Long-Term Care

Long-Term Care Articles by Topic: Billing and Reimbursement

HCPro's 2013 Recovery Auditor Benchmarking Report

  • MDS 3.0 Insider, Issue 11, March 15, 2013

    In 2012, Recovery Auditors continued to expand their reach and gain speed. How has your facility...

CMS releases SNF PPS Final Rule for fiscal year 2012

  • MDS 3.0 Insider, Issue 16, August 8, 2011

    The Centers for Medicare & Medicaid Services (CMS) released the Final Rule for SNF PPS and...

Post-acute care: Have you created your ICD-10 implementation plan?

  • MDS 3.0 Insider, Issue 14, July 11, 2011

    With 2013 seemingly so far away, many post-acute care organizations, including long-term care...

How can we tell if this resident can access her remaining Medicare Part A days?

  • MDS 3.0 Insider, Issue 13, June 27, 2011

    Q: How can we tell if this resident can access her remaining Medicare Part A days?

Updates from the May 12 SNF ODF

  • MDS 3.0 Insider, Issue 10, May 16, 2011

    During the May 12 SNF Open Door Forum (ODF), CMS provided callers with information about what was...

Are V-codes acceptable on the MDS and on the UB-04?

  • MDS 3.0 Insider, Issue 5, March 7, 2011

    Q: I work in Pennsylvania and the use of V-codes has been an ongoing issue in this area. With the...

Error in processing SNF claims

  • MDS 3.0 Insider, Issue 3, February 7, 2011

    CMS recently announced that they had made an error with a non-labor share percentage used for...

CMS releases billing and coding resources

  • MDS 3.0 Insider, Issue 1, January 10, 2011

    The Centers for Medicare & Medicaid Services (CMS) recently released the Medicare Learning...

Reminder: Be aware of timely filing requirement changes

  • MDS 3.0 Insider, Issue 24, December 27, 2010

    As the end of the year approaches, it is important that Medicare Fee-For-Service (FFS) physicians...

Ready or not, the MDS 3.0 is here

  • PPS Alert for Long-Term Care, Issue 11, November 1, 2010

    With a whoosh, a zoom, and what probably seems like a whack, MDS 3.0 has begun. You’ve been...

MedPac releases Medicare Payment Basics

  • MDS 3.0 Insider, Issue 19, October 18, 2010

    MedPac released an updated 2010 Medicare Payment Basics series October 14, which provides an...

Billing Alert for Long-Term Care, September 2010

  • Billing Alert for Long-Term Care, Issue 9, September 1, 2010

    Inside: Keep your claims error-free with a simple check HCPCS update and the HCFA 1500 Preparing...

BALTC Q&A

  • Billing Alert for Long-Term Care, Issue 9, September 1, 2010

    Lee A. Heinbaugh answers readers questions about Medicare Part A eligibility, settling financial...

Part B general billing requirements

  • Billing Alert for Long-Term Care, Issue 8, August 1, 2010

    In many ways, Part B billing rules are quite different from Part A rules. However, your SNF must...

Mindful of Medigap and consistent with coinsurance

  • Billing Alert for Long-Term Care, Issue 8, August 1, 2010

    On June 1, CMS implemented a number of changes to the Medigap program, including the creation of...

Billing Alert for Long-Term Care, August 2010

  • Billing Alert for Long-Term Care, Issue 8, August 1, 2010

    Inside: Mindful of Medigap and consistent with coinsurance CMS answers your ICD-10...

Tip of the month: Comprehending contractual law

  • The Center for Post Acute Excellence Update, Issue 4, July 5, 2010

    Contracts and contractual law are important for long-term care administrators to understand. A...

Medicare physician payment cuts retroactively delayed

  • Contemporary Long-Term Care Weekly, Issue 26, July 1, 2010

    The House passed a six-month plan, known as the doc fix, on June 24 that repeals a 21% reduction of...

No-pay bills and benefits exhaust: Back to basics

  • Billing Alert for Long-Term Care, Issue 7, July 1, 2010

    Few topics are as puzzling to SNF billers as no-pay bills and benefits exhaust claims...

Billing Alert for Long-Term Care, July 2010

  • Billing Alert for Long-Term Care, Issue 7, July 1, 2010

    The July issue of Billing Alert for Long-Term Care covers no-pay bills and benefits exhaust claims...

PPACA reduces timely filing deadline

  • Billing Alert for Long-Term Care, Issue 6, June 1, 2010

    Healthcare reform means a lot of different things to a lot of different people, but for Medicare...

Clarify and cover what's critical with clinical

  • Billing Alert for Long-Term Care, Issue 6, June 1, 2010

    Every day in SNFs across the country, information enters and exits, moving through the various...

Billing Alert for Long-Term Care, June 2010

  • Billing Alert for Long-Term Care, Issue 6, June 1, 2010

    Billing Alert for Long-Term Care provides valuable information about billing regulations...

CMS works toward building MDS 3.0 and partial RUG-IV infrastructure

  • Contemporary Long-Term Care Weekly, Issue 21, May 27, 2010

    In a notification released May 24 via the listserv, CMS addressed the immediate need for a grouper...

How do I bill for concurrent therapy?

  • MDS 3.0 Insider, Issue 9, May 17, 2010

    Q: If I am providing concurrent therapy to two resident for one hour, can I bill both for one hour...

The emphasis on enterals: Findings and changes

  • Billing Alert for Long-Term Care, Issue 5, May 1, 2010

    As the competitive bidding program progresses, durable medical equipment, prosthetics, orthotics...

With MSP claims, it pays to be proactive

  • Billing Alert for Long-Term Care, Issue 5, May 1, 2010

    By carefully and accurately filling out the MSP form with every admission, understanding the...

Billing Alert for Long-Term Care, May 2010

  • Billing Alert for Long-Term Care, Issue 5, May 1, 2010

    Billing Alert for Long-Term Care provides valuable information about billing regulations...

CMS proposes cutting inpatient payments by 0.1%

  • Contemporary Long-Term Care Weekly, Issue 16, April 22, 2010

    On April 19, CMS released a hospital inpatient and long-term care prospective payment system...

Healthcare reform means big changes for timely filing requirements

  • Contemporary Long-Term Care Weekly, Issue 14, April 8, 2010

    Under the Patient Protection and Affordable Care Act, which President Obama signed into law March...

Payment bans: Managing the procedure

  • Billing Alert for Long-Term Care, Issue 4, April 1, 2010

    No facility wants to experience a payment ban, which halts Medicare Part A payments for new...

Billing Alert for Long-Term Care, April 2010

  • Billing Alert for Long-Term Care, Issue 4, April 1, 2010

    Billing Alert for Long-Term Care provides valuable information about billing regulations...

The details of default billing

  • Billing Alert for Long-Term Care, Issue 3, March 1, 2010

    Synopsis: Though it may not be a SNF’s ideal means of reimbursement, billing Medicare Part...

Say hello to 3.0: The new MDS' effect on billers

  • Billing Alert for Long-Term Care, Issue 3, March 1, 2010

    The implementation of MDS 3.0 on October 1 means big changes for SNFs. The latest PPS assessment...

Billing Alert for Long-Term Care, March 2010

  • Billing Alert for Long-Term Care, Issue 3, March 1, 2010

    Billing Alert for Long-Term Care provides valuable information about billing regulations...

The best ways to ensure that documentation supports therapy billing

  • Billing Alert for Long-Term Care, Issue 2, February 1, 2010

    How can a provider protect the revenue it earns through therapy services? The answer is...

When it comes to RAC automated reviews, defense is the best offense

  • Billing Alert for Long-Term Care, Issue 2, February 1, 2010

    Automated reviews lurk under the radar of SNFs. An automated review is a non-human RAC...

Complicated ride: The ins and outs of billing for ambulance services

  • Billing Alert for Long-Term Care, Issue 2, February 1, 2010

    Getting a firm grasp on consolidated billing is hard enough. Tack on the situation-dependent...

Billing Alert for Long-Term Care, February 2010

  • Billing Alert for Long-Term Care, Issue 2, February 1, 2010

    Billing Alert for Long-Term Care provides valuable information about billing regulations...

Tip of the week: Understanding MDS basics for residents skilled under Part A

  • Contemporary Long-Term Care Weekly, Issue 3, January 21, 2010

    The Minimum Data Set (MDS) drives all billing, including consolidated billing. It is a federal...

Tips and tools for billing diagnostic tests under Part B

  • Billing Alert for Long-Term Care, Issue 1, January 1, 2010

    Diagnostic tests are subject to the annual Part B deductible and the 20% coinsurance payment. Each...

ADRs: Don’t be alarmed, be responsive

  • Billing Alert for Long-Term Care, Issue 1, January 1, 2010

    Even though many of the triggers are quick fixes, failing to respond to an ADR can result in...

Billing Alert for Long-Term Care, January 2010

  • Billing Alert for Long-Term Care, Issue 1, January 1, 2010

    Billing Alert for Long-Term Care provides valuable information about billing regulations...

Ostomy, urological, and tracheostomy supplies: An easier approach to Part B billing

  • LTC Educator's Corner, Issue 7, December 7, 2009

    Similar to Part A services, facilities can bill Part B ostomy, urological, and tracheostomy...

BALTC Q&A

  • Briefings on Long-Term Care, Issue 12, December 1, 2009

    Lee Heinbaugh and Diane Brown discuss claim due dates, midnight census, leaves of absence, and...

Helpful tips: Hospice care in SNFs

  • Briefings on Long-Term Care, Issue 12, December 1, 2009

    A large percentage of residents require the services of a SNF for skilled nursing and...

Keep an eye on hospital observation stays

  • Briefings on Long-Term Care, Issue 12, December 1, 2009

    In the last couple of years, and especially in recent months, many long-term care professionals...

Billing Alert for Long-Term Care, December 2009

  • Briefings on Long-Term Care, Issue 12, December 1, 2009

    Billing Alert for Long-Term Care provides valuable information about billing regulations...

BALTC Q&A

  • Billing Alert for Long-Term Care, Issue 12, December 1, 2009

    Lee Heinbaugh and Diane Brown discuss claim due dates, midnight census, leaves of absence, and...

Helpful tips: Hospice care in SNFs

  • Billing Alert for Long-Term Care, Issue 12, December 1, 2009

    A large percentage of residents require the services of a SNF for skilled nursing and...

Keep an eye on hospital observation stays

  • Billing Alert for Long-Term Care, Issue 12, December 1, 2009

    In the last couple of years, and especially in recent months, many long-term care professionals...

Billing Alert for Long-Term Care, December 2009

  • Billing Alert for Long-Term Care, Issue 12, December 1, 2009

    Billing Alert for Long-Term Care provides valuable information about billing regulations...

Long-term care insurance grows amid political spotlight

  • Billing Alert for Long-Term Care, Issue 11, November 1, 2009

    With more people buying long-term care insurance, which often provides coverage beyond the...

CMS releases final MDS 3.0 item set

  • Contemporary Long-Term Care Weekly, Issue 43, November 1, 2009

    The Centers for Medicare & Medicaid Services (CMS) released the much anticipated final MDS 3.0...

PPS Q&A

  • PPS Alert for Long-Term Care, Issue 11, November 1, 2009

    Columnist Wayne van Halem, AHFI, CFE, discusses what to do when an internal audit reveals billing...

BALTC Q&A

  • Billing Alert for Long-Term Care, Issue 11, November 1, 2009

    Having RFP troubles? Look no further. Lee Heinbaugh discusses request for proposal from a billing...

Master the -KX modifier and therapy documentation

  • Billing Alert for Long-Term Care, Issue 11, November 1, 2009

    The therapy cap exception process is set to expire December 31. As of now, the only action on this...

Common pitfalls of consolidated billing

  • Billing Alert for Long-Term Care, Issue 11, November 1, 2009

    The intricacies of consolidated billing continue to challenge even the most experienced billers.

Communicate with your MAC and make the most of a critical relationship

  • Billing Alert for Long-Term Care, Issue 11, November 1, 2009

    Billers can establish an efficient business relationship between their facility and their MAC...

Billing Alert for Long-Term Care, November 2009

  • Billing Alert for Long-Term Care, Issue 11, November 1, 2009

    Billing Alert for Long-Term Care provides valuable information about billing regulations...

Tip of the week: Understanding basic rules of consolidated billing

  • Contemporary Long-Term Care Weekly, Issue 41, October 22, 2009

    Administrators need to understand a few basic rules when dealing with the consolidated billing...

Q&A with Regulatory Specialist Diane Brown

  • MDS 3.0 Insider, Issue 27, October 5, 2009

    Q: How will the judgment to divide concurrent therapy minutes among the residents receiving the...

SNF PPS final rule: Get ready for reimbursement reductions and RUG-IV

  • PPS Alert for Long-Term Care, Issue 10, October 1, 2009

    CMS released the final rule for fiscal year (FY) 2010 payment updates to SNFs July 28, leaving many...

SNF PPS final rule: Get ready for reimbursement reductions and RUG-IV

  • Billing Alert for Long-Term Care, Issue 10, October 1, 2009

    CMS released the final rule for fiscal year (FY) 2010 payment updates to SNFs July 28, leaving many...

Billing Alert for Long-Term Care, October 2009

  • Billing Alert for Long-Term Care, Issue 10, October 1, 2009

    Billing Alert for Long-Term Care provides valuable information about billing regulations...

Education tips for SNF billers: Self-training amid constant industry change

  • Billing Alert for Long-Term Care, Issue 10, October 1, 2009

    Responsible for accurate reimbursement, long-term care billers serve as one of the most important...

Medicare Advantage: Avoid lingering billing problems and common trouble spots

  • Billing Alert for Long-Term Care, Issue 10, October 1, 2009

    When it comes to billing Medicare Advantage (MA) plans, many facilities continue to struggle, often...

CMS releases billing instructions for H1N1 vaccine

  • MDS 3.0 Insider, Issue 25, September 7, 2009

    CMS recently release an MLN Matters article outlining the instructions for billing the...

ZPICs crack down on Medicare fraud and abuse

  • PPS Alert for Long-Term Care, Issue 9, September 1, 2009

    You may not have heard of Zone Program Integrity Contractors (ZPIC), but they will soon be...

Billing Alert for Long-Term Care September 2009

  • Billing Alert for Long-Term Care, Issue 9, September 1, 2009

    Billing Alert for Long-Term Care provides valuable information about billing regulations...

Save time this flu season with roster billing

  • Billing Alert for Long-Term Care, Issue 9, September 1, 2009

    SNF business offices across the nation will soon be faced with the task of billing numerous flu...

Simple steps to successfully collect coinsurance

  • Billing Alert for Long-Term Care, Issue 9, September 1, 2009

    SNF billers can avoid coinsurance billing problems by identifying the payer source upon admission...

Are your business associates ready for the new HIPAA rules?

  • Billing Alert for Long-Term Care, Issue 9, September 1, 2009

    Covered entities, such as nursing homes, should ensure that their BAs understand the new HIPAA...

Benefits exhaust and no-pay bills: Obstacles to compliance

  • Billing Alert for Long-Term Care, Issue 9, September 1, 2009

    Complying with the nuances of when and how to properly submit benefits exhaust and no-pay bills...

BALTC Q&A

  • Billing Alert for Long-Term Care, Issue 9, September 1, 2009

    Columnist Lee A. Heinbaugh discusses how to use the OIG’s List of Excluded...

Recovery audit contractors: Ready or not, here they come

  • PPS Alert for Long-Term Care, Issue 8, August 1, 2009

    There is no hiding from the Recovery Audit Contractor (RAC) program, which CMS is in the process of...

BALTC Q&A

  • Billing Alert for Long-Term Care, Issue 8, August 1, 2009

    Columnist Lee A. Heinbaugh discusses coinsurance crossover claims and how to use the Medicare...

New Recovery Audit Contractor program FAQs

  • Billing Alert for Long-Term Care, Issue 8, August 1, 2009

    CMS recently updated its Web site to include new FAQs about the Recovery Audit Contractor (RAC...

Master the Medicare appeals process

  • Billing Alert for Long-Term Care, Issue 8, August 1, 2009

    Since the appeals process can be confusing and time-consuming, SNF billers must have a clear...

Billing Alert for Long-Term Care, August 2009

  • Billing Alert for Long-Term Care, Issue 8, August 1, 2009

    Billing Alert for Long-Term Care provides valuable information about billing regulations...

What does RUG-IV mean for your facility?

  • Billing Alert for Long-Term Care, Issue 7, July 1, 2009

    Although aspects of RUG-IV may change before implementation, SNFs should know how the proposed...

Master the rehab workaround

  • Billing Alert for Long-Term Care, Issue 7, July 1, 2009

    Although the rehab workaround may sound simple, knowing when and how to use it can be a challenge...

CERT program could test your documentation

  • Billing Alert for Long-Term Care, Issue 7, July 1, 2009

    Your facility can survive a CERT review by complying with the program’s guidelines and...

BALTC Q&A

  • Billing Alert for Long-Term Care, Issue 6, June 1, 2009

    Columnist Lee A. Heinbaugh discusses no-pay bills and denials for speech therapy services due to...

Get V-code savvy to optimize reimbursement

  • Billing Alert for Long-Term Care, Issue 6, June 1, 2009

    Although SNFs have been able to include V-codes on claims for years, many nursing facilities still...

Avoid bad debt with a proactive approach to collections

  • Billing Alert for Long-Term Care, Issue 6, June 1, 2009

    As economic conditions continue to decline, many SNFs are having more difficulty collecting...

ZPICs: New program cracks down on Medicare fraud and abuse

  • Billing Alert for Long-Term Care, Issue 6, June 1, 2009

    CMS developed ZPICs to fix flaws in the current Medicare program integrity system, which protects...

Billing Alert for Long-Term Care, June 2009

  • Billing Alert for Long-Term Care, Issue 6, June 1, 2009

    Billing Alert for Long-Term Care provides valuable information about billing regulations...

MDS 3.0 a focus of the Open Door Forum

  • MDS 3.0 Insider, Issue 18, June 1, 2009

    CMS officials reviewed the changes included in the latest MDS 3.0 Draft Item Set and addressed...

Bill would expand MedPAC's power

  • Contemporary Long-Term Care Weekly, Issue 20, May 28, 2009

    Senator Jay Rockefeller (D-W.Va.) recently introduced a bill that would expand the Medicare Payment...

New Recovery Audit Contractor FAQs

  • Contemporary Long-Term Care Weekly, Issue 19, May 21, 2009

    CMS updated the frequently asked questions (FAQ) about the Recovery Audit Contractor (RAC) program...

Proposed rule calls for PPS rate cuts and RUG-IV

  • Contemporary Long-Term Care Weekly, Issue 18, May 7, 2009

    The Centers for Medicare and Medicaid Services (CMS) released its proposed rule for FY 2010 payment...

Medical Reviews: How much scrutiny do your data face?

  • PPS Alert for Long-Term Care, Issue 5, May 1, 2009

    Although understanding the medical review process and what fiscal intermediaries (FI) and Medicare...

Billing Alert for Long-Term Care May 2009

  • Billing Alert for Long-Term Care, Issue 5, May 1, 2009

    Billing Alert for Long-Term Care provides valuable information about billing regulations...

New HIPAA provisions: More important than you may think

  • Billing Alert for Long-Term Care, Issue 5, May 1, 2009

    Enforcement of HIPAA is about to get tougher due to provisions passed under the $787 billion...

Heal an injured revenue stream by billing Part B for wound care supplies

  • Billing Alert for Long-Term Care, Issue 5, May 1, 2009

    Wound care supplies are excellent revenue sources, and billing your FI or MAC for these Part B...

Medical reviews: How much scrutiny do your data face?

  • Billing Alert for Long-Term Care, Issue 5, May 1, 2009

    As federal spending on Medicare continues to increase, so does focus on Medicare billing errors and...

BALTC Q&A

  • Billing Alert for Long-Term Care, Issue 5, May 1, 2009

    Columnist Lee A. Heinbaugh discusses Medicare Part A benefit periods for tube-feeding residents and...

AHCA's LTC finance reform plan could save $35 billion, report estimates

  • Contemporary Long-Term Care Weekly, Issue 16, April 23, 2009

    A plan to overhaul long-term care funding could reduce federal long-term care spending by $35...

Updated MDS 3.0 timeline appears briefly on CMS Web site

  • Contemporary Long-Term Care Weekly, Issue 14, April 9, 2009

    CMS posted an updated MDS 3.0 timeline on its Web site Tuesday, but apparently removed the timeline...

Nursing home value-based purchasing demonstration begins in July

  • Contemporary Long-Term Care Weekly, Issue 14, April 9, 2009

    CMS plans to test whether financial incentives can encourage nursing facilities to make quality...

CMS issues new guidance for Medicare Advantage and Part D plans

  • Contemporary Long-Term Care Weekly, Issue 13, April 2, 2009

    CMS will require Medicare Advantage and Medicare Part D prescription drug plan organizations to...

Maximize your Medicare reimbursement

  • PPS Alert for Long-Term Care, Issue 4, April 1, 2009

    Do you think racking up therapy minutes is the only way to get a good Medicare reimbursement? If...

Stimulus package injects Medicaid money into economy

  • PPS Alert for Long-Term Care, Issue 4, April 1, 2009

    After spending billions to bail out the American banking and automobile industries, the federal...

BALTC Q&A

  • Billing Alert for Long-Term Care, Issue 4, April 1, 2009

    Columnist Lee A. Heinbaugh discusses managing accounts receivable and actions to take when dealing...

Ostomy, urological, and tracheostomy supplies: An easier approach to Part B billing

  • Billing Alert for Long-Term Care, Issue 4, April 1, 2009

    Billing Part B ostomy, urological, and tracheostomy supplies can generate revenue for a SNF without...

Avoid these six common billing errors

  • Billing Alert for Long-Term Care, Issue 4, April 1, 2009

    SNF business departments deal with billing errors on a daily basis, and although some are...

The triple-check system: A proactive approach to Medicare compliance

  • Billing Alert for Long-Term Care, Issue 4, April 1, 2009

    Each year, the Office of Inspector General (OIG) identifies government programs under the...

Billing Alert for Long-Term Care, April 2009

  • Billing Alert for Long-Term Care, Issue 4, April 1, 2009

    Billing Alert for Long-Term Care provides valuable information about billing regulations...

STRIVE update

  • MDS 3.0 Insider, Issue 13, March 23, 2009

    Members of the Staff Time and Resource Intensity Verification (STRIVE) project Technical Expert...

MedPAC recommends zero update for SNF payments in 2010

  • Contemporary Long-Term Care Weekly, Issue 11, March 19, 2009

    A commission that advises Congress on Medicare issues says SNFs should not receive an increase in...

Revised ABN for Part B services

  • Contemporary Long-Term Care Weekly, Issue 9, March 5, 2009

    SNFs must use the revised advanced beneficiary notice (ABN) form for items or services expected to...

Beneficiary notifications: Simplify the process at your SNF

  • Billing Alert for Long-Term Care, Issue 3, March 1, 2009

    Learn how to master the confusing regulations for the beneficiary notification process.

Ensure accurate Part B billing for timed and untimed therapy codes

  • Billing Alert for Long-Term Care, Issue 3, March 1, 2009

    The incorrect calculation of therapy units has led to many Part B billing errors for SNFs, and as...

Billing for PEN: Don’t feed into the hype

  • Billing Alert for Long-Term Care, Issue 3, March 1, 2009

    SNFs can bring in a considerable amount of revenue by billing Part B for parenteral and enteral...

Billing Alert for Long-Term Care, March 2009

  • Billing Alert for Long-Term Care, Issue 3, March 1, 2009

    This issue of Billing Alert for Long-Term Care covers Part B billing for parenteral and enteral...

Preliminary 2010 Medicare Advantage reimbursement rates lower than expected

  • Contemporary Long-Term Care Weekly, Issue 8, February 26, 2009

    On February 20, CMS released the Advance Notice of policy and technical changes to be made to the...

CMS seeks comments on competitive bidding delay

  • Contemporary Long-Term Care Weekly, Issue 6, February 12, 2009

    CMS seeks comments on a proposed 60-day delay in the effective date of the Interim Final Rule for...

RAC protests withdrawn and expansion schedule updated

  • Contemporary Long-Term Care Weekly, Issue 6, February 12, 2009

    Unsuccessful bidders withdrew their protests to the recovery audit contractor (RAC) program on...

FIs to MACs: Ensure a smooth transition for your facility

  • Billing Alert for Long-Term Care, Issue 2, February 1, 2009

    To ensure a smooth transition from FIs to MACs, SNF billers must stay informed, complete the...

Is your facility prepared for the ICD-10-CM?

  • Billing Alert for Long-Term Care, Issue 2, February 1, 2009

    Although the proposed implementation date for the ICD-10-CM is not until 2013, SNF billers need to...

Cuts to Medicaid: How will they affect your facility?

  • Billing Alert for Long-Term Care, Issue 2, February 1, 2009

    As the United States endures the worst economic crisis since the 1930s, the healthcare industry...

What economic crisis? Increase revenue by billing for Part B supplies

  • Billing Alert for Long-Term Care, Issue 2, February 1, 2009

    No one is safe from the effects of the global economic crisis, but SNFs can minimize the financial...

Medicare Part D: SNFs, LTCPs, and dual-eligible residents

  • Billing Alert for Long-Term Care, Issue 1, January 1, 2009

    The transition to the Medicare Prescription Drug Program, known as Medicare Part D, was difficult...

Billing Alert for Long-Term Care, January 2009

  • Billing Alert for Long-Term Care, Issue 1, January 1, 2009

    This issue of Billing Alert for Long-Term Care covers benefits exhaust and no-pay claims, how to...

Hospice services: Know when and how your facility should bill

  • Billing Alert for Long-Term Care, Issue 1, January 1, 2009

    Facility business departments must be aware of when they are responsible for billing for hospice...

Benefits exhaust and no-pay bills

  • Billing Alert for Long-Term Care, Issue 1, January 1, 2009

    Benefits exhaust and no-pay bills continue to create problems for SNFs, and, this year, improper...

BALTC Q&A

  • Billing Alert for Long-Term Care, Issue 1, January 1, 2009

    Columnist Lee A. Heinbaugh discusses common Medicare Part A billing issues.

Billing Alert for Long-Term Care December 2008

  • Billing Alert for Long-Term Care, Issue 12, December 1, 2008

    This issue of Billing Alert for Long-Term Care covers how to use roster billing for immunizations...

Recovery audit contractors: Ready or not, here they come

  • Billing Alert for Long-Term Care, Issue 12, December 1, 2008

    Billers can help to better prepare their SNFs for the expanding RAC program by enacting prevention...

Take the pain out of immunizations with roster billing

  • Billing Alert for Long-Term Care, Issue 12, December 1, 2008

    Roster billing can help your billing department cut down on the time it takes to process...

Billing for ambulance services

  • Billing Alert for Long-Term Care, Issue 12, December 1, 2008

    To avoid problems with billing for ambulance services, medical billers must understand the rules...

Paying for medication: What you can do to make cost-saving improvements in your facility

  • Contemporary Long-Term Care Weekly, Issue 48, November 20, 2008

    Paying for medications in your facility is a complicated and expensive process. There are a...

Rein in the facility census

  • Billing Alert for Long-Term Care, Issue 11, November 1, 2008

    Many SNFs do a poor job of maintaining their census report, and this can create issues with...

BALTC Q&A

  • Billing Alert for Long-Term Care, Issue 11, November 1, 2008

    Columnist Lee A. Heinbaugh answers questions about billing for wound care.

Don't overlook condition codes

  • Billing Alert for Long-Term Care, Issue 11, November 1, 2008

    A recent CMS transmittal shines the spotlight on an often-overlooked UB-04 coding element: the...

Don't let your billing office bypass resident resource payments

  • Billing Alert for Long-Term Care, Issue 11, October 10, 2008

    State Medicaid programs require Medicaid beneficiaries to contribute a resident resource...

How FIs view changes in therapy services during a payment period

  • Billing Alert for Long-Term Care, Issue 10, October 1, 2008

    Effective April 30, 2007, fiscal intermediaries and Part A/B Medicare administrative contractors...

BALTC Q&A

  • Billing Alert for Long-Term Care, Issue 10, October 1, 2008

    Columnist Lee A. Heinbaugh discusses appropriate assessment types and Medicare Part A billing.

CMS affirms that SNFs can charge Medicare bed holds

  • Billing Alert for Long-Term Care, Issue 10, October 1, 2008

    SNFs now have some up-to-date directions when it comes to billing Medicare for bed holds.

Late vs. missed assessments: The difference is money

  • Billing Alert for Long-Term Care, Issue 10, October 1, 2008

    The skilled nursing facility (SNF) PPS and consolidated billing final rule for fiscal year 2009...

New rules on default billing end CMS flip-flops

  • Billing Alert for Long-Term Care, Issue 10, October 1, 2008

    CMS clarifies when SNFs can bill the Medicare Part A default rate if a PPS MDS assessment...

BALTC Q&A

  • Billing Alert for Long-Term Care, Issue 9, September 1, 2008

    Columnist Lee A. Heinbaugh answers questions about Medicare Advantage claims.

Six steps to better Medicare coinsurance billing

  • Billing Alert for Long-Term Care, Issue 9, September 1, 2008

    Medicare coinsurance collections can often trip up billers. To ensure productive, timely Medicare...