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NAHC Report: Issue# 2171, 4/10/2013
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NAHC Releases Statement Opposing Home Health Copay and Inflation Update Cuts in President's Budget
A Home Care Visit with Senator Jerry Moran and Marilyn Tavenner, Acting Head of CMS
For Your Information: NAHC – DecisionHealth Launch National Survey of Home Health Industry Readiness
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NAHC Releases Statement Opposing Home Health Copay and Inflation Update Cuts in President's Budget

The President’s FY2014 Budget released yesterday proposes to reduce Medicare and Medicaid spending by $400 billion over 10 years. The spending cuts in the proposed budget would hit almost every sector in healthcare, particularly pharmaceuticals, hospitals, and skilled nursing facilities. The President’s budget would replace the across-the-board cuts required by the sequester law.

The proposal includes a home health copay identical to the President’s proposal in September 2011 along with reduced Market Basket Index (inflation) updates in 2014 to 2023. The copay proposal would create a co-payment for new Medicare beneficiaries of $100 per home health episode, starting in 2017. Consistent with MedPAC recommendations, this co-payment would apply only for episodes with five or more visits not preceded by a hospital or inpatient post-acute stay. The budget estimates that the copay would reduce Medicare spending by $730 million through 2023.

The proposed update reductions of 1.1 percentage points each year for ten years would affect post-acute providers. Hospice is not affected. These reductions would be in addition to the 2014 home health rate rebasing and the productivity adjustments starting in 2015.

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NAHC – DecisionHealth Launch National Survey of Home Health Industry Readiness

With the ICD10 effective date a mere 18 months out, CMS has urged that provider planning and preparation should be well underway. To assess industry readiness, and therefore appropriate aid and lobby for your specific concerns, DecisionHealth and the National Association of Home Care & Hospice today launch the National Home Health ICD-10 Readiness Study.

You are urged to participate in what we aim to be the largest study of ICD-10 preparedness specifically targeting home care provider types.

This study has two phases: The first, to in identify current readiness, reporting baseline results at DecisionHealth’s ICD-10 Impact conference in June. The second, to benchmark progress on ICD10 transitioning with a follow-up study to be conducted this fall.

A detailed report of results will be shared for free with all who participate in the survey.

Tell us where you stand on the road to ICD-10, and we’ll make sure the industry as a whole knows what to expect next October, based on where everyone is now.

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A Home Care Visit with Senator Jerry Moran and Marilyn Tavenner, Acting Head of CMS

It is not every day that a home care patient can say they spent a birthday with their U.S. senator and a top government official. Shirley Webb, a patient of Douglas County Visiting Nurses Association in Lawrence, Kansas, turned 88 in her own home while being treated for a serious wound on the bottom of her foot. On that special day, she learned she would be discharged from home health services later in the week. In addition, she received a visit from Senator Jerry Moran (R-KS) and Marilyn Tavenner, acting administrator at the Centers for Medicare and Medicaid Services (CMS).

The Kansas Home Care Association has a history of building strong relationships with the Kansas congressional delegation and encouraging its members to take a first-hand look at what home care achieves. “We have hosted home visits with both of our senators, Pat Roberts and Jerry Moran, and last year Representative Lynn Jenkins made a home visit,” said Jane Kelly, executive director of the Kansas Home Care Association. “Those are the members we feel we can count on since they have seen home care in action.”

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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.

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