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 Resource

Policy and procedure to help prevent costly medication discrepancies

Dec 27, 2018
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The Bottom Line

The long-term care environment is one of the most complicated and challenging clinical settings in all of medicine, placing residents who reside in a nursing home or SNF at substantial risk of adverse outcomes related to medication use. At any point in time, there are approximately 1.5 million people living in 15,000+ nursing homes across the country, with around 2.8 million having a skilled nursing facility (SNF) stay at some point throughout the year. With the complex, heavily regulated nursing home admission process and the lack of any standardized drug regimen review (DRR) process, there are many opportunities for medication errors or potentially clinically significant medication issues (PCSMI) to occur.

News & Analysis

CMS alert: CY2019 DMEPOS fee schedule update and KX modifier amounts

Jan 18, 2019
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The Bottom Line

CR 11064 (MLN Matters) provides the Calendar Year 2019 annual update for the Medicare DMEPOS fee schedule. The update includes information on the data files, new and deleted HCPCS codes, adjusted fee schedule amounts, and other information related to the update of the fee schedule. Click here to read the full article.

Revenue integrity enthusiasts: Do you have what it takes to present at RIS?

Jan 18, 2019
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The Bottom Line

The National Association for Healthcare Revenue Integrity (NAHRI) is currently seeking speakers to present at the 2019 Revenue Integrity Symposium (RIS), to be held October 15–16, 2019, at the Renaissance Orlando at SeaWorld in Orlando, Florida. RIS attendees will be eligible to earn CHRI CEUs and speakers will be eligible to earn additional CHRI CUEs. Speakers are welcome to present on all aspects of revenue integrity, Medicare compliance, and the revenue cycle in acute and long-term care settings. Click here to learn more.

Did you miss our most recent Billers’ Association for Long-Term Care webinar?

Jan 18, 2019
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The Bottom Line

Our speakers put on a great presentation this Wednesday with lots of helpful regulatory updates, including updates to the MDS, flu vaccination codes for 2019, and a walkthrough of how to use the new FISS/DDE search features. We also covered the SNF Value-Based Purchasing Program and how the new measures will affect facilities Medicare rates. If you missed the live show, you can listen to the recording here. Don’t forget to sign up for other webinars throughout the year on our webinar registration page

Chief compliance officer job description, competencies, and performance evaluation

Jan 18, 2019
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The Bottom Line

By now, most organizations have identified a compliance officer, set up a reporting hotline for staff to report concerns, and done some training with staff on the elements of their facility’s specific compliance and ethics plan to meet the November 28, 2019 implementation deadline.

Having a trusted and responsible person that reports directly to the governing board is imperative to the success of a compliance and ethics program. The compliance officer is responsible for overseeing all aspects of the implementation of the program and reporting its progress on a regular basis to senior management. This individual is also primarily responsible for evaluating the program’s needs and tailoring the tools required of a compliance and ethics program to best meet those in a timely manner. Download our Chief Compliance Officer Job Description, Competencies, and Performance Evaluation to help this role measure his or her success.

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