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.

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Featured Article

Case Study: Immediate Jeopardy

November 15, 2017
 | 
The Bottom Line

A few weeks after the survey exit, the SNF receives notice that someone at a higher level within the state has classified a citation as immediate jeopardy. The surveyors have already left, and the facility was given no such indication at exit. Fortunately, this is not a common occurrence.

News & Analysis

Reduce your audit risk: How to analyze the UB-04

November 17, 2017
 | 
Billing Alert for Long-Term Care

The UB-04 is a claim form suitable for billing multiple third-party payers. All payers will not require the use of the same data elements, so check with each payer to identify its individual requirements. In general, SNFs are required to submit the UB-04 electronically to all payers, in the 837-I format. This form can be submitted through electronic billing software programs in batch billing or through direct data entry (DDE) through the MAC. A provider filing a UB-04 should retain the copy designated “Institution Copy” and submit the remaining copies to its MAC, managed care plan, or other insurer. If a provider omits any required data, the MAC will return the claim for correction (which is called return to provider or RTP).

Case Study: Immediate Jeopardy

November 15, 2017
 | 
The Bottom Line

A few weeks after the survey exit, the SNF receives notice that someone at a higher level within the state has classified a citation as immediate jeopardy. The surveyors have already left, and the facility was given no such indication at exit. Fortunately, this is not a common occurrence.

The transition to a unified payment system for PAC facilities could start as early as 2019, suggests MedPAC

November 10, 2017
 | 
The Bottom Line

In response to a Congressional mandate, in 2016 The Medicare Payment Advisory Commission (MedPAC) recommended design features of a unified payment system, the post-acute-care (PAC) prospective payment system (PPS), to pay for services in the four post-acute care settings (home health agencies, skilled nursing facilities, inpatient rehabilitation facilities, and long-term care hospitals). In a meeting held last Thursday, Commissioner Carol Carter discussed how the PAC PPS design could “increase the equity of payments within each post-acute-care setting.”

Join us tomorrow, for our quarterly webinar! The Relationship Between Coding and Billing in SNFs

November 7, 2017
 | 
The Bottom Line

Join us Wednesday, November 8, 2017 at 1:00pm EST for our quarterly webinar with Stefanie Corbett, DHA, postacute regulatory specialist for HCPro as we discuss the relationship between billing and coding in SNFs, as well as take a look via implementation dates at the upcoming mandates, demonstrations, shifts in payment methodology, and even changes to Conditions of participation and reorganization of the Survey Tags and process.

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