LTC tracks all short term residents to foresee possible changes in coverage, such as a resident requiring long term care without a proper payer source in place. LTC also tracks all Medicaid pending cases to efficiently progress toward approval in a timely manner.
Managed Care admissions are closely monitored to ensure that all authorizations are properly updated and tracked throughout the resident’s stay.
All Medicaid pending cases are reviewed on a weekly basis by the Medicaid Pending Department at LTC in conjunction with the facility’s Medicaid Application Representative.
LTC monitors and addresses all denials and outstanding claims on a daily basis. Internal reports are reviewed bi-weekly to ensure that all outstanding receivables are addressed appropriately and expeditiously.
LTC files the Medicare Credit Balance Report at the close of each quarter.
LTC offers quarterly review sessions to appraise the Accounts Receivable aging.
LTC works with the facility in handling various aspects of any A/R audits.
Each state which LTC services has a specialist focusing on the challenges of the Medicaid approval process from start to finish.
Skills: