senior living billing software

Assisted living billing software is a system designed to capture service charges, generate resident invoices, process payments, and track accounts receivable.

Unlike hospital or skilled nursing facility (SNF) billing systems, which are built around Medicare and insurance claims processing, assisted living billing software is designed for the operational and financial workflows common in assisted living communities. This includes monthly resident invoicing, tiered level-of-care pricing, apartment rent management, and ancillary service charges.

Residents’ level-of-care, apartment rents, and ancillary services (such as bathing assistance, guest meals, and transportation) are documented directly within ECP’s EHR. These documented services automatically trigger the associated charges within ECP Billing, eliminating the need for staff to manually transfer service records between clinical and billing systems.

Because the connection between clinical documentation and billing is automatic, communities can reduce revenue leakage tied to changes in level of care, apartment assignments, or resident services. This also improves billing accuracy, operational efficiency, and overall financial visibility.

ECP Billing includes an embedded payment processor that allows communities to securely accept ACH and credit card payments directly within the platform. Once a payment is processed, all payment and deposit activity is automatically recorded against the resident account, reducing manual effort and improving financial accuracy.

In addition to integrated digital payments, ECP also supports manual payment entry for communities that need to maintain records for third-party or externally processed payments.

After implementing ECP Billing and utilizing our embedded payment processor, Integrated Care Communities increased their share of digital payments by 33%, with ACH and credit card transactions accounting for 80% of all payments received.

Yes. ECP Billing integrates directly with Sage Intacct, allowing billing data to flow automatically into your general ledger without manual exports or data re-entry.

ECP Billing also supports direct export/import functionality for QuickBooks Online, as well as standard journal entry reporting and export/import options to support accounting workflows for other financial systems.

ECP Billing supports tiered level-of-care pricing, allowing resident billing rates to automatically update as care needs change through clinical assessments documented within ECP Clinical.

When a resident’s level-of-care is updated in the clinical record, the associated billing rate is automatically reflected in ECP Billing based on the configured care tier. Communities do not need to manually adjust billing rates following care assessment changes; the clinical-to-billing connection handles the update automatically.

ECP Billing was built specifically for the assisted living billing model and was not adapted from a hospital billing system or skilled nursing facility (SNF) billing platform. Because of this focus, the billing workflows, charge structures, and invoicing formats are designed around how assisted living communities actually operate.

This purpose-built approach helps communities streamline billing operations while maintaining the flexibility needed to support the unique requirements of assisted living.