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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Revised SNF ABN mandatory for use beginning this May

April 6, 2018
Billing Alert for Long-Term Care

In January of this year, the Centers for Medicare & Medicaid Services (CMS) released a newly revised Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage (SNF ABN) along with newly developed, concise, and separate instructions for form completion. The revised SNF ABN has the requirements from the Denial Letters and looks similar to the ABN, with three options for Original Fee-For-Service Medicare beneficiaries to choose from.

The medical review department chose to conduct a postpayment review…now what?

March 30, 2018
Billing Alert for Long-Term Care

There are two main types of medical reviews, sometimes called “probes”: prepayment and postpayment. They mean exactly what their names imply. Contractors can request documentation after a claim is filed and before payment is made, or they can select claims for review after claims have been paid. As stated earlier, the Medicare program was built on a foundation of trust and doesn’t require documentation up front in order to receive payment. Since the advent of electronic claims filing, even less is required. Therefore, the MR system is in place to verify that providers are filing claims appropriately. 

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