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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Resident-centered care in a data- and payment-driven industry

Jul 19, 2018
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Billing Alert for Long-Term Care

SNFs must provide quality care to residents in a field that is being suffocated by regulation and paperwork, and that is placing ever-increasing importance on data. The key is to ensure the data does not eclipse the care. SNFs must adhere to the principle that putting residents first will improve quality measures, increase reimbursement rates, and ensure a successful survey. Enhancing resident care will then give a facility the reputational excellence it needs to fill its beds. 

Case studies and scenarios: Various types of audits

Jun 29, 2018
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Billing Alert for Long-Term Care

Most audits are conducted in very similar manners. They also determine their focus using very similar techniques. Recovery Audit Contractors (RAC) are announcing their focus for complex reviews on their websites. The main difference between them is what they are specifically looking for. These examples are taken from various real-life scenarios and potential scenarios.

Three new regulatory requirements that implicate service contracts

Jun 28, 2018
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The Bottom Line

Having effective contracts in place in your facility can help minimize regulatory and financial risk under CMS’ Conditions of Participation (CoP) and federal fraud and abuse laws. If regulatory risk is not addressed in the facility’s service contracts, it could subject the facility to a host of costly fraud and abuse implications.

CMS issues guidance for handling insufficient documentation, ADRs

Jun 22, 2018
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The Bottom Line

CMS issued change request (CR) 10778 on June 15, with an effective date of July 17, to update Chapter 12 of the Medicare Program Integrity Manual. The proposed update includes details for handling non-responders and insufficient responses to additional documentation requests (ADR) under the Comprehensive Error Rate Testing (CERT) program.

What are you doing in August?

Jun 08, 2018
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The Bottom Line

Join us in Chicago on Monday and Tuesday, August 13-14, to attend our SNF Regulatory Update Boot Camp! This event covers the industry changes that impact your clinical and financial operations while providing strategies for achieving and sustaining compliance in the future marketplace. Attendees can expect to learn best practices for leading and managing facilities to avoid survey issues, claims audits, and improper Medicare payments.

SNF provider preview reports now available, review before June 30

Jun 07, 2018
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The Bottom Line

Skilled Nursing Facility (SNF) Provider Preview Reports have been updated and are now available. Providers have until June 30, 2018 to review their performance data prior to public display on the Nursing Home Compare site. Corrections to the underlying data will not be permitted during this time. However, providers can request a CMS review during the preview period if they believe their data scores displayed are inaccurate.

Increase revenue savings by eliminating this common error

May 18, 2018
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The Bottom Line

Effective October 1, 2018, drug regimen review (DRR) will be a quality measure in the SNF Quality Reporting Program (QRP) created to assess whether providers are proactive in identifying and reconciling potential clinically significant medication issues. It’s essential that long-term care nursing staff understand the DRR process, as well as CMS’ expectations for the new requirement, in order to avoid citations and increase quality and revenue savings.

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