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:: NAHC Report
NAHC Report: Issue# 2182, 4/25/2013
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CMS Announces Delay in PECOS Edits
NAHC Meets with Former Nurse who now Sits on Ways and Means Committee
For Your Information: National ICD-10 Survey: Home Health Industry Readiness
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CMS Announces Delay in PECOS Edits

CMS issued the following message on April 25 announcing the delay of PECOS edits that would result in denial of home health claims when the ordering/referring physician is not enrolled in PECOS:

  • Temporary Delay in Implementing Ordering and Referring Denial Edits
  • Due to technical issues, implementation of the Phase 2 ordering and referring denial edits is being delayed.

NAHC will provide more details as they become available.

These edits would have checked the following claims for an approved or validly opted-out physician or non-physician who is an eligible specialty type with a valid individual National Provider Identifier (NPI).

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National ICD-10 Survey: Home Health Industry Readiness

Did you know that CMS expects ICD-10 to double the average national denial rate to 10%? It's usually just 6%. Knowing where your agency stands will help us assess industry-wide readiness, and give us the data to aid and advocate for your specific concerns.

DecisionHealth and the National Association of Home Care & Hospice (NAHC), and currently in the middle of collecting data for a comprehensive ICD-10 readiness survey of home health agencies.

You’ll be sent a detailed white paper with the complete results for participating in the survey. This white paper will contain in-depth analysis and data that NAHC and DecisionHealth will issue after data collection is completed.

Tell us where you stand on the road to ICD-10 implementation so we can let the entire industry know what to expect next October, based on where everyone is now.

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NAHC Meets with Former Nurse who now Sits on Ways and Means Committee

Representatives from NAHC recently met with Congresswoman Diane Black (R-TN), a former nurse who currently sits on the House Ways and Means Committee. The Ways and Means Committee has jurisdiction over Medicare, and is generally regarded as one of the most powerful committees in either the House or Senate.

The meeting with Congresswoman Black allowed NAHC to familiarize her with a range of issues that are of importance to the home health and hospice community – and to inform her of pending legislation that would be of interest to both herself and her constituents.

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