Skilled Nursing Billing Cash Flow
Census-based per-diem revenue across Medicare Part A under PDPM, Medicaid long-term care, and Medicare Advantage sits in utilization review well beyond 30 days.
A full census of daily claims, funded as one batch.
Skilled nursing runs on census-based per-diem revenue, so a building of daily Part A and Medicaid per-diem and Part B therapy claims sits in review at once. Copay purchases the whole eligible batch and pays the next business day.
Today's eligible claims
$0
Turnaround
Next business day
From submitted batch to deposited capital.
Non-recourse
A denied eligible claim is Copay's loss, not yours.
How Copay works for skilled nursing.
Connect once
Connect your billing software in minutes. No IT ticket, no new system for your business office.
Submit your batch
Submit the day's per-diem and therapy claims through your existing software, exactly as you do today.
Get paid
Copay purchases the eligible claims and deposits the capital the next business day, by ACH.
The skilled nursing claims Copay purchases.
Copay prices each claim individually, from the Part A and Medicaid per-diem your census earns to the Part B therapy and ancillary CPTs your residents receive.
Every eligible claim is funded the next business day.
Per-diem reimbursement
Part B therapy and ancillary (CPT)
Your capital scales with your census.
As your census grows and monthly per-diem volume rises, Copay purchases the additional eligible claims at the same next-business-day terms, so cash keeps pace with the residents you care for instead of lagging weeks behind their per-diem.
Per-diem volume by month
FundedSkilled nursing billing, answered.
No. Copay is not a loan, not factoring, and not a merchant cash advance. Copay purchases your eligible skilled nursing claims outright and deposits funds the next business day, with no debt and no repayment schedule.
Skilled nursing runs on census-based per-diem revenue. Medicare Part A pays a case-mix per-diem under the Patient-Driven Payment Model, billed via a HIPPS rate code, and Medicaid pays a long-term-care per-diem for your residents. Copay purchases the eligible per-diem and Part B therapy claims for your full census as one batch and funds them the next business day, instead of letting a building of daily claims sit in review for weeks.
Copay purchases eligible claims billed to the payers skilled nursing facilities depend on, including Medicare Part A, Medicaid long-term care, and Medicare Advantage plans such as Humana and UnitedHealthcare, as well as commercial plans.
Yes. There is no fixed cap. Your capital scales with your census, so when your monthly per-diem volume rises, Copay purchases the additional eligible claims at the same next-business-day terms, and your cash keeps pace with the residents you care for.
Non-recourse means a denied eligible claim is Copay's loss, not yours. If an eligible purchased skilled nursing claim is denied or downcoded after utilization review, Copay absorbs the loss with no clawbacks against your facility.
From submitted claim to funded account.
While insurance takes 30 to 90 days, Copay moves in one.
Step 01 · Submit
You submit your claims as normal
Nothing changes about how your billing team works.
Claim #18473
DOS 02/04/24
Therapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility
Step 02 · Verify & Price
We verify and price in real time
Copay checks payor history and prices the claim at the CPT level.
Underwriting in progress
Step 03 · Approved
Advance approved
Capital is approved and scheduled for next business day deposit.
Advance Approved
$3,000
Net advance
Step 04 · Funded
Capital in your account
While the payor takes 30 to 90 days, you already have your capital.
Your account
$0
Available balance
Copay reconciles automatically when the payor pays. You do nothing.
Get paid on your skilled nursing claims the next business day.
Copay purchases your eligible skilled nursing claims. No loans, no personal guarantee, no workflow change.