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:: NAHC Report
NAHC Report: Issue# 2204, 5/28/2013
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Diagnoses on Hospice Claims – Further Clarification
CMS Changes Compliant Survey Procedure for Deemed Provides and Suppliers
For Your Information: The ICD-10 Training Designed for Home Health Executives Starts in One Week
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Diagnoses on Hospice Claims – Further Clarification

Since the fiscal year (FY) 2014 Hospice Wage Index proposal was posted just several weeks ago, hospices have been asking numerous questions about the Centers for Medicare & Medicaid Services’ (CMS) clarification of diagnoses on hospice claims - and hospices have been debating answers to the numerous questions and what steps hospices should take to be in full compliance with CMS’ expectations.

One of the most frequently asked questions is “When will Medicare’s Administrative Contractors (MACs) begin returning to provider (RTP) hospice claims that have ‘adult failure to thrive’ or ‘debility’ as the principal diagnosis?”

In a recent Open Door Forum (ODF), CMS indicated this would be “soon” and instructions to MACs were “in process." Since the ODF, the National Association for Home Care & Hospice (NAHC) has clarified with CMS that it will use the same process used for all instructions to MACs. This means the instructions will be delivered via a Change Request (CR). The CR will include an effective date and an implementation date - as all CRs do - but NAHC does not yet know exactly how much time there will be between the release of the CR and its implementation date and effective date.

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The ICD-10 Training Designed for Home Health Executives Starts in One Week
Register for a Chance to Win a VIP Attendee Experience

ICD-10 Implementation Strategies for Home Health is the ICD-10 training event designed specifically for home health leaders and it starts in one week. Join NAHC and DecisionHealth on June 6-7, 2013, at The Palmer House Hilton in Chicago, Illinois.

If you register now, you could win an exclusive VIP Attendee Experience, which includes:

  • Face-time with our expert speakers. VIPs will have lunch at the speaker table during both days of the conference.
  • Upgrade to a deluxe room. Get a room with a king bed on the Executive Level, free high-speed Internet and bath amenities. Enjoy special access to the Executive Lounge for free continental breakfast and evening hors d'oeuvres.
  • Welcome amenity. For your refreshment, a seasonal dessert tray will be delivered to your room at check-in.
  • 15% off food and non-alcoholic beverages. You'll automatically get this discount at any hotel eatery, including room service, upscale dining at Lockwood Restaurant & Bar, and drinks and bar food at Potter's Lounge.

Enter the code "VIP experience" at check-out to be entered into a drawing to win. For complete details, visit

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CMS Changes Compliant Survey Procedure for Deemed Provides and Suppliers

The Centers for Medicare and Medicaid (CMS) Survey and Certification Group issued a letter to the Medicare State Survey Agencies (SAs) announcing a change to its procedures when a compliant survey has been conducted and a condition level deficiency had been found on deemed providers and suppliers.

The SAs will only conduct a full survey if requested by the Region Office (RO).

Current CMS policy requires that all deemed providers and supplies found to have a condition level non compliance on a complaint survey must have a full survey of all the Conditions of Participation (CoPs) or Conditions of Coverage (CoCs).

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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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