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In the various roles he has undertaken through the years, Val J. Halamandaris has been a singular driving force behind the policy and program initiatives resulting in the recognition of home health care as a viable alternative to institutionalization. His dedication to consumer advocacy, which enhances the quality of life and dignity of those receiving home health care, merits VNA HealthCare Group’s highest recognition and deepest respect. 

VNA HealthCare Group

I have the highest respect for them, especially for the nurses, aides and therapists, who devote their lives to caring for people with disabilities, the infirm and dying Americans.  There are few more noble professions.

President Barack Obama

Home health care agencies do such a wonderful job in this country helping people to be able to remain at home and allowing them to receive services

U.S. Senator Debbie Stabenow (D-MI) Chair, Democratic Steering and Outreach Committee

Home care is a combination of compassion and efficiency.  It is less expensive than institutional care...but at the same time it is a more caring, human, intimate experience, and therefore it has a greater human’s a big mistake not to try to maximize it and find ways to give people the home care option over either nursing homes, hospitals or other institutions

Former Speaker of the U.S. House of Representatives Newt Gingrich (R-GA)

Medicaid covers long-term care, but only for low-income families.  And Medicare only pays for care that is connected to a hospital discharge....our health care system must cover these vital services...[and] we should promote home-based care, which most people prefer, instead of the institutional care that we emphasize now.

Former U.S. Senator Majority Leader Tom Daschle (D-CD)

We need incentives to...keep people in home health care settings...It’s dramatically less expensive than long term care.

U.S. Senator John McCain (R-AZ)


Home care is clearly the wave of the future. It’s clearly where patients want to be cared for. I come from an ethnic family and when a member of our family is severely ill, we would never consider taking them to get institutional care. That’s true of many families for both cultural and financial reasons. If patients have a choice of where they want to be cared for, where it’s done the right way, they choose home.

Donna Shalala, former Secretary of Health and Human Services

A couple of years ago, I spent a little bit of time with the National Association for Home Care & Hospice and its president, Val J. Halamandaris, and I was just blown away. What impressed me so much was that they talked about what they do as opposed to just the strategies of how to deal with Washington or Sacramento or Albany or whatever the case may be. Val is a fanatic about care, and it comes through in every way known to mankind. It comes through in the speakers he invites to their events; it comes through in all the stuff he shares.

Tom Peters, author of In Search of Excellence

Val’s home care organization brings thousands of caregivers together into a dynamic organization that provides them with valuable resources and tools to be even better in their important work. He helps them build self-esteem, which leads to self-motivation.

Mike Vance, former Dean of Disney and author of Think Out of the Box

Val is one of the greatest advocates for seniors in America. He goes beyond the call of duty every time.

Arthur S. Flemming, former Secretary of Health, Education, and Welfare

Val has brought the problems, the challenges, and the opportunities out in the open for everyone to look at. He is a visionary pointing the direction for us. 

Margaret (Peg) Cushman, Professor of Nursing and former President of the Visiting Nurses Association

Although Val has chosen to stay in the background, he deserves much of the credit for what was accomplished both at the U.S. Senate Special Committee on Aging, where he was closely associated with me and at the House Select Committee on Aging, where he was Congressman Claude Pepper’s senior counsel and closest advisor. He put together more hearings on the subject of aging, wrote more reports, drafted more bills, and had more influence on the direction of events than anyone before him or since.

Frank E. Moss, former U.S. Senator

Val’s most important contribution is pulling together all elements of home health care and being able to organize and energize the people involved in the industry.

Frank E. Moss, former U.S. Senator

Anyone working on health care issues in Congress knows the name Val J. Halamandaris.

Kathleen Gardner Cravedi, former Staff Director of the House Select Committee on Aging

Without your untiring support and active participation, the voices of people advocating meaningful and compassionate health care reform may not have been heard by national leaders.

Michael Sullivan, Former Executive Director, Indiana Association for Home Care

All of us have been members of many organizations and NAHC is simply the best there is. NAHC aspires to excellence in every respect; its staff has been repeatedly honored as the best in Washington; the organization lives by the highest values and has demonstrated a passionate interest in the well-being of patients and providers.

Elaine Stephens, Director of Home Care of Steward Home Care/Steward Health Systems and former NAHC C

Home care increasingly is one of the basic building blocks in the developing system of long-term care.  On both economic and recuperative bases, home health care will continue to grow as an essential service for individuals, for families and for the community as a whole.

Former U.S. Senator Olympia Snowe (R-ME)

NCOA is excited to be part of this great event and honored to have such influential award winners in the field of aging.

National Council of Aging

Health care at home…is something we need more of, not less of.  Let us make a commitment to preventive and long-term care.  Let us encourage home care as an alternative to nursing homes and give folks a little help to have their parents there.

Former President Bill Clinton

OIG Study Finds NPPES and PECOS Inaccuracy

June 7, 2013 02:56 PM

The Office of Inspector General (OIG) released a study conducted to evaluate the accuracy of two Centers for Medicare & Medicaid Services (CMS) health care provider databases: National Plan and Provider Enumeration System (NPPES) and the Provider Enrollment, Chain and Ownership System (PECOS).

The study was undertaken as a follow-up to previous OIG work that revealed ongoing problems with CMS’s oversight of provider data, sometimes resulting in improper Medicare payments. The results of the OIG analyses showed that NPPES and PECOS data are not reliable independently or even when combined The OIG report can be found here.

OIG Study Objectives

  1. Analysis of provider enumeration data (i.e., from providers’ applications for National Provider Identifiers (NPIs)) and Medicare provider enrollment data maintained CMS for accuracy, completeness, and consistency; and
  2. Analysis of CMS oversight processes for ensuring the accuracy, completeness, and consistency of provider enumeration data and Medicare provider enrollment data.

Study Findings

After review of several data elements in both NPPES and PECOS and interviews with providers, the OIG concluded that “Medicare provider data in NPPES and PECOS were often inaccurate and occasionally incomplete, and were generally inconsistent between the two databases.” They found that NPPES data were inaccurate in 48 percent of records and incomplete for conditionally required variables in 9 percent of records.

In PECOS, provider data were inaccurate in 58 percent of records and incomplete in almost 4 percent. Addresses were the major source of data inaccuracies. However, inaccuracies were also found in other areas, such as license and credential information. Additionally, although no Federal mandate requires that information in NPPES and PECOS be consistent, provider data were inconsistent between NPPES and PECOS for 97 percent of records. More than three out of four providers identified inaccurate data in NPPES or PECOS, and more than one in four providers identified inaccurate data in both NPPES and PECOS.

After interviews with contractors, the OIG also concluded that CMS did not verify most provider information in NPPES or PECOS.

OIG Recommendations

Based on these findings the OIG made the following recommendations to CMS:

  • Require Medicare Administrative Contractors to implement program integrity safeguards for Medicare provider enrollment.
  • Require more verification of NPPES enumeration and PECOS enrollment data.
  • Detect and correct inaccurate and incomplete provider enumeration and enrollment data for new and established records.

Because the NPI is used by private and public health insurance programs, the lack of safeguards for NPPES data complicates program integrity efforts for all health care programs. CMS concurred with all three of recommendations while pointing out that severalenhancements have been made to PECOS that may decrease inaccuracies. In addition, CMS reported that it will improve accuracy through ongoing revalidation and provider education.

PECOS Enrolled Requirements

CMS temporarily delayed its plan to activate PECOS home health edits of claims for enrolled ordering and referring physicians as planned for May 1, 2013. 

It is unclear how the OIG report will impact future activation plans. NAHC would like to be informed of home health agency and physician problems with PECOS by email to mts@nahc.orgas we continue in our efforts to insist that CMS ensures that all PECOS related issues are resolved before edits are activated.




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