Medical Billing for Intermediate Care Facilities (ICF/DD)
Intermediate care facilities for the developmentally disabled (ICF/DD) bill under long-term care rules that separate per-diem room-and-board from covered medical services, each with its own documentation and eligibility requirements. Quantix Health supports Southern California ICF/DD facilities with clean Medi-Cal LTC claims, share-of-cost reconciliation, and level-of-care records that hold up on review.
- Medi-Cal long-term care and per-diem claim submission
- Share-of-cost tracking and monthly reconciliation
- Level-of-care and eligibility documentation support
Specialty expertise, not generic billing
Level-of-care documentation
We help align physician orders, plans of care, and level-of-care records with the ICF/DD subtype billed, reducing denials tied to missing or mismatched authorization.
Per-diem vs. medical services
We separate room-and-board per-diem from distinct medical and ancillary services so each is claimed correctly and not bundled or double-billed.
Share-of-cost reconciliation
We track resident share-of-cost obligations against monthly Medi-Cal claims and reconcile balances so the facility collects what it is owed.
Eligibility and LTC status
We verify Medi-Cal LTC eligibility, retroactive coverage, and patient status changes to keep admissions, discharges, and bed-hold days billing accurately.
Where intermediate care facilities (ICF/DD) lose revenue
These are the specialty-specific leaks we watch for — and fix at the root.
- Share-of-cost amounts change with resident income or eligibility, leaving monthly claims under- or over-collected when not reconciled promptly.
- Level-of-care documentation gaps between physician orders and the ICF/DD subtype billed trigger authorization and payment denials.
- Bed-hold, leave-of-absence, and hospital transfer days follow specific Medi-Cal rules that are easy to miscount on a per-diem claim.
- Retroactive Medi-Cal eligibility and pending applications create timing mismatches between admission dates and billable coverage.
- Separating covered medical and ancillary services from room-and-board per-diem is error-prone and invites bundling denials.
- Annual level-of-care redeterminations and continued-stay reviews lapse without a tracked recertification calendar.
Full support for intermediate care facilities (ICF/DD)
One accountable partner for billing and the business side of your practice.
Revenue Cycle Management
End-to-end RCM — eligibility, coding, claims, denials, A/R, posting, and reporting, all under one roof.
Learn moreCredentialing & Enrollment
Payer enrollment and credentialing so your providers can bill without delay.
Learn moreMedical Support Staffing
Vetted, remote billers, coders, and back-office staff — dedicated to your practice, when and where you need them.
Learn morePractice Management Consulting
Operational, financial, and compliance consulting to run a healthier, more profitable practice.
Learn moreCommon questions
How is ICF/DD billing different from standard outpatient billing?
ICF/DD billing runs on long-term care rules: a per-diem room-and-board rate, resident share-of-cost, and level-of-care authorization, with covered medical and ancillary services claimed separately. The eligibility and documentation requirements are distinct from fee-for-service outpatient claims.
How do you handle share-of-cost on Medi-Cal LTC claims?
We track each resident's monthly share-of-cost obligation, apply it correctly against the claim, and reconcile collected versus billed amounts so balances do not silently accumulate. Amounts are re-verified when income or eligibility changes.
Can you help with level-of-care documentation and recertifications?
Yes. We help align physician orders, plans of care, and level-of-care records with the subtype billed and maintain a calendar for continued-stay reviews and redeterminations so authorizations do not lapse. We advise operationally and recommend verifying current DHCS guidance.
Billing guides for intermediate care facilities (ICF/DD)
Let's strengthen your intermediate care facilities revenue
Book a free, no-obligation consultation. We'll review your billing and show you the opportunity — no pressure.