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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Featured Article

What should your policy for coding compliance and ethics include?

June 15, 2018
 | 
The Bottom Line

Coding continues to be a prime target for audits because errors, gaps, and missing information are easily identified. Also, the bundling and unbundling of codes impacts every area of healthcare. Additionally, coding is identified in audits and investigations and may be a source for whistleblower allegations under the False Claims Act.

News & Analysis

Reimbursement increased by 77% for brand-name Part D drugs

June 15, 2018
 | 
The Bottom Line

According to a report published by the OIG this month, total reimbursement for all brand-name drugs in Part D increased 77% from 2011 to 2015, despite a 17% decrease in the number of prescriptions for these drugs. After accounting for manufacturer rebates, reimbursement for brand-name drugs in Part D was found to have still increased 62% from 2011 to 2015.

What should your policy for coding compliance and ethics include?

June 15, 2018
 | 
The Bottom Line

Coding continues to be a prime target for audits because errors, gaps, and missing information are easily identified. Also, the bundling and unbundling of codes impacts every area of healthcare. Additionally, coding is identified in audits and investigations and may be a source for whistleblower allegations under the False Claims Act.

How PBJ staffing data can affect your bottom line

June 15, 2018
 | 
Billing Alert for Long-Term Care

Payroll-Based Journal (PBJ) data submitted to the Centers for Medicare & Medicaid Services (CMS) in accordance with the agency’s requirement that went into effect July 1, 2017, is now live on Nursing Home Compare and is being used to calculate the staffing rating in the Nursing Home Five-Star Quality Rating System. Beginning June 1, 2018, CMS will no longer collect facility staffing data through the CMS-671 form, meaning that providers will no longer have to fill out page 2 of this form.

What are you doing in August?

June 8, 2018
 | 
The Bottom Line

Join us in Chicago on Monday and Tuesday, August 13-14, to attend our SNF Regulatory Update Boot Camp! This event covers the industry changes that impact your clinical and financial operations while providing strategies for achieving and sustaining compliance in the future marketplace. Attendees can expect to learn best practices for leading and managing facilities to avoid survey issues, claims audits, and improper Medicare payments.

Resources

Community

Biller's Talk

Click here to join the discussion with fellow billing professionals and business office managers.

Free Resources

Access sample white papers, tools, analysis, and resources.

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The Bottom Line is a free weekly e-newsletter that delivers news, tips, and strategies for long-term care billing professionals and business office managers on operating an efficient and compliant billing office.

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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.