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 Skilled Nursing Facility Quality Reporting Program Review and Correct reports are now available

June 20, 2017
 | 
The Bottom Line

The Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Review and Correct reports are available on demand in the CMS Certification and Survey Provider Enhanced Reporting (CASPER) application. Log into the CMS Network using your CMSNet user ID and password to access the Welcome to the CMS QIES Systems for Providers webpage, then select the CASPER Reporting link to locate your reports.

News & Analysis

Part B Outpatient Therapy Q&A

June 21, 2017
 | 
Billing Alert for Long-Term Care

Editorial note: This Q&A is excerpted from our soon-to-be published title, Medicare Guide for SNF Billing and Reimbursement by Janet Potter, CPA, MAS and Frosini Rubertino, RN, BSN, C-NE, CDONA/LTC.

Q: What are the circumstances that allow us to bill under Medicare Part B?

 A: When services are provided in a skilled nursing facility (SNF), Medicare Part B may be billable for residents who have exhausted their Part A benefits or are ineligible for benefit days under Part A, outpatient physical therapy (PT), outpatient occupational therapy (OT), and outpatient speech language pathology (SLP).  These therapy services are very common among SNF residents as they rehab from an acute condition such as a stroke or joint replacement.  Many SNF residents benefit from short or long term therapy services to help regain movement, strength and activities of daily living. Part B therapy claims are frequently subject to medical review and denial, making it important that the details are billed correctly and that documentation exists to support the services. 

The Skilled Nursing Facility Quality Reporting Program Review and Correct reports are now available

June 20, 2017
 | 
The Bottom Line

The Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Review and Correct reports are available on demand in the CMS Certification and Survey Provider Enhanced Reporting (CASPER) application. Log into the CMS Network using your CMSNet user ID and password to access the Welcome to the CMS QIES Systems for Providers webpage, then select the CASPER Reporting link to locate your reports.

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