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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New Medicare Card Project Special Open Door Forum — January 23

January 19, 2018
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The Bottom Line

Join CMS on Tuesday, January 23 from 2:00 to 3:00 pm ET for a special open door forum. This call will educate State Medicaid Agencies, Medicaid providers, Managed Care Organizations, Medicaid partners, and other Medicaid stakeholders about the change from Social Security Number-based Health Insurance Claim Numbers to new Medicare Beneficiary Identifiers (MBIs). A question and answer session follows the presentation.

Achieve Up to $63K in Cost Savings

January 9, 2018
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The Bottom Line

SNF occupancy rates continue to trend downward. The National Investment Center for Senior Housing and Care reports a drop from 86% to 82% between 2012 and 2017—the lowest they’ve been in five years.

When facilities struggle with flat or declining census, their profitability often suffers. However, profitability for long-term and postacute care providers is not solely based on census and reimbursement. Facilities need to think outside the box to remain profitable during times of low or declining census and we want to show you how.

Medicaid EHR Q&A

December 22, 2017
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The Bottom Line
Q: Is the physician the only person who can enter information in the electronic health record (EHR) in order to qualify for the Medicaid EHR Incentive Programs?

Low Volume Appeals Settlement Option Call

December 20, 2017
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The Bottom Line

Dial in on Tuesday, January 9 from 1:30 to 2:30 pm EST to hear about the settlement option for providers with fewer than 500 appeals pending at the OMHA and the Council at the Departmental Appeals Board.

As part of the broader HHS commitment to improving the Medicare appeals process, CMS will make available a settlement option for providers and suppliers (appellants) with fewer than 500 appeals pending at the Office of Medicare Hearings and Appeals (OMHA) and the Medicare Appeals Council (the Council) at the Departmental Appeals Board.

CMS cancels two mandatory bundled-pay models

December 1, 2017
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The Bottom Line

On November 30, 2017, CMS finalized the cancellation of the mandatory hip fracture and cardiac bundled payment models that were to be operated by the CMS Innovation Center and implemented changes to the Comprehensive Care for Joint Replacement (CJR) Model. These changes will offer greater flexibility and choice for hospitals in providing care to Medicare patients. 

Phase 2 begins tomorrow!

November 27, 2017
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The Bottom Line

Are you ready? Phase 2 begins tomorrow despite providers and provider advocates urging CMS to rethink the deadline. The new survey process will take effect on 11/28/17 as promised. However, providers will get a delay on monetary penalties for one year, CMS said.

FEES Studies Q&A with Stefanie Corbett

November 22, 2017
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The Bottom Line

Do you have a question that isn’t getting answered in the forum? Email it to omacdonald@hcpro.com to be considered for a Q&A with our regulatory specialist.

Q: In the SNF setting, we have agreements with FEES providers that come to the SNF and conduct FEES studies (swallowing studies). The FEES provider charges the SNF a flat fee ($350) per study that the SNF pays to the FEES company.

 Is this service billable by the SNF to Medicare Part B when provided in the SNF but to a contracted provider?

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