Join us for Prime Care Technologies' August 2-3 Virtual Tradeshow. This show features seven strategic sessions with top post-acute providers and vendors who will discuss highly-efficient solutions for meeting your operational demands in purchasing, regulatory, staffing, revenue, claims and more.
Wednesday, August 2
10:30-11:30 a.m. ET
Executive Decision-Making: Leveraging Facility Data as Business Intelligence
Speaker: Kim Sonderegger, Pinnacle Quality Insight
Panel: Samantha Broussard, Plantation Management; Eric Rivard, Plum Healthcare Group, Cheryl Field, Prime Care Technologies
12:30-1:30 p.m. ET
E-Procurement: Innovative Management of Healthcare Spend
Speaker: Jessica Spencer, Medline Industries
Panel: Pam Mink, Foundation Health Services and Rusty Zosel, Procurement Partners
2-3 p.m. ET
CMS Requirements for Participation: Need-to-Know Compliance Tips for Long-Term Care
Speakers: Clifton Porter, AHCA; Clint Maun, Maun-Lemke, LLC
Panel: Cheryl Field, Prime Care Technologies
Thursday, August 4
10:30-11:30 a.m. ET
Revenue Cycle Management; Cash is King
Speaker: Clint Maun, Maun-Lemke, LLC
Panel: Becky Yocum, American Healthcare, Patti Bolen, Southern HealthCare Management and Kimberly Sturm, Prime Care Technologies
Cybersecurity: Protecting Your Critical Points of Access
Speaker: Fred Layfield, Prime Care Technologies
Panel: Jim Hoey, Prime Care Technologies
2-3 p.m ET
Attracting and Retaining Staff in a Competitive Market
Speaker: Lisa Thomson, Pathway Health
Panel: Diane Harrison, Magnolia Manor; Barbara Wilkins, Kindred Care/Rehab-Greenbriar; Joe Stone, Prime Care Technologies
3-4 p.m. ET
Healthcare Risk Management: Employee Safety Practices to Prevent Liability
Speaker: David Mathog, USI Insurance Services
Panel: Joe Stone, Prime Care Technologies
2 min read
[VIRTUAL TRADESHOW] Transform Operational Drag into Excellence - Aug 2-3
Topics: KPI automated revenue cycle management system revenue cycle management applicant tracking BI dashboard dashboard, data data warehouse resident liability Using Business Intelligence patient liability business analytics LTC Claims staff reporting managed services CLAIMS AUTOMATION LTC recruitment CMS compliance for LTC LTC insurance solutions LTC risk management healthcare risk management employee safety cybersecurity e-procurement healthcare spend management LTC facility data CMS requirements
2 min read
Back to the Billing Basics in 2016 - Deductibles, Co-insurances, etc.
In the spirit of to our January 7, 2016 blog, we want to continue with the New Years’ resolution theme by concentrating on other important tasks every Post-acute Long Term Care AR manager should address. The following checklist can be helpful in steering your accounts receivables in a cash-positive direction for 2016:
- Contract Management – Perhaps this is a good time to blow the dust off those payer contract file folders. Get to know the details and the impact they will have on cash flow for the next year. Do they include changes for 2016, such as reimbursement rates and contractual write-offs? Being familiar with and responding to such details can help AR managers more reliably predict payment requirements, amounts, and timing.
- Co-insurance and deductibles – The ruleof thumb is if insurance is going to change, it will be at the beginning of the year. Specifically, check each payer’s copayments and deductibles. They typically seem to parallel Medicare guidelines which went into effect January 1st. The following table highlights some of these changes:
2016 Medicare rates at a glance
Part A Skilled Nursing Facility Coinsurance
$161 per day for days 21- 100 of Part A coverage
Part B Deductible and Coinsurance
Deductible - $166
Coinsurance – no change
Part C Rates
The rates and other billing terms are stipulated in the Medicare Advantage contracts
- Patient liability – Not many states have fiscal years beginning on January 1, but in the event the states your facilities operate in do, then knowing what the patient liability rates will be and communicating them to Medicaid residents’ responsible parties will be helpful to collections. Even if the Medicaid fiscal year end is later, now may be a good time to review anticipated changes.
- Contract folder and tickler file - If you haven’t already, we highly recommend that you set up a tickler file to effectively manage and track your payer contracts. Whether the tickler file is a traditional binder with physical folders or an electronic version, this is a good time to bring them up to date and to calendar critical changes and negotiation/renewal dates.
This list is small, but important. It will help you address not only these important revenue cycle management tasks, but also other tasks tied to your 2016 billing and collection goals.