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:: NAHC Report
NAHC Report: Issue# 2284, 9/30/2013
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Timing of Initial Surveys for Providers Who Reject Assignment
What the Government Shutdown Could Mean for the Home Care & Hospice Community
For Your Information: Tom Rath to Address Attendees During the 2013 Annual Meeting on Friday, November 1st
NAHC/Home Care & Hospice Events
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Timing of Initial Surveys for Providers Who Reject Assignment

The Centers for Medicare & Medicaid Services (CMS), Survey and Certification Group has issued a memo that reiterates its policy on the timing of initial surveys for providers/suppliers  who reject assignment when an acquisition of another provider/supplier organization occurs.

When an acquisition has occurred, CMS automatically assigns the existing Medicare provider agreement or supplier approval to the new owner. Automatic assignment means uninterrupted participation of the acquired provider or supplier in the Medicare program. There is also no required survey of the provider or supplier as a result of the acquisition.

However, new owners have the option to reject automatic assignment, resulting in termination of the prior Medicare agreement. Generally, rejecting assignment precludes the buyer from having successor liability for Medicare overpayments or underpayments. However, it also means that there has been a voluntary termination of the existing Medicare provider agreement. If the new owner rejects assignment, the provider/supplier must be treated as an initial applicant for participation in Medicare. Like all initial applicants the provider/supplier will experience a period with no Medicare payments.

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Tom Rath to Address Attendees During the 2013 Annual Meeting on Friday, November 1st
2013 NAHC Annual Meeting & Exposition General Session Speakers Announced

Tom Rath is one of the most influential authors of the last decade. He studies the role of human behavior in health, business, and economics. Rath writes and speaks on a wide range of topics, from well-being to organizational leadership.

Rath’s latest book, Eat Move Sleep: How Small Choices Lead to Big Changes, is already receiving critical acclaim as a “transformative work.” His roadmap for “leading a long and meaningful life” is the latest of several international bestsellers including the #1 New York Times bestseller, How Full Is Your Bucket? In total, his books have sold more than 5 million copies, been translated in 16 languages, and made over 250 appearances on the Wall Street Journal’s bestseller list.

Rath serves as a senior scientist and advisor to Gallup, where he previously spent 13 years leading the organization’s work on employee engagement, strengths, and well-being. He also served as vice chairman of the VHL cancer research organization. He earned degrees from the University of Michigan and the University of Pennsylvania, where he is now a regular guest instructor. Rath and his wife Ashley, along with their two children live in Arlington, Virginia.

To register to attend NAHC’s Annual Meeting, and to hear Tom Rath in person, please click here.

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What the Government Shutdown Could Mean for the Home Care & Hospice Community

With the House, Senate and White House unable to reach an agreement or compromise on funding for the Federal Government, a government shutdown now appears likely. Any potential shutdown would start at 12:00am on October 1, which is the start of the government’s new Fiscal Year.

Both the House and the Senate have passed Continuing Resolutions (CR) that would fund the government, though the CR in the House and the Senate differ greatly – with the House including measures to delay the implementation of the Affordable Care Act for a year while the Senate’s version is a “clean” spending bill without any other provisions.

In the event of a government shutdown, the home health and hospice community likely will be minimally affected since Medicare and Medicaid are entitlement programs that are deemed “mandatory spending” and therefore not part of the government’s discretionary spending negotiations. At this point, it looks likely that Medicare payments to providers would continue unabated, yet slowdowns in payments are still possible depending on how CMS staff or contractors are affected.

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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

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