Trovana comes from the Italian trovare — to find. That's the job: the revenue is already yours, and someone has to go get it.
Skilled nursing has the most complicated back office in post-acute care — three major payer types, monthly assessment-driven rates, eligibility that changes mid-stay, and a documentation trail that has to hold up years later.
The large chains built departments for it. The independent operator running two or three buildings got one overworked biller, a software licence, and a stack of denials nobody had time to appeal. Meanwhile the sector's all-payer margin sits at 2.1% — thin enough that ordinary billing slippage is the difference between a profitable building and a distressed one.
That's the gap we were built for. Not the chains. The operator who knows every resident's name and can't get a straight answer about their A/R.
Facility count, residents and ownership: KFF, July 2025. All-payer total margin for freestanding SNFs: MedPAC, March 2026 report on 2024 data.
Bio to be supplied — background, years in post-acute care, and what he owns here.
Bio to be supplied — background, operational track record, and what he owns here.
Bio to be supplied — background, finance and RCM experience, and what he owns here.
Placeholders are deliberate. We'd rather leave a bio blank than write one you'd have to correct.
One account lead who knows your buildings. Not a shared inbox, not a ticket number.
Every month, without you asking for it. If it's going to be late, you hear from us before it's late.
If days in A/R moved the wrong way, it's on the report with the reason and the fix. You will never find out from your accountant first.
BAA before access. Least-privilege system permissions, audit logging, documented retention. HIPAA is the floor, not a feature.
Sixty days' notice, and we hand over clean files and open A/R documentation. A vendor that keeps you by making exit painful isn't earning the fee.
We'll tell you what's collectable, what's aging out, and what it's costing you. No fee, no obligation.