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:: NAHC Report
NAHC Report: Issue# 2201, 5/22/2013
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CMS Revises Policy on the Use of Rubber Stamp Signatures
Texas Bills Seek to Move Long Term Services and Supports into Managed Care
For Your Information: NAHC’s Annual Meeting and Exposition Educational Sessions Posted Online
NAHC/Home Care & Hospice Events
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CMS Revises Policy on the Use of Rubber Stamp Signatures

The Centers for Medicare & Medicaid Services (CMS) has issued Change Request 8219 which amends the signature requirement policy to permit a rubber-stamped signature on Medicare documentation in instances where the author has a physical disability that prohibits him/her from producing a handwritten signature.

Several years ago, CMS revised their signature policy to prohibit the use of a rubber stamp signature on any Medicare documentation. However, in order to be consistent with the Rehabilitation Act of 1973, CMS is revising the signature policy to accommodate those individuals with physical disabilities that require the use a rubber stamp to sign documents. The author will be required to submit proof of the disability for medical review purposes.

The CMS Program Integrity Manual, chapter 3, section – Signature Requirements - now includes an exception to the rubber stamp signature prohibition.

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NAHC’s Annual Meeting and Exposition Educational Sessions Posted Online

With so many issues facing the home care and hospice community, this year’s Annual Meeting and Exposition is the perfect opportunity to make your voice heard while furthering your knowledge of all the developments within the field of home care and hospice care.

Never has attending NAHC’s Annual Meeting and Exposition been so important, and never has there been such a diversity of educational sessions available for conference attendees. Whether it is learning about the newest developments in health IT or how to meet the needs of an ACO; how to reduce rehospitilizations or how to comply with new employer mandates in the ACA, this year’s Annual Meeting has sessions geared towards home care, hospice and private duty professionals.

To review this year’s educational sessions, please click here.

To register for this year’s Annual Meeting and Exposition held in Washington, DC October 31 – November 3, please click here.

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Texas Bills Seek to Move Long Term Services and Supports into Managed Care

The Texas legislature continues to work out language for legislation that would begin to transition long-term services and supports into managed care. The two chambers have until Monday, when the legislative session ends, to work out the differences in their bills.

Among other things, Senate Bill 7 (S.B. 7) calls for test pilot programs to move long-term services and supports (LTSS) into managed-care models. S.B. 7 would also establish an advisory committee, with members from the disability community, to advise state officials on how to improve efficiencies in Medicaid acute care services. Finally, it would call on state officials to investigate the feasibility of automatically enrolling the disabled in a Medicaid managed care plan, and to implement this plan if feasible.

Senator Jane Nelson (R), the author of S.B. 7, remarked that the bill would decrease costs to Medicaid while “greatly improv[ing] efficiency and quality in our long-term care system.”

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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 Scott Baum at

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