Consolidated Billing Services, Inc.

Long-term care providers operate under relentless financial and regulatory pressure. Consolidated Billing Services, Inc. (CBSI) was built specifically to address that pressure. Based in Spokane, Washington and serving facilities across the United States, CBSI gives skilled nursing facilities, home health agencies, and other long-term care organizations a dedicated outsourcing partner for medical billing, revenue cycle management, compliance, and clinical financial services. CBSI's core work is getting long-term care providers paid correctly and on time. The company handles Medicare and Medicaid billing, including SNF Consolidated Billing, one of the more complex billing environments in healthcare. In 2005, CBSI launched snfcb.com, a dedicated online tool where more than 3,600 providers subscribe to navigate bundled SNF payment rules and Medicare allowable amounts. Beyond billing, the team conducts comprehensive organizational audits that review policies, practices, and procedures, then delivers written reports with concrete improvement recommendations. CBSI also designs and implements OIG compliance programs to help facilities reduce regulatory exposure, screen employees, and build internal controls around billing integrity. The company's focus is intentionally narrow. CBSI works exclusively with Medicare and Medicaid certified facilities that care for the elderly, including skilled nursing facilities and home health agencies. These clients need more than a billing clearinghouse. They need guidance on survey outcomes, quality metrics, cost reporting, and for Washington State operators, the Certificate of Need application process. CBSI coordinates and writes CON applications and guides organizations through public comment and screening from start to finish. CBSI's back office services extend into education and training. The team offers half-day and full-day seminars, webinars, and customized one-on-one sessions covering billing and compliance topics. The company also compiles quality and financial benchmarking reports so clients can measure their facilities against industry peers and identify competitive gaps. This combination of outsourced billing, back-office processing, data analysis, and consulting positions CBSI as a healthcare BPO company that USA-based long-term care operators can treat as an extension of their own finance and compliance departments. Founded in April 1998 by Bill Ulrich, CBSI has spent more than two decades building deep expertise in long-term care finance and regulation. If your facility needs stronger cash flow, tighter compliance, or a clearer picture of its financial health, reach out to the CBSI team to explore what a working partnership looks like.