Long-Term Care Newsletters

Billing Alert for Long-Term Care CNA Training Advisor: Lesson Plans for Busy Staff Trainers PPS Alert for Long-Term Care

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 1, January 1, 2006 - VIEW THE FULL ISSUE

Issue 12, December 1, 2006 - VIEW THE FULL ISSUE

• Medicare Part B: Covering wounds and reimbursement correctly the first time

  Okay skilled nursing facility (SNF) billers, gather the troops. It's time to bill Medicare Part B...

• Extreme survey makeover is imminent for 2007

  Any skilled nursing facility (SNF) biller gets nervous when the government says the biller is not...

• Show me the Medicare reimbursement

  Does your skilled nursing facility (SNF) want to receive the most accurate reimbursement possible...

• Take the mystery out of DME billing

  Medicare makes some hard rules regarding paying skilled nursing facilities (SNF) for the care and...

Issue 11, November 1, 2006 - VIEW THE FULL ISSUE

• Higher income means higher Part B premiums in 2007

  Traditionally, almost everyone enrolled in Medicare Part B has paid the same monthly premium. But...

• BALTC Q&A

  Editor's Note: "Q&A" was written by Lee Heinbaugh of PMG, LLC, a long-term care consulting company...

• Understanding the CCI edits

  Medicare's national correct coding initiative (CCI) edits became a fact of life for skilled nursing...

Issue 10, October 1, 2006 - VIEW THE FULL ISSUE

• CMS replaces UB-92 with UB-04 billing form

  Effective March 1, 2007 Billers, there's a new form in your future. CMS plans to replace the...

• CMS clarifies the eight-minute rule for therapy billing

  In an attempt to clear up confusion when it comes to billing for therapy services, CMS clarified...

• BALTC Q&A

  Editor's note: This month's "BALTC Q&A" was written by Lee Heinbaugh of PMG, LLC, a long-term care...

• First new MAC to replace fiscal intermediaries in six states

  Nursing homes in six states will soon say goodbye to their fiscal intermediaries (FI) and welcome a...

• What you need to know about V-codes

  V-codes-a type of ICD-9 code-have often been stumbling blocks for long-term care...

Issue 9, September 1, 2006 - VIEW THE FULL ISSUE

• Get ready: New ICD-9-CM codes kick in October 1

  Review the changes now to prepare Billers need to get ready to use updated ICD-9-CM codes that...

• BALTC Q&A

  "Q&A" was written by Lee Heinbaugh, a consultant with PMG, LLC, a long-term consulting company in...

• Managing your SNF's revenue cycle

  The revenue cycle for skilled nursing facilities (SNF) begins the moment that a resident is...

Issue 8, August 1, 2006 - VIEW THE FULL ISSUE

• The financial implications of inaccurate MDS coding

  This statement will come as no shock to skilled nursing facility (SNF) billers: Inaccurate MDS...

• What's new at CMS?

  Updates on NPIs, Medicare enrollment requirements, recovery audits, and DAVE 2 CMS offered...

• Triple checks help to ensure accuracy

  It may seem as though your billing claims are under more scrutiny than ever. Fiscal intermediaries...

Issue 7, July 1, 2006 - VIEW THE FULL ISSUE

• CMS modifies 'no-pay' billing process

  Skilled nursing facilities (SNF) will get a break when it comes to submitting some monthly "no-pay...

• CCI edits the newest headache for nursing home billers

  Medicare's national correct coding initiative (CCI) edits are proving to be the latest conundrum...

• How to use the common working file

  The common working file (CWF) is an important tool for long-term care billers. The CWF contains...

Issue 6, June 1, 2006 - VIEW THE FULL ISSUE

• How to bill Medicare Part B for residents' enteral nutrition

  Enteral nutrition is just one of the ancillary services covered under the Medicare Part B benefit...

• Say goodbye to FIs, prepare for MACs in your billing future

  Billers, get ready for a new acronym in your future. The latest is MAC, which stands for...

Issue 5, May 1, 2006 - VIEW THE FULL ISSUE

• Do your homework before paying bills from outside providers

  Here's a scenario that no skilled nursing facility's (SNF) billing office likes to encounter: A...

• CMS answers more questions about the expedited determination process

  If you've got continuing questions about the expedited determination process used to notify...

Issue 4, April 1, 2006 - VIEW THE FULL ISSUE

• CMS establishes exception process for therapy caps, adds new modifier

  The good news for skilled nursing facilities (SNF) is that most of their residents are likely to...

• Confusion reigns about whether drugs are covered by Medicare Part B or D

  Since the start of the new Medicare prescription drug benefit, one issue to emerge is whether a...

• BALTC Q&A

  "Q&A" was written by Lee Heinbaugh, a consultant with PMG, LLC, a long-term care consulting company...

Issue 3, March 1, 2006 - VIEW THE FULL ISSUE

• Follow the regulations to properly manage residents’ personal funds

  One task of every skilled nursing facility’s (SNF) billing office is keeping track of...

• Billers face CCI edits, need to check appropriate use of modifier -59

  As of January 1, billers at skilled nursing facilities (SNF) had one more thing to worry about...

• BALTC Q&A

  "Q&A" was written by Lee Heinbaugh, a consultant with PMG, LLC, a long-term care consulting company...

Issue 2, February 1, 2006 - VIEW THE FULL ISSUE

• MDS data mean dollars for your SNF

  The data that staff at your skilled nursing facility (SNF) compile through the MDS translates...

• BALTC Q&A

  "Q&A" was written by Lee Heinbaugh, a consultant with PMG, LLC, a long-term care consulting company...

Issue 1, January 1, 2006 - VIEW THE FULL ISSUE

• How two LTC organizations work together to ensure billing compliance

  Can you imagine opening up your billing records for another long-term care facility to review...

• OIG focus areas can provide clues about future hot spots

  Like a trail of bread crumbs through the deep forest, the federal Office of Inspector General (OIG...