FAQ & Practice Management Guide for Senior Care Providers

SR Direct is an MSO (Management Services Organization) designed to help doctors and nurse practitioners grow their practice in senior facilities. We handle critical tasks such as facility outreach, credentialing, payer negotiations, and (if you choose Premium) billing & claims management. This way, providers can focus on patient care while keeping more of what they earn.

If you are: - An independent provider aiming to break into LTC or increase LTC referrals, or - A physician group that wants to scale operations in senior facilities, or - Already working in LTC but want more facility contracts and less admin overhead, then SR Direct is worth exploring. Our flat monthly or revenue-share models let you pick how involved you want us to be in your billing and day-to-day management.

Basic: You pay a higher monthly fee but keep 100% of your reimbursements. We still handle LTC business development, facility contracting, and minimal admin tasks for you. Premium: You pay a lower monthly fee but share 10% of your reimbursed claims with SR Direct. In exchange, we take on all billing, claims, and advanced credentialing tasks, plus EMR integration if needed.

Our group tiers start with a set monthly fee based on your number of providers (1–5, 6–10, 11–15, 16–20, 25+ custom). We offer both Basic and Premium group plans: Group Basic: A flat monthly fee, no claims share. Group Premium: A lower monthly rate + 10% claims share for complete billing services. Setup fees apply to each group plan tier, determined by how many providers are onboarded.

Yes, we charge a one-time setup fee (displayed at checkout) to cover initial onboarding. For individuals, it’s a flat rate. For groups, it’s based on the number of providers to be credentialed. This cost is determined before you finalize your plan with us, so you know exactly what to expect.

Absolutely. If you want to upgrade from Basic to Premium (or vice versa), we can adjust your subscription plan accordingly. Just note that any changes in monthly fees and/or revenue share terms will go into effect starting the next billing cycle.

Our memberships require a 12-month minimum commitment. If you’re already servicing specific senior facilities through SR Direct, we ask for a 90-day notice if you choose to terminate, ensuring continuity of resident care.

Traditional practices or employers often take 30–45% of reimbursed claims as overhead. With SR Direct: Basic providers keep 100% of claims (though you handle your own billing). Premium providers pay only 10% of claims to SR Direct. You still net 90% of your reimbursements, typically much better than in traditional employed roles.

We handle full RCM (Revenue Cycle Management), from claim submission to denial management. Each month, we reconcile your claims and deposit 90% of total reimbursements to you. The remaining 10% is SR Direct’s fee, covering all billing/collections overhead.

You can—but that’s effectively a Basic plan approach. If you’d rather keep your existing billing solution but still want our facility contracting, that’s fine. If you choose Premium, we strongly recommend letting us handle claims for maximum efficiency.

Yes, each provider (or group) must maintain malpractice insurance in their name (not just under an employer). We’ll request a Certificate of Insurance during onboarding.

We access your CAQH data and handle the contracting steps with LTC-relevant carriers. This includes verifying your specializations, ensuring you’re recognized as an in-network provider, and negotiating better rates when possible.

It varies by payer and your existing data, but typically 2–6 weeks for single-specialty credentials. More specialized or multi-state enrollments can take longer. Our team stays on top of follow-ups so you don’t have to.

Yes. In states like North Carolina where a collaborative agreement is required, we have in-house physicians who can serve as the collaborating provider for your scope-of-practice compliance. This means you stay fully operational without needing to find an external collaborator.

We focus on states like AZ, CO, and NC right now, but our membership model extends to other states depending on LTC demand. If you’re in a reduced authority state, we coordinate the necessary collaborations as part of Premium or Basic (there may be additional administrative steps, but no hidden fees).

On average, brand-new LTC providers start getting meaningful referrals within 3 months. The timeline depends on your credentialing speed and how quickly we can match you with facility demand in your area (AZ, CO, NC, etc.).

Absolutely. Our marketing teams work directly with facility administrators to understand their needs and present your specialty(ies). It’s perfect for a new LTC provider who’s missing those facility connections.

We can expand your facility footprint, taking your existing LTC presence and replicating it across new counties or states. We’ll handle the marketing, contracting, and additional credentialing for new regions. You keep your own processes for existing relationships and let us manage expansions seamlessly.

No, you pay according to your group size (number of providers). Multi-specialty or single-specialty—either way, one group membership covers all of you. If you choose Premium for the group, we do billing for all your providers under that single monthly plan + 10% of claims.

That’s precisely our Premium approach. We can fast-track your CAQH setups, manage facility outreach, and handle every aspect of billing/claims. You gain a new LTC revenue stream without building an in-house LTC marketing or RCM department.

Yes. We’ll discuss your desired number of LTC sites and ramp up as you get more comfortable. As your LTC footprint grows, we can incorporate additional specialties or payers. Our monthly fees remain the same unless you move into a higher group tier.

Because our providers keep a larger portion of their reimbursements (compared to typical W-2 roles), they can allocate more time per resident, avoiding rushed visits. Senior facilities benefit from deeper relationship-building with local clinicians.

We’re developing a free portal for partner facilities that includes: - A shared calendar for all upcoming provider appointments, - Note tracking to avoid missing clinical documentation, - Digital consents and e-sign for resident or family authorizations. This reduces a lot of administrative headaches for Directors of Nursing, administrators, or new Medical Directors.

No. The facility portal is free of charge once fully launched. We want to streamline LTC operations for everyone involved and keep LTC care more accessible.

We cannot guarantee a specific number of referrals because that depends on real-world facility demand, resident needs, and your specialty or availability. However, our outreach teams work aggressively to match your capacity with local facilities that have strong LTC needs.

You can Contact Us anytime or check out our additional resources. If you’re a provider, you have access to an assigned account manager to help with scheduling or credentialing inquiries. Facilities can email facilitypartner@sr-direct.com.

No. Each provider or group must maintain their own malpractice coverage. We will help you confirm your policy meets any LTC insurance requirements, but we do not supply malpractice insurance ourselves.

Feel free to schedule a call or send us a quick message through our Contact page. We’re happy to discuss your unique situation—whether you’re an individual provider dipping your toes into LTC or a multi-specialty group seeking to expand in multiple states.