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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Civil monetary penalties to fund new CMS quality improvement initiative

Nov 30, 2018
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The Bottom Line

CMS announced a three-year quality improvement initiative in a press release on November 20, 2018. The Civil Money Penalty Reinvestment Program (CMPRP) aims to improve residents’ quality of life by equipping nursing home staff, administrators, and stakeholders with technical tools and assistance to enhance resident care. The CMPRP is funded by federal civil money penalties, which are fines nursing homes must pay CMS by law when they are noncompliant with certain regulations and there are serious concerns about the safety and quality of care they provide.

Healthcare winners and losers from election night 2018

Nov 09, 2018
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The Bottom Line

Source: HealthLeaders

The 2018 midterm elections are over but made a significant impact on healthcare policies at the federal and state level across the country, while also determining who will be in office to enact them. The future of healthcare policymaking will be influenced by the decisions made by millions of voters on Tuesday night, as Democrats took back the House while Republicans held onto control in the Senate. Healthcare was a top priority for voters as they made their way to the polls to vote on issues such as Medicaid expansion and the healthcare leaders seeking to represent them on Capitol Hill.

Featured member resource: MDS chart audit tool

Nov 09, 2018
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The Bottom Line

The purpose of the MDS chart audit tool is to ensure documentation is present in the medical record to support the findings of the MDS. Use the tool at the end of the month or the episode of care. If documentation that supports the MDS is present for each item, place a checkmark. If it is not, highlight the area so it can be followed up on to ensure completeness. This form can be completed by the MDS coordinator, DON, medical records, therapy director, or delegated per area of specialty. Download this Billers’ Association for LTC member resource.

 

These 7 readmission risks could prevent you from receiving SNF VBP incentive payments

Nov 02, 2018
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The Bottom Line

As of October 1, 2018, the Skilled Nursing Facility (SNF) Value-Based Purchasing Program (VBP) rewards SNFs with incentive payments for reducing hospital readmissions. To receive incentive payments for this quality measure, make sure these 7 readmission risks don’t exist in your facility.

Upcoming CMS open door forums

Aug 31, 2018
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The Bottom Line

CMS has three open door forums coming up in September: New Medicare Card Open Door Forum, Thursday, September 13, 2:00-3:00pm, ET; Dementia care: Opioid use & impact for persons living with dementia call, Tuesday, September 18, 1:30-3:00pm, ET; Medicare Diabetes prevention program: New covered service call, Wednesday, September 26, 2:00-3:00pm, ET.

Stark law reform push sees movement on multiple fronts

Aug 31, 2018
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The Bottom Line

The window closed Friday night for public comments on a Centers for Medicare & Medicaid Services request for information regarding possible changes to Stark Law and anti-kickback regulations on the healthcare industry. When the agency announced the RFI earlier this summer, CMS Administrator Seema Verma signaled that both the laws and the regulations stemming from them could be impeding value-based care. Many commenters agreed, arguing that the decades-old restrictions should be scaled back to make room for the industry to generate and implement new ideas.

LTC nurse residency results in: 86% retention rate

Aug 17, 2018
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Billing Alert for Long-Term Care

Postacute care has become an essential component of value-based care. By preparing new nurses through a long-term care residency program, facilities can improve nurse retention, confidence, and competency. Accountable care organizations, value-based care, and new reimbursement models are changing the healthcare landscape, and with that the role of the postacute care nurse is evolving as well. "It's important that [patients] don't go back to the hospital. So these nurses have to have a different skill level than, maybe, what people perceived long-term care as previously," says Edna Cadmus, PhD, RN, NEA-BC, FAAN, clinical professor at Rutgers University School of Nursing.

CMS administrator aims to make doctors’ offices a “fax free zone” by 2020

Aug 16, 2018
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The Bottom Line

During the ONC’s Interoperability Forum in Washington, D.C. this month CMS administrator Seema Verma announced the agency’s goal to replace fax machines used in physician offices to send patient information with consumer-friendly applications. According to Healthcare Finance News, the applications will be used by Medicare beneficiaries who will be able to “connect their claims data to the applications, services and research programs they trust.”

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