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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Triple Check Q&A with Stefanie Corbett, DHA

May 23, 2017
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Billing Alert for Long-Term Care

Did you know? The Billers’ Association for Long-Term Care hold quarterly webinars free of charge for members! Every quarter, listen as Stefanie Corbett, DHA, postacute regulatory specialist at HCPro breaks down regulatory changes, unpacks complex ideas, and explains how to increase accuracy for optimal reimbursement. Following each webinar’s presentation, there is a live Q&A so you can ask questions of our speaker.

Ensuring an Effective & Efficient Triple Check Process

May 19, 2017
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Billing Alert for Long-Term Care

he triple check process verifies claims for accuracy and compliance with Medicare regulations before billing. Since the Office of the Inspector General published a report that over a billion dollars of inappropriate payments were paid to skilled nursing facilities in 2009, many facilities have adopted the triple check process as a critical operational strategy to mitigate the risk of improper payments and triggering a Medicare audit.

Defining maintenance therapy: A proactive approach to quality care

May 5, 2017
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Billing Alert for Long-Term Care

In February 2017 a federal judge accepted Medicare’s plans to better educate the public about individuals’ eligibility for coverage of physical and occupational therapy and speech-language pathology services. These updated plans came as a result of the Jimmo Settlement, a solution to the lengthy class action originally filed in 2011 by six individual Medicare beneficiaries and seven national organizations against the Secretary of Health and Human Services.

Technical experts needed for the CMS SNF QRP panel

May 2, 2017
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The Bottom Line

The Centers for Medicare & Medicaid Services (CMS) has contracted with RTI International to develop and maintain quality measures for the SNF QRP. The purpose of this project is to develop quality measures reflective of quality of care for post-acute care (PAC) settings to support CMS quality missions. Quality measures will be developed consistent with the three broad aims and six priorities of the National Quality Strategy, and the CMS Quality Strategy.

IMPACT Act, VBP, care coordination, and the SNF landscape

April 28, 2017
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Billing Alert for Long-Term Care

Now that we’re into the first quarter of the year, it is time to take stock of the postacute/SNF landscape, particularly as it pertains to evolutionary policy initiatives now and in the future. To start, there is little evidence on the horizon of an all-out retreat on the policy changes begat by the Affordable Care Act (ACA, or Obamacare). While some framework is building to "repeal and replace" the ACA, that framework will leave fundamentally intact the changes wrought by bundled payments, value-based purchasing, and the IMPACT Act. The Republican majority, a smattering of Democrats, and the incoming secretary of HHS have signaled support for these initiatives. Should a repeal strategy move forward any time soon, they will likely remain, whether fleshed or skeletal.

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