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:: NAHC Report
NAHC Report: Issue# 2196, 5/15/2013
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
Economic Policy Institute Releases Briefing Paper Demonstrating that Increased Health Care Cost Sharing Doesn’t Work
CMS: Effective October 1, 2013 Non-Hospice Claims for Hospice Patient Vaccines will be Rejected
For Your Information: ICD-10 Implementation Strategies for Home Health
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Economic Policy Institute Releases Briefing Paper Demonstrating that Increased Health Care Cost Sharing Doesn’t Work

The well-respected think tank, the Economic Policy Institute (EPI), recently released Briefing Paper #358: Increased Health Care Cost Sharing Works as Intended: It Burdens Patients Who Need Care Most. The paper compiles the findings of several recent academic studies that have found that increased health care cost sharing, “is a flawed strategy for health care cost containment. The health care market is unlike other markets; thus, forcing increased cost sharing on American households is a deeply inefficient strategy for trying to contain health care costs.”

EPI’s paper comes at a critical moment as discussions on how to cut costs in the nation’s healthcare system – and ways to modify Medicare – continue to gain traction with both lawmakers and policy analysts. With the House and Senate budget committees deadlocked on moving forward with a Conference Committee to negotiate a compromise budget, President Obama’s budget that suggests additional copays within Medicare, and the Simpson-Bowles Commission releasing a new deficit reduction plan, discussions on the future shape of Medicare remain a sensitive and controversial issue. Many of the plans that have emerged recently suggest including additional cost sharing measures such as additional copays or deductibles for services within the Medicare program.

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ICD-10 Implementation Strategies for Home Health
June 6-7, the Palmer House Hilton, Chicago

DecisionHealth and NAHC have conducted the largest-ever home health ICD-10 readiness study. The findings will be presented at the ICD-10 Implementation Strategies for Home Health conference and released to all registered attendees in coming days.

Broadly speaking, the results show that most agencies are behind in their planning, confused about how to prepare financially, and lacking in urgency because they underestimate both the scope of the transition and the severity of the impact to cash flow in 2014. Other highlights reveal:

  • 90 percent of respondents have not completed an ICD-10 gap analysis
  • 75 percent still don’t have an implementation plan and 10 percent will not develop a plan until Q2 2014
  • Nearly 63 percent said that ICD-10 was not a high priority because of other more pressing challenges
  • A majority of respondents do not plan to begin training their clinical and support staff until 2014
  • 25 percent do not plan to begin training their coders until 2014

Regardless of where your agency is in its ICD-10 readiness plan, the ICD-10 Implementation Strategies for Home Health conference can help agencies of all sizes develop a financial and operational road map for ICD-10 implementation.

The conference offers a variety of sessions on operational best-practices that will ensure that attendees have a cash backup, a transition plan, and detailed tactics to adapt your agency to the post-ICD-10 world.

Register now and use the code C1377WP to be rushed an exclusive PDF copy of the 21-page National Home Health ICD-10 Readiness Study to benchmark your agency's progress against your peers!

For complete details, view the full agenda, or visit www.decisionhealth.com/implementICD10.

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CMS: Effective October 1, 2013 Non-Hospice Claims for Hospice Patient Vaccines will be Rejected

In a Change Request (CR 8098) issued May 3, 2013, the Centers for Medicare & Medicaid Services (CMS) indicated that, effective October 1, 2013 - and for implementation on October 7, 2013 - Medicare systems will prevent non-hospice providers from providing vaccines to hospice beneficiaries. While a hospice may provide influenza, pneumococcal, and hepatitis B vaccines to beneficiaries who request them and - in such cases these services are only covered by Medicare when provided to hospice beneficiaries by their hospice provider - Medicare systems previously did not have the ability to differentiate between claims for the vaccines submitted by hospices and other providers/suppliers.

CMS has now established an edit to the Common Working File (CWF) that allows the Medicare Administrative Contractors (MACs) to reject claims submitted by non-hospice providers for vaccines provided to hospice beneficiaries.

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