Private Pay & Resident Billing
Professional, compassionate resident and family billing — with clear itemized statements, payment plan coordination, and seamless Medicaid pending management.
Our Services
Additional Details
Tell us about your facility’s private pay billing challenges or resident statement needs.
Resident Billing That Reflects Your Facility's Professional Standard
Private pay and resident billing is the most visible part of your revenue cycle — it is the statement a family receives every month and the conversation your business office has when a balance is overdue. Poorly handled billing creates confusion, damages family trust, and turns avoidable collection issues into long-term A/R problems. Handled well, it reinforces your facility’s professionalism and keeps your private pay revenue flowing without conflict.
LTC Billing manages the complete private pay and resident billing workflow — from monthly statement generation through payment plan coordination, Medicaid spend-down tracking, and private collections — so your business office can focus on the relationships that matter most to your residents and their families.
What’s Included
Monthly Resident Statement Generation
We produce clear, professionally formatted monthly statements for every private pay and co-pay resident — itemized by service, easy for families to understand, and delivered on a consistent schedule every billing cycle.
Payment Plan Coordination
When a family needs a structured payment arrangement, we set up and manage the plan — tracking payments, sending reminders, and escalating to collections only when all reasonable options have been exhausted.
Medicaid Pending & Spend-Down Tracking
We track every resident on Medicaid pending status — monitoring application progress, calculating spend-down requirements, bridging private pay periods, and transitioning billing seamlessly when Medicaid activates.
Room & Board and Ancillary Charge Management
We manage and reconcile all room and board charges, ancillary service charges, and personal needs account activity — ensuring every billable item is captured accurately and reflected on each resident's statement.
Private Pay Collections & Family Communication
Overdue balances are pursued through a professional, structured collections process — with written notices, phone follow-up, and escalation to collection agencies when necessary — while maintaining respectful family relationships.
Our Process
01
Resident Census & Charge Setup
We configure each resident’s billing profile including payer source, room and board rates, and ancillary charge codes.
02
Monthly Statement Generation
Clear, itemized statements are generated and delivered to residents and responsible parties every billing cycle.
03
Payment Tracking & Plan Management
Payments are posted daily and any overdue balances trigger a structured follow-up and payment plan process.
04
Medicaid Transition & Collections
Pending Medicaid residents are tracked through activation and unresolved private balances are escalated to collections.
Why Professional Resident Billing Matters for Your Facility
Private pay residents typically generate your highest per-diem revenue — and the quality of their billing experience directly affects your facility’s reputation with families. A confusing statement, an unexplained charge, or an inconsistent billing cycle creates distrust and drives complaint calls to your business office. Handled professionally, resident billing reinforces confidence in your facility’s operations and reduces the friction that leads to late payments and collection disputes.
The Medicaid pending population presents a unique billing challenge that most facilities manage poorly. When a resident is awaiting Medicaid approval, billing transitions from private pay to Medicaid mid-month — sometimes retroactively — creating gaps, duplicate charges, and reconciliation issues that take months to untangle. LTC Billing tracks every pending resident’s application status, calculates the exact transition date, and handles the billing change seamlessly so your facility never loses a day of reimbursement during the conversion.