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.

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News & Analysis

Billers’ Association members, have you signed up for our quarterly webinar?

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The Bottom Line

Join us on Wednesday, October 3, 1-2pm, ET for our quarterly Billers’ Association for Long-Term Care webinar. We’ll open the show with some exciting new member updates and hear about the latest regulatory updates from post-acute care regulatory specialist Stefanie Corbett, DHA. Following Stefanie’s presentation we’ll welcome a member from our association’s advisory board, industry expert Maureen McCarthy, RN, BS RAC-MT, QCP-MT, DNS-CT, who will review PDPM and what billers should be doing now to prepare. The show will end with a live Q&A session, so come prepared to ask!

New Medicare card update

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The Bottom Line

CMS has confirmed that they are processing claims and eligibility requests with the Medicare Beneficiary Identifier (MBI), showing that providers are successfully using the new number. This week the agency began mailing new Medicare cards to people who live in Wave 6 states, which include Arizona, Colorado, Idaho, Montana, Nevada, New Mexico, Texas, Utah, Washington, and Wyoming.

Key documentation criteria for supporting the Medicare claim

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Billing Alert for Long-Term Care

Medicare documentation must provide accurate information to support the necessity of skilled services provided to a resident. Nursing documentation is vital and must reflect the reason for admission to skilled services, the delivery of skilled services, and justification for skilled services to continue. All of these elements, combined with the documentation within the entire medical record, help to justify and support your Medicare claim.

Self-disclosure can alleviate—not eliminate—penalties for fraudulent claims

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Billing Alert for Long-Term Care

The interplay of Medicare billing and fraud seems like a perennial hot spot among SNFs. When an internal audit reveals potentially fraudulent discrepancies between care rendered and services billed on Medicare claims, determining the next steps can be tricky. Correcting faulty practices that led to the lapse is a given, but are broader legal actions necessary?

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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.