How does SeniorCRE close the period without two weeks of reconciliations?
Period close, AR aging, triple-check, payer reimbursement, denial recovery, bed-hold/LOA billing, rate setting, cash forecast — the work behind defensible margins on one ledger.
Detail
Census, charges, payroll, and AR all post to the same ledger in real time. A close checklist drives the period: bank reconciliations, payer accruals, intercompany eliminations, and variance review each have an owner and a deadline. Variance thresholds flag any GL account that moves more than expected versus prior period or budget. Close packages — trial balance, P&L by community, AR aging, and management commentary — generate from the same source rather than being reassembled in Excel.
Triple-check runs from one screen. Each claim in the upcoming bill cycle shows the supporting MDS (with lock status and ARD), the HIPPS code with PDPM component breakdown, the physician certification and recertification, the orders on file, the eligibility verification result, and the documented therapy minutes. Exceptions surface as actionable tasks — missing recert, expired auth, eligibility-and-billing mismatch — owned by name before the meeting starts. The meeting becomes review, not discovery.
AR aging is computed nightly per resident, per payer, and per community. Aged balances trigger collection tasks routed by owner — front-office for private-pay, billing for Medicare and managed Medicaid, and operations for self-pay disputes. Every collection touchpoint logs on the resident record. Statements, payment plans, and writeoffs flow through one approval workflow with full audit trail.
Every UB-04 claim has an expected reimbursement computed at submission from the HIPPS code, length of stay, and contracted rate. When the 835 arrives, the actual is matched line-by-line against expected. Variances above tolerance — by HIPPS, by payer, by plan — queue for appeal with supporting documentation already attached. Trend reporting shows underpayment patterns by payer plan and by month.
Every denial is captured at posting with reason code (CARC/RARC), payer, amount, and aging. A denial worklist routes by reason — clinical denials to the MDS coordinator, eligibility denials to admissions, coding denials to HIM. Each denial carries a timer against the payer\u2019s rework deadline. Root-cause categorization drives upstream fixes so the same denial does not recur.
Outcomes it supports
- Period close
- 8–12 day close → 4–6 day close
- Triple check
- 90 min meeting → 30 min; higher clean-claim rate
- AR > 90 days
- −20–35% in two quarters (payer-mix dependent)
- Payer reconciliation
- +0.5–2% net Medicare/MA revenue recovered
- Denial management
- Overturn 35–45% → 60–70%
Key points
- Excel month-end checklist
- Manual journal-entry packets
Key points
- Sage Intacct
- NetSuite
- QuickBooks
- MatrixCare Financials
- Yardi Voyager
https://seniorcre.com/workflows/financial