In long-term care, cash flow is essential. Skilled Nursing Facilities (SNFs) and Assisted Living Facilities (ALFs) operate on thin margins while delivering complex care to a vulnerable population. Yet many providers unknowingly bleed revenue due to inefficient billing, inaccurate claims, and delayed follow-ups.

According to the American Health Care Association (AHCA), one in four SNFs faces financial distress, with cash flow bottlenecks being a major contributor. Inconsistent billing practices, staff turnover, and manual AR processes often lead to claim denials, payment delays, and underpayments—all of which can paralyze operations.

This is where LTCPro’s billing and AR outsourcing services offer measurable, strategic value. We help long-term care providers plug revenue leaks, stabilize cash flow, and get paid faster—so they can focus on what truly matters: delivering exceptional care.

Where Do Cash Flow Leaks Happen in Long-Term Care?

Even the most experienced providers face financial setbacks due to minor, cumulative errors. Here are the most common culprits:

 Inaccurate Face Sheet Data

Missing or outdated patient demographic details lead to rejected or delayed claims. Manual errors during admission constitute a significant pain point.

Eligibility & Authorization Gaps

Billing without verifying a resident’s coverage or authorization status causes immediate denials—and weeks of follow-up work.

Missed Ancillary Charges

Charges for services like cable, food upgrades, or internet often go unbilled due to manual entry or inconsistent documentation.

Denials and Delayed Follow-Up

According to CMS, nearly 30% of claims are denied on the first submission, and 65% of denials are never reworked—leading to significant lost revenue.

Unreconciled Payments

Failure to match remittances, ERA/EOBs, and bank statements leads to misreporting and confusion about what has been collected.

The LTCPro Advantage: Stop the Leaks, Start the Flow

At LTCPro, we don’t just manage your billing—we transform your revenue cycle into a reliable, efficient system that delivers predictable income and performance.

Here’s how we do it:

 1. Flawless Face Sheet Management

We begin by ensuring that every patient’s demographic and insurance data are accurate, complete, and regularly updated in the LTCPro system—preventing claim errors before they occur.

 2. Real-Time Eligibility & Authorization Checks

Before submitting any claim, our team verifies insurance status and required authorizations. This preemptive step eliminates denials and shortens the reimbursement cycle.

 3. Precision in Charge Entry

We accurately capture daily rates and all ancillary services—from cable and utilities to specialized care—ensuring you bill for every dollar earned.

4. Smart Billing Across All Payers

Whether it’s Medicaid, Molina, BCBS, UHC, or Magellan, we manage claims with payer-specific workflows. We utilize 837 files for Medicaid/Molina and submit claims through manual portals as needed —ensuring that nothing is missed.

 5. Efficient Payment Posting

All payments, both electronic (ERA) and paper (EOB)—are reconciled and posted promptly. We match bank statements, remittance advice, and patient payments for total transparency and accuracy.

6. Proactive AR Management

Our AR team actively monitors aging reports, follows up on denials, verifies documentation, and submits appeals as needed. **We don’t wait**we act.

Result: LTCPro clients report an average 30% faster reimbursement turnaround and a 25–40% reduction in outstanding AR within the first 90 days of engagement.

 7. Resident Statement & Reconciliation

We issue clear, timely statements to residents every month and reconcile all transactions—charges, payments, and adjustments—for error-free financial closure.

Why It Matters: Operational Confidence Starts with Cash Clarity

Facilities relying solely on internal staff often lack the tools, bandwidth, or payer-specific expertise to stay ahead of cash flow disruptions.

By outsourcing to LTCPro, you gain:

•  Cleaner claims and faster payments
•  Fewer write-offs and denials
• Transparent financial reports
• Reduced Administrative Burden
• Audit-ready documentation

More importantly, you create a financial foundation that allows your leadership to strategically invest in staffing, resident care, and expansion—without worrying about revenue volatility.

Trusted by Providers Across the Long-Term Care Spectrum

From single-site SNFs to multi-facility ALF groups and ACO-affiliated providers, LTCPro brings operational discipline to organizations ready to grow, stabilize, and thrive.

We become an extension of your team—with industry-certified billers, coders, AR experts, and account managers dedicated to your success.

The path to financial health in long-term care isn’t just about cutting costs, it’s about building better systems. At LTCPro, we help you reclaim lost revenue, streamline billing, and create sustainable cash flow you can count on.

Let’s talk about how we can help your facility get paid faster—and smarter.

 Visit www.ltcpro.com Or contact our team to schedule a revenue cycle assessment.