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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FAQs: Consolidated billing for SNFs

October 13, 2017
 | 
Billing Alert for Long-Term Care

Since its introduction in the skilled nursing facility (SNF) setting, consolidated billing (CB) has been one of the most routine yet misunderstood methods for SNFs to secure Medicare reimbursement.

To better grasp the complex principles, regulations, and systems that surround consolidated billing, SNFs must first have a solid foundation in Medicare Part A coverage and criteria. Without a basic understanding of this powerful insurance plan, SNFs risk committing or contributing to a number of punishable payment offenses, including improper billing, over- and underpayments, fraud, and abuse-related Medicare infractions that can carry serious ramifications, including steep penalties, exclusion from the program, imprisonment, or any combination thereof. 

 

The below Q&A contains questions that have been transcribed from our live webinar show, “Consolidated Billing for SNFs: A Close Look at the Five Major Categories,” hosted by expert speaker Janet Potter, CPA, MAS, senior manager, advisory services for Marcum LLP, and from frequently asked questions included in Potter’s new book, Medicare Guide for SNF Billing and Reimbursement. For more information on CB for SNFs, listen to the on-demand show or purchase our newly released Medicare billing guide.

Don’t forget the business office

September 29, 2017
 | 
The Bottom Line

One of the most important staff members in the facility is the person who informs the family that they owe money. The family will have a lasting relationship with the business office for a multitude of reasons; it is essential that they get off to a good start by introducing the business office manager and understanding the billing and financial obligations.

$370 million increase for SNFs raises more than just pay rates

September 1, 2017
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Billing Alert for Long-Term Care

It’s been said that Rome wasn’t built in a day, which is an archaic way of saying: Be patient, good things are coming. As the Centers for Medicare & Medicaid Services (CMS) navigate what some may consider to be healthcare’s own modern-day Roman empire¾a system undergoing serious revisions including how levels of care are monitored, the way reimbursement is divided, and the anything-but-straight-and-narrow shift from volume to value¾SNF providers are participating in history being made. On Monday, July 31, with the publication of a multi-faceted final rule, Rome’s grand plans just got a little grander¾but experts wonder if its tight budget will be enough to cover renovations. 

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