Associate Agreement, and most facilities go live within 5–10 business days.
The SNF revenue problem
What back-office work can a skilled nursing facility outsource?
A skilled nursing facility carries the most complex payer mix in long-term care. A single resident might move from a Medicare Part A covered stay under PDPM to Medicaid room-and-board with a patient-liability amount, while consolidated billing rules dictate what the facility bills versus what outside providers cannot. When the one person who understands all of that gives notice, AR ages fast and claims stop going out clean.
We are the business office that does not resign. Our team works SNF claims every day — Part A, Medicaid, PDPM reconciliation, triple-check, denials, and collections — inside your existing systems. This is clinical revenue cycle management, not residential hospitality, and it is staffed accordingly.
- Medicare Part A claims under SNF consolidated billing rules
- PDPM assessment-to-claim reconciliation and case-mix review
- Medicaid room-and-board billing with patient-liability applied
- Monthly triple-check coordination before claims drop
- Accounts receivable, denials and collections follow-up
- Payer credentialing, revalidation and enrollment upkeep
- Census, payer and roster reconciliation
- Month-end close support and business-office reporting
The services behind SNF back office
What does an outsourced SNF back office include?
Billing, AR, and credentialing are one continuous cycle in a skilled nursing facility. Split them across people who do not talk and cash slips through the seams. We run them as one team on your census.
SNF Medical Billing
Medicare Part A consolidated billing, Medicaid room-and-board, and clean claim submission tied to each resident's PDPM assessment and covered-stay status.
- Part A & Medicaid claim prep
- PDPM reconciliation
- Triple-check coordination
- Documentation attached per claim
Revenue Cycle Management
The full cycle managed end to end — from admission and eligibility to claim, payment, and month-end close — with the metrics that show where cash is stuck.
RCMAR Management
Aging worked by payer and bucket, denials appealed, and Medicaid-pending balances tracked — so old AR gets collected instead of quietly written off.
AR managementCredentialing
Payer enrollment, revalidation, and facility credentialing kept current — because a lapsed enrollment stops claims cold no matter how clean the billing is.
CredentialingHow onboarding works
How fast can a skilled nursing facility go live?
- 1
Free operations audit
We review your payer mix, AR aging, PDPM and triple-check workflow, credentialing status, and where claims are denying. You get a written plan with real pricing within 1 business day.
- 2
We train on your setup
We map your billing and clinical platforms, your census and roster feeds, and your month-end calendar — working inside your systems so your clinical team's MDS workflow does not change.
- 3
Live in 5–10 business days
We start with a scoped first month you can judge on real claims: Part A and Medicaid billed on schedule, triple-check documented, and aged AR actively worked. You scale scope from there.
The proof
Built on 2+ years running a complete healthcare back office
Since 2020 we have run billing, AR, and credentialing for US healthcare operations — including a flagship client that handed us their entire back office and grew from one state to multi-state over 2+ years while retention held. The same revenue-cycle discipline, applied to your census, your payers, and your month-end.
- Claims billed clean, on the month-end calendar
- AR worked inside the client's platform
- Credentialing kept current across payers
- 1 state → multi-state · 2+ years retained
Common questions
What SNF administrators ask us first
Yes. We prepare and submit Part A SNF claims under consolidated billing, bundling the services CMS requires the facility to bill rather than letting outside providers bill separately. We track the covered stay, benefit days, and PDPM assessment schedule so each claim reflects the resident's actual level of care.
We support the business-office side of PDPM — reconciling MDS assessment data to the claim, watching for missed assessment windows, and flagging case-mix components that do not tie out. Clinical MDS coding stays with your nursing team; we make sure what they capture is billed correctly and on time.
We bill Medicaid room-and-board at each state's per-diem rate, apply the resident's patient-liability or share-of-cost amount, and reconcile against the monthly roster. We also track pending Medicaid applications so a resident in the eligibility pipeline does not become an uncollectible private balance.
Triple-check is the monthly pre-bill review where billing, clinical, and MDS data are cross-verified before claims drop. We coordinate and document that review — matching MDS assessments, physician orders, and charges to each claim — so errors are caught before submission rather than surfacing as denials weeks later.
Yes. Beyond claims we manage accounts receivable, collections follow-up, payer credentialing and revalidation, census and payer reconciliation, and month-end close support. Many facilities bring us in when a business-office manager leaves and the AR starts aging faster than anyone can work it.
Assisted living is residential and largely private-pay, so that work centers on hospitality, occupancy, and simpler billing. Skilled nursing is clinical revenue cycle: Medicare Part A, Medicaid, PDPM, and consolidated billing. This page is the RCM and business-office side, staffed by people who work SNF claims every day.
Yes. Every team member is HIPAA-trained before touching your account, we sign a Business Associate Agreement, and access to resident and financial data is role-based and logged. We work inside your billing and clinical platforms rather than exporting records, so your data stays under your control.
You get a written operations audit within 1 business day of contacting us, and most facilities go live within 5-10 business days of kickoff. Onboarding covers your payer mix, PDPM workflow, triple-check calendar, and AR backlog, starting with a scoped first month you can judge on real claims.
Facility-specific question? Call +1 (657) 777-0006 — 24/7.
Related
Where SNF back office fits
Healthcare Back Office
The broader billing, RCM, and admin operation SNF revenue cycle sits inside.
Explore
Revenue Cycle Management
End-to-end RCM from eligibility to payment, with the metrics that expose stuck cash.
View service
AR Management
Aged receivables worked by payer and bucket so old balances get collected.
View serviceFree operations audit
Find out what a clean SNF revenue cycle should cost
Tell us your payer mix, your AR aging, and where the business office hurts most — you'll get a written plan with real pricing within 1 business day.
Or call +1 (657) 777-0006 / WhatsApp — 24/7.
