Vol. 19, Issue 9, September 29, 2017
Sep 22, 2017
Billing Alert for Long-Term Care

Many healthcare providers spend more resources and time on collections rather than implementing best practices at the start of the revenue management cycle. The skilled nursing facility (SNF)’s annual bad debt expense should be less than 1% of its net revenue.

The best way to ensure the business office is minimizing billing and collection issues is to be proactive and ensure that insurance and demographic information (birthdate, Social Security number, etc.) is correct.

Sep 15, 2017
Billing Alert for Long-Term Care

To help prepare for survey readiness, it is crucial that you regularly audit your facility practices. Many audits can be scheduled routinely, but in all cases, these audits should be performed no later than when the survey window begins. These self-audits help create the survey readiness mode for staff, as auditing creates potential opportunities for improvement through the Quality Assurance and Process Improvement (QAPI) program (determining root causes with Plan of Correction implementation). In fact, the primary source of identification of audits required often comes out of the QA/QAPI program.

Sep 08, 2017
Billing Alert for Long-Term Care

Since its initial inception as part of Section 6106 of the Affordable Care Act, the payroll-based journal (PBJ) requirement, which took effect July 1, 2017, has caused long-term care providers several growing pains as the CMS reporting mandate competes with facilities’ many other priorities. Prior to its implementation, in October 2015 CMS launched a voluntary phase of the PBJ reporting system, allowing providers to test their submission process. Few providers participated in the trial run, however, possibly because they were uncertain where their information would end up—or because they were hoping the government program would be postponed.

Sep 01, 2017
Billing Alert for Long-Term Care

It’s been said that Rome wasn’t built in a day, which is an archaic way of saying: Be patient, good things are coming. As the Centers for Medicare & Medicaid Services (CMS) navigate what some may consider to be healthcare’s own modern-day Roman empire¾a system undergoing serious revisions including how levels of care are monitored, the way reimbursement is divided, and the anything-but-straight-and-narrow shift from volume to value¾SNF providers are participating in history being made. On Monday, July 31, with the publication of a multi-faceted final rule, Rome’s grand plans just got a little grander¾but experts wonder if its tight budget will be enough to cover renovations. 

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