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:: NAHC Report
NAHC Report: Issue# 2228, 7/1/2013
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
Date Set for Implementation of HIPPS Codes on Medicare Advantage Claims
CMS Finalizes Rule for SNF/NF Written Agreement with Hospices
For Your Information: Upcoming Webinar on Engaging Patients with Health Literate Care Announced
NAHC/Home Care & Hospice Events
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Date Set for Implementation of HIPPS Codes on Medicare Advantage Claims

The Centers for Medicare & Medicaid Services has confirmed that the edit to reject Medicare Advantage (MA) plan claims for not having a health insurance prospective payment system (HIPPS) code for home health services will not be activated until December 1, 2013. MA plans and the HHAs have until that time to make the necessary system adjustments. Additionally, CMS has instructed MA plans to communicate the HIPPS code requirements with providers so that they are able to make any changes to their systems or operations.

Several weeks ago, the National Association for Home Care & Hospice (NAHC) learned that, effective July 1, CMS will require HIPPS codes on all MA plan claims for home health and skilled nursing facility services.  In a follow-up conference call, CMS officials informed NAHC that, although MA plans have been instructed to include a HIPPS codes on claims effective July 1,  the edits for this requirement will not be turned on until sometime in September.

CMS will get back to NAHC with a firm date for implementation in the near future. NAHC has learned that the edits will be further delayed until December 1, 2013 – giving agencies and vendors 5 months to prepare. CMS is requiring the HIPPS codes on home health claims in order to accurately price home health encounters.

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Upcoming Webinar on Engaging Patients with Health Literate Care Announced

The HHQI National Underserved Population Call Scheduled for the remainder of the summer is now posted.

Registration is open for the webinars and is available here.  

July 30, 2013 Webinar: 3-4pm (Eastern)
Engaging Patients with Health Literate Care 

To be successful with patient engagement, health literacy needs must be addressed at both a health system and patient level. Learn steps and tools to engage patients via health literate care.

All previous calls – including the Compulsive Hoarding for Care Managers – is posted under the Archives Page

There are free CEUs for Social Workers (only) with the Compulsive Hoarding presentation through September 30.

Visit the CARING Store online for the latest Resources

CMS Finalizes Rule for SNF/NF Written Agreement with Hospices

On June 27, 2013, the Centers for Medicare & Medicaid Services (CMS) published in the Federal Register a final rule requiring long term care facilities - skilled nursing facilities (SNFs) and nursing facilities (NFs) - that choose to arrange for the provision of hospice care with one or more Medicare-certified hospices to enter into a written agreement: Medicare and Medicaid Programs; Requirements for Long Term Care Facilities; Hospice Services

This requirement closely mirrors a requirement included in the 2008 Hospice Conditions of Participation (CoP) requiring hospices to enter into written agreements with Medicare-certified SNFs and Medicaid-certified NFs when they provide hospice services to residents of those facilities. The proposed rule was published in October 2010.

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