Revenue leak
Wrong PDPM group
Root cause in Memphis
Late or inaccurate 5-day MDS
How 247MBS closes it
Pre-bill triple-check on every Part A claim
Skilled Nursing billing · Memphis, TN
Skilled Nursing Billing Services in Memphis, Tennessee
Skilled nursing billing services in Memphis have to master a high-TennCare urban caseload that also reaches across the Mississippi and Arkansas lines, and running that institutional revenue cycle is the work 247 Medical Billing Services (247MBS) has done since 2005. From safety-net-adjacent nursing homes to hospital-based skilled units tied to the city's major systems, we give every facility a dedicated account manager, a free 360° reporting dashboard, and full HIPAA plus SOC 2 Type II security.
HIPAACompliant
SOC 2Type II
Serving Since2005
Specialty-FocusedRCM
We bill Skilled Nursing for Memphis practices
Part A Stays
Part B Therapy
PDPM
Consolidated Billing
Medicare Advantage
And More
Why Memphis Nursing Homes Outsource SNF Billing to 247MBS
The decision to outsource skilled nursing billing in Memphis usually comes down to one question: can a lean business office reconcile three TennCare CHOICES managed plans, coordinate tri-state eligibility, and still tie every Part A claim to a clean, timely MDS? For most operators here the honest answer is no, and the gap shows up as aged long-term-care balances and denied skilled days. As a specialized medical billing services company, 247MBS runs the entire institutional revenue cycle — eligibility verification, MDS and PDPM billing support, denial management, A/R recovery, and credentialing — 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 held under 25. A 98% client retention rate reflects two decades of professional SNF work. As a billing services company built specifically for institutional long-term care, we are not a general billing company learning PDPM on your dime. Review our statewide reach on the Tennessee billing overview.
Why Memphis Skilled Nursing Facilities Bill Differently
Memphis anchors a tri-state metro, and its nursing homes routinely admit residents who live across the line in West Memphis, Arkansas or in DeSoto County, Mississippi. That reach complicates eligibility on day one, because a resident may carry Tennessee Medicare with an out-of-state address or a dual-eligible profile whose Medicaid sits in a different state program than the facility expects. Inside Tennessee, long-term care runs through TennCare CHOICES, a managed long-term services and supports program delivered by BlueCare, Amerigroup, and UnitedHealthcare rather than through fee-for-service Medicaid. Each of those plans sets its own level-of-care determination, patient-liability calculation, and pending-approval rhythm, so a Memphis building is reconciling three managed playbooks before a single custodial dollar is billed. Add a heavy TennCare-eligible population and rising Medicare Advantage penetration, and the difference between a facility that collects what it earns and one that writes off good days comes down to whether its billing team actually knows the local plan landscape.
How a Skilled Nursing Claim Gets Paid in Memphis
Under the Patient-Driven Payment Model, Medicare Part A pays a daily rate assembled from five case-mix components captured on the MDS, while TennCare CHOICES plans pay managed long-term-care rates around their own review rules. The table shows how a Memphis Part A stay becomes a paid institutional claim.
| Payment layer | What drives it | Claim element |
|---|---|---|
| Case-mix rate | PT, OT, SLP, Nursing, NTA from the 5-day MDS | HIPPS on revenue code 0022 |
| Per-diem taper | Variable adjustment after day 20; NTA front-loaded | Bill type 21X on the UB-04/837I |
| Benefit period | Qualifying 3-day inpatient stay; up to 100 days | Days 1-20 full, 21-100 coinsurance |
| CHOICES long stay | Managed level-of-care and patient-liability | Plan-specific authorization on the claim |
| SNF Part B | Residents off Part A or exhausted days | Bill type 22X, therapy modifiers GP/GO/GN |
Revenue review
Put a dollar figure on what your SNF claims are leaving behind.
A certified SNF billing specialist reviews your coding, unit counts, authorizations and aged A/R against the payers you actually bill in Memphis, TN — and puts a number on what your current process is leaving on the table.
- MDS assessment schedule tied to the component rates actually billed
- Consolidated-billing exclusions separated before the claim goes out
- Benefit days and the qualifying stay verified for every admission
HIPAA & SOC 2
Back to you within one business day
No long-term lock-in
Request a Revenue Review
Tell us about your practice.
A SNF specialist will reach out within one business day.
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A SNF specialist will reach out within one business day.
Where Memphis Facilities Lose Skilled Nursing Revenue
Most write-offs in this market cluster around the managed-care and border realities the city creates. A late or thin 5-day MDS pushes the Part A stay into the wrong case-mix group. Tri-state eligibility confusion strands claims when an Arkansas or Mississippi dual-eligible is billed against the wrong Medicaid program. And the CHOICES handoff, when a resident drops from skilled Medicare into managed long-term care, is where coinsurance and patient-liability balances quietly age out.
Revenue leak
Tri-state eligibility error
Root cause in Memphis
AR/MS resident or plan mismatch
How 247MBS closes it
Cross-state eligibility verification at admission
Revenue leak
Aged CHOICES balances
Root cause in Memphis
Patient-liability or pending gaps
How 247MBS closes it
Plan-specific long-term-care follow-up
Revenue leak
Denied MA stay
Root cause in Memphis
No prior auth or lapsed continued-stay review
How 247MBS closes it
Authorization tracking from admission forward
Who We Serve Across Memphis
We bill for the full spectrum of skilled nursing operators in and around Memphis, from freestanding for-profit SNFs and multi-facility regional chains to hospital-based skilled units attached to the city's larger systems. Our clients include long-term custodial nursing homes carrying heavy TennCare CHOICES caseloads, short-stay rehab-to-home facilities turning census against a busy post-acute referral flow, memory-care-heavy homes, and higher-acuity subacute units managing complex NTA-driven residents. We support facilities throughout Shelby County and the tri-state footprint — Bartlett, Germantown, Collierville, and across the lines into Southaven and West Memphis — under one dedicated-team model, so a single building gets the same rigor a large operator buys.
Medical Billing for Skilled Nursing in Memphis
Medical billing for skilled nursing in Memphis has to survive a tri-state caseload, and 247MBS is built to keep every earned dollar inside the building. We run the full Medicare Part A SNF PPS cycle — MDS-driven case-mix, consolidated billing, and three-day qualifying-stay verification — while coordinating eligibility across Shelby County and the Arkansas and Mississippi lines so dual-eligible residents never strand a claim. On the long-stay side we reconcile TennCare CHOICES room-and-board, bed-hold, and patient-liability balances across BlueCare, Amerigroup, and UnitedHealthcare, and we chase prior authorization on rising Medicare Advantage stays before a delivered week goes unpaid. The result is a 99% first-pass clean-claim rate with days in A/R under 25. Request a revenue review to see the difference.
Choosing a Skilled Nursing Billing Services Provider in Memphis
Skilled Nursing billing across Tennessee
Memphis practices are billed out of the same Tennessee desk. Statewide payer detail lives on the Tennessee page.
Statewide
Skilled Nursing Facility billing in Tennessee — the payer programs, authorities and rules behind every Memphis claim.
Specialty hub
Skilled Nursing Facility Billing Services — the codes, unit rules and denials nationally, without the local layer.
Frequently Asked Questions
CHOICES is delivered through BlueCare, Amerigroup, and UnitedHealthcare, each with its own level-of-care and patient-liability rules. We manage liability calculations, Medicaid-pending admissions, and the skilled-to-custodial handoff so long-stay balances get collected rather than aged.
Yes. Memphis draws residents from across the tri-state line. We verify Medicare and the correct state Medicaid program at admission, coordinate dual-eligible coverage, and prevent the claim-routing errors that strand revenue when a resident's address and plan sit in different states.
Before any Part A claim drops, we reconcile the MDS, therapy and nursing documentation, physician orders, and census and eligibility. This pre-bill triple-check catches HIPPS and consolidated-billing errors while they are still fixable, the single biggest safeguard against SNF denials.
From a single freestanding SNF to a regional chain, we run the same dedicated-team model across every building, giving small facilities senior attention and larger operators consistent processes across all locations and plans.
PDPM components·MDS schedule·consolidated billing·benefit days
Ready to get more Memphis claims paid on the first pass?
From solo practices to multi-provider groups, we bill Skilled Nursing for Memphis 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