Welcome to The Billers' Association For Long-Term Care

The Billers’ Association for Long-Term Care (BALTC) is a membership community created specifically for professionals involved in the long-term care revenue cycle. This national association provides members with a resource of continuously updated tools, reimbursement and regulatory guidance, and education to help prevent revenue loss and documentation and billing errors so providers can withstand audits at any point in time. With its involved expert advisory board members and active talk group, this engaged group of professionals is a great place for sharing and receiving best practices, tips, and tools with your peers.

Learn More Join

Featured Article

Featured member resource: MDS chart audit tool

 | 
The Bottom Line

The purpose of the MDS chart audit tool is to ensure documentation is present in the medical record to support the findings of the MDS. Use the tool at the end of the month or the episode of care. If documentation that supports the MDS is present for each item, place a checkmark. If it is not, highlight the area so it can be followed up on to ensure completeness. This form can be completed by the MDS coordinator, DON, medical records, therapy director, or delegated per area of specialty. Download this Billers’ Association for LTC member resource.

 

News & Analysis

Providers worry that proposed rule could cut Medicaid revenue

 | 
The Bottom Line

The CMS is drafting a proposed rule that would give states greater flexibility in paying (or not paying) for non-emergent medical transportation (NEMT) for Medicaid beneficiaries. This proposed rule aligns with CMS’ repeated intentions to create “a new era for the federal and state Medicaid partnership where states have more freedom to design programs that meet the spectrum of diverse needs of their Medicaid population,” as stated in a letter from HHS secretary Tom Price and CMS administrator Seema Vera earlier this year.

Featured member resource: MDS chart audit tool

 | 
The Bottom Line

The purpose of the MDS chart audit tool is to ensure documentation is present in the medical record to support the findings of the MDS. Use the tool at the end of the month or the episode of care. If documentation that supports the MDS is present for each item, place a checkmark. If it is not, highlight the area so it can be followed up on to ensure completeness. This form can be completed by the MDS coordinator, DON, medical records, therapy director, or delegated per area of specialty. Download this Billers’ Association for LTC member resource.

 

Healthcare winners and losers from election night 2018

 | 
The Bottom Line

Source: HealthLeaders

The 2018 midterm elections are over but made a significant impact on healthcare policies at the federal and state level across the country, while also determining who will be in office to enact them. The future of healthcare policymaking will be influenced by the decisions made by millions of voters on Tuesday night, as Democrats took back the House while Republicans held onto control in the Senate. Healthcare was a top priority for voters as they made their way to the polls to vote on issues such as Medicaid expansion and the healthcare leaders seeking to represent them on Capitol Hill.

Achieve accurate reimbursement and compliance with these best practices

 | 
Billing Alert for Long-Term Care

A best practice is a technique or methodology that, through experience and research, has proven to reliably lead to a desired result. In any industry, best practices are developed over time. Professionals involved in the revenue cycle of a long-term care (LTC) facility must have a solid understanding of the fundamentals of claims processing as they relate to the Medicare regulations and the facility’s state Medicaid reimbursement system.

Reducing accounts receivable and improving collections: A success story

 | 
Billing Alert for Long-Term Care

Deborah Collum, national director of revenue cycle management for Covenant Retirement Communities in Skokie, Illinois, uses one word to prepare people for how they’ll feel during their company’s first monthly accounts receivable (AR) meeting: naked.

“When my company first started conducting AR meetings, they were an hour and a half long, but now we’ve pared them down to about 20 minutes because our AR is so clean. You have to identify the ugly before you can get to the pretty,” she says.

Resources

Community

Biller's Talk

Click here to join the discussion with fellow billing professionals and business office managers.

Free Resources

Access sample white papers, tools, analysis, and resources.

Subscribe to our free e-Newsletter

The Bottom Line is a free weekly e-newsletter that delivers news, tips, and strategies for long-term care billing professionals and business office managers on operating an efficient and compliant billing office.

Click Here to Subscribe Now!

Membership Information

Become a Member

Join the community created specifically for long-term care billing professionals.

Advisory Board

Advisors provide expertise and an industry voice for members.

Code of Ethics

A guide to the professional behavior of our members.

Sponsorship

The Billers' Association offers a variety of sponsorship opportunities.

Contact Us

For more information on joining the Association or questions about your membership.