This course provides a structured, practical approach to understanding and managing Long-Term Care Insurance (LTCI) within nurse registries and referral-based care services. Learners will gain clarity on policy structures, eligibility triggers, documentation requirements, billing processes, and denial prevention strategies. The course emphasizes communication, compliance, and operational discipline to support accurate claim handling and improved financial outcomes.
Developed by: Scott Strachan RN, BSN
Target Audience
Nursing registry owners, operators, administrative staff, and individuals involved in referral-based caregiver services managing LTCI processes
Teaching Method
Self-directed learning completed independently, with scenario-based reflection.
Learner Objectives
Define key LTCI concepts including benefit triggers, elimination periods, and policy limits
Identify documentation and communication practices that support claim approval and reduce denials
Explain proper boundaries when assisting clients with LTCI claims and insurer interactions
Overview
Long-Term Care Insurance plays a significant role in supporting home-based care, but navigating policy requirements, documentation standards, and reimbursement processes can be complex. Nurse registries and referral-based care services are often positioned as key coordinators in this process, helping families understand coverage while maintaining appropriate professional boundaries.
This course explores how LTCI policies function, including benefit triggers based on Activities of Daily Living (ADLs), cognitive impairment requirements, elimination periods, and coverage limits. It also addresses operational considerations such as Assignment of Benefits (AOB), billing alignment, reconciliation processes, and denial prevention strategies.
Participants will learn how to structure workflows, communicate effectively with families and insurers, and maintain compliance while supporting clients through the LTCI process. By the end of the course, learners will have the tools and confidence to manage LTCI-related interactions with clarity, professionalism, and consistency.
Disclosure
The planner(s) and author(s) of this educational activity have disclosed that there are no relevant financial relationships with any commercial interests related to the content of this course. This course is developed for educational purposes and does not receive commercial support.
Disclaimer
The information provided in this course is for educational purposes only and should not be construed as legal, financial, or professional advice. While every effort has been made to ensure accuracy, the content is not guaranteed to be free from errors or omissions. Participants are encouraged to consult with a qualified professional for specific advice related to their circumstances. The creators and presenters of this course disclaim any liability for decisions made based on the information provided.
We will send you a one-time access code.