Where revenue leaks
Denied MA stay
Root cause in Tempe
Prior auth missed or continued-stay review lapses
Control 247MBS applies
Authorization tracking from admission to discharge
Skilled Nursing billing · Tempe, AZ
Skilled Nursing Billing Services in Tempe, Arizona
Skilled nursing billing services in Tempe fit a dense, land-locked college city where hospital-based skilled units, freestanding SNFs, and an aging urban core sit alongside Arizona's signature Medicare Advantage penetration and ALTCS long-term care — the institutional revenue cycle 247 Medical Billing Services (247MBS) has managed since 2005. Every Tempe facility we serve is paired with a dedicated account manager, a free 360° reporting dashboard, and full HIPAA plus SOC 2 Type II protection.
HIPAACompliant
SOC 2Type II
Serving Since2005
Specialty-FocusedRCM
We bill Skilled Nursing for Tempe practices
Part A Stays
Part B Therapy
PDPM
Consolidated Billing
Medicare Advantage
And More
What Makes Tempe Skilled Nursing Billing Different
Tempe is unusual for the Valley: a fully built-out, land-locked city where ASU shapes the culture but a long-tenured older population still fills the skilled nursing beds. That geography pushes the market toward two facility models — hospital-based skilled units tied to systems like Tempe St. Luke's and the nearby Banner Desert campus, and freestanding SNFs squeezed into an urban footprint. Both feel Arizona's payer reality acutely. Medicare Advantage penetration across Maricopa County is among the deepest in the nation, so a large share of Tempe admissions arrive on a managed plan that demands prior authorization before the first covered day, concurrent continued-stay review through the stay, and a clean NOMNC when the plan ends the benefit. Hospital-based units add a second wrinkle: the interplay between the acute stay and the SNF benefit has to be sequenced correctly so the qualifying 3-day stay and PDPM per-diem line up. Under all of it, ALTCS — the Arizona Long Term Care System, run through AHCCCS contractors — funds the long-stay custodial population with its own share-of-cost and level-of-care rules. Billing Tempe well means moving between those models without losing the MDS-to-claim thread.
How a Skilled Nursing Claim Gets Paid in Tempe
Under the Patient-Driven Payment Model, Medicare Part A pays a per-diem built from five case-mix components, each fixed on the MDS and carried onto the institutional claim. The table below follows a Tempe Part A stay from assessment to payment.
| Billing phase | What determines the rate | Claim reference point |
|---|---|---|
| MDS scoring | PT, OT, SLP, Nursing, NTA set by the 5-day assessment | HIPPS on revenue code 0022 |
| Per-diem | Variable adjustment tapers PT/OT after day 20; NTA front-loads | Bill type 21X on the UB-04/837I |
| Benefit window | Qualifying 3-day hospital stay; up to 100 covered days | Days 21-100 carry daily coinsurance |
| Part B fallback | Residents off Part A or with days exhausted | Bill type 22X, therapy modifiers GP/GO/GN |
| Consolidated billing | Bundled ancillaries versus separately billable services | Occurrence and value codes on the claim |
Where Tempe Nursing Homes Lose Revenue
Between hospital-based sequencing and a heavy managed-plan mix, the leaks in Tempe cluster around authorization and assessment timing. The table shows the failures we see most and the control that stops each one.
Where revenue leaks
Wrong PDPM group
Root cause in Tempe
Late or inaccurate 5-day MDS
Control 247MBS applies
Pre-bill triple-check on every Part A claim
Where revenue leaks
Qualifying-stay denial
Root cause in Tempe
3-day inpatient stay not documented or mis-sequenced
Control 247MBS applies
Admission and benefit verification at intake
Where revenue leaks
Aged ALTCS balances
Root cause in Tempe
Share-of-cost or level-of-care documentation gaps
Control 247MBS applies
Contractor-specific long-term-care follow-up
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 Tempe, AZ — 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.
Thanks — we’ve got it.
A SNF specialist will reach out within one business day.
SNF Billing Services in Tempe for Every Facility
Our Tempe clients span the city's two-model market. We bill for hospital-based skilled units managing the acute-to-SNF handoff, freestanding for-profit and non-profit SNFs competing in a tight urban footprint, short-stay rehab-to-home buildings, and long-term custodial nursing homes carrying ALTCS caseloads. We also support higher-acuity subacute units where NTA-driven residents make accurate MDS coding especially valuable, and smaller buildings that need senior payer expertise without a large in-house department. We serve facilities across the central Valley — from Tempe out to Mesa, Chandler, and south Scottsdale — with the same dedicated-team model, so a single building receives the rigor a regional operator would buy across a portfolio. Medical billing for skilled nursing facilities in Tempe, delivered by a team fluent in Arizona's payers, keeps more of your earned revenue inside the building.
Why Tempe Facilities Outsource Skilled Nursing Billing to 247MBS
Facilities choose to outsource skilled nursing billing when the business office can no longer hold the MDS schedule, the MA authorization queue, and the ALTCS long-stay balances together — and in a mixed hospital-based and freestanding market like Tempe, that happens fast. As an experienced medical billing services company, 247MBS runs the complete institutional revenue cycle — eligibility verification, MDS and PDPM billing support, denial management, credentialing, and A/R recovery — behind one accountable team. Our performance is built to be planned 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 the professional, consistent work we have delivered since 2005. As a billing services company focused on institutional long-term care, we are not a general billing company learning PDPM at your expense — see the full model on the national SNF billing hub, and how our footprint works statewide on the Arizona billing overview.
Medical Billing for Skilled Nursing in Tempe
Tempe skilled nursing facilities keep more of what they earn when medical billing for skilled nursing in Tempe is run by a team that already knows Maricopa County's payer mix. 247MBS manages the full institutional cycle for hospital-based skilled units tied to systems like Tempe St. Luke's and for freestanding SNFs across the urban core — verifying each qualifying three-day hospital stay, tying every per-diem claim to a clean MDS assessment, and clearing consolidated-billing edits before submission. With Medicare Advantage penetration among the deepest in the nation, we chase prior authorization and continued-stay review on the front end so covered days convert to paid days. The outcome is a 99% first-pass clean-claim rate and days in A/R held under 25. Request a revenue review and see the gap close.
Choosing a Skilled Nursing Billing Services Provider in Tempe
Skilled Nursing billing across Arizona
Tempe practices are billed out of the same Arizona desk. Statewide payer detail lives on the Arizona page.
Statewide
Skilled Nursing Facility billing services in Arizona — the payer programs, authorities and rules behind every Tempe claim.
Specialty hub
Skilled Nursing Facility Billing Services Outsourcing — the codes, unit rules and denials nationally, without the local layer.
Frequently Asked Questions
Yes. Hospital-based units have to sequence the acute stay and the SNF benefit correctly so the qualifying 3-day stay and PDPM per-diem align. We verify the qualifying stay at intake, tie every Part A claim to a clean MDS, and coordinate the handoff so the transition does not create a denial.
With Maricopa County's high MA penetration, authorization is central to Tempe revenue. We verify benefits at admission, track concurrent continued-stay reviews, flag NOMNC deadlines, and appeal downgrades so delivered days convert into paid days.
Absolutely. ALTCS covers most custodial long-term care in Tempe through AHCCCS managed contractors, so we calculate share-of-cost, document level of care, secure prior authorizations, and coordinate dual-eligibles where Medicare stays skilled-primary and ALTCS covers coinsurance and room-and-board.
From single freestanding SNFs to hospital-based units and multi-facility operators, we scale the same professional, dedicated-team model to your census and payer mix without forcing you to expand the in-house office.
PDPM components·MDS schedule·consolidated billing·benefit days
Ready to get more Tempe claims paid on the first pass?
From solo practices to multi-provider groups, we bill Skilled Nursing for Tempe 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