Skip to Main Content
National Association for Home Care & Hospice
Twitter Facebook Pintrest
:: NAHC Report
NAHC Report: Issue# 2281, 9/25/2013
Follow us on:     
House Republican Debt Ceiling Proposal Contains Some Medicare and Medicaid Cuts; Does Not Include Home Care or Hospice Cuts or Copays
Home Health Claims to Identify the Certifying Physician and Physician who Signs the Plan of Care
For Your Information: Interested in Joining a NAHC Affiliate?
NAHC/Home Care & Hospice Events
Email Center

Manage Your Account Contact the Editor Ensure Delivery Advertise in NAHC Report

House Republican Debt Ceiling Proposal Contains Some Medicare and Medicaid Cuts; Does Not Include Home Care or Hospice Cuts or Copays

The House Republican Leadership released a debt ceiling package earlier this week that laid out their core principals for funding the government and raising the amount it can borrow through the end of the year.

While the plan outlines some of the main priorities for the House’s GOP leadership – such as a one-year delay of the Affordable Care Act (ACA) and moving forward with the Keystone Pipeline, it also offers some details on cost-savings from healthcare-specific proposals.

Proposals for savings from healthcare include Medicare means testing – such as the proposal that was also included in the President’s budget – and several cuts to Medicaid funding. While these provisions would be of concern to the home care and hospice community, the biggest threats to both beneficiaries and providers of such services – home care and hospice payment cuts and copays - were not included in the GOP’s debt ceiling proposal.  

The debt ceiling proposal is separate from the Continuing Resolution (CR) that keeps the government funded through October 1, and which has received significant attention recently. The former raises the borrowing limit the Federal Government is allowed to reach to pay for its current obligations while the latter authorizes spending to continue for government programs. The House originated both the debt ceiling package as well as the CR, which is currently being debated in the Senate.

:: Read Full Article

Interested in Joining a NAHC Affiliate?

A number of NAHC Affiliates are hosting Open Forums during the 2013 NAHC Annual Meeting & Exposition on October 31- November 3 in Washington, DC.

NAHC’s Open Forums give YOU with the chance to join in a candid discussion of key issues facing home care, hospice, and private duty in the coming year. If you have an interest in one of the NAHC Affiliates listed below, come early — space is limited.

NAHC Affiliate Open Forums at the 2013 Annual Meeting

  • Pediatric Home Care Association of America Open Forum
  • Home Care Technology Association of America (HCTAA) Town Hall Meeting on Health IT Interoperability, Standards & Certification  
  • National Council on Medicaid Home Care Issues Open Forum
  • Hospice Association of America Open Forum and Policy Roundup
  • Private Duty Homecare Association (PDHCA) Open Forum
  • Financial Managers Open Forum

To learn more about NAHC affiliates and their Open Forums during the Annual Meeting, as well as to register to attend the Annual Meeting, please click here.

Visit the CARING Store online for the latest Resources

Home Health Claims to Identify the Certifying Physician and Physician who Signs the Plan of Care

The Centers for Medicare & Medicaid Service (CMS) has issued Change Request 8441 which instructs home health agencies to report the NPI and name of the physician who certifies the patient for home health services. The Change Request  also requires home health agencies to report the NPI and name of the physician who signs the POC.

In most instances, the certifying physician will be the same physician who signs the plan of care. However, in instances where the physician who follows the patient in an acute/post acute care facility is physician who completes the F2F encounter document and certifies the patient, the NPI and name of the certifying physician will be different than the physician who signs the POC.

CMS is requiring that the NPI and name of the certifying physician and the physician who signs the POC be reported on the claim even if they are the same physician. Therefore, both the attending physician and the other physician fields will be required to be completed on all home health claims on or after the July 1, 2014 effective date.

:: Read Full Article

Administrative Director
Adventist Health/Home Care Services, Portland, Oregon

Adventist Health is seeking an experienced Home Care Administrator to oversee a growing and busy mission driven service provider in the greater Portland, Oregon area. Scope of job responsibilities include Home Health, Hospice, Home Medical Equipment, Home Infusion Therapy, and Private Duty business lines. The Administrative Director is responsible to direct, supervise, monitor and evaluate all functions and activities for the Adventist Health/Home Care Services department of Adventist Medical Center (AMC). We are looking to the right individual who can lead in business growth and development, financial management, HR management, and conformity to policies, procedures, quality improvement and regulatory requirements. In addition, we are looking for the right individual to support and promote the mission, philosophy and the vision of our Adventist Health/Home Care Services department, creating an environment in which all Homecare staff can work together harmoniously and with coordinated effort in compliance with AMC’s Service Standards. Candidates must have previous health care and leadership experience; home care experience preferred. Bachelors’ degree in a healthcare field required, Master’s in Business preferred. Compensation Commensurate with Experience.

Please apply on our website for the Administrative Director/Home Care Services position:

Home Care Administrator, RN
Asbury Methodist Village at Home, Gaithersburg, Maryland

Why work for us?

Excellent Community Setting & Work Environment, Unparalleled & Exciting Growth Opportunity, Strong Corporate Resources Available, Autonomy to Run a Successful Program

Asbury Methodist Village, located in Gaithersburg Maryland, is currently searching for an experienced administrator to manage its Private Duty home care agency. Experience in home and community based services and a passion for working with the elderly are a must. The ideal candidate has five years home care experience in all areas of agency operation.  We provide home care to residents of our retirement community with a growth strategy to provide service off campus in the greater community.  The ideal candidate has a network of professionals to tap into for new referral sources to accomplish our growth goals. 

This position is responsible for the full range of operations including: clinical, financial, marketing, human resources, and public relations. Strong networking skills and the ability to develop relationships with referral sources, i.e. physicians, hospitals, healthcare agencies, etc.  Candidate must possess excellent communication and customer service skills. Must be proficient with MS Office, computerized scheduling software and medical records.

Excellent benefits and salary based upon professional experience.

To apply, please forward resume, cover letter, and complete salary history to Human Resources Representative via e-mail:  or fax to 301.250.2110. EOE.

For information about placing an ad, contact Scott Baum at

©  National Association for Home Care & Hospice. All Rights Reserved.