Exciting News: Nursing Home Billing Solutions has joined the Infinium Healthcare family — same trusted team, expanded capabilities. Learn More →
Now Part of the Infinium Healthcare Family

Skilled Nursing Billing &
Accounts Receivable Management

Better Solutions, Greater Results. Customized A/R, MDS, LTCMI, and business office support for skilled nursing facilities across California and Texas — now with expanded capabilities through our partnership with Infinium Healthcare.

Partnership Update

NHBS is proud to join Infinium Healthcare, Inc. — a nationally recognized healthcare advisory firm. Your team, contacts, and services remain unchanged. This partnership simply expands what we can offer you.

Empowered by Infinium Healthcare Learn More →
Expert AR Management
Collect more. Write off less. Sustain results.
Dedicated SNF Specialists
Decades of skilled nursing experience on your side.
Transparent Reporting
Full visibility into every dollar, every step.
What We Do

Skilled Nursing Billing & A/R Services

A full suite of skilled nursing billing and A/R services, each with the same end goal for every skilled nursing facility we serve: collect more, write off less, and sustain those results.

01

Revenue Cycle Management

The whole cycle under one team — verification, authorizations, triple check, claims, payment posting, denials, A/R follow-up, and month-end close. Take all of it or just the stage that is breaking.

Explore Revenue Cycle Management
02

Full Cycle Billing & Collections

While getting your current billing done accurately and on time, we simultaneously work to collect your overdue balances — ensuring you never miss a dollar.

Request a Billing Consultation
03

MDS Consulting

Chart review, Section GG and ADL validation, PDPM component analysis, ARD scheduling, and coordinator training — so the assessment supports the rate before it becomes a denial.

Explore MDS Consulting
04

Texas LTCMI

Forms 3618 and 3619, LTCMI submission on the TMHP LTC Online Portal, medical necessity follow-up, and rejection resolution for Texas nursing facilities.

Explore Texas LTCMI Services
05

Aging A/R Cleanup

Bucket-by-bucket triage of 90, 120, and 180+ day balances. We work the backlog inside timely filing while your staff keeps current billing on schedule.

Explore Aging A/R Cleanup
06

PBJ Reporting

Quarterly CMS staffing submissions — job code mapping, agency hours, CASPER validation, and confirmed filing before the 45-day deadline.

Explore PBJ Reporting
07

Business Office Services

Direct coverage of business office duties, or consultative support — training, procedure development, and Medicaid application assistance. A well-run business office is key to cash flow.

Request Business Office Support
+

Enhanced by Infinium

Through our Infinium Healthcare partnership, clients now gain access to compliance advisory, financial reporting, medical records consulting, and physician billing services.

See All Infinium Capabilities
Empowered by Infinium Healthcare
Through Our Partnership

Expanded Capabilities, Same Trusted Team

In addition to NHBS's proven core services, clients now have access to the full Infinium Healthcare platform at no added disruption to day-to-day operations.

Every capability above is delivered by Infinium Healthcare — your NHBS team and contacts stay exactly the same.

Who We Are

Our Mission & Values

Everything we do is anchored in two simple commitments to the facilities we serve.

Our Mission

To support Skilled Nursing Facilities in their mission to provide the best possible care for the elderly and disabled — by providing services that improve and maintain better cash flow.

Our Values

To conduct business in a professional and ethical manner, using best practices for our industry, to be transparent with our clients, and provide excellent service at a cost-effective price.

Client Testimonials

What People Are Saying…

Paula and her team were extremely effective in researching and billing at a time when our staffing was down. They maximized our collections and helped keep a consistent cash flow over multiple months. The work was done accurately and efficiently. Communication was excellent and we were provided with numerous updates and reports showing the work completed on both the billing and collections sides.

Sara M.
Cantex Continuing Care Network

Paula established effective procedures for the Corporate Finance Department and facility Business Offices. Under Paula's management, our company was able to effectively maintain an overall Days in Receivable of 30 or less and private bad debt under 1%.

Shane L.
Foursquare Healthcare

Rehab Living is utilizing the Nursing Home Billing Solutions team for a variety of services — Business Office training, fine tuning of procedures, AR Aging collections/cleanup, as well as assistance with Medicaid applications. This team is extremely helpful in working through problems and finding the most effective solution.

Helen M., Administrator
Rehab Living at the Meadows

You have been amazing and I cannot recommend you all enough.

Paul Garate Quiroz
Fox Hollow Post Acute
Proud Members Of
LeadingAge TexasAHCA/NCALHFMA
Memberships & Industry Resources →
Our Team

Over 165 years of combined healthcare and skilled nursing experience.

Executive leadership, A/R management, clinical reimbursement, MDS and LTCMI, and business office operations — ready to become an extension of your team.

Meet the Team →
Serving Skilled Nursing Facilities Across California & Texas
Customized Solutions. Real Results. No Long-Term Contracts.

Ready to Improve Your Skilled Nursing Billing?

Contact us today for a free consultation and analysis — completely no obligation.