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NAHC Report: Issue# 2202, 5/23/2013
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Home Health Agencies to Stop using Type of Bill 033x
Revised Hospice Cost Report will Affect Home Health Agency-Based Hospices
For Your Information: VNA Hospice of Philadelphia Hosting a Palliative Care Conference
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Home Health Agencies to Stop using Type of Bill 033x

The Centers for Medicare & Medicaid services has released change request 8244 that provides instructions for home health agencies to discontinue the use of Type of Bill (TOB) 033x and redefines TOB 032x to mean “Home Health Services under a Plan of Treatment.”

Currently, home health agencies use either bill type 032x or 033x on their claims for home health service provided under a home health plan of treatment.

TOB 032X and TOB 033x are defined as follows:

  • 32x - Home Health – Inpatient (plan of treatment under Part B only)
  • 33x – Home Health – Outpatient (plan of treatment under Part A, including DME under Part A)

Depending on the circumstances, Medicare home health services are paid either under Medicare Part A or Part B. For example, if the patient is enrolled in both Part A and Part B and does not met the coverage criteria under Part A, the services will be financed under Part B of the program. Conversely, if the patient is only enrolled in Part A or Part B, the home health services will be financed under the part of the program that the beneficiary is enrolled. The portion of the Medicare program that finances home health services is determined at the claims processing system level.

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VNA Hospice of Philadelphia Hosting a Palliative Care Conference

On Friday, June 7, VNA Hospice of Philadelphia will be hosting an all-day conference entitled, “Palliative Medicine: Where are we now, Where are we going, and How do we get there?”

This unique course will be of interest to physicians, nurses, social workers and chaplains who wish to enhance their knowledge and understanding of the changing and important role of Palliative Medicine in the current and future medical environment, and who wish to gain greater insight into the needs and characteristics of special populations in Palliative Care and improve the effectiveness of their communication in patients with serious illness. This conference offers participants the opportunity to gain in-depth knowledge from national and local palliative care experts who will discuss state of the art philosophy of and delivery of palliative care.

Register here to attend.

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Revised Hospice Cost Report will Affect Home Health Agency-Based Hospices

Editor’s Note: Special thanks to Ted Cuppett, CPA, of The Health Group in Morgantown, WV, for contribution of this article.

Recently, the Centers for Medicare & Medicaid Services (CMS) released its draft of the revised Hospice Cost & Data Report, which represents a significant expansion of the financial and statistical information to be reported. During the NAHC/HHFMA conference call on Wednesday, May 15, 2013, the question was raised regarding any impact this may have on home health agency (HHA) – based hospices.

While CMS has not released draft changes for home health agency-based hospices, the Home Health Agency Cost Report is expected to include substantial expansion of the Worksheet K Series where hospice costs and statistics are reported.

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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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