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:: NAHC Report
NAHC Report: Issue# 2227, 6/28/2013
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
House Energy and Commerce Subcommittee on Health Holds Hearing on Medicare Benefit Redesign
Home Care Medicaid Fraud Developments in Kentucky, Virginia, and Ohio
For Your Information: Home Care Salary & Benefits Study
NAHC/Home Care & Hospice Events
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Editor's Note:

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House Energy and Commerce Subcommittee on Health Holds Hearing on Medicare Benefit Redesign

The Centers for Medicare & Medicaid Services (CMS) announced on Thursday, June 27, proposed changes to the Medicare home health prospective payment system (HHPPS) for 2014 incorporating rebasing along with changes in case mix weights. The CMS proposal would apply the full 3.5% rate cut authorized under the law. The results of such a cut would be an overall payment reduction of $290 million based on projected spending in 2014.

The CMS proposal is based on a projected 2013 differential between cost and revenue (margins) of 13.63 percent. This calculation is at severe odds with calculations by both MedPAC and National Association for Home Care & Hospice (NAHC). Using a larger database than that employed by CMS, NAHC estimates the 2013 margin to be between 8 and 9 percent.

NAHC is seeking clarifications and a full disclosure of CMS' calculation data and methodology. At this point, NAHC believes that the proposal is based on an unsupportable calculation.

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Home Care Salary & Benefits Study

Hospital & Healthcare Compensation Service (HCS) is currently conducting its 23rd annual Home Care Salary & Benefits study.  The study is conducted and published by HCS in cooperation with the National Association for Home Care & Hospice (NAHC). 

Please make members aware that these important studies are underway and of the following deadlines: 

Home Care Salary & Benefits Report
Deadline for Participation:  August 2, 2013
Publication Date:  October 2013

Hospice Salary & Benefits Report
Deadline for Participation:  August 2, 2013
Publication Date:  November 2013
  
Questionnaires for the compensation study are available on the HCS website here.

More than 1,790 home health agencies participated in last year's home care study and provided compensation data on more than 92,000 employees nationwide.  Last year's hospice study had 790+ participants, reporting on more than 53,200 employees.

Visit the CARING Store online for the latest Resources

Home Care Medicaid Fraud Developments in Kentucky, Virginia, and Ohio

The National Council on Medicaid Home Care (the Council) reports on recent developments in Medicaid fraud, including: 1) alleged fraud of caregivers for the disabled in Kentucky; 2) convicted fraud of an owner of a personal care services company in Virginia; and 3) an Ohio governmental audit targeting home care. 

Kentucky

On June 17, Kentucky Attorney General Jack Conway indicted two individuals for allegedly defrauding Kentucky's Medicaid program.  Kentucky charged William Qualls and Linda Smith with Devising or Engaging in a Scheme to Defraud the Kentucky Medicaid Program and Theft by Unlawful Taking Over $500 but under $10,000.  The Office of the Attorney General claims that both defendants submitted false timesheets to Medicaid when working as caregivers for the disabled.  If convicted, each defendant faces up to $10,000 in fines and 10 years in prison.

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