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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News & Analysis

What to do post-audit: How to set yourself up for success

December 8, 2017
Billing Alert for Long-Term Care

If a facility prepares itself appropriately for an audit, then the post-audit processes will be minimal. Unfortunately, that is not always the case or perhaps your facility has already undergone one and you need to know what to do now. Most audits will find some issues that will require immediate action and attention as well as long-term resolutions.


CMS cancels two mandatory bundled-pay models

December 1, 2017
The Bottom Line

On November 30, 2017, CMS finalized the cancellation of the mandatory hip fracture and cardiac bundled payment models that were to be operated by the CMS Innovation Center and implemented changes to the Comprehensive Care for Joint Replacement (CJR) Model. These changes will offer greater flexibility and choice for hospitals in providing care to Medicare patients. 

Flu season is here: Make sure you are billing accurately for flu vaccinations

December 1, 2017
Billing Alert for Long-Term Care

The temperatures are dropping and all of a sudden winter is here! With the transition of the seasons, long-term care facilities must focus on prevention methods to reduce residents’ risk of contracting the influenza (flu) virus.

Prevention methods are particularly important for long-term care providers to recognize and implement due to the greater severity of the flu in seniors age 65 and older, such as increased risk for heart attack, stroke, and bacterial lung infection (i.e., bronchitis or pneumonia), as well as a negative impact on ability to function independently. Due to these increased risks, it is unlikely that a senior infected with the flu will regain his or her level of health prior to infection. The illness may even prove fatal; the CDC warns that more than 90% of flu deaths occur in people over 65.

Phase 2 begins tomorrow!

November 27, 2017
The Bottom Line

Are you ready? Phase 2 begins tomorrow despite providers and provider advocates urging CMS to rethink the deadline. The new survey process will take effect on 11/28/17 as promised. However, providers will get a delay on monetary penalties for one year, CMS said.



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