Welcome to The Billers' Association For Long-Term Care

The Billers’ Association for Long-Term Care is a membership community created specifically for long-term care billing professionals. This national association provides members with a resource of continuously updated tools, billing-specific education, and reimbursement and regulatory guidance. Become a member today and join your long-term care billing colleagues as you navigate the evolving world of post-acute care billing.

Learn More Join

Featured Article

Interactive tutorial for completing the ABN now available

May 24, 2018
 | 
The Bottom Line

The Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, should be used by skilled nursing facilities (SNF) in relation to Medicare Part B services notification of noncoverage. The ABN allows fee-for-service beneficiaries to make an informed decision about whether to get the item or service that may not be covered and accept financial responsibility if Medicare does not pay. If the beneficiary does not get written notice when it is required, he or she may not be held financially liable if Medicare denies payment, and the provider or supplier may be financially liable if Medicare does not pay.

News & Analysis

Interactive tutorial for completing the ABN now available

May 24, 2018
 | 
The Bottom Line

The Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, should be used by skilled nursing facilities (SNF) in relation to Medicare Part B services notification of noncoverage. The ABN allows fee-for-service beneficiaries to make an informed decision about whether to get the item or service that may not be covered and accept financial responsibility if Medicare does not pay. If the beneficiary does not get written notice when it is required, he or she may not be held financially liable if Medicare denies payment, and the provider or supplier may be financially liable if Medicare does not pay.

New white paper: Using collaboration to achieve accurate diagnoses claims

May 24, 2018
 | 
The Bottom Line

The American Health Information Management Association’s definition of principal/first diagnosis lists the primary reason for the encounter as determined at the end of the encounter. In the LTC setting, it is referred to as the first listed code, described as “that condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care.” The primary diagnosis, or the first listed code, is assigned after reviewing the resident’s hospital admission and discharge documentation. In some cases, the primary diagnosis code may apply at the hospital as well as the SNF, but this is not always so.

Protecting electronic resident health information

May 24, 2018
 | 
Billing Alert for Long-Term Care

The use of electronic health records (EHR) is a growing trend in long-term care today. Acute care settings have led the way in replacing paper records, resulting in improved quality and efficiency, as well as lower costs. As long-term care facilities are following their lead, they should not allow these potential benefits to overshadow the increasingly challenging necessity to secure and protect resident health information.

Medicare’s prior authorization program may continue under GAO recommendation

May 23, 2018
 | 
The Bottom Line

Beginning in 2012, CMS introduced prior authorization to the Medicare program, which requires beneficiaries to obtain approval before receiving certain services or items, such as powered wheelchairs. A $1.9 billion reduction in Medicare spending on items requiring prior authorization has resulted, proving success in CMS’ initiative to reduce improper payments and expenses.

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.