The Most Comprehensive Back Office Solution in Long-Term Care

Back Office and Growth Advisory Services for Long-Term Care Operators

Partnering with LTC Ally means having peace of mind knowing trusted professionals are overseeing your LTC operation’s business functions. From collections to contracts, change of ownership to financial management, we have the expertise and personnel to handle any volume with great care, all under one roof. Make fewer calls and see more results.

Since 2006, our experts have been improving back office processes and financial outcomes for the long-term care industry.

How We Tailor Our Services

We provide a full suite of services that align with the strategic financial initiatives of long-term care operators. Our services can address your every need, from amplifying a facility’s collections revenue to functioning as your outsourced financial controller. Simplify your operations without compromising your financial success.

Back Office Solutions

LTC Ally’s renowned revenue cycle management services maximize collections and streamline billing while our case management and authorizations services ensure facilities can deliver the highest quality of care and patient experience.

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More Together

Growth Advisory Services

LTC Ally helps multi-facility operators expand by evaluating acquisition opportunities and accelerating the licensing and credentialing timeline. We provide accurate valuations and localized insights that move facilities from purchased to operational as quickly as possible.

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Explore our comprehensive suite of financial solutions

Revenue Cycle Management

Partnering with LTC Ally gives you access to a wealth of experience in revenue cycle management. Our proven experts in accounts receivable and collections become an extension of your facilities, securing your bottom line and improving revenue flow.

We track every claim, fight every denial, and keep a keen eye on authorizations so you know you’re rightfully reimbursed for every step in a resident’s care journey.

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Accounts Receivables + Billing

Our committed account managers leverage automation and strong relationships with facility leaders to track patient eligibility across insurers and shape precise account reviews. State after state, we’ve proven our expertise in accounts receivable and billing, resulting in facilities seeing an average cash flow increase of 15% within their first 6 months.

Outsourcing your Medicare, Medicaid, and Managed Care billing frees up resources to streamline the essential functions of your long-term care and skilled nursing facilities.

Census management and eligibility verification
  • Medicare, Medicaid, Managed Care
  • Private/income
Comprehensive Reporting
  • Census + revenue trends
  • Percentage collection
  • Monthly AR reporting
Short-term / Long-term resident tracking
  • Ensuring all residents have a proper payer source and resident authorizations are up to date
  • Planning future payer sources for long term stays
Medicaid pending oversight and tracking
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Keeping up with this month’s billing is critical to every LTC facility’s smooth operation. Our dedicated collections group identifies pitfalls in billing practices and works diligently to recoup aged accounts, converting outstanding receivables into maximized cash flow. Few others have this acumen.

Undertaking and recouping outstanding SNF, Medicaid, Medicare, and HMO accounts receivable
Complete aging analysis to determine areas of weakness and propose solutions
Identification of current billing issues
Collection analysis
Monthly status reports

Quickly take control of your facility’s income by deploying LTC Ally’s exceptional collections team, one of the fastest ways to increase cash flow.

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Financial Controllership

Our CPA-led finance team meshes seamlessly with organizations of any size, from family-run facilities to large, regional portfolios. Each client is assigned a dedicated group to provide complete financial controllership and precise oversight. This structure ensures accountability and enhances transparency by cultivating a deep understanding of the unique financial picture of every entity.

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Accounts Payable

The larger the operator, the greater the need for payables expertise. LTC Ally’s robust AP approval process analyzes each invoice to ensure accuracy and approval through one streamlined workflow. LTC Ally’s professional team is the sole point of contact for all vendors and processes payables to clients’ specifications. Our critical expense tracking process guarantees that no vital utilities or critical vendor payments are missed.

Implementation of automated workflow
Regular invoice reviews
Month-end close to ensure accuracy and completeness
Managing vendor collection calls & payments
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Our process shines a light on your accounts payable, saving operators money and improving transparency by identifying irregularities.

Cash Management

LTC Ally’s cash management service simplifies the complexities of day-to-day treasury oversight. We perform daily evaluations of the unique cash position of your facility and optimize the management of your cash outflows so payments are made on time. Our experts prepare detailed borrowing base certificates, communicate draw requests to lenders, and coordinate bank transactions and treasury functions. Partner with a trusted team with established relationships to handle your cash management functions.

Daily evaluation of book balances
Cash flow projections
Continuous bank account reconciliation
Check run review and processing
Targeted oversight of critical accounts to ensure payment
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Financial Reporting

Multi-facility financial management has never been more convenient or cost-effective. Using our refined workflows, LTC Ally experts analyze financial data from multiple angles to ensure its accuracy during the month-end review process while constantly monitoring for bank covenant compliance. Our partners enjoy greater peace of mind knowing their financials are represented with care and precision while adhering to all deadlines.

Complete multi-facility financial management
Audit-ready monthly financial statements
Monitor and track compliance with bank partners
Customized financial statements
Assessment and use tax filing
Audit and bank exam coordination
Consolidated financial reports
Medicare and Medicaid cost report coordination
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Ancillary Review

Ancillary invoices are one of the greatest costs for a facility and have the highest potential for billing errors. Our specialists review every invoice for accuracy and consistency and continuously analyze contracts, PPD costs, and medication spend. Significantly lower ancillary expenses and invest in your growth with LTC Ally.

Review of all ancillary invoices for payer source and census accuracy
Coordinate credit requests with vendors
Vendor contract analysis and consulting
Consolidated billing appraisal
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Case Management + Authorizations

LTC Ally’s clinical case managers become extensions of facility staff to ensure expected patient outcomes are met. Working daily with care providers and insurers, we diligently review clinical notes and contracts to achieve the best levels of care from admission to discharge.

Full case management for all insurer types:
Compilation of all clinical and treatment records, submitted on time for extensions
Daily review of census activity for tracking authorizations that are due
Clinical evaluation of patient needs, advocating for accurate length of stay
Advising on insurer limits and requesting carveouts for maximized reimbursement
Weekly meetings with clinical team members to assess patient progress
Coordinating discharge and long-term stay conversions
Appeals on denials
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Managed Care Software + Support

We run the gamut when it comes to managed care. Clients can stay ahead of the curve with secure access to track contract activity and authorization approvals through our online portal and app. All insurer correspondences are managed from one single source.

All insurer policy changes or amendments reviewed with alerts sent to applicable staff
Timely processing of contract recredentialing and renewals
Secure online portal and app for marketing and admissions
All contract details and criteria clearly organized for BOM and Therapist access
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Payroll Services

Simplify matters while ensuring accuracy and compliance when you consolidate payroll management with LTC Ally. Our professional and courteous payroll specialists use best practices to make sure employees are being accurately compensated on time, freeing up facility management to focus on what they do best. Creating efficient workplaces and organized teams.

Processing of complex pay calculations
Time and attendance tracking and verification
Child support, garnishment, and agency management
Accruals guidance and oversight
Full tax compliance management
Integration with HR and finance teams
Payroll reporting
Dedicated support team
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Change of Ownership (CHOW) Services

LTC Ally helps operators draw down on legal expenses by taking over every step of the change of ownership process and leveraging our relationships with government offices and regulators, state-by-state. At LTC Ally, we deliver an effortless CHOW experience.

Facility licensure expediting for SNF, ALF, Substance Abuse, Behavioral / Mental Health facilities
Medicare and Medicaid provider enrollments
Business entity setup and bank account setup
Policy and procedure creation
Part B provider enrollments
Compliance package & materials
Guidance through zoning and inspections process
Ongoing assistance with maintaining all licensing and credentialing needs
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Managed Care Contracts

For years, operators have relied on us to assist with their managed care contracts. Our contracting specialists open closed doors to negotiate the best terms and reimbursement rates in the industry. We leverage our national contracts and market-rate database to advocate for you and secure competitive, profitable contracts that also benefit your residents on their care journey.

Evaluation and audit of existing contract terms and rates
Extensive research and discovery to create powerful proposals for each insurer
Complete contract execution, from credentialing through final negotiation
Training admissions and AR staff on admitting and billing for each payer type prior to contract approval
Clear reporting to guide admissions staff and business office throughout the contracting process and once in-network
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Financial Advisory

LTC Ally’s Financial Advisory Services give operators access to an unrivaled full-service acquisition underwriting team. We tailor our teams of highly qualified CPAs with extensive healthcare experience to the specific needs of your facility or portfolio, providing merger and acquisition (M&A) support and financial underwriting. For REITs and landlords, we deliver industry-leading due diligence and asset management services.

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Acquisitions + Underwriting

Our CPA-led teams of financial advisors deliver peace of mind to prospective lenders and investors with expert guidance, accurate valuations/projections, and better outcomes. Informed by historical seller data and local analytics, our specialists identify risks and opportunities that guide acquisitions to quick resolution with unmatched professionalism and care.

Hands-on guidance through the entire acquisition process
Preparation of underwriting packet, including projection worksheet, staffing models, and cash flow projections
Local market analysis with real-time benchmarks
Preparation of investor summary presentation packet
Valuation of receivables
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Asset Management

For REITs and landlords seeking oversight and management of their facilities’ financial health, our trusted advisors and accountants have unparalleled industry experience. Get greater insight into how your investments are performing with our full suite of bookkeeping services, and a better night’s sleep knowing every tenant’s performance is being diligently tracked and kept compliant.

Full suite of property company bookkeeping services
Systematic tracking of tenant financial health
Consistent and consolidated financial KPI reporting
Covenant compliance tracking
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