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:: NAHC Report
NAHC Report: Issue# 2173, 4/12/2013
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
California Signs Memorandum of Understanding with CMS
CMS Issues Fact Sheet on the Jimmo v. Sebelius Settlement Agreement
For Your Information: The LTPAC Health IT Summit Takes Place June 17–18, 2013
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California Signs Memorandum of Understanding with CMS
Becomes Fifth State to Adopt Medicare-Medicaid Dual Eligibles Initiative

On March 27, 2013, the Centers for Medicare and Medicaid Services (CMS) and the California Department of Health Care Services (DHCS) signed a Memorandum of Understanding (MOU) establishing the Medicare-Medicaid Alignment Initiative (MMAI) in California (the Demonstration). California is now the fifth state to implement the MMAI, after Massachusetts, Washington, Ohio, and Illinois. Nineteen other states have active proposals submitted to CMS. The MMAI is a joint federal and state project that seeks to improve care and reduce costs associated with beneficiaries eligible for both Medicare and Medicaid – known as “dual eligibles.”

In California, the Demonstration is called Cal MediConnect, and is part of a larger initiative known as the Coordinated Care Initiative (CCI). The CCI functions to enroll dual eligibles into Medi-Cal (Medicaid in California) managed care plans, and provide all long-term care services and supports (LTSS). Starting in October 2013, the Demonstration will coordinate care to 456,000 dual eligibles in eight counties.

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The LTPAC Health IT Summit Takes Place June 17–18, 2013

Long-term and post-acute care is healthcare’s fastest-growing frontier. Explore how LTPAC providers can meet the needs of an aging population while advancing policies and initiatives in alignment with the national healthcare strategy at the annual Long-Term and Post-Acute Care (LTPAC) Health Information Technology (HIT) Summit, June 17 to 18, in Baltimore, MD.

The conference, sponsored by AHIMA in collaboration with NAHC, convenes HIT leaders, policy makers, federal and state grantees, care provider executives, LTPAC providers, and hospital leadership, providing critical insights to increase LTPAC involvement in national health IT programs, including health information exchange (HIE) and future meaningful use stages.

“Technology, including interoperable health information technology, is a key facilitator of better coordinated care,” said Dr. Mark McClellan, Director of the Engelberg Center for Health Reform, Leonard D. Schaeffer Chair in Health Policy Studies at the Brookings Institution, and Chair of LeadingAge CAST. “Interoperability and the exchange of health information are playing a major role in healthcare delivery reforms to improve care. Payment reform initiatives including the Hospital Readmission Reduction Program, ACOs and Bundled Payments are accelerating the need for effective interoperability and exchange. For these efforts to succeed in improving quality and lowering costs, it is imperative to connect LTPAC providers with hospitals and other acute care partners.”

Further information on the event can be found on the AHIMA website at ahima.org/ltpacsummit

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Take Action! Tell Your Senators to Support the FITT Act

Senators Thune (R-SD) and Klobuchar (D-MN) recently reintroduced the FITT Act –S. 596. This bipartisan bill seeks to expand the use of telehealth technology under Medicare to reduce hospital re-admissions in rural and underserved communities across the country. S. 596 would create pilot programs to provide incentives for home health agencies to use remote patient monitoring (RPM) technology to better monitor Medicare beneficiaries, improve health outcomes, and reduce Medicare expenditures.

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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 www.chs.net and apply to Job Number 1254993.

For information about placing an ad, contact Soott Baum at ads@nahc.org.

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