Long Term Care Reimbursement Strategies
Welcome To
Long Term Care Money Web
http://www.ltcmoneyweb.org.Remain current with changes in reimbursement strategies by accessing information on a regular basis from the Long Term Care Money Web. Information is updated weekly from bulletins received from the Health Care Financing Administration with regard to federal funding for Medicare and Medicaid. State Medicaid information may be provided based on availability from individual states. Stay current with managed care reimbursement strategies for subacute care, skilled care, residential and assisted living. Health care providers responsible for managing costs in the long term care industry will benefit from the accurate, concise and current information provided by ltcmoney web!
Hot Links
Quarterly Journal of Cost & Quality (www.cost-quality.com/)
Provides leaders in the health care industry with a blend of clinical, financial and legal information. Sample this valuable publication by reading current feature articles, check-out opportunities for continuing medical education, subscription information and links to other web sites on managing costs in health care. ***
Managed Care Interface (medicomint.com)
Senior management of health care organizations will find relevant information in this publication. Health policy decision making, health care delivery systems, pharmacoeconomics and pharmacy practice issues keep you current with issues effecting long term care and integrated health care organizations. Excellent Pharmacy Resource Center provides free service for current information on articles for consumers, physicians, purchasers and payers of health care services. Use of Resource Center and access to other resources requires on-line registration. ***
Health Hippo (wInternet.com/~hippo/)
Health care professionals and consumers will find this site extremely valuable. Clinicians, administrators, nurse managers, pharmacists and consumers can access current information that includes: Long Term Care Medicare information, HCFA Standards, Advanced Directives, Budget Information, Policy & Administrative Issues, Medicare & Medicaid changes and Public Health Initiatives. Health care job postings and related links are also available. An incredible source for managing costs. *****
American Medical Specialty Organization, Inc. (amso.com/)
AMSO is a managed care organization that provides managed care management services to specialty physician communities. Information on health care legislation and reform topics and an interactive question & answer application allows health care organization management & physicians to practice management information and cost-management strategies for various long term care environments. It provides an excellent forum for health care professionals and consumers to learn about the managed care industry. ***
HCFA, The Medicare and Medicaid agency (hcfa.gov/)
HCFA is the arm of the federal government that administers Medicare and Medicaid benefits. Federal funding supports many long term care facilities which is why inclusion of this web site is paramount for current reimbursement information. The Balanced Budge Act, Publications & Forms, Statistics & Data, Research & Demonstrations, and Laws & Regulations are a sample of the resources you can tap into. Its purpose is to provide current, credible information directly from the government agency controlling reimbursement for the provision of health care. ****
Long Term Care Reimbursement, Inc. (Longtermcare.com/partnership.htm)
This is an incredible site for administrators, directors of nursing and finance personnel of the long term care industry to access information on education and training on Medicare Part B claims. Opportunities to investigate strategic partnerships and integrated health care delivery systems is also a major focus of this site. Links to billing services, seminars, consolidated billing, consulting services, software, and long term care physicians will facilitate development of an effective reimbursement plan. *****
Recommended Reading List (These are documents we have reviewed and found particularly relevant to the current health care climate. We hope you agree!)
BBA Fact Sheets
These facts sheets are prepared and posted as the various Balanced Budge Act sections are implemented. See BBA Home Page Listing (hcfa.gov/init/bba/bbafacts.htm)
What everyone should know about skilled nursing facilities under Medicare
This document was created based on long term care licensure standards and is designed for use by the consumer. It is an excellent resource for administrators to utilize as an educational tool and marketing piece for their facility to demonstrate integrity and compliance. See hcfa.gov/
Health care services: How continuing care retirement communities manage services for the elderly
The CCRC is an alternative lifestyle option for "young" seniors who choose the aging in place concept. This report provides good baseline information on the provision of services to residents and challenges encountered with reimbursement. It also discusses some aspects of the social model of the CCRC. Report is designed for use by administrators and owners of a CCRC. See Letter Report, 1/23/97, GAO/HEHS-97-36 (wInternet.com/~hippo/)
Medicare Post-Acute Care: Home health and skilled nursing facility cost growth and proposals for prospective payment
This testimony provides an excellent historical review of the prospective payment system (PPS) under the Balanced Budget Act, as it effects the long term care industry. For finance personnel needing a review or basic information about PPS should review this testimony. See Testimony 3/4/97, GAO/T-HEHS-97-90 (wInternet.com/~hippo/)
Medicare program electronic cost reporting for skilled nursing facilities and home health agencies
All providers participating in Medicare programs are required to maintain sufficient financial records and statistical data for proper determination of costs payable under the program. This document reviews provisions of the proposed regulations, implementation date and cost reporting software. See Federal Register Jan 2 1997 (Vol 62, number 1) Rules and Regulations pp. 26-31 (Longtermcare.com/partnership.htm)
| Note: The information below may contain additional relevant materials and documents. Some of the information may be duplicative. The evaluations depend on the both the student doing the review and the information contained at the time of the review. Sites are subject to change! |