Jul 12, 2019
 | 
Billing Alert for Long-Term Care

Although nursing services is often the biggest cost center to be managed in a long-term care facility, one cannot overlook many of the other areas that need to be closely scrutinized. One area that can be an albatross for many administrators is preventing runaway costs in the dietary area. In particular, food costs are a major concern. Furthermore, administrators have to maintain adequate staffing in areas such as housekeeping, maintenance, laundry, and physical and occupational therapy and yet avoid overstaffing that could incrementally increase costs. This chapter will discuss some of these important areas and how their costs could be managed.

Jul 12, 2019
 | 
Billing Alert for Long-Term Care

Although nursing services is often the biggest cost center to be managed in a long-term care facility, one cannot overlook many of the other areas that need to be closely scrutinized. One area that can be an albatross for many administrators is preventing runaway costs in the dietary area. In particular, food costs are a major concern. Furthermore, administrators have to maintain adequate staffing in areas such as housekeeping, maintenance, laundry, and physical and occupational therapy and yet avoid overstaffing that could incrementally increase costs. This chapter will discuss some of these important areas and how their costs could be managed.

Jun 27, 2019
 | 
Billing Alert for Long-Term Care

October 1 will be here before we know it. And with that comes Medicare’s new Patient-Driven Payment Model (PDPM) for beneficiaries accessing their skilled nursing facility (SNF) Part A benefit. It seems like every day there is a new webinar being advertised to help you understand the ins and outs of PDPM, but if there’s one thing you can know without any training, it’s that the new payment model is a much more complex system than the resource utilization group, version IV (RUG-IV) system that we operate under currently. As we analyze data collected in our facilities trying to understand our place in a PDPM world, though, don’t forget this important consideration: your therapy contract.

Jun 13, 2019
 | 
Billing Alert for Long-Term Care

When trying to understand something complex, it sometimes helps to use food as a metaphor. Under the Patient-Driven Payment Model (PDPM), therapy becomes a piece of the pie, rather than the whole thing. For providers considering ways to minimize therapy services or reduce therapy staffing, a few additional considerations should be looked at before making any cuts.

May 16, 2019
 | 
Billing Alert for Long-Term Care

The UB-04 is made up of form locators (FL), or boxes to be completed. Some of the FLs are required, some are optional, and some are not used in the SNF setting. If any required pieces are missing, the claim will not pass the system edits when it is submitted to the MAC. Although most Medicare billing is done electronically and the UB-04 is completed largely by the billing software, it is important for Medicare billers to be familiar with the pieces of information required on the claim and how to complete the form.

May 03, 2019
 | 
Billing Alert for Long-Term Care

When a Medicare Part A beneficiary is absent but not discharged, for reasons other than hospital or other SNF admission, a leave of absence (LOA) bill is required. The day of discharge, the day of death, or the day on which a beneficiary begins an LOA is not counted as a utilization day and is not billed. The exception to this rule is when the beneficiary is admitted to the SNF with the expectation that he or she will remain overnight but is discharged, dies, or is transferred to a nonparticipating provider before midnight of the same day.

May 02, 2019
 | 
Billing Alert for Long-Term Care

During a Skilled Nursing Facilities (SNF)/Long Term Care Open Door Forum (ODF) held Tuesday, April 23, 2019, Centers for Medicare and Medicaid Services (CMS) officials discussed the Proposed Fiscal Year 2020 Payment and Policy Changes for Medicare Skilled Nursing Facilities (CMS-1718-P) published in the Federal Register on April 25, 2019.

Pages

Members-only webcasts

Enjoy past webcast events with your AMBR Membership! Click here!

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

Tuesday, October 15, 2019 - 07:00

2019 Revenue Integrity Symposium

The 2019 Revenue Integrity Symposium covers topics essential to revenue integrity, Medicare compliance, and the revenue cycle in acute care and long-term care settings.

AMBR Forums

To participate in the AMBR forum discussions, you must be a member of the AMBR community. Please subscribe today or login for access.

jfitzgerald@hcpro.com
Karen A. Thomas
Victorine Courtois