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.

Learn More Join

Featured Article

New Medicare Card Project Special Open Door Forum — January 23

January 19, 2018
 | 
The Bottom Line

Join CMS on Tuesday, January 23 from 2:00 to 3:00 pm ET for a special open door forum. This call will educate State Medicaid Agencies, Medicaid providers, Managed Care Organizations, Medicaid partners, and other Medicaid stakeholders about the change from Social Security Number-based Health Insurance Claim Numbers to new Medicare Beneficiary Identifiers (MBIs). A question and answer session follows the presentation.

News & Analysis

New Medicare Card Project Special Open Door Forum — January 23

January 19, 2018
 | 
The Bottom Line

Join CMS on Tuesday, January 23 from 2:00 to 3:00 pm ET for a special open door forum. This call will educate State Medicaid Agencies, Medicaid providers, Managed Care Organizations, Medicaid partners, and other Medicaid stakeholders about the change from Social Security Number-based Health Insurance Claim Numbers to new Medicare Beneficiary Identifiers (MBIs). A question and answer session follows the presentation.

Tips to win an appeal

January 19, 2018
 | 
Billing Alert for Long-Term Care

Without every “i” dotted and every “t” crossed on a claim, an overpayment may result, even if the services rendered were necessary for the patient. The appeals process is designed to give providers a chance to explain their case; it’s also a mechanism to make sure an audit has been properly conducted. Mistakes happen, even among auditors, who have the leverage to demand large amounts of money in refunds. As a result, there must be some checks and balances in the system, and if done correctly, the appeals process is that balance. The following tips may not help you win every appeal, but they certainly won’t hurt.

 

New voluntary bundled payment model announced

January 12, 2018
 | 
Billing Alert for Long-Term Care

On January 9, 2018, CMS’ Innovation Center announced the launch of a new voluntary bundled payment model called Bundled Payments for Care Improvement Advanced (BPCI Advanced).  Under traditional fee-for-service payment, Medicare pays providers for each individual service they perform.  Under this bundled payment model, participants can earn additional payment if all expenditures for a beneficiary’s episode of care are under a spending target that factors in quality.

Achieve Up to $63K in Cost Savings

January 9, 2018
 | 
The Bottom Line

SNF occupancy rates continue to trend downward. The National Investment Center for Senior Housing and Care reports a drop from 86% to 82% between 2012 and 2017—the lowest they’ve been in five years.

When facilities struggle with flat or declining census, their profitability often suffers. However, profitability for long-term and postacute care providers is not solely based on census and reimbursement. Facilities need to think outside the box to remain profitable during times of low or declining census and we want to show you how.

RCS-1: What's changing and how you can prepare: Part 2

January 5, 2018
 | 
Billing Alert for Long-Term Care

Skilled nursing facility (SNF) providers are on the edge of their seats as they anticipate the Centers for Medicare & Medicaid Services' (CMS) consideration of a replacement for the Resource Utilization Group (RUG) system, which will change the way facilities are reimbursed for SNF Medicare Part A residents beginning FY2019. The Resident Classification System, Version 1 (RCS-1) will be the most significant change in the current reimbursement model, which has been in place for nearly two decades. Since being published in the Federal Register on April 27, 2017, providers and advocacy groups have submitted public comments and recommendations on the SNF prospective payment system (PPS) payment methodology proposed in the Summary of Advance Notice. Many concerns have been raised, especially regarding the reimbursement methodology for therapy services.

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.

Subscribe to our free e-Newsletter

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.

Click Here to Subscribe Now!

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.