Skip to Main Content
National Association for Home Care & Hospice
Twitter Facebook Pintrest
A A A
Print
:: NAHC Report
NAHC Report: Issue# 2288, 10/4/2013
Follow us on:     
ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
2 Midnights Rule: What it Means for Home Health Agencies?
Minnesota Signs Memorandum of Understanding with CMS: Becomes Partner in Medicare-Medicaid Dual Eligibles Integration Effort
For Your Information: NAHC and PDHCA Will Host Free October 9 Teleconference on Key Issues Facing Private Duty Agencies
NAHC/Home Care & Hospice Events
Email Center

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

2 Midnights Rule: What it Means for Home Health Agencies?

The Centers for Medicare & Medicaid Services released its controversial “2 midnights” rule in the 2014 Medicare Inpatient Prospective Payment System (IPPS) final rule.

Under the “2 midnights” rule CMS has set both a benchmark and a presumption for when an inpatient satay would be considered appropriate.  If the inpatient stays spans two midnights, CMS will presume that the stay is reasonable and necessary. In addition, admitting clinicians can use the “2 midnight stay” as a benchmark in determining when it is appropriate to admit a patient as an inpatient rather than keeping the patient in an outpatient status in an observation unit.

With this provision, CMS intends to decrease the number of extended observation stays, while decreasing the number of short inpatient stays (less than 2 midnights) billed under Part A that should be billed under Part B as outpatient services. Extended observation stays have a negative impact on beneficiaries since they require a 20 % co-pay for the service and do not count towards the 3 inpatient day stay required for Medicare coverage skilled nursing facility (SNF) admissions. Payments to hospitals for inpatient services provided under Part A that should have been provided as outpatient services billed to Part B are considered Medicare overpayments to the hospital.

:: Read Full Article

NAHC and PDHCA Will Host Free October 9 Teleconference on Key Issues Facing Private Duty Agencies

What: A free teleconference. The National Association for Homecare & Hospice (NAHC) and the Private Duty Homecare Association of America (PDHCA) will host a free teleconference for the benefit of Private Duty Homecare Agencies.

When: Wednesday, October 9, 2013, from 12:00 noon to 1:00 pm EST. The number to call is US/Canada Toll free: 1-800-811-8824 and the Participant Passcode is 496585.

What issues will be discussed: a) Repeal of the Companionship Exemption; b) Complying with the employer mandate to provide insurance to workers or pay a fine; c) Implementation of the Affordable Care Act; d) The shutdown of the federal government and the plans to raise the “debt ceiling;” E) What actions PDHCA and NAHC plan to take and how providers can help.

Who is conducting the seminar: Val J. Halamandaris, President of NAHC; Jeff Kincheloe, Vice President for Government Affairs; Bill Dombi, Vice President for Law; and Richard Brennan, Vice President for Technology.

Who may participate: PDHCA and NAHC members will receive priority, but the conference is open to all. Please send an email to pr@nahc.org to reserve your place on the call. The first 500 people will be guaranteed a place on the call.

Will questions be allowed: Yes. Your questions will be received 24-hours in advance of the broadcast and will close at 12:45 pm EST on the date of the broadcast. Send questions to Barbara D. Woolley, Director of Communications at bdw@nahc.org.

Will the teleconference be recorded: Yes. The teleconference will be recorded. The highlights will appear in NAHC Report, NAHC’s daily electronic newsletter and summarized in CARING, its monthly magazine.

Visit the CARING Store online for the latest Resources

Minnesota Signs Memorandum of Understanding with CMS: Becomes Partner in Medicare-Medicaid Dual Eligibles Integration Effort

On September 12, 2013, the Centers for Medicare and Medicaid Services (CMS) and the Minnesota Department of Human Services (MDHS) signed a Memorandum of Understanding (MOU) establishing a Demonstration to Align Administrative Functions for Improvements in Beneficiary Experience (Demonstration).  The Demonstration began on September 13, 2013 and will continue until December 31, 2016. 

Minnesota is implementing this Demonstration independently of the Medicare-Medicaid Alignment Initiative (MMAI) in place in Massachusetts, Washington, Ohio, Illinois, California, Virginia, and New York.  Sixteen other states have active MMAI proposals submitted to CMS. Like the MMAI, the Demonstration is a joint federal and state project which seeks to improve care and reduce costs associated with beneficiaries eligible for both Medicare and Medicaid, or “dual eligibles.”  While Minnesota originally considered the MMAI, the Demonstration will be based on the Minnesota Senior Health Options program (MSHO), an existing program for dual eligibles which focuses on alignment with Medicare Advantage and state Medicaid. 

:: Read Full Article

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