{"id":9,"date":"2026-09-02T05:18:26","date_gmt":"2026-09-02T05:18:26","guid":{"rendered":"http:\/\/cadence.local\/?page_id=9"},"modified":"2026-09-10T03:33:59","modified_gmt":"2026-09-10T03:33:59","slug":"home","status":"publish","type":"page","link":"https:\/\/nustreamdesigns.xyz\/cadence\/","title":{"rendered":"Home"},"content":{"rendered":"\t\t
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Where Revenue Finds Its Rhythm.<\/h1>\t\t\t\t<\/div>\n\t\t\t\t
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A strong revenue cycle requires more than managing individual pieces. It requires every part of the cycle to move together, with clear coordination and ownership from beginning to end. From Medicaid pending and payer verification through billing, collections, and month-end close, Cadence manages your entire accounts receivable cycle with the expertise, attention, and accountability that creates a steady cadence for your revenue.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tTalk to Our Team<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Why Cadence?<\/h5>\t\t\t\t<\/div>\n\t\t\t\t
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We don\u2019t just bill. We partner.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Trusted by Over<\/h4>\t\t\t\t<\/div>\n\t\t\t\t
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60<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Nursing Homes, \nand Growing.<\/h5>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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Your revenue cycle deserves the same level of ownership, urgency, and attention whether it is managed in-house or entrusted to a partner. Our mission is to be that partner.

From Medicaid pending and payer verification through billing, collections, and month-end close, Cadence provides end-to-end accounts receivable management for nursing facilities. We work as an extension of your team, anticipating challenges, addressing risks early, and taking ownership from beginning to end.

By addressing issues at their source rather than reacting to them downstream, we help prevent revenue loss, accelerate collections, and create greater consistency and control.

The result is confidence and peace of mind, knowing your accounts receivable is receiving the care, attention, and oversight it deserves, while you remain focused on what matters most: your patients.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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Why Cadence?<\/h5>\t\t\t\t<\/div>\n\t\t\t\t
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We don\u2019t just bill. We partner.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Trusted by Over<\/h4>\t\t\t\t<\/div>\n\t\t\t\t
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60<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Nursing Homes, \nand Growing.<\/h5>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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Your revenue cycle deserves the same level of ownership, urgency, and attention whether it is managed in-house or entrusted to a partner. Our mission is to be that partner.

From Medicaid pending and payer verification through billing, collections, and month-end close, Cadence provides end-to-end accounts receivable management for nursing facilities. We work as an extension of your team, anticipating challenges, addressing risks early, and taking ownership from beginning to end.

By addressing issues at their source rather than reacting to them downstream, we help prevent revenue loss, accelerate collections, and create greater consistency and control.

The result is confidence and peace of mind, knowing your accounts receivable is receiving the care, attention, and oversight it deserves, while you remain focused on what matters most: your patients.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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What We Do?<\/h5>\t\t\t\t<\/div>\n\t\t\t\t
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End-to-End AR Services \nTailored to Long-Term Care<\/span><\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tprivate pay\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\tFor all payer sources including Medicare, Medicaid, Managed Care, and private insurance.\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\tTimely cash posting for accurate agings and clean bookkeeping.\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tPayer Eligibility\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\tWe guide your facility teams to ensure eligibility, proactively address non-payers, and follow through on the MCD application process from start to finish.\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tPerformance Analytics\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\tTrack KPI\u2019s like DSO, collections percentages,\u00a0 and monthly PL collections.\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tMonth-End Close & Reporting\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\tClean, timely month end close reports.\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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What our clients say about working with Cadence<\/h5>\t\t\t\t<\/div>\n\t\t\t\t
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Real Results, Real Partnership<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\u201cCadence collected 99.6%! that extra 1% meant over 75k in cash, back in our pocket, dollars we would've otherwise lost.\t\t\t\t\t<\/div>\n\t\t\t\t\tNursing Home Operator, IL<\/span><\/cite>\t\t\t\t<\/div>\n\t\t\t\t\t\t
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\n\t\t\t\t\t\t\"\"\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t
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\n\t\t\t\t\t\t\u201cThey don\u2019t say \u2018that\u2019s the facility\u2019s problem.\u2019 They own it. Every claim, every patient, every dollar.\u201d\t\t\t\t\t<\/div>\n\t\t\t\t\t\u00a0Ian, Facility Owner<\/span><\/cite>\t\t\t\t<\/div>\n\t\t\t\t\t\t
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\n\t\t\t\t\t\t\"\"\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t
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\n\t\t\t\t\t\t\u201cWhen our BOM left unexpectedly, Cadence hired and trained interim support at cost, just to help us stay afloat. That\u2019s true partnership.\u201d\t\t\t\t\t<\/div>\n\t\t\t\t\tNursing Home Owner, NJ<\/span><\/cite>\t\t\t\t<\/div>\n\t\t\t\t\t\t
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\n\t\t\t\t\t\t\"\"\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t
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Meet Our Leadership<\/span><\/h2>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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Our team of AR professionals works as an extension of yours. With years of industry experience, our directors, supervisors, and specialists know how to step in quickly and deliver consistent results.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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As Director, Sarah is passionate about supporting operators by taking the worry of accounts receivable off their minds so they can stay focused on their patients. She leads with a focus on operational performance, accountability, and results. She works across teams to strengthen processes, address challenges, and ensure priorities translate into execution. Her leadership keeps teams aligned, standards high, and the organization focused on delivering strong collection outcomes for its clients.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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DIRECTOR<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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SARAH KARMEL<\/h2>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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As Billing Director, Kayla leads billing operations with a primary focus on cash flow and timely reimbursement. She oversees the billing process from claim submission through payment, ensuring claims are accurate, submitted promptly, and followed through to resolution. By identifying delays, addressing denials, and holding the team accountable for outstanding balances, Kayla helps improve collections, reduce revenue leakage, and ensure outstanding revenue never loses the attention it deserves.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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BILLING DIRECTOR<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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KAYLA JOHNSON<\/h2>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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As Director of Payer Tracking, Rivka Rubin leads the team that works alongside the facility to ensure every patient has an appropriate, billable payer source. She identifies patients at risk of nonpayment early, helping facilities address coverage gaps before they impact reimbursement. Through proactive problem-solving and creative solutions, Rivka helps prevent revenue loss and improve financial outcomes.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Director of Payer-Tracking<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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RIVKA RUBIN<\/h2>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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As Director of Systems & Client Integration, Becky Fertig leads the integration and optimization of the systems that support efficient, accurate billing. She oversees PCC setup and troubleshooting, ensuring clients and teams have the tools and workflows needed for a strong revenue cycle. Becky also leads new client onboarding and integration, ensuring each transition is smooth, systems are built correctly from the start, and clients feel supported every step of the way.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Director of Systems & Client Integration<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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BECKY FERTIG<\/h2>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Get in Touch with Cadence<\/span><\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Let us know how we can support your AR and revenue cycle goals. We’ll follow up promptly with the next steps.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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