Affordable SNF Billing Outsourcing
Flat weekly FTE pricing. No percent of revenue clause. No annual contract. $399, $349, or $299 per FTE per week depending on volume. 2-Week Risk-Free Pilot at the same rate. Pilot facilities typically cut DSO and lift clean-claim rate inside the first 30 days. Staff augmentation or full business-office takeover. Cancel before day 14, owe nothing.
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0:48Percent-of-revenue contracts hide cost. In-house hiring drags.
Three pricing and staffing patterns quietly drain SNF margin. Percent-of-revenue vendors tie cost to claim volume. In-house hires take 90 days to ramp. And the average mid-size SNF carries 25 percent of AR over 90 days.
Percent-of-revenue contracts
A 5 percent fee on $12 million in net SNF revenue is $600,000 per year. At Staffingly volume pricing, the same coverage runs around $54,000 to $73,000 per FTE per year of work. The math is not subtle.
Slow in-house hires
A new in-house biller often needs 60 to 90 days to ramp on PDPM, PDGM, and your payer mix. Multiply that by turnover and the productive headcount is often half of the paid headcount.
AR over 90 that nobody touches
LeadingAge 2024 RCM benchmarks place SNF AR over 90 at roughly 25 percent of total AR at facilities without dedicated follow-up. That is cash sitting in a spreadsheet, not in your bank account.
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What is affordable SNF billing outsourcing ?
Affordable SNF billing outsourcing is a flat per-FTE weekly billing pod that replaces or augments your in-house billing team without a percent-of-revenue contract and without an annual lock-in. The pod works inside PointClickCare, MatrixCare, Net Health, Brightree, HCHB, Kinnser, or SigmaCare under role-based credentials and a signed BAA. You pay per specialist FTE per week. You scale up by the week. You scale down by the week.
What an affordable SNF billing pod actually handles, day to day
Pick the queues that drag DSO. The pod absorbs them. Your business office focuses on admissions and payer relationships.
UB-04 / 837i claim submission
Builds, scrubs, and submits institutional claims for Part A, Medicaid, and MA plans. Tracks form locators, HIPPS, and revenue codes.
PDPM and PDGM coding
Five-component PDPM HIPPS coding for SNF Part A. PDGM 30-day period grouping for home health with LUPA threshold checks.
AR aging and follow-up
Works 0 to 30, 31 to 60, 61 to 90, and 90 plus AR buckets. Calls payers. Documents responses. Re-bills or escalates.
Denial management and appeals
Reads remits, identifies CARC and RARC codes, drafts appeal letters, and resubmits within the payer window.
Payment posting and ERA
Posts ERA 835 files, reconciles to bank deposits, splits MSP balances, and flags underpayments against contracted per-diems.
Eligibility and Medicaid pending
Runs 270 and 271 eligibility checks. Tracks Medicaid pending applications with weekly state-portal updates.
Staff augmentation or full takeover
Pick one biller to back-fill a vacancy. Or take over the full business-office billing function. Same flat rate either way.
ROI reporting
Daily clean-claim rate, denial rate by payer, DSO, AR over 90, cash collected, and net collection percentage.
Flat weekly fee. Real ROI math. No percent-of-revenue clause.
Most affordable billing vendors are affordable on the cover page and expensive in the contract. We price by FTE per week, share the ROI math openly, and skip the annual lock-in.
Flat per-FTE weekly rate
$399 Standard. $349 Volume (3+). $299 Enterprise (10+). No percent of revenue. No setup fee. No annual contract. Add or remove specialists by the week.
Documented ROI on three KPIs
DSO movement, denial rate movement, and AR over 90 reduction. Underlying math shared openly. No promised percentages, just the data and the methodology.
2-Week Risk-Free Pilot
14 days of live billing work at the same flat rate as production. Cancel before day 14, owe nothing. Most facilities continue.
Staffingly flat fee vs DIY in-house vs percent-of-revenue vendor
The real cost math for a single full-time billing role at a mid-size SNF or LTC operator.
From "let's talk" to live in 1 to 2 weeks
Six steps. Each one is documented. No setup fee at any step.
Discovery call (15 min)
Where is DSO today? Denial rate? AR over 90? We map it on a shared call. We share the ROI math methodology openly.
BAA + platform access
Business associate agreement signed. Role-based access provisioned in PointClickCare, MatrixCare, Net Health, Brightree, HCHB.
Workflow shadow (2 to 3 days)
Pod shadows your business office. Claim scrubs captured. Payer scripts matched. Escalation rules locked.
Parallel pilot starts
Week 2 to 3. Pod runs alongside your team. Daily 15-minute sync. Same flat weekly rate as production.
Decision point (end of week 2)
Pilot KPIs reviewed against the targets set in step 1. DSO, denial rate, AR over 90. Go or no-go. No penalty either way.
Full handoff, cadence locked
Weekly account-lead review. Monthly QA audit. Specialists added or removed by the week. No annual contract.
How your flat-fee billing pod's day actually looks
A real shift, hour by hour. Times in your local time. Output measured against DSO, denial rate, and AR over 90.
How Staffingly works, in practice
Inside the workA trained Staffingly specialist works inside your existing platform, with clear escalation back to your team.
One Flat Weekly Rate. No Surprises.
Dedicated senior care schedulers at a fixed weekly cost. Per scheduler FTE, per week. No contracts, no minimums, no hidden fees.
Want to compare against an in-house hire? Use the savings calculator.
Frequently asked questions
Why flat fee per FTE instead of percentage of revenue?
Percent-of-revenue contracts tie vendor cost to claim volume and dollar amount, not to the work performed. They can quietly cost a high-acuity SNF 4 to 8 percent of net revenue, which can outweigh the cost of a full in-house billing department. Flat per-FTE weekly pricing makes the math predictable. A Standard biller is $399 per week. Volume is $349 per week starting at 3 FTEs. Enterprise is $299 per week starting at 10 FTEs. The fee does not move when your census or payer mix moves.
How is ROI typically measured?
Three common KPIs. DSO movement, denial rate movement, and AR over 90 reduction. MGMA 2024 RCM benchmarks place median SNF DSO in the 35 to 55 day range. LeadingAge 2024 RCM benchmarks place SNF AR over 90 at roughly 25 percent of total AR at facilities without dedicated follow-up. Pilot facilities typically show measurable movement on at least one of the three KPIs inside the first 30 days. We share the underlying math openly. We do not promise specific percentage outcomes.
What happens if the pilot does not work?
The 2-Week Risk-Free Pilot runs at the same weekly rate as a production engagement. If results miss the KPIs you and your account lead agreed at the discovery call, you cancel at any point before day 14. No setup fee was charged. No annual contract was signed. There is no penalty. Most facilities continue. Those that do not still receive the pilot data and a written summary of what we observed.
What is a typical transition timeline?
One to two weeks from signed BAA to live work. Day 1 to 3 is BAA execution and role-based platform provisioning. Day 3 to 5 is workflow shadowing. Day 5 to 10 is parallel work where your in-house team and the Staffingly pod run side by side. Day 10 to 14 is the pilot decision window. Full handoff lands at week 3 or 4 for facilities that decide to continue.
Which EMRs and billing platforms do you integrate with?
We work directly inside the system you already use. PointClickCare Financial Management, MatrixCare SNF and home health billing modules, Net Health Therapy and Wound, Brightree home health and hospice, HCHB, Kinnser, SigmaCare, and American HealthTech. Clearinghouse coverage includes Availity. No data exports. No middleware. Your business office sees every claim, every note, every status change inside the system you already use.
Are there multi-facility or PE-backed discounts?
Yes. Volume pricing ($349 per FTE per week) starts at 3 specialists. Enterprise pricing ($299 per FTE per week) starts at 10 specialists. Multi-state SNF networks, multi-location home health agencies, and PE-backed post-acute groups can pool specialists across facilities under a single account lead. We do not bolt on minimum-volume penalties or annual lock-in clauses.
How does pricing work across multiple billers, coders, and facilities?
Per specialist FTE, per week. Per-skill pricing for biller, coder, AR follow-up specialist, and denial analyst roles. No setup fees. $399 Standard, $349 Volume (3 or more), $299 Enterprise (10 or more). Add or remove specialists by the week. No annual contracts. Multi-facility groups pool specialists across facilities.
What is included in the 2-Week Risk-Free Pilot?
Two weeks of live billing work running in parallel with your business office. Full reporting on clean-claim rate, denial rate, DSO movement, and AR over 90 reduction. No setup fee. No penalty if you cancel before day 14. You see every claim submitted, every appeal drafted, every payment posted.
President and CEO, Staffingly, Inc. 25+ years in IT consulting and healthcare BPO operations. One of the earliest US operators to set up an RPO/BPO delivery network in India. Leads AI-driven home care workflows that help agencies, home health providers, and multi-branch operators cut admin cost without compromising care.
