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It's essential to know how to correctly submit your Medicare claims in order to get the reimbursement your facility deserves. Billing Alert for Long-Term Care provides the crucial tips and strategies that billers need for success.

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Billing Alert for Long-Term Care

Issue 37, September 16, 2002

• Common working file edits may cause A/R issues for SNFs

  Common working file edits may cause A/R issues for SNFs

Issue 12, December 21, 2002 - VIEW THE FULL ISSUE

• Do you know the rules that govern the collection of bad debt for SNFs?

  Do you know the rules that govern the collection of bad debt for SNFs?

• Have your business office practices changed under the Medicare cliff?

  As a skilled nursing facility (SNF) biller, it’s likely that the numbers printed on...

• OIG tackles Medicaid and SNFs

  As skilled nursing facility (SNF) billers sit hunched over their desks day in and out, feverishly...

• SNF billers: Is your Medicare appeals process running smoothly?

  Industry experts provide tips for smooth submission of appealsIt’s the moment that skilled...

Issue 11, November 21, 2002 - VIEW THE FULL ISSUE

• Billing routine v. ancillary supplies: Do you know the key differences

  Here’s a pop quiz to lighten up a few minutes of your day in the skilled nursing facility...

• Taking the mystery out of ABNs: Work with outside vendors

  Many skilled nursing facility (SNF) billers consider the term “advance beneficiary...

Issue 10, October 21, 2002 - VIEW THE FULL ISSUE

• A primer: ICD-9-CM coding and the UB-92

  It's a common occurrence in the skilled nursing facility (SNF) business office: you submit your...

• Having trouble with revenue codes?

  Tips to remember when you fill out your claims It's the end of a hectic month and you're...

• The low down on medical reviews

  Experts offer a primer on the process and tips for success You open up the envelope in your...

Issue 9, September 21, 2002 - VIEW THE FULL ISSUE

• Common working file edits may cause A/R issues for SNFs

  New edits are designed to cut duplicate billingOne of your skilled nursing facility’s...

• Get ready for privacy regs: Analyze biller’s access to information

  Business office should note needed resident documentationYou work as a biller in a small, 50-bed...

Issue 8, August 21, 2002 - VIEW THE FULL ISSUE

• Are you successful at billing these SNF claim problem areas?

  Industry experts identify three common billing hot spotsYou’re a skilled nursing facility...

• Part B charges and the UB-92: What you need to remember

  Although the short title—UB-92—may imply simplicity, any skilled nursing facility...

Issue 7, July 21, 2002 - VIEW THE FULL ISSUE

• Avoid these UB-92 trouble spots

  It’s the key that unlocks the door to the Medicare reimbursement received by your skilled...

• Can you keep track of supplies?

  It’s critical to note costs whether billing Part A or Part BThe chief financial officer at...

• Who pays for services delivered prior to leaves of absence?

  It’s a beautiful July morning and your skilled nursing facility’s (SNF) physical...

Issue 6, June 21, 2002 - VIEW THE FULL ISSUE

• Your secret to billing success: Master HCPCS codes now

  Your secret to billing success: Master HCPCS codes now

• Billers: Get ready for HIPAA

  Billers: Get ready for HIPAA

• BALTC Q&A

  “Q&A” was written by Lee Heinbaugh, controller for PMGO Inc., long-term care...

• CMS delays RUG refinements, Medicare cliff blasted in half

  SNFs expected to lose an average of $32 per resident per dayIt’s a good news/bad news...

• Billing Troubleshooter: HIPAA changes your claim submissions

  Editor’s note: Skilled nursing facilities (SNFs) will see big changes when the Health...

• Solve the mystery: Key clues for physician certs, recerts

  You can compare the need to gather physician certifications in your skilled nursing facilities...

• The ABCs of restorative nursing: A biller’s primer for the business offic

  When you’re talking about restorative therapy and restorative nursing to skilled nursing...

• Therapists should do their own coding, experts say

  Your skilled nursing facility (SNF) may be missing out on therapy reimbursement if you’ve...

Issue 5, May 21, 2002 - VIEW THE FULL ISSUE

• BALTC Q&A

  “Q&A” was written by Lee Heinbaugh, controller for PMGO Inc., long-term care...

• Billing Troubleshooter: Do you know the rules for ABNs?

  Residents need to sign for services not medically necessaryYou are used to dealing with...

• Do you know what your vendors are doing to prepare for HIPAA?

  Our experts offer three critical questions SNFs should askHow do you feel right now? Chances are...

• The Medicare cliff: Are nursing homes going to take a financial fall?

  Organizations lobby against 17% scheduled Medicare cutYou work in a skilled nursing facility...

Issue 4, April 21, 2002 - VIEW THE FULL ISSUE

• Billers: Know the rules that govern when residents can leave, return

  Billers: Know the rules that govern when residents can leave, return

• BALTC Q&A

  Are you a skilled nursing facility (SNF) biller plagued by questions about the correct submission...

• Do you know the rules that govern the collection of bad debt for SNFs?

  Medicare will reimburse you for debt if it meets criteriaYour skilled nursing facility (SNF...

• Is your business office bogged down by therapy service claims?

  Know the different requirements for Part A and Part B claimsYou’re a skilled nursing...

• Billing Troubleshooter: Learn the rules when submitting adjustment bills for MD

  Use condition code, correct HIPPS codes, experts sayYou lean back in the chair of your skilled...

Issue 3, March 21, 2002 - VIEW THE FULL ISSUE

• Are you confused about billing for laboratory tests in your facility?

  Read our primer to get you through this tricky subjectYou’re a skilled nursing facility...

• Are you ready to take a look at your facility’s year-end costs?

  Watch for outstanding bad debts and trial balances as the deadline for filing your cost report...

• BALTC Q&A

  “Q&A” was written by Lee Heinbaugh, controller for PMGO Inc., long-term care...

• Has your SNF been overpaid?

  CMS considers a new rule that sets a deadline for providers to return any overpayments they...

• Have you been denied or rejected? These three tips help SNF billers prevent cas

  There’s no question that the financial health of your skilled nursing facility (SNF) depends...

Issue 2, February 21, 2002 - VIEW THE FULL ISSUE

• BALTC Q&A

  BALTC Q&A

• Billers: Get ready for HIPAA

  Billers: Get ready for HIPAA

• Confused about billing for wound care? Here are some tips to ease your pain

  Confused about billing for wound care? Here are some tips to ease your pain

• How does your pay compare to others in your SNF?

  How does your pay compare to others in your SNF?

• Your secret to billing success: Master HCPCS codes now

  Your secret to billing success: Master HCPCS codes now

Issue 1, January 21, 2002 - VIEW THE FULL ISSUE

• Are you ready for CMS' common working file edits?

  Are you ready for CMS’ common working file edits?

• AHCA, CMS clear confusion on ambulance transport

  AHCA, CMS clear confusion on ambulance transport

• Are you ready for CMS' new common working file edits?

  Are you ready for CMS’ new common working file edits?

• BALTC 2001 index

  BALTC 2001 index

• BALTC Q & A

  BALTC Q & A

• Billers: Know the rules that govern when residents can leave, return

  Billers: Know the rules that govern when residents can leave, return