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:: NAHC Report
NAHC Report: Issue# 2225, 6/26/2013
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
Representatives Walden and Schwartz Introduce Bipartisan Legislation that would Allow Nurse Practitioners and Other Skilled Health Care Providers to Order Home Health Services Under Medicare
Home Health IT Vendors Detail their ICD-10 Transition Status
For Your Information: Hospice Software Developer/Vendor Call on July 16, 2013
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Representatives Walden and Schwartz Introduce Bipartisan Legislation that would Allow Nurse Practitioners and Other Skilled Health Care Providers to Order Home Health Services Under Medicare

U.S. Representatives Greg Walden (R-OR) and Allyson Schwartz (D-PA), along with 19 other co-sponsors, introduced bipartisan legislation today to ensure that seniors and disabled citizens have timely access to home health services under Medicare.

The Home Health Care Planning Improvement Act of 2013 will allow physician assistants (PA), nurse practitioners (NP), clinical nurse specialists, and certified nurse midwives to order home health services for Medicare beneficiaries.

“This common-sense bill will reduce unnecessary and duplicative burdens on health care providers and patients in need of home health services,” Representative Greg Walden said. “Particularly in rural areas like central, southern, and eastern Oregon where physicians are scarce, these clinicians play an increasingly important role in the delivery of primary health care services. Not only are they serving on the front lines of primary care, but also in many areas they are the only option readily available.”

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Hospice Software Developer/Vendor Call on July 16, 2013

CMS will host a Hospice technical informational call for software vendors and developers for the Hospice Item Set (HIS) on Tuesday, July 16, 2013.  Call-in information is as follows:


Date:  Tuesday, July 16, 2013
Time:  2:00 P.M. – 3:30 P.M. ET
Conference Call Number:  1-866-712-2205
Conference Code:  4260581739

This call will cover topics such as:

  • Introduction of the Division of National Systems at CMS
  • Overview of the QIES ASAP (Assessment Submission and Processing) System
  • Draft/Final Hospice Technical Data Submission Specifications (v1.00.0) related to the submission of Hospice Item Set (HIS) effective July 1, 2014
  • These Data Submission Specifications may be found here.
  • CMS provided Validation Utility Tool (VUT)
  • Submitted Q & A's

The agenda for the call will be available prior to this call on the QTSO website.

Please Note:

  • CMS encourages vendor and provider software developers to familiarize themselves with this website and review the website regularly for important technical information and updates.
  • CMS encourages vendors to register on this website to receive important announcements from CMS. Registration is completed on the QIES Technical Support Office website (QTSO) website.

Hospice software developers/vendors are encouraged to review specifications and submit questions specific to the Hospice July 2014, release to the Hospice Technical Issues mailbox,HospiceTechnicalIssues@cms.hhs.gov.

The subject line must be "VENDOR CALL".  Questions to be addressed on this call must be e-mailed prior to 6:00 pm ET on July 9, 2013.

  **CMS strongly recommends that all Hospice Software Developers/Vendors attend this call.**

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Home Health IT Vendors Detail their ICD-10 Transition Status

On October 1, 2014, home health agencies are required to bill Medicare and other health insurers using ICD-10 codes to report medical diagnoses instead of ICD-9 codes.  From Medicare's perspective, the new codes will enhance the ability of the Centers for Medicare & Medicaid Services (CMS) to monitor quality, safety, and efficacy of care, monitor resource use, and prevent and detect fraud, waste, and abuse.  We hope that it will also reduce Medicare and other payer's need to request additional documentation to explain an individual's condition.

When Medicare changes from ICD-9 to ICD-10 at 12:01 AM on October 1, 2014, Medicare will require home health agencies to use the most specific diagnosis code possible based on the information available at the time.

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