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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

Heath 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

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

Home Health IT Vendors Detail their ICD-10 Transition Status

June 27, 2013 09:08 AM

On October 1, 2014, home health agencies are required to bill Medicare and other health insurers using ICD-10 codes to report medical diagnoses instead of ICD-9 codes.  From Medicare’s perspective, the new codes will enhance the ability of the Centers for Medicare & Medicaid Services (CMS) to monitor quality, safety, and efficacy of care, monitor resource use, and prevent and detect fraud, waste, and abuse.  We hope that it will also reduce Medicare and other payer’s need to request additional documentation to explain an individual’s condition.

When Medicare changes from ICD-9 to ICD-10 at 12:01 AM on October 1, 2014, Medicare will require home health agencies to use the most specific diagnosis code possible based on the information available at the time. 

Since there are about five times as many ICD-10 codes as ICD-9 codes, the information will be far more specific than under the current system.  If home health agencies use ICD-9 codes after October 1, 2014, or include both ICD-9 and ICD-10 codes on a single claim, Medicare will return the claims to the home health agency as unprocessable.

CMS says it is confident that it will be ready to proceed with implementation and does not anticipate further delays.  Whether private insurers will also be ready is a bit murkier.

According to DecisionHealth, surveys show most home health agencies are behind in planning for the ICD-10 transition.  To help remedy this, on June 7, 2013, the Home Care Technology Association of America and DecisionHealth hosted a panel presentation at the Palmer House in Chicago highlighting health information technology vendors working to help home health agencies get up to speed on their transition to ICD-10.

 “Straight Talk:  Home Health IT Vendors Detail their ICD-10 Transition Status” provided attendees with insight into available software solutions, the implications of the ICD-10 transition, and offered tips on how to plan effectively and how to prepare financially.

At the presentation, Karen Utterback, Vice President of Product Management and Marketing at McKesson, explained that unprepared home health agencies risked increased claim rejections and denials, increased delays in processing authorizations and reimbursement claims, improper claims payment, cash flow issues, coding backlogs, compliance issues and decisions based on inaccurate data.  However, Ms. Utterback emphasized that even though most home health agencies are behind in the planning process, there is still time to prepare if they start now.

Tom Maxwell, the Chief Strategy Officer with Homecare Homebase, explained that the ICD-10 transition was manageable.  Mr. Maxwell stressed the importance of working with a software vendor that deliver updates on time and with a plan that walks them through every step of the process well before the mandated implementation date. 

Russ Krengel, with Kinnser Software, offered his perspective as a former homecare agency owner.  He explained that the ICD-10 transition would likely result in significant productivity loss for home health agencies.  However, the key to minimizing that productivity loss is planning for the ICD-10 transition and making sure to train staff well in advance of the October 1, 2014, deadline.  

All the speakers agreed that prepared home health agencies will be able to the transition to ICD-10, even those who being the process today, and health IT will play a central role in that transition.  However, home health agencies need to start preparing now or risk significant productivity losses.   





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