Outsource Your SNF Billing to Skilled-Nursing-Only Experts
When your billing office falls behind, your census doesn’t wait — and neither do your payers. MCA Medical Billing Solutions, L.L.C. has provided outsourced billing and revenue cycle management exclusively for skilled nursing facilities since 2003. We’re not a general medical billing company that also does SNF work. Skilled nursing is all we do, across all 50 states.
Facilities typically come to us for one of three reasons: a biller just left and claims are piling up, aging AR has crept past 90 days and won’t come down, or ownership wants predictable billing costs without the turnover risk of an in-house department. Whatever brings you here, the outcome we’re accountable for is the same — clean claims out the door, cash in the bank, and AR you don’t have to think about.
Why SNFs Outsource Their Billing
Running billing in-house means recruiting, training, and retaining staff who understand PDPM, Medicare consolidated billing, Medicaid in your state, and a growing stack of Medicare Advantage plans — each with its own authorization and filing rules. One resignation can set a facility back months. One missed timely-filing deadline can write off a five-figure claim.
Outsourcing to MCA replaces that single point of failure with a team. Your facility gets experienced SNF billers, backed by AR specialists and compliance reviewers, at a predictable monthly cost — typically less than the fully loaded cost of one business office manager.
What’s Included When You Outsource to MCA
- SNF Billing Services — full claim lifecycle for Medicare A/B, Medicaid, Medicare Advantage, managed care, coinsurance, and private pay
- Accounts Receivable & Collections — aggressive follow-up on every claim, with aging worked oldest-first
- PDPM Billing Optimization — accurate HIPPS coding and rate integrity under PDPM
- Statements & Call Center Support — resident and responsible-party statements with live support
- Audit & Compliance Reporting — regular reviews so surveys and audits don’t bring surprises
- Software Automation & Integration — we work inside your PointClickCare or MatrixCare system, so you keep full visibility
In-House vs. Outsourced SNF Billing
| In-House Biller | Outsourced to MCA | |
|---|---|---|
| Coverage | One person; vacations and turnover stop billing | Team coverage, no gaps |
| Expertise | Varies with hire | SNF-only specialists since 2003 |
| Cost | Salary + benefits + training + software | Predictable monthly fee |
| Aging AR | Worked “when there’s time” | Worked daily, oldest first |
| Compliance | Depends on one person staying current | Dedicated compliance review |
| Visibility | Reports if you ask | Standard reporting inside your PCC/MatrixCare |
Results Facilities See
- One partner facility collected $400,000 in previously stalled AR within 60 days of turning their billing over to MCA
- Another cut 90+ day aging by 31% in a single quarter
- Facilities across Kansas, Missouri, and nationwide rely on MCA as their full business office
The Zero AR Initiative — ZARI
Our goal for every facility is simple: zero aged AR. The Zero AR Initiative (ZARI) is our commitment to work every claim to resolution — not park it in a 120+ bucket and hope. It’s why facilities that switch to MCA see their aging curves bend within the first billing cycle.
We Work Inside Your Software
No new systems to learn and no loss of control. MCA bills directly inside PointClickCare and MatrixCare, so your administrator and owner see exactly what we see, in real time.
SNF Billing Outsourcing FAQ
How much does SNF billing outsourcing cost?
Most facilities pay a predictable monthly fee that’s less than the fully loaded cost of one experienced in-house biller. Pricing depends on census and payer mix — contact us for a quote.
Do we lose visibility when we outsource?
No. We work inside your own PointClickCare or MatrixCare system, so you retain full, real-time access to every claim and every dollar.
Can MCA take over mid-mess — with old AR piling up?
Yes. Cleaning up aged AR is one of the most common reasons facilities come to us, and it’s the core of our Zero AR Initiative.
Do you handle Medicare Advantage plans?
Yes — including authorizations, filing-limit tracking, and appeals. Medicare Advantage now covers more than half of Medicare beneficiaries, and it’s where in-house teams most often fall behind.
How fast can we start?
Onboarding typically takes days, not months, because we work in the software you already use.
Ready to Take Billing Off Your Plate?
Talk to the team that’s done nothing but skilled nursing billing since 2003. Contact MCA for a free AR review today.