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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

CMS Allows for Resubmission of Some Hospice NOE/NOTRs to Correct Billing Errors

February 5, 2015 10:35 AM

Effective with the implementation of Change Request (CR) 8877, hospices are now required to submit a Notice of Election (NOE) for hospice patients admitted on or after October 1, 2014 within five days following the date of admission.  In instances where a hospice fails to file the NOE on a timely basis, payment will be denied for days of service prior to the Medicare Administrative Contractor’s (MAC’s) receipt and acceptance of the NOE.  Hospices are also required to submit a Notice of Termination/Revocation (NOTR) within five days following the date of live discharge, as well, but no penalty for late submission is being assessed at this time.

Since October, many hospices have failed to meet the NOE timely filing requirement because they have submitted NOEs that include errors. To correct NOE billing errors, hospices have been required to wait for the NOE to be returned to provider (RTP), after which a new NOE could be submitted.  In many cases, the systems time required to process the RTP has meant that a replacement NOE could not be submitted and accepted in time for the hospice to be in compliance with the five-day rule. 

In welcome news, two of the Centers for Medicare & Medicaid Services (CMS)’ MACs have reported that hospices that discover they have submitted an NOE with a systems-detectable billing error that will cause the NOE to RTP - such as an incorrect HICN - may now immediately submit a corrected NOE rather than having to wait for the RTP to process.

The National Association for Home Care & Hospice (NAHC) has confirmed with CMS that this change is now in effect. CMS has also indicated that hospices may immediately resubmit corrected NOTRs, as well, where submitted NOTRs included errors that would otherwise cause the NOTR to RTP.  This change will help to reduce the likelihood that systems processing time will result in lost revenue to hospices as the result of the NOE requirement. 

Hospices must note that the ability to resubmit an NOW or NOTR that contains an error is contingent on the error being one that the system can detect and that would result in an RTP if the NOE or NOTR is left to process through the system.  These errors are ones that the FISS or CWF system edits would detect as part of systems cross-checking. 

Following are just a few examples of some common NOE and/or NOTR billing errors that could cause the submission to RTP:

  • Invalid marital status
  • Invalid/missing FROM date
  • Invalid HICN
  • Invalid/missing payer code
  • Occurrence code 27 required on NOEs
  • Invalid NPI – hospice agency or attending/certifying physician
  • Invalid type of bill – inconsistent with provider number
  • Beneficiary’s name/HIC don’t match
  • NOE falls within established hospice benefit periods

Hospices must also note that in cases where an error on a NOE/NOTR is not detectable by edits in FISS or the CWF - such as an incorrect date of discharge on an NOTR - immediate resubmission will not work because the systems have no way to know whether the information that has been changed was incorrect.  In such cases the original NOE/NOTR will process through the system.  

Following are links to information posted by CGS and National Government Services (NGS), two of the Home Health/Hospice MACs, on the issue. As of this writing Palmetto GBA had not yet made any information on this issue public:



NAHC anticipates that the Home Health and Hospice MACs will be issuing additional information on this change and will be conducting education to assist providers in gaining greater understanding of this change.  NAHC will continue to report on this and related matters as additional information emerges. 

Watch the NAHC Member Listserv and NAHC Report for future updates.




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