Consolidated Billing Services
Consolidated Billing Services, founded in 1998 and headquartered in Spokane Valley, WA, provides billing, reimbursement, accounting, compliance, and data analytics services to U.S. long-term care providers, primarily skilled nursing facilities, supported by SaaS platforms SNFCB.com, LTC-Analytics.com, and CBSI University.
- Company typePrivate
- Founded1998
- HeadquartersSpokane, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
What Consolidated Billing Services does
Consolidated Billing Services, Inc. (CBSI) is a privately held, founder-led professional services and SaaS firm headquartered in Spokane Valley, Washington, founded in April 1998 by Bill Ulrich. The company serves Medicare- and Medicaid-certified long-term care providers — primarily skilled nursing facilities (SNFs), with adjacent offerings for home health agencies and hospices — across the United States, with explicit cost report and reimbursement coverage spanning Washington, Oregon, Idaho, Arizona, Alaska, New Mexico, Colorado, and California. CBSI's core services include Revenue Cycle Management (Medicare Part A/B, Medicaid, Managed Care, private and third-party billing), Reimbursement Services (Medicare cost reports, Medicaid rate expertise, audit and appeals support), Accounting Services, Compliance Program development and officer services, Systems Review, and Certificate of Need preparation for Washington State.
The company's product portfolio combines proprietary web platforms with traditional professional services. SNFCB.com is an online SNF Consolidated Billing portal used by over 3,600 subscribing providers to identify bundled Medicare codes and allowable amounts. LTC-Analytics.com aggregates millions of records from federal and state databases — Medicare/Medicaid cost reports, fee schedules, survey/quality data, and staffing data — to produce benchmarking and strategic planning reports. CBSI University, launched in 2020, delivers online training on Managed Medicaid, NOMNC/SNF ABN, and Washington census and staffing. These platforms are built on a .NET stack (ASP.NET, C#, .NET Core) by an in-house development team led by Edgar Mora. The training function is augmented by in-person and webinar-based seminars delivered through partnerships with AHCA, LeadingAge, and state healthcare associations, and CBSI provides training and support for Point Click Care and Net Solutions users.
CBSI monetizes through a hybrid model: subscription fees for SNFCB.com and LTC-Analytics.com (with a freemium trial on SNFCB.com), flat monthly fees for Contract Reimbursement Department and Compliance Program services, and quote-based professional services fees for RCM, accounting, cost reporting, training, and consulting engagements. The go-to-market combines direct enterprise sales to LTC provider organizations with self-serve online acquisition through SNFCB.com and association-led distribution through partnerships with AHCA and multiple state-level healthcare associations. CBSI remains bootstrapped and family-controlled, with no venture capital, private equity, or institutional investment disclosed in the available materials.
Consolidated Billing Services firmographics
Firmographics- Name
- Consolidated Billing Services
- Legal name
- Consolidated Billing Services, Inc.
- Website
- https://billing-services.com
- Company type
- Private
- Founded year
- 1998
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Consolidated Billing Services, founded in 1998 and headquartered in Spokane Valley, WA, provides billing, reimbursement, accounting, compliance, and data analytics services to U.S. long-term care providers, primarily skilled nursing facilities, supported by SaaS platforms SNFCB.com, LTC-Analytics.com, and CBSI University.
- Ownership category
- akta.pro rank
Consolidated Billing Services industry classification
Industry- Product category
- Healthcare Revenue Cycle Management
- NAICS
- Services for the Elderly and Persons with Disabilities (624120)
- SIC
- Services-Health Services (8000)
- akta.pro primary industry
- Charge Capture & Clinical Documentation Improvement (CDI) for Billing (HLACACAF)
Keywords
Where Consolidated Billing Services is headquartered
LocationHeadquarters
- HQ city
- Spokane
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Consolidated Billing Services business model
Business model- GTM type
- B2B
- Offering type
- Services
Revenue model
- Revenue Cycle Management Services: Patient billing services including Medicare Part A, Part B, Medicaid, Private, Managed Care, and third-party payer billing. Services include accounts receivable cleanup, denial management, and billing compliance assessments. Revenue generated through service fees for billing management.
- Reimbursement Services: Medicare cost reports for skilled nursing facilities, home health agencies, and hospices. Medicaid reimbursement expertise and cost report preparation. Contract Reimbursement Department service operating as a fixed monthly fee covering statistical analysis, cost report completion, desk review, and audit support.
- Accounting Services: Full array of accounting services including monthly accounting support (A/P, P/R, G/L), annual financial statements, policies and procedures, and strategic planning. CBSI works with CPA firms for independent auditing and tax services.
- Compliance Program Services: Compliance program development, assessment, officer services, hotline monitoring, training, and evaluation. Offered as flat monthly fee for ongoing compliance services.
- SNF Consolidated Billing Subscription: Online platform subscription for SNFCB.com providing claims analysis, code bundling information, and Medicare allowable amounts. Providers can sign up for free trial and subscribe for ongoing access.
- LTC Data & Analytics Services: Custom reports and data analytics services linking various federal and state data sources for strategic planning and competitive benchmarking.
- Training & Seminars: Professional education and training services including half or full-day seminars, webinars, customized in-house training, and online training through CBSI University.
- Certificate of Need Preparation: CON application preparation and filing services for skilled nursing facilities and home health agencies in Washington State.
- CARES Act & PPP Reporting: Consulting services for COVID-19 Provider Relief Fund reporting and PPP loan-related accounting and reporting requirements.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Freemium | Monthly | SNFCB.com Online Platform - Free Trial Available |
Go-to-market motion2 records
Distribution channels5 records
Marketing channels8 records
Consolidated Billing Services product offering
Product offeringCore offering
Consolidated Billing Services (CBSI) provides outsourced billing, reimbursement, accounting, compliance, and data analytics services for long-term care providers including skilled nursing facilities (SNFs), home health agencies, and hospices. The firm operates proprietary online platforms—SNFCB.com, LTC-Analytics.com, and CBSI University—that complement its professional services, serving more than 3,600 providers nationwide. Founded in 1998 and headquartered in Spokane Valley, Washington, CBSI combines subject-matter expertise with proprietary technology to help clients navigate Medicare/Medicaid billing and federal/state regulatory requirements.
Product overview
Consolidated Billing Services Inc. (CBSI) provides a comprehensive suite of financial and clinical services for Long Term Care providers through a platform-plus-modules architecture. The core offerings include SNFCB.com (an online Medicare Consolidated Billing portal), LTC-Analytics.com (a financial benchmarking platform), Revenue Cycle Management, Reimbursement Services, Accounting Services, Compliance Services, Systems Review, and Certificate of Need Preparation. Additional modules include CBSI University (online training), Training & Seminars, and CARES Act & PPP Reporting services. These products work together to assist long-term care facilities with compliance, billing, reimbursement, and financial management.
Differentiator
Problem solved
Functional benefit
Brands
- SNFCB.com: Online solution for Medicare Consolidated Billing allowing providers to check which codes are bundled and the Medicare allowable amount.
- LTC-Analytics.com
- CBSI University
Products and services
- SNFCB.com
Quantifiable outcome
- Over 3,600 providers use SNFCB.com for consolidated billing assistance
- +1 more outcomes
Companies that use Consolidated Billing Services
Customer profileSegments3 records
Consolidated Billing Services technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature3 records
Consolidated Billing Services partnerships and signals
Strategic signalPartnerships
Twelve partnerships are on record, tiered core and minor.
- American Health Care Association (AHCA)coreAHCA is a national association representing long-term care facilities. CBSI's President/CEO Bill Ulrich serves on the AHCA Reimbursement Committee and chairs the Billing and Operations subcommittee. This partnership provides strategic visibility and industry influence.
- Washington Health Care Association (WHCA)coreState-level association representing healthcare facilities in Washington. CBSI has strong regional presence and expertise in Washington Medicaid reimbursement.
- Oregon Health Care Association (OHCA)coreState association for Oregon healthcare providers. CBSI provides Medicaid reimbursement expertise and cost report preparation in Oregon.
- Florida Health Care Association (FHCA)coreState association for Florida healthcare facilities. CBSI provides services to providers across Florida.
- Idaho Health Care Association (IDHCA)coreState association for Idaho healthcare providers. CBSI provides Medicaid reimbursement expertise and cost report preparation in Idaho.
- California Association of Health Facilities (CAHF)coreState association for California health facilities. CBSI provides services including Medicare cost reports and Medicaid reimbursement expertise in California.
- LeadingAge (National)coreNational association representing aging services providers. CBSI partners with LeadingAge Washington and other state affiliates.
- LeadingAge WashingtoncoreState affiliate of LeadingAge representing aging services providers in Washington.
- Colorado Health Care Association (COHCA)coreState association for Colorado healthcare facilities. CBSI provides Medicaid reimbursement expertise and cost report preparation in Colorado.
- National Association for Home Care (NAHC)minorNational association representing home care and hospice providers. Supports CBSI's home health and hospice service offerings.
- Point Click CarecoreMajor long-term care software platform. CBSI provides training and support services for Point Click Care users, assisting with implementation, setup, and process optimization.
- Net SolutionscoreLong-term care software platform. CBSI provides training and support services for Net Solutions, including implementation, setup, and use optimization.
Scale indicators2 records
Recent moves7 records
Expansion highlights5 records
Consolidated Billing Services competitors and assessment
Company assessmentOthers
- CliftonLarsonAllen (CLA): National professional services firm with a strong healthcare and senior living practice offering cost report preparation, reimbursement, and audit support — overlaps with CBSI's accounting and reimbursement services for LTC providers.
- Plante Moran: Large accounting and advisory firm with a dedicated senior care and healthcare practice covering SNF billing, reimbursement, and auditing — adjacent competitor for CBSI's accounting and cost-report services.
Direct peers
- Richter Healthcare Consultants: SNF-specific consulting firm offering reimbursement, cost report, billing, and compliance services across the same provider set as CBSI, often competing for the same mid-sized facility engagements.
- SimiTree Healthcare Consulting: Healthcare consulting and RCM firm specializing in home health, hospice, and post-acute billing, reimbursement, and revenue cycle outsourcing — directly overlapping CBSI's reimbursement, cost-report, and RCM service lines.
- LW Consulting: Skilled nursing and senior living consulting firm providing reimbursement, billing, compliance, and financial services to SNFs — directly comparable to CBSI's bundled service model and SNF-focused customer base.
Broad incumbents
- PointClickCare: Dominant EHR and care coordination platform for the long-term and post-acute care market, serving the same SNF customers as CBSI across billing, compliance, and analytics. Listed here as a broad incumbent because it is both a CBSI technology partner and a potential stack-bundler that could absorb SNFCB-class functionality.
- WellSky: Diversified healthcare software and analytics platform serving post-acute, behavioral health, and hospital clients; offers RCM and analytics that broadly compete with CBSI's bundled services across the LTC continuum.
- MatrixCare: Major EHR and RCM platform purpose-built for skilled nursing, senior living, and home health. Operates in the same vertical as CBSI, offering billing and analytics that overlap with CBSI's professional services and LTC-Analytics.
- NetSmart Technologies: Established post-acute and behavioral health software vendor with RCM and analytics offerings comparable in scope to CBSI's SNF billing and reimbursement services. Targets overlapping provider segments including home health and hospice.
Emerging players
- Real Time Medical Systems: Analytics platform that aggregates EHR and claims data from SNFs to surface clinical and financial benchmarks — directly comparable to LTC-Analytics.com, though more clinical-outcome focused.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks7 records
Key highlights7 records
Customer concentration
Consolidated Billing Services social profiles
Digital presenceConsolidated Billing Services financial estimates
Financial estimateRevenue estimate
Valuation estimate
Consolidated Billing Services leadership team
Management profileNumber of profiles
Consolidated Billing Services subsidiaries and ownership
Company hierarchySubsidiaries3 records
Consolidated Billing Services funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Consolidated Billing Services M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Consolidated Billing Services
What does Consolidated Billing Services do?
Consolidated Billing Services (CBSI) provides outsourced billing, reimbursement, accounting, compliance, and data analytics services for long-term care providers including skilled nursing facilities (SNFs), home health agencies, and hospices. The firm operates proprietary online platforms—SNFCB.com, LTC-Analytics.com, and CBSI University—that complement its professional services, serving more than 3,600 providers nationwide. Founded in 1998 and headquartered in Spokane Valley, Washington, CBSI combines subject-matter expertise with proprietary technology to help clients navigate Medicare/Medicaid billing and federal/state regulatory requirements.
Is Consolidated Billing Services a public or private company?
Consolidated Billing Services is a private company. It is currently operating.
When was Consolidated Billing Services founded?
Consolidated Billing Services was founded in 1998. It employs 11 to 50 people.
Where is Consolidated Billing Services based?
Consolidated Billing Services is headquartered in Spokane, United States, in the North America region.
How does Consolidated Billing Services make money?
Nine revenue lines are on record. Revenue Cycle Management Services are the primary driver. The others are reimbursement Services, accounting Services, compliance Program Services, SNF Consolidated Billing Subscription, LTC Data & Analytics Services, training & Seminars, certificate of Need Preparation and CARES Act & PPP Reporting.
Who are Consolidated Billing Services's main competitors?
Others on record are CliftonLarsonAllen (CLA) and Plante Moran. Direct peers are Richter Healthcare Consultants, SimiTree Healthcare Consulting and LW Consulting. Broad incumbents are PointClickCare, WellSky, MatrixCare and NetSmart Technologies. Real Time Medical Systems is listed as an emerging player.
Does Consolidated Billing Services have an API?
No public API is recorded for Consolidated Billing Services.
What industry is Consolidated Billing Services in?
Consolidated Billing Services's product category is Healthcare Revenue Cycle Management. Its primary akta.pro industry code is HLACACAF, Charge Capture & Clinical Documentation Improvement (CDI) for Billing. Its NAICS code is 624120 and its SIC code is 8000.