Look for "Bookkeepers Forum" in any upcoming event title listed below.   Click on the event to see more information and to register.

Upcoming Events

Wednesday, September 29 Association for Long Term Care Financial Managers Presents Webinar - Long Term Services and Supports (LTSS) Medicaid Eligibility Process Overview and Update

Thursday, September 30 Association for Long Term Care Financial Managers Presents Webinar - Assessment Pro Training

Thursday, November 18 Association for Long Term Care Financial Managers Presents Bookkeeper Forum

Search for all upcoming and past event details in our Event Calendar

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The ALTCFM Bookkeepers Forum is for members only and meets quarterly. At this meeting, accounts receivable bookkeepers have the opportunity to discuss with their peers the billing and collections issues that they experience on a daily basis. The goal of the group is to share our collective knowledge and experiences to improve all of our collection efforts.

Topics discussed at recent Bookkeepers Forums

• Medicare Pre-Pay Probe audits
• Medicare Part D
• Obtaining insurance denials for pay-starts or TPLs

If you would like details on the Fairfield Forum, please contact Maritza DeFlorio at 203-281-7555 or click here to send an email using your email application.

If you would like details on the Hartford Forum, please contact Michelle Pascetta at 860-527-9126 x518 or click here to send an email using your email application .

Bookkeepers Resources

11/26/19 Bookkeeper Forum

• New ssa11
• New ssa787

 

• The following resource links were discussed at this forum:
• Life Insurance Policies and Granting Medicaid Letter
• LTC Insurance Policy Income vs Asset E-mail
• Optum Care Letter
• W-298 AREP Language

 

• The following resource links were discussed at this forum:
• Medicare Supplement Rates
• New Income Tax Withholding Requirements for Pension and Annuity Payments
• Special DSS Notice Regarding Connecticut Income Tax Withholding From Pensions and Annuities for Individuals on Medicaid Receiving Long-Term Services and Supports
• Provided by Jessica Carol at the November 2017 event co-sponsored by ALTCFM, CAHCF and Leading Age
• Ascend Alpha Breakdown

 

• The following resource links were discussed at this forum:
• Alert - Irrevocable Funeral Service Contract
• Creating MDS Assessments to Hold the ARD
• Husky D
• Memo - Billing Medicaid Observation Days
• MLN-SE1521-Limiting Scope RD-RC

 

• Click here to find CMS notice SE1408. This notice includes guidance on billing for residents who discharge from the facility on Oct 1 and have billable services in Sept. Per the guidance if the resident discharges on Oct 1 the entire bill should be billed using ICD10 codes NOT ICD9. Remember that you cannot bill both 9 and 10 codes on one bill. These claims have been put into suspense in the system with a notice that this is a temporary issue and the provider does not need to do anything. We are currently attempting to speak with someone regarding the extent of this suspended status.

 

• The following resource links were discussed at this forum:
• ct medical assis program aug 14 2015.pdf
• designation of agent form.pdf
• fee schedule 2011 d4c.pdf
• is the pooled trust right for me 2015.pdf
• organization profile.pdf
• physician statement.pdf
• pooled pcp 2013.pdf
• pooled trust checklist.pdf
• professional member directory 8-2015.pdf
• w-1696 ai change form.pdf
• w-1696 ai change form e-mail.pdf

 

• Email address for RCH is ResidentialCareHomes.DSS@ct.gov
• CMS has changed the claim reopening effective date to 1/1/16. There is a nice little guide in the revision – Revised: SE1426 – Scenarios and Coding Instructions for Submitting Requests to Reopen Claims that are Beyond the Claim Filing Timeframes – Companion Information to MM8581: "Automation of the Request for Reopening Claims Process"
• cms.gov SE1426.pdf

 

• Claim ReOpening

• Applied Income Notice
• Termination of Certain CWF Queries
• New Application DSS Contact
• Managed Nedicare - HIPPS Codes Requirement Changed

 

• CMS ERA Change and Printing Work-Around

 

• RFMS Training Manual
• Email regarding Modernization
• DSS Statewide Staff Listing
• Forms F-13-01
• Forms F-13-02
• Forms F-13-03

 

• TriCare for Life Handbook
• CHAMPVA
• TriCare Choices