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.

Learn More Join

Did you miss our quarterly webinar?

April 20, 2018
 | 
The Bottom Line

Not to worry! Click here to access the recording. HCPro’s postacute regulatory specialist Stefanie Corbett, DHA reviewed how to spice up your compliance program with PEPPER reports, including how to access the reports and identify problem areas that may lead to improper payments and/or audits. This educational webinar also explains how to determine whether the facility is recognized as an outlier compared to other SNFs and helps providers identify focus areas for medical record audits and quality improvement areas.

CMS publishes revised instructions for consolidated billing related to ambulance transportation

April 20, 2018
 | 
The Bottom Line

CMS published clarification earlier this week on coverage of an ambulance transport for a SNF resident in a stay not covered by Part A, who has Part B benefits, to the nearest supplier of medically necessary services not available at the SNF, including the return trip.

CMS reduces reimbursement by 13% for non-emergency BLS ambulance transports to and from renal dialysis treatment

April 17, 2018
 | 
The Bottom Line

In an MLN Matters article published on April 6, 2018, CMS announced a 13% reduction in ambulance payments for non-emergency basic life support (BLS) transports of individuals with end-stage renal disease to and from renal dialysis treatment. Following a 10% cut that went into effect in 2013, reimbursement decreases for dialysis patients with end-stage renal failure now total 23%, leaving providers worried that care for these individuals may be limited. The effective date for this reduction is October 1 of this year.

Scrutinizing Medicare coverage for physical, occupational and speech therapy

April 13, 2018
 | 
The Bottom Line

For years, confusion has surrounded the conditions under which older adults can receive physical, occupational and speech therapy covered by Medicare. Services have been terminated for some seniors, such as those with severe cases of multiple sclerosis or Parkinson’s disease, because therapists said they weren’t making sufficient progress. Others, including individuals recovering from strokes or traumatic brain injuries, have been told that they reached an annual limit on services and didn’t qualify for further care.

Have questions about consolidated billing? Check out our new white paper!

April 13, 2018
 | 
The Bottom Line

Since its introduction in the SNF setting, consolidated billing has been one of the most routine yet misunderstood methods for SNFs to secure Medicare reimbursement. You asked and Janet Potter, MAS, CPA, former senior manager, advisory services for Marcum, LLP answered in our expert Q&A white paper, Consolidated Billing for SNFs.

Don’t miss our quarterly webinar on Wednesday, April 18! Spice Up Your Compliance Program with PEPPER Reports

April 6, 2018
 | 
The Bottom Line

Join us on Wednesday, April 18, 2018 at 1:00pm EST for our quarterly webinar with Stefanie Corbett, DHA, postacute regulatory specialist for HCPro, as we discuss how to spice up your compliance program with PEPPER reports, including how to access the reports and identify problem areas that may lead to improper payments and/or audits. At the completion of this educational webinar, participants will also understand how to determine whether the facility is recognized as an outlier compared to other SNFs and be able to identify focus areas for medical record audits and quality improvement areas.

CMS raises Medicare Advantage pay rates by 3.4% for 2019

April 6, 2018
 | 
The Bottom Line

In a final rule published on Monday, April 2, 2018, CMS announced 2019 payment updates for Medicare Advantage, which will rise by 3.4%, an increase from the 2.95% raise in 2018. The agency also announced that they are “reinterpreting the standards for health-related supplemental benefits in the Medicare Advantage program to include additional services that increase health and improve quality of life, including coverage of non-skilled in-home supports and other assistive devices."

Look out for new Medicare cards in the mail

April 6, 2018
 | 
The Bottom Line

CMS started mailing newly-designed Medicare cards with the new Medicare Beneficiary Identifier (MBI), or Medicare Number. People enrolling in Medicare for the first time will be among the first to get the new cards, no matter where they live. Current Medicare beneficiaries will get their new cards on a rolling basis over the coming months. CMS will continue to accept the Health Insurance Claim Number (HICN) through the transition period.

Pages

Free Resources

Access sample white papers, tools, analysis, and resources.