Long-Term Care Newsletters

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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 7, July 1, 2013 - VIEW THE FULL ISSUE

• SNFs get some breathing room as CMS reduces ADR limits for Recovery Auditors

  Healthcare providers should be at least slightly relieved about the latest update from CMS...

• OIG guidelines incentivize states to restructure false claims acts

  States looking to boost their budget may have found one way to create a little wiggle room thanks...

• CMS clarifies requirements on physician delegation

  In April, CMS published a clarification article in MLN Matters regarding how physicians should...

• BALTC Q&A

  Learn more about planning and budgeting for the fiscal year.

Issue 6, June 1, 2013 - VIEW THE FULL ISSUE

• MedPAC reiterates ­recommendations to ­restructure Medicare payment system

  On March 15, the Medicare Payment Advisory Commission (MedPAC) ­issued its annual report to...

• OIG report highlights quality-of-care ­shortcomings

  If you were starting to wonder if the OIG has a bone to pick with SNFs, add its most recent report...

• Managing obstacles associated with beneficiary notices

  Billing departments play an important role in issuing beneficiary notices, but it takes a team...

• BALTC Q&A

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Issue 5, May 1, 2013 - VIEW THE FULL ISSUE

• HIPAA finalizes omnibus rule, increases security for health data

  On January 17, the U.S. Department of Health and Human Services (HHS) announced its biggest set of...

• The SMART Act provides long-awaited solutions to the Medicare Secondary Payer process

  On January 10, the Strengthening Medicare and Repaying Taxpayers (SMART) Act was signed into law...

• Brushing up on billing: Diagnostic testing, labs, and radiology

  Although most facilities don't submit Medicare Part B claims associated with diagnostic tests...

• BALTC Q&A

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Issue 4, April 1, 2013 - VIEW THE FULL ISSUE

• SNFs prepare for transition to HETS

  The Common Working File (CWF), one of the primary tools utilized by CMS to maintain national...

• Integrating G-codes and severity modifiers into your therapy Part B claims

  With 42 new nonpayable G-codes and seven new severity modifiers, billing departments have plenty of...

• Best practices for DMEPOS billing

  Given the quantity and exhaustive nature of CMS regulations regarding billing for durable medical...

• BALTC Q&A

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Issue 3, March 1, 2013 - VIEW THE FULL ISSUE

• OIG report highlights ongoing issues with Medicare appeals

  In November, the OIG released a report assessing the impact of changes that were implemented seven...

• Transitioning to ICD-10: Questions for your clearinghouse and billing service

  By now, all long-term care (LTC) facilities are well aware of the deadline for ICD-10 coding. In...

• Regulatory roundup: What to prepare for by April 1

  CMS released three important transmittals in October detailing regulatory changes and...

• BALTC Q&A

  Learn more about Medicare review programs and your options during the Medicare appeals process.

Issue 2, February 1, 2013 - VIEW THE FULL ISSUE

• Billing insights from the long-term care industry

  With the new year upon us, the long-term care industry is looking ahead to more changes and...

• OIG report shows widespread fraud and abuse, but doesn't tell the whole story

  A new report released in November by the OIG reveals startling statistics regarding reimbursement...

• Comparative billing reports offer valuable insight for SNF compliance committees

  CMS announced in August that it would release comparative billing reports (CBR) to SNFs, and by...

• BALTC Q&A

  Learn more about billing coverage under Medicare Part B for...

Issue 1, January 1, 2013 - VIEW THE FULL ISSUE

• Billing and ­reimbursement: A crucial part of the ­compliance and ethics ­committee

  Section 6102 of the Resident Protection Affordable Care Act dictates that SNFs and nursing...

• Collaboration is key to ensuring billing accuracy

  Implement billing best practices from peers to improve collaboration and billing accuracy.

• Legislation aims to limit the scope and authority of Recovery Auditors

  Learn more about the Medicare Audit Improvement Act, which would limit the power and increase...

• Few surprises as the OIG Work Plan emphasizes quality and documentation

  Learn more about the OIG report, which includes specific expectations for nursing homes that...