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:: NAHC Report
NAHC Report: Issue# 2167, 4/4/2013
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Tennessee Joins Several States in Supporting Arkansas Private Option as Substitute for Medicaid Expansion
NAHC Participates in Call with CMS on Phase II of PECOS Edits
For Your Information: Nurse Recognition Program Seeking 2013 Nominations - Deadline Extended: April 8, 2013!
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Tennessee Joins Several States in Supporting Arkansas Private Option as Substitute for Medicaid Expansion

On April 2, Tennessee Governor Bill Haslam (R) stated that he is currently in negotiations with the federal government regarding an alternative plan to Medicaid expansion. His plan would expand health care coverage to low income citizens with federal money by purchasing private insurance for these beneficiaries. In an address to the Tennessee legislature on March 27, the governor formally rejected Medicaid expansion, and stated that specifically, his plan would:

  • Expand coverage through private health insurance to those currently uninsured earning up to 138 percent of the federal poverty level
  • Require co-payments for those who could afford to pay them
  • Include an end-date of the expansion, only to be extended with the legislature’s approval
  • Include a value-based compensation element.

Governor Haslam stated that in negotiations with the federal government, differences remain that need to be resolved regarding copayments and wrap-around services. Tennessee is one of at least ten states in which such a “private option” has gained traction.

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Nurse Recognition Program Seeking 2013 Nominations
Deadline Extended: April 8, 2013!

HHNA is currently accepting nominations to honor and recognize home care and hospice nurses from across the country. Agencies may nominate any registered nurse to represent their state for 2013. Nominations will be reviewed by the Nurse Recognition Program Selection Committee and one nurse will be recognized from each state.

To see examples of stories from previous issues of CARING, you can click here. To fill out the online nomination form click here. The deadline for submission has been extended to April 8, 2013.
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NAHC Participates in Call with CMS on Phase II of PECOS Edits

The National Association for Home Care & Hospice (NAHC) participated in a conference call with the Centers for Medicare & Medicaid Services (CMS) on April 3, 2013 to discuss Phase II of the PECOS edit activation. During the call, NAHC reported on the information collected from home health agencies about ongoing physician enrollment problems, the findings of one CMS contractor that as many as 4 percent of claims could be subject to denial, and the large number of Veteran’s Administration and military hospitals that have failed to enroll physicians who order and refer for Medicare home health services.

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Director of Compliance
Community Health Systems Professional Services Corporation
Community Health Systems Professional Services Corporation seeks a Director of Compliance for its Franklin, TN, headquarters’ Corporate Compliance (Home Care Division) team. The Director of Compliance is a liaison to an assigned group of home health and hospice agencies.
Essential Duties and Responsibilities: Ensure full implementation of the CHS Corporate Compliance Program at each agency assigned to the Director. Develop training and education programs for regulatory changes and topics identified as potential risk areas. Structure tools for use with compiling data and trend analysis. Assess auditing and monitoring trends and coordinate mitigation activities when opportunities for improvement (audit variances) are identified. Prepare oral and written reports, including recommendations for improvement based on audit and investigative findings. Monitor Compliance Committee minutes to ensure adequate follow-up of potential risk areas. Maintain an awareness of current laws, statutes, regulations, etc. that impact healthcare operations and physician relationships. Conduct focused compliance audits on topics of concern. Coordinate compliance policy development and/or revision, when necessary. Participate in compliance and privacy investigations. Other duties as assigned by the VP, Corporate Compliance and Privacy Officer. This position will require travel up to 40% of the time.
Education/Experience: The Director must have current experience working within the Home Health and Hospice industry and should be familiar with reimbursement methodologies and regulations pertaining to benefit coverage. Bachelor’s degree in Health Information Management, Nursing, Business, or related area, or three or more years’ experience in compliance functions. The Director must have the ability to plan, develop, and present educational or programmatic materials in front of an audience greater than 20 people.
To apply for this job, please visit the career section of and apply to Job Number 1254993.

For information about placing an ad, contact Soott Baum at

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