Please feel free to contact us with your questions about nursing home billing or the Medicaid application process.
Billing Clerks
Dana Stuart Ext. 284
dstuart@lcmcf.org
Heidi Mullins Ext. 124
hmullins@lcmcf.org
810.664.8571
Fax: 810.664.1677
Questions Regarding Nursing Home Billing or Medicaid Applications?
Contact Our Billing Office Here
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Our Billing Office is open from 7:30am through 4pm, Monday through Friday, to answer any questions concerning a bill.
Bills are prepared and sent out monthly on the first business day of each month. Your finances are confidential and any breach of confidentiality should be reported to the Administrator or your Social Worker.
BedHold Policy/Leave of Absence
For a temporary absence due to medical reasons, such as a resident’s transfer to the hospital, the facility will allow the resident and/or responsible party the option of having the bed held open while the resident is away from the facility. For a copy of the policy contact the Billing Department. Any questions may be addressed by contacting the Billing Department or the Social Services Department.
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Leaves of absence can be for hours, the day, or over night, if payment source permits. Note that some insurances have restrictions on leaves of absences from the facility; if further clarification is needed contact the Billing Department. A 24 to 48 hour notice is recommended so that arrangements can be made for medications and cancellation of meals.
Blue Cross/HMC/L.T.C. Insurance
Coverage depends on the particular insurance policy, since many policies do not cover skilled or basic extended care. Certain Blue Cross or HMO groups have coverage for extended care if skilled care criteria are met. Most policies usually cover a limited amount of days. For HMO contracts, the family will be notified by the Billing Department if the Primary Care Physician needs to be changed. The Billing Department will contact the insurance company to determine coverage.
Medicaid
Coverage depends on the particular insurance policy, since many policies do not cover skilled or basic extended care. Certain Blue Cross or HMO groups have coverage for extended care if skilled care criteria are met. Most policies usually cover a limited amount of days. For HMO contracts, the family will be notified by the Billing Department if the Primary Care Physician needs to be changed. The Billing Department will contact the insurance company to determine coverage.
Medicare
Medicare is a Federal insurance program for persons age 65 and over and persons with certain severe disabilities. If, after being discharged from at least a three (3) day hospital stay, the person is admitted to a Skilled Nursing Facility within 30 days, Medicare may help pay for care up to 100 days in a benefit period, as long as the resident continues to meet the skilled level of care criteria.
If eligible, Medicare Part A pays the full cost of covered services for the first 20 days. From the 21st day thru 100th day, the resident/representative may be charged a daily co-insurance amount. Many insurance contracts supplement Medicare for the co-insurance amount.
Private Pay
A person will be in a private pay program if he/she is not eligible for any kind of insurance coverage. The Social Worker has a rate schedule for the cost of services. An Escrow Deposit is required at the time of admission for persons being admitted on the Private Pay Program. The Escrow Deposit will be deposited in an interest bearing account and a statement will be furnished monthly. This deposit will be applied to the final bill.
Resident Trust Funds
When a resident and/or family or responsible party so desires, a Resident Trust Fund can be set up through the Facility’s Business Office to handle the resident’s funds. An explanation of this fund is given to the resident and family at the time of admission. A form must be signed which indicates that they are aware of this fund and how it operates. The resident’s monies are deposited in an interest bearing account and statements are furnished monthly.