Skilled Nursing Billing for Texas Facilities

The decision to outsource skilled nursing billing in Texas usually comes down to scale: STAR+PLUS spans multiple managed care organizations across enormous service areas, and a multi-facility operator can be filing against half a dozen plans while also chasing one of the country's largest Medicare Advantage populations. Keeping that in-house means a deep billing bench most operators would rather not carry. As a medical billing services company built for institutional long-term care, 247MBS runs the whole revenue cycle — eligibility and benefit verification, MDS and PDPM billing support, denial management, credentialing, and A/R recovery — under one accountable team. Our metrics are dependable: a 99% first-pass clean-claim rate, up to 40% fewer denials, 90% of worked denials recovered, and days in A/R under 25, backed by a 98% client retention rate across two decades of professional SNF work. We are not a general billing company learning STAR+PLUS as we go; we are a billing services company that already knows how the program's managed care organizations administer nursing-facility add-on payments, applied income, and level-of-care. See how our statewide footprint works on the Texas billing overview. Outsourcing here means one team absorbing STAR+PLUS complexity at Texas scale instead of your business office trying to staff for it.

Traditional Medicare Part A pays a per-diem built from five case-mix components scored on the MDS, Texas Medicaid pays a STAR+PLUS managed rate — including the nursing-facility add-on — through the resident's MCO net of applied income, and Medicare Advantage plans pay negotiated rates around their own authorization rules. The table shows how a Texas skilled stay becomes a paid institutional claim.

We bill for the full range of Texas skilled nursing operators — large national and regional multi-facility SNF chains across Houston, Dallas, and San Antonio, freestanding for-profit buildings in Austin and Fort Worth, non-profit and faith-based nursing homes, hospital-based SNF units tied to systems like Methodist, Baylor Scott & White, and Texas Health Resources, short-stay rehab-to-home facilities cycling census quickly, and long-term custodial nursing homes carrying heavy STAR+PLUS liability. We also support memory-care-heavy buildings, CCRC and life-plan communities with skilled beds, county and municipal nursing facilities, small rural SNFs across the vast interior, and higher-acuity ventilator and subacute units managing complex NTA-driven residents. Whether you run one building in El Paso or a hundred across the state, our skilled nursing facility billing services in Texas scale to your census, payer mix, and MDS schedule without adding headcount to your business office.