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:: NAHC Report
NAHC Report: Issue# 2169, 4/8/2013
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
Hospice: Top 10 Deficiencies
Home Health Code Update: Modifier Code Rescinded, Place of Service Clarified
For Your Information: 2013 National State of the Industry Study – Phase Two Registration Opens
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Hospice: Top 10 Deficiencies
Expert Presentation at NAHC’s 2012 March on Washington

Brenda Blunt, MSN, RN, CHPPN, a nurse consultant who serves as the hospice lead within the Survey and Certification Group at the Centers for Medicare & Medicaid Services (CMS), presented at the National Association for Home Care & Hospice’s (NAHC) March on Washington last month.  Blunt focused on recent activity in the hospice survey and certification arena, with her primary focus on top survey deficiencies during calendar year (CY) 2012.

Blunt underscored that there is no statutory requirement relative to frequency of hospice surveys. As a result, CMS determines the frequency of hospice surveys based on its budget allotment.  Currently the budget allows CMS to conduct surveys for a targeted sample of five percent of hospice providers on an annual basis, all hospice providers are required to be surveyed every six and a half years and, on average, each hospice is surveyed every six years.  CMS also conducts validation surveys of providers that have been certified through private accrediting organizations.

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2013 National State of the Industry Study – Phase Two Registration Opens

As interviews of industry leaders continue, NAHC urges its members who have yet done so to sign-up. Please register and take part in this important national study.  The State of the Industry Study will address current practices and future strategies in the areas of IS/EHR, telehealth, new health care models and operations.

The interview will last less than twenty minutes.  Participating agencies will be among the first to receive in-depth reports plus strategic recommendations from the findings.  The results will also include insights into what practices the top agency, those with the best financial and quality outcomes, are using and planning.

Researchers at Fazzi Associates, the firm responsible for managing the study and reports, estimate that 1,000 industry leaders will be interviewed.  If you did not register during the pre-study period, you have an opportunity to do so now. 

Go to https://www.research.net/s/2013NationalSurveySignUp to register.

The Study is sponsored by NAHC, CHAP, The Joint Commission, the Forum of State Associations, Delta Health Technologies, HealthWyse and Fazzi Associates.   Results are expected to be released in late May or early June of this year.  A major presentation on findings will be presented at NAHC’s Annual Meeting & Exposition, October 31 – November 3, 2013 in Washington, DC. 

To participate in the study interviews, your agency must meet the following three criteria:

  • Medicare certified
  • Medicare revenues of $500,000 or higher
  • Home Health Compare scores for two or more reporting periods

Please click here to register.

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Home Health Code Update: Modifier Code Rescinded, Place of Service Clarified

In Transmittal 2650, dated February 1, 2013, the Centers for Medicare and Medicaid Services (CMS) announced plans to require home health agencies to report new claims data. The new data requirements, which would be effective July 1, 2013, included “place where services were provided” and a modifier to identify visits made solely to provide services ordered by physicians other than the certifying physician.

The National Association for Home Care & Hospice (NAHC) discussed its concerns about these new coding requirements with CMS. NAHC told CMS that a place of service code that did not define “assisted living facility” would result in unreliable data - since there are various facility titles and definitions across the country. Additionally, NAHC asked that clarification be provided for the non-certifying physician modifier and that additional time be given for software vendors to write programs and home health agencies to implement them.

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