Services

LTC Consulting Services offers a full business management package for skilled nursing facilities. Additionally, LTC contracts with facilities to work on specific collection cases. The full services provided include:

Day to Day Operations :
Census Cash Receipts Private Billing Nami Billing Medicaid Billing Medicare Billing Managed Care Billing	Tracking Medicaid Pending Accounts Receivable Aging Collections Analysis Medicare RUG Review Quarterly AR Review Audits

Census - Census summary, face sheets and insurance verifications are faxed to
LTC daily. LTC will enter and update the census info in the A/R system on a daily basis.
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Cash Receipts – Medicaid and Medicare remits, LTC will download and post the
day the remit is available. Checks mailed to facility, facility will make a copy of the deposit and fax to LTC the day the deposit is made; LTC will have the cash receipt posted with in 2 business days from receipt of the copy of the deposit.
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Private Billing – As per client’s policy. Some of our clients want the bills sent out the 15th of the month before; others the 20th of the month before. LTC will generate and mail out all private bills as per facilities policy. All questions that families may
have in regards to their bill will be directed to LTC. LTC will supply a phone number
and contact name on the bottom of each bill.
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Nami Billing – LTC will bill Nami on the 15th of each month.
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Medicaid Billing – LTC will bill Medicaid weekly.
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Medicare Billing – LTC will fax MDS logs to MDS coordinator the 1st of every month; MDS coordinator will fax back to LTC as soon as possible (please note we
don’t wait for all the RUG scores to be completed before we send out claims to Medicare). 80 – 85% of the claims are billed out by the 3rd of the month; by the 8th
of the month all the claims will be sent out Therapy logs will be sent to LTC by the therapy department. LTC will enter x-ray, pharmacy and lab charges before Medicare claims are processed.
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Managed Care Billing – LTC will bill the first of every month. All correspondence (ie denials) sent by the HMO company to the facility will be forwarded to LTC for
review and follow up.
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Tracking – LTC tracks all short term resident, in order to stay on top of any
possible issues that may come about if the resident goes long term and has no payer source in place. LTC also tracks all Medicaid pending cases in order to make sure the process is moving in the direction it needs to and if any problems come about, they
are addressed timely and properly. Managed Care cases are also tracked, since insurance companies have a tendency to avoid paying the
facility. The tracking forms are updated daily.
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Medicaid Pending – The Medicaid Pending Department at LTC will review with Medicaid Application Rep at facility all Medicaid pending cases on a weekly basis. Pending department will also review tracking to see if we anticipate any residents
that will need Medicaid. We will coordinate to make sure that the application process
is being processed properly.
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Accounts Receivable Aging – LTC will follow up on all denials and outstanding claims on a daily basis.
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Medicare Credit Balance Report – LTC will file the Medicare Credit Balance Report by the 15th of the month after the end of the quarter.
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Collection Analysis – LTC uses the Collection Analysis Form to determine how
well our collections are going and if something needs to be addressed it is addressed immediately, before any problems escalate. The Collection Analysis form is updated monthly, by the 15th of the month for the prior month.
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Quarterly AR Review – LTC offers to meet with the facility quarterly to review
the Accounts Receivable Aging. If the facility has an urgent matter that needs to be addressed sooner, LTC will be available to accommodate the facility.
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Medicare RUG Review – LTC has created a Medicare RUG review report. LTC updates this report by the 15th of the month for the prior month. The Medicare RUG review will show the facility where they stand with their Medicare daily rate and how they can address certain issues that can create a higher daily Medicare rate. Our
clients have been very successful when using this tool; we have found that their
monthly Medicare sales have increased by $25,000 to $60,000
a month.
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Audits – LTC will assist facility in any Accounts Receivable audits that facility
might need assistance with.
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