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:: NAHC Report
NAHC Report: Issue# 2270, 9/10/2013
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NAHC/HAA Survey Seeks Hospice Input on Prescription Drug Reporting on Claims
NAHC Attends Fall Retreat for Democratic Senators
For Your Information: NAHC’s Annual Meeting Education Tracks in Focus: Private Duty
NAHC/Home Care & Hospice Events
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NAHC/HAA Survey Seeks Hospice Input on Prescription Drug Reporting on Claims

In July, the Centers for Medicare & Medicaid Services (CMS) released Change Request (CR) 8358, Additional Data Reporting Requirements for Hospice Claims. Mandatory reporting of these additional items begins with claims with dates of service on or after April 1, 2014, with voluntary reporting beginning January 1, 2014.  The CR provides instructions to Medicare’s Administrative Contractors (MACs) and also revises Section 30.3 of Chapter 11 of the Medicare Claims Processing Manual.

While CMS has significantly reduced the data collection requirements over those it originally planned to collect, concerns remain over the burden associated with submission of prescription drug data.  CR 8358 requires that hospices begin reporting injectable and non-injectable prescription drugs on their claims on a line-item basis per fill. 

Over the counter (OTC) drugs are not to be reported on the claim.  Hospices will also be required to report infusion pumps on a line-item basis for each pump order and for each medication refill.  DME other than infusion pumps are not to be reported on the claim.  Hospices will have to use pharmacy, National Drug Code (NDC) and DME revenue codes (e.g. 0250, 029X and 0636) on the claim in order to include this data.  The NDC data includes the quantity of the drug filled. All the additional data added to the claim per this CR will appear on the Medicare Summary Notice (MSN) to consumers in the same manner as hospice visit reporting currently appears.

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NAHC’s Annual Meeting Education Tracks in Focus: Private Duty

This year’s Annual Meeting – being held October 31 – November 3 in Washington, DC – has a wide range of educational sessions for professionals in every segment of the home care and hospice community.

Below is a sampling of the many educational offerings available for those pursing the Private Duty track:

Health System, First Heal Thyself: Five Keys to Home Health and Hospice Growth

The secret to growth and long-term success for health system-based or affiliated home health and hospice agencies lies in looking inward. Discover the five keys to sustainable growth and develop a plan to implement them at your agency to earn more patient referrals from the health system. The strategies provided will be applicable to all agencies regardless of relationship with a health system.

Mergers and Acquisitions: Buying, Selling and Valuing Panel Discussion

This panel will bring together leading M&A experts to discuss updates on the current market conditions - i.e. reduced Medicare reimbursement, health care reform, ACOs, Medicaid and private pay - along with issues that are key to the process of closing transactions. This session will be an open format designed to encourage Q&A.

Enhancing Your Brand

This presentation provides a roadmap to boost your brand’s strategy through key enhancements that relate to your services, your community, and your current marketing efforts. The presenter will share the necessary steps to take when boosting a brand and building recognition in the community.

Insider’s Guide To Measuring Private Duty Financial Success

The presentation will provide the inside track on financial metrics, national industry benchmarks and the best tracking tools for private duty home care. Participants will learn how to measure your agency’s performance against industry data, evaluate which key actions will improve your agency’s business health, and effectively motivate your staff.

To review all of the Private Duty sessions being offered at this year’s Annual Meeting, please click here.

To register for this year’s Annual Meeting, please click here.

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NAHC Attends Fall Retreat for Democratic Senators
NAHC’s Vice President for Government Affairs Discusses Many Issues of Concern to the Home Health Community During Retreat

Jeff Kincheloe, Vice President for Government Affairs for the National Association of Home Care & Hospice (NAHC), met with Democratic Senators and their Chiefs of Staff during the annual fall retreat for Democratic Senators. Senators attending the fall retreat included Senator Max Baucus, Chairman of the powerful Senate Finance Committee, which has jurisdiction over Medicare and Medicaid.

NAHC has participated in similar events for Republican Senators in the past.

During the fall retreat, Mr. Kincheloe had the opportunity to reiterate NAHC’s opposition to CMS’ new rebasing proposed rule, as well as the onerous documentation requirements under the face-to-face physician encounter rule and proposals that would reintroduce a home health copayment to Medicare.

Mr. Kincheloe made particular note of the detrimental consequences rebasing would have on the home health agencies in the states and the beneficiaries they serve. 

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