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:: NAHC Report
NAHC Report: Issue# 2199, 5/20/2013
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Surveys of Home and Community-Based Providers Reveal Several Employment Hurdles
OIG Find CMS in Compliance with HHA Survey Requirements
For Your Information: Register Today for NAHC’s Financial Management Conference and Exposition!
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Surveys of Home and Community-Based Providers Reveal Several Employment Hurdles

On May 9, PHI Michigan announced the results of statewide surveys of home and community-based (HCBS) providers reimbursed by Medicaid. PHI Michigan conducted the three surveys in 2012, encompassing 1) the Medicaid MI Choice HCBS Waiver (MI Choice); 2) the Community Mental Health (CMH) Waiver; and 3) the Home Help personal care program.

In total, 300 provider organizations responded to the surveys, which in turn represented approximately 17,000 direct-care workers. The providers overall felt that low wages, part-time hours and the lack of training were significant barriers to recruitment and retention.

Low Wages: The surveys revealed average starting hourly wages was $8.73 in the CMH program, and $9.09 for both the MI Choice and Home Help programs.

Part Time Hours: Sixty percent of direct care workers - averaged from all surveys - were working part-time, with those workers working less than 36 hours per week.

Lack of Transportation Reimbursement: Two-thirds of HCBS providers surveyed did not reimburse direct care workers for transportation costs travelling between participants.

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Register Today for NAHC’s Financial Management Conference and Exposition!
Conference is being held in Washington, D.C. July 28 – 30, 2013

NAHC’s Financial Management Conference & Exposition is the premier source for strengthening your home care or hospice agency’s bottom line.

A variety of general sessions and drill-down workshops are designed to boost skill sets in financial operations arenas that range from cost controls to revenue enhancement and strategic planning. Benefits include:

  • Direct windows into the methods that have yielded success for industry leaders
  • Deeper understanding of how current and pending legislation impacts your organization • Better cost-control, efficiency-building, and budget management techniques
  • Insight into proactive care-planning methods that generate measurable results and outcomes
  • Peer-to-peer networking and interaction opportunities

Attendees may also start with one of two intensive pre-conference boot camps:

  • Hospice Summer Camp – intermediate to advanced hospice executives hone the skills and expertise needed to enhance their management of hospice financial operations
  • Home Health Summer Camp – beginning to intermediate home care personnel expand their knowledge base in the diverse world of home care finance

Register today to secure your opportunity to improve your bottom line!

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OIG Find CMS in Compliance with HHA Survey Requirements

The Office of Inspector General (OIG) completed a study to examine the performance of Centers for Medicare & Medicaid Services (CMS) contractors conduct of home health agency (HHA) surveys at least every 36 months and deficiency citation history. This study was carried out as a follow-up to a 2008 OIG study that found that many HHAs had the same deficiencies cited during multiple recertification surveys and CMS rarely used the only sanction available —termination — to address HHA noncompliance.

The goals of the new study were:

  • To determine the extent to which State survey agencies (State agencies) and accreditation organizations conducted recertification surveys of home health agencies (HHA) within required timeframes.

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Director of Finance
Bassett Healthcare Network
At Home Care, Inc. (AHC) is a nationally recognized and progressive Medicare and NYS licensed HH-Agency; and, seeks to recruit an executive level financial leader to work out of our Central Office located in Oneonta, NY. As a non-profit health care provider, AHC is an integral healthcare network partner operating across five predominantly rural counties in Central NY. With an integrated financial and clinical leadership approach, the individual will be responsible for oversight of all fiscal operations.

Candidate Qualifications

  • A seasoned financial leader with a minimum of 5 years experience to include financial statement preparation, budgeting, analysis and audit activities within a healthcare environment
  • Minimum (1) yr. home health experience, preferred.
  • MS Office and accounting software experience required; McKesson Horizon software experience, preferred
  • A clear and concise communicator in both written and oral presentation
  • Education: bachelor’s degree in accounting or finance required; Masters or CPA, preferred.

Potential for flexible schedule. Competitive salary and benefit package. For more information, or to submit a CV in confidence, please direct to: Laurie Neander, CEO, AHC; 25 Elm Street, Oneonta NY 13820 Or, E-mail:

For information about placing an ad, contact Soott Baum at

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