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

CMS reduces reimbursement by 13% for non-emergency BLS ambulance transports to and from renal dialysis treatment

April 17, 2018
 | 
The Bottom Line

In an MLN Matters article published on April 6, 2018, CMS announced a 13% reduction in ambulance payments for non-emergency basic life support (BLS) transports of individuals with end-stage renal disease to and from renal dialysis treatment. Following a 10% cut that went into effect in 2013, reimbursement decreases for dialysis patients with end-stage renal failure now total 23%, leaving providers worried that care for these individuals may be limited. The effective date for this reduction is October 1 of this year.

News & Analysis

CMS reduces reimbursement by 13% for non-emergency BLS ambulance transports to and from renal dialysis treatment

April 17, 2018
 | 
The Bottom Line

In an MLN Matters article published on April 6, 2018, CMS announced a 13% reduction in ambulance payments for non-emergency basic life support (BLS) transports of individuals with end-stage renal disease to and from renal dialysis treatment. Following a 10% cut that went into effect in 2013, reimbursement decreases for dialysis patients with end-stage renal failure now total 23%, leaving providers worried that care for these individuals may be limited. The effective date for this reduction is October 1 of this year.

Have questions about consolidated billing? Check out our new white paper!

April 13, 2018
 | 
The Bottom Line

Since its introduction in the SNF setting, consolidated billing has been one of the most routine yet misunderstood methods for SNFs to secure Medicare reimbursement. You asked and Janet Potter, MAS, CPA, former senior manager, advisory services for Marcum, LLP answered in our expert Q&A white paper, Consolidated Billing for SNFs.

Scrutinizing Medicare coverage for physical, occupational and speech therapy

April 13, 2018
 | 
The Bottom Line

For years, confusion has surrounded the conditions under which older adults can receive physical, occupational and speech therapy covered by Medicare. Services have been terminated for some seniors, such as those with severe cases of multiple sclerosis or Parkinson’s disease, because therapists said they weren’t making sufficient progress. Others, including individuals recovering from strokes or traumatic brain injuries, have been told that they reached an annual limit on services and didn’t qualify for further care.

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