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:: NAHC Report
NAHC Report: Issue# 2247, 7/31/2013
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
CMS Issues Change Request for Demand Billing of Hospice General Inpatient Level of Care
Financial Management Wraps Up with Open Forum – NAHC President Cites Unified Front Against Rebasing Cuts for Record Attendance
For Your Information: Voting for the Home Care & Hospice Nurse of the Year
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CMS Issues Change Request for Demand Billing of Hospice General Inpatient Level of Care

on July 26, the Centers for Medicare & Medicaid Services (CMS) issued Change Request (CR) 8371 regarding Demand Billing of Hospice General Inpatient (GIP) Level of Care.  CR 8371 instructs hospices on preparing demand bills when GIP is denied and the routine home care rate is applicable.  It also instructs the Medicare Administrative Contractors (MACs) on reviewing and processing demand bills.  CR 8371 clarifies current policy and contains no changes in policy.  The effective date is January 1, 2014, with an implementation date of January 6, 2014.

When a Medicare hospice beneficiary has been receiving covered GIP and the hospice determines that continues care at that level is not reasonable and medically necessary, the hospice must issue an Advanced Beneficiary Notice of Non-coverage (ABN) if the beneficiary wants to continue receiving that level of hospice care. 

Billing instructions for demand bills associated with ABN issuance are contained in Chapter 1 (General Billing Requirements) of the Claims Processing Manual in section 60.4.1 Outpatient Billing with an ABN (Occurrence Code 32). The hospice reports occurrence code 32 on the claim with the date the ABN was provided to the beneficiary and submits the services as covered services with a GA modifier to the line item(s) related to the ABN. 

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Voting for the Home Care & Hospice Nurse of the Year

The National Association for Home Care & Hospice (NAHC) and its affiliate Home Healthcare Nurses Association (HHNA) announced the top 10 finalists who will compete to be Home Care & Hospice Nurse of the Year.

Voting is now open to help choose the Home Care & Hospice Nurse of the Year now through August 13, 2013.  NAHC and HHNA invite their members, affiliated state associations, and the general public to vote for the winner, who will be announced during the NAHC Annual Meeting & Exposition on October 31 - November 3, 2013.

The winner will join NAHC members and peers when the meeting convenes at the Gaylord National Resort & Convention Center in Washington, DC.

NAHC President Val J. Halamandaris encourages everybody to cast their vote, saying, “help us choose the angel of angels to be honored by all of us.”

Click here to cast your vote for the home Care & Hospice Nurse of the Year!

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Financial Management Wraps Up with Open Forum – NAHC President Cites Unified Front Against Rebasing Cuts for Record Attendance

The National Association for Home Care & Hospice (NAHC) and their affiliate Home Care & Hospice Financial Manager’s Association (HHFMA) wrapped up their annual Financial Management Conference & Exposition on Tuesday. The Conference’s final General Session was an Open Forum where attendees could ask questions and get answers from NAHC staff on a myriad of different topics.

One area of concern was CMS’ proposed rebasing rule that would cut further into the Medicare home health benefit. “We are fiercely determined to have these rules defeated,” said NAHC President Val J. Halamandaris.

This year’s conference saw one of the largest attendance figures on record - with CMS’ proposed rebasing rules and other policy issues that directly affect home care and hospice provider’s bottom line cited as the reason.

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