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:: NAHC Report
NAHC Report: Issue# 2262, 8/28/2013
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Home Health Leaders: Medicare Proposed Rule Could Result in Nearly $100 Billion in Total Cuts to Home Health Benefit
NAHC’s President Commemorates 50th Anniversary of the March on Washington
For Your Information: NAHC Needs Your Help and Participation in its Face-to-Face Encounter Documentation Denials Survey
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Home Health Leaders: Medicare Proposed Rule Could Result in Nearly $100 Billion in Total Cuts to Home Health Benefit
Proposed 14 percent cut to Medicare home health benefit threatens access to clinically advanced, cost-effective, patient preferred home care for some of the nation’s most vulnerable seniors

Representatives of the nation’s three leading home health organizations - National Association for Home Care and Hospice (NAHC), Visiting Nurse Associations of America (VNAA), and Partnership for Quality Home Healthcare (Partnership) – recently released new analyses demonstrating the impact the proposed Home Health Prospective Payment System (HHPPS) rule issued by the Centers for Medicare and Medicaid Services (CMS) is projected to have on the nation’s home health delivery system and 3.5 million Medicare home health beneficiaries, if finalized in its current form.

The new analysis follows substantial comments NAHC has developed and submitted to CMS highlighting several of the most egregious flaws, areas of concern, and proposed modifications that would serve as a better course of action.

For more on NAHC’s CMS comments, please see NAHC Report from August 27, 2013.  NAHC has also released a comprehensive white paper detailing the flaws in CMS’ proposed rebasing formula.

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NAHC Needs Your Help and Participation in its Face-to-Face Encounter Documentation Denials Survey

Recently two of the CMS contractors a have announced widespread audits of home health providers with a key focus on compliance with the face-to-face (F2F) encounter documentation requirements. The documentation requirements have become more stringent recently with contractors now expecting physicians to write detailed descriptions of the patient’s condition in order to support the need for skilled services and homebound status.

NAHC has heard that one contractor has denied 399 claims out of 801 within an 11-day period related to the revised guidelines for the F2F documentation.    

NAHC once again needs to present the case to CMS that home care agencies are in an untenable position with the more stringent F2F requirement guidelines.

Before making such a case, however, NAHC needs to gather solid data to present to the regulators. NAHC has developed a survey with specific questions regarding the number and reasons for F2F denials, and asks its members to take a few moments to offer their insight.

The following survey should only take a few minutes to complete and will provide us with valuable information.

Please click here to access the survey. Your feedback is very important.

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NAHC’s President Commemorates 50th Anniversary of the March on Washington

Val J. Halamandaris, president of the National Association for Home Care & Hospice (NAHC), issued the following statement commemorating the 50th Anniversary of the March on Washington:

“Today marks the 50th anniversary of one of the seminal moments in the history of the United States led by Dr. Martin Luther King Jr. Hundreds of thousands of people from all walks of life marched on the National Mall to proclaim the value of peace, justice and equality for all.

Fifty years ago today, citizens regardless of race, gender or religion, came together determined to work together to ensure that America fulfills its promise.

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