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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

The IMPACT Act in 2017- last chance to register for CMS event

February 22, 2017
 | 
The Bottom Line

Thursday, February 23 from 1:30 to 3 pm ET

To register or for more information, click here.

The Improving Medicare Post-Acute Care Transformation of 2014 (IMPACT Act) requires the reporting of standardized patient assessment data by Post-Acute Care (PAC) providers, including skilled nursing facilities, home health agencies, inpatient rehabilitation facilities, and long-term care hospitals.  During this call, CMS experts discuss goals, requirements, progress to date, and key milestones for 2017. A question and answer session follows the presentation.

News & Analysis

The IMPACT Act in 2017- last chance to register for CMS event

February 22, 2017
 | 
The Bottom Line

Thursday, February 23 from 1:30 to 3 pm ET

To register or for more information, click here.

The Improving Medicare Post-Acute Care Transformation of 2014 (IMPACT Act) requires the reporting of standardized patient assessment data by Post-Acute Care (PAC) providers, including skilled nursing facilities, home health agencies, inpatient rehabilitation facilities, and long-term care hospitals.  During this call, CMS experts discuss goals, requirements, progress to date, and key milestones for 2017. A question and answer session follows the presentation.

Staff retention: How to determine the success of a healthcare organization

February 16, 2017
 | 
Billing Alert for Long-Term Care

A regional director for a SNF company with 24 facilities dialed in the conference number for the “Strategic Planning” call that had appeared on her calendar along with most of the rest of the corporate team. The CEO set up the call just the day before; nobody really had much of an idea why. She hoped it was a response to the rash of open positions throughout the company.

CMS Issues Proposed Rule to Increase Patients’ Health Insurance Choices for 2018

February 16, 2017
 | 
The Bottom Line

On February 15, 2017, The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule for 2018, which proposes new reforms that are critical to stabilizing the individual and small group health insurance markets to help protect patients. This proposed rule would make changes to special enrollment periods, the annual open enrollment period, guaranteed availability, network adequacy rules, essential community providers, and actuarial value requirements; and announces upcoming changes to the qualified health plan certification timeline.

SNFRM as the first measure for the Skilled Nursing Facility Value Based Purchasing

February 10, 2017
 | 
The Bottom Line

In the Fiscal Year (FY) 2016 SNF Prospective Payment System (PPS) final rule, CMS adopted the SNFRM as the first measure for the Skilled Nursing Facility Value Based Purchasing (SNF VBP) Program. The measure is defined as the risk-standardized rate of all-cause, unplanned hospital readmissions of Medicare beneficiaries within 30 days of discharge from their prior hospitalization. Hospital readmissions are identified through Medicare hospital claims (not SNF claims) so no readmission data is collected from SNFs and there are no additional reporting requirements for the measure.

Advancing care coordination through episode payment models final rule

February 10, 2017
 | 
Billing Alert for Long-Term Care

In late December, 2016, the Centers for Medicare & Medicaid Services (CMS) finalized new Innovation Center models that continue the Administration’s progress to shift Medicare payments from rewarding quantity to rewarding quality by creating strong incentives for hospitals to deliver better care to patients at a lower cost.

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