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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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.

Medicare fraud and improper payments remain black stain under President Trump’s microscope

April 14, 2017
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Billing Alert for Long-Term Care

An alarming fact: Medicare loses more money to overbilling than any other program government-wide. The Centers for Medicare & Medicaid Services (CMS) Comprehensive Error Rate Testing (CERT) program, which is used to estimate improper payments made by Medicare, determined that more than $130 billion has been inappropriately lost by Medicare over the past three years due to improper payments. Even more disturbing, healthcare officials warn that without a change in payment distribution, the Medicare Trust Fund is on a path to becoming bankrupt by 2028.

 

Transforming Health Care Delivery through the CMS Innovation Center: Better Care, Healthier People, and Smarter Spending

March 10, 2017
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The Bottom Line

CMS has made great progress in recent years on reforming our system into one that delivers better quality of care for patients and pays for care in a smarter way, including investing more in prevention and primary care.

Exciting updates: More content, tools, and news at your fingertips!

March 3, 2017
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The Bottom Line

The challenges billing professionals tackle each day don’t wait for solutions and neither should you. That’s why The Billers’ Association for Long-Term Care is transitioning to a one-level membership to allow all members access to a lively discussion board, analysis of regulatory compliance issues, weekly news of the changes that are happening in the billing world, as well as whitepapers, and more. The Billers’ Association is a single source for all your billing, regulatory, and compliance news, tools, and best practice strategies.

Eight ways to improve the transition process between hospitals and SNFs

March 3, 2017
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Billing Alert for Long-Term Care

There are few times during a SNF stay that a resident is more vulnerable than those first several days. Often, a bad transition process only serves to exacerbate those vulnerabilities, leading to complications or rehospitalization.

In fact, a  study published in the Journal of Post-Acute and Long Term Care shows that poor coordination between hospitals and postacute care providers can have devastating consequences for residents, particularly those with higher acuity.

The Five-Star Quality Rating System Technical User's Guide is now available!

February 28, 2017
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The Bottom Line

Stay compliant with the most up-to-date Five-Star Quality Rating System. The Five-Star Quality Rating System Technical User’s Guide includes CMS’ technical guide to the Five-Star Rating System, as well as expert analysis and insight into how providers can use the guide, how ratings are affected, and what providers can do to improve their rating. Industry experts Reginald M. Hislop III, PhD, and Maureen McCarthy, RN, BS, RAC-MT, QCP-MT, provide analysis and insight to assist facilities in determining their overall facility five-star rating, employing strategic opportunities for marketplace differentiation, and driving performance with quality care that can translate to maximum star ratings.

Advancing care coordination through episode payment models final rule

February 10, 2017
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Billing Alert for Long-Term Care

In late December, 2016, the Centers for Medicare & Medicaid Services (CMS) finalized new Innovation Center models that continue the Administration’s progress to shift Medicare payments from rewarding quantity to rewarding quality by creating strong incentives for hospitals to deliver better care to patients at a lower cost.

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