Leak point
Short custodial claim
Underlying cause
Patient payment miscalculated
The 247MBS fix
Monthly patient-payment reconciliation
Skilled Nursing billing · Aurora, CO
Skilled nursing billing services in Aurora have to carry one of Colorado's most diverse, Medicaid-heavy long-term-care populations alongside a fast-moving Anschutz-fed rehab market, and 247 Medical Billing Services (247MBS) has run that institutional revenue cycle since 2005. We manage Medicare Part A per-diem, MDS case-mix, consolidated billing, and Health First Colorado fee-for-service Medicaid for skilled nursing operators across Aurora and the eastern Denver metro, giving each facility a dedicated account manager, a free 360° reporting dashboard, and full HIPAA plus SOC 2 Type II protection.
Start with the leaks, because in Aurora they cluster around the long-stay Health First Colorado population that carries most local buildings. An unreconciled patient-payment figure quietly shorts every custodial claim, and a Medicaid-pending admission left unworked ages into weeks of stranded days before determination ever arrives. Broken dual-eligible coordination leaves Medicare-primary balances without their Medicaid secondary, a frequent problem in a city with so many residents covered by both programs. Because so many short-stay admissions arrive from the University of Colorado Hospital and the Medical Center of Aurora, a missing Medicare Advantage authorization can void an entire rehab admission before billing begins. On the Part A side, a late five-day MDS drops a resident into the wrong HIPPS group, and consolidated-billing confusion denies a bundled ancillary billed separately. The table shows what we correct most often for Aurora facilities.
Short custodial claim
Patient payment miscalculated
Monthly patient-payment reconciliation
Stranded pending days
Medicaid-pending never worked to determination
Pending-to-approval eligibility workflow
Lost dual-eligible balance
Broken Medicare/Medicaid crossover
Coordination-of-benefits follow-up
Voided MA admission
No prior authorization at intake
Benefit verification at admission
Medicare Part A pays a per-diem set by the Patient-Driven Payment Model, Health First Colorado pays a class-based nursing-facility rate net of patient payment, and Medicare Advantage plans pay negotiated rates under their own rules. The table traces an Aurora skilled stay from assessment to payment.
| Payment stage | What sets it | Claim element |
|---|---|---|
| Case-mix | 5-day MDS fixes PT, OT, SLP, Nursing, NTA | HIPPS code on revenue code 0022 |
| Daily rate | Variable adjustment tapers PT/OT past day 20; NTA loads early | Bill type 21X, 837I institutional |
| Benefit window | Qualifying 3-day stay; up to 100 covered days | Days 21-100 carry daily coinsurance |
| Medicaid long-stay | Class-based state per-diem; patient payment | Per-diem net of resident contribution |
| Part B fallback | Off Part A or benefit days exhausted | Bill type 22X, therapy modifiers |
Aurora is Colorado's third-largest city and its most diverse, home to large immigrant and refugee communities and a substantial safety-net census, so its skilled nursing economy leans on Health First Colorado long-term care far more than the affluent metro suburbs do. That fee-for-service Medicaid backbone means the building itself carries the burden of documenting each resident's level of care through the state assessment, calculating patient payment correctly every month, and pushing every Medicaid-pending admission to determination without a managed-plan coordinator to lean on. Layered over that is the Anschutz Medical Campus — the University of Colorado Hospital, the Medical Center of Aurora, and the region's academic specialty care — which feeds a steady, sometimes high-acuity short-stay rehab pipeline governed increasingly by Medicare Advantage authorization. Multilingual eligibility and coverage documentation adds complexity that generalists routinely fumble. A billing company that treats the safety-net long-stay reality as the main event, not an afterthought behind Part A, protects the revenue that keeps Aurora facilities open.
Revenue review
A certified SNF billing specialist reviews your coding, unit counts, authorizations and aged A/R against the payers you actually bill in Aurora, CO — and puts a number on what your current process is leaving on the table.
A SNF specialist will reach out within one business day.
A SNF specialist will reach out within one business day.
Operators here decide to outsource when an in-house office can no longer keep a Medicaid-dominant long-stay census reconciled while also billing short-stay Part A cleanly and chasing Medicare Advantage authorizations from the Anschutz pipeline. As a medical billing services company built specifically for institutional long-term care, 247MBS runs the entire revenue cycle — eligibility verification, MDS and PDPM billing support, denial management, credentialing, and A/R recovery — under one accountable team. Our numbers are the kind a facility can plan around: a 99% first-pass clean-claim rate, up to 40% fewer denials, 90% of worked denials recovered, and days in A/R under 25. A 98% client retention rate reflects two decades of professional, consistent SNF work since 2005. As a billing services company focused on this single institutional domain, we are not a general billing company learning Colorado Medicaid on your dime. Review our reach on the Colorado billing overview, and lean on the national SNF billing hub for the full institutional model.
Our Aurora clients span the city's full institutional range. We bill for long-term custodial nursing homes carrying heavy Health First Colorado patient-pay caseloads, freestanding SNFs balancing short-stay rehab against a Medicaid long-stay backbone, non-profit and faith-based homes serving multilingual neighborhoods, and hospital-adjacent skilled units tied to the Anschutz systems. We also support higher-acuity subacute and ventilator wings managing complex NTA-driven residents, memory-care-heavy buildings, and multi-facility operators standardizing billing across locations. We cover the surrounding area — Denver, Centennial, and Parker — with the same dedicated team and transparent reporting. Our skilled nursing facility billing services in Aurora carry the safety-net long-stay census as reliably as the short-stay Part A book, so staff never have to choose which to chase, and our medical billing for skilled nursing facilities scales from one building to a regional portfolio.
247MBS protects Aurora skilled nursing revenue by running the whole institutional cycle around this city's Medicaid-heavy reality. Our medical billing for skilled nursing in Aurora keeps every Health First Colorado long-stay claim reconciled to the right patient payment while billing short-stay Part A rehab from the Anschutz pipeline cleanly and securing Medicare Advantage authorization before care begins. Because Aurora buildings carry so much safety-net, dual-eligible, and multilingual census, we verify and re-verify coverage at admission rather than after a denial. The result is up to 40% fewer denials, up to 90% of worked denials recovered, and days in A/R held under 25. Request a revenue review and see the difference on your next month-end.
Aurora practices are billed out of the same Colorado desk. Statewide payer detail lives on the Colorado page.
Colorado Skilled Nursing Facility billing — the payer programs, authorities and rules behind every Aurora claim.
Skilled Nursing Facility Billing Services Outsourcing — the codes, unit rules and denials nationally, without the local layer.
Yes. Colorado runs nursing-facility long-term care on fee-for-service Medicaid, so we document level of care through the state assessment, calculate and reconcile patient payment every month, work Medicaid-pending admissions to determination, and coordinate dual-eligibles where Medicare is skilled-primary and Medicaid covers coinsurance and room-and-board.
Short-stay rehab admissions from the University of Colorado Hospital and the Medical Center of Aurora often arrive under MA plans, so we verify benefits at admission, secure prior authorization, track continued-stay reviews, manage NOMNC deadlines, and appeal downgrades so delivered days are paid.
Yes. We are built for complex eligibility and coverage documentation, so we verify and re-verify dual-eligible and Medicaid-pending status carefully rather than letting language or coverage gaps turn into write-offs.
We work to a 24-hour submission standard once documentation clears the pre-bill triple-check, so census, MDS, and eligibility are reconciled before the claim drops rather than after a denial forces rework.
From solo practices to multi-provider groups, we bill Skilled Nursing for Aurora practices with a dedicated account manager, certified coders and a live dashboard — so the units, authorizations and appeals that decide your month stop being the thing nobody has time for.
Prefer email? sales@247medicalbillingservices.com