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:: NAHC Report
NAHC Report: Issue# 2287, 10/3/2013
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Advocates Provide Guides and Tips for New Florida MLTSS Program
New Leader for Office of National Coordinator for Health IT Announced
For Your Information: National ICD-10 Fall Survey: Home Health Industry Readiness
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Advocates Provide Guides and Tips for New Florida MLTSS Program

In September, the National Senior Citizens Law Center (NSCLC), along with the Academy of Florida Elder Law Attorneys and Florida Legal Services Inc., released guides and tips for beneficiaries regarding Florida’s transition from fee for service (FFS) to managed long-term services and supports (MLTSS). This program is called the Statewide Medicaid Managed Care Long-term Care Program (the Program), has an effective date of July 1, 2013 and will last for three years.  Enrollment started on August 1, and The Centers for Medicare & Medicaid (CMS) had approved the Program in February.  The National Council on Medicaid Home Care – a NAHC Affiliate - discusses some of the highlights of the guides and tips, along with other information about the Program.   

Scope and Start Dates

The Program is divided into eleven (11) regions, with enrollment start dates varying between August 2013 and March 2014.  Central Florida, including Orlando, came online first, with 9,300 enrollees on August 1.  Counties in Southwest (5,600 enrollees) and Southeast (7,900 enrollees) Florida including Sarasota and Palm Beach counties followed on September 1.    Total statewide enrollment in the Program will exceed 90,000 beneficiaries.

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National ICD-10 Fall Survey: Home Health Industry Readiness
Survey Ends in One Week

If you haven’t taken the survey, please take the time to do so now. Data collection ends in just one week.

Did you know that CMS expects ICD-10 to double the average national denial rate to 10%? It's usually just 6%. The government knows that most agencies are utterly unprepared, but just how bad is it?

Hundreds of your peers in the industry have taken our survey. We need to hear your voice, too. Knowing where your agency stands will help us assess industry-wide readiness, and give us the data to aid and lobby for your specific concerns.

DecisionHealth and the National Association of Home Care & Hospice are collecting data for the biggest and most comprehensive ICD-10 readiness survey of home health agencies.

Take the National Home Health ICD-10 Fall Readiness Survey now so that the entire industry can understand the scope of ICD-10's impact and so you can benchmark your readiness against an accurate national picture.

Visit the CARING Store online for the latest Resources

NAHC Members Urged to Share their Face-to-Face Encounter Documentation Denials in a 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.

Given the urgency of this issue for NAHC members – as well as the ramifications that it has for access to home health services – NAHC members recently were asked to urge lawmakers to sign-onto a Dear Colleague letter specifically on the new F2F requirements. 75 Members of Congress signed the letter that was recently sent to CMS Administrator Tavenner.

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