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NAHC Report: Issue# 2299, 10/22/2013
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Providing Vaccines to Hospice Beneficiaries
NAHC Will Host Free October 23 Teleconference on Rebasing
For Your Information: NAHC Will Host Free October 23 Teleconference on Rebasing
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Providing Vaccines to Hospice Beneficiaries

In a Change Request (CR 8098) issued May 3, 2013, the Centers for Medicare & Medicaid Services (CMS) indicated that, effective October 1, 2013 - for implementation on October 7, 2013 - Medicare systems will prevent non-hospice providers from providing vaccines to hospice patients. While a hospice may provide influenza, pneumococcal, and hepatitis B vaccines to hospice-enrolled beneficiaries who request them, and may bill the Part B Carrier for both the vaccine and an administration fee, any other provider will be denied reimbursement.

Medicare systems previously did not have the ability to differentiate between claims for the vaccines submitted by hospices and other providers/suppliers. CMS has now established an edit to the Common Working File (CWF) that allows the Medicare Administrative Contractors (MACs) to reject claims submitted by non-hospice providers for vaccines provided to hospice beneficiaries. Issuance of CR 8098 has raised a number of questions; they include questions on how a hospice provider may become a Part B supplier in order to bill for vaccines. Following is information that has been gathered to help address outstanding questions.

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Important Message from Val J. Halamandaris, NAHC President
Special Offering to Attend the NAHC Annual Meeting & Exposition

Here is what is going on here in Washington, DC. 1) Congress has agreed to raise the debt ceiling until February 7, 2014; 2) From now until December 13, a House-Senate Conference Committee will be trying to reach an agreement on the budget for 2014. Republicans have proposed cutting Medicare. Democrats have resisted this and instead are pushing to raise taxes on the wealthy; 3) Some 200 Members of Congress have signed letters asking CMS to roll back their proposed “rebasing “ rules for the Medicare home health prospective payment system. We need to push this over the top.

We are in a position to help Congress decide to protect Medicare and home care. We need to marshal the home care army of angels on the Potomac. We knew this moment of decision was coming which is why we chose Washington, D.C. as the site for the National Association for Home Care & Hospice (NAHC) Annual Meeting & Exposition. The meeting is being held at the Gaylord National Resort Hotel & Convention Center in National

We also have a March on Washington. This is being coordinated by NAHC and the Forum of States Associations. We will be running shuttle buses from the Gaylord Hotel to the Frederick Douglass Museum (320 A Street, NE) located on Capitol Hill near the House and Senate Office Buildings on Thursday morning October 31.Harbor, Maryland, across the river from the Ronald Reagan National Airport on October 31 – November 3, 2013.

We need you in Washington next week. We are offering NAHC provider members to attend the Annual Meeting a “special registration rate of $500.00” that will end on Friday, October 25, 6:00 p.m. EST. If you have already registered for the Annual Meeting, you can receive one complimentary registration (for another member from your agency) for every full paid registration. If you have not registered for the Annual Meeting, please do so by emailing me at to receive the special rate and we will bill you accordingly. Please include your guests’ name, email and agency and we will provide a free registration to them.

* For comparison, the on-site registration rate is $1,100.00 for NAHC members and $1,600.00 for Non-members.

Come join us and make history as we secure the future for patients and providers alike.

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NAHC Will Host Free October 23 Teleconference on Rebasing

What: A free teleconference. The National Association for Homecare & Hospice (NAHC) will host a free teleconference to highlight issues of critical importance to the home care and hospice community.

When: This Wednesday, October 23rd, from 1:00 p.m. to 2:00 p.m. EST. The number to call in US/CAN Toll free is 1-800-216-6327 and the code is 585731.

What issues will be discussed: a) Where things stand with “rebasing” the Medicare home health benefit; b) What will happen when we reach the new debt ceiling on February 7, 2014; c) Will there be another crusade to repeal or delay the Affordable Care Act; d) Where are things going with the Conference Committee that must reach an agreement on possible Medicare cuts and tax increases byDecember 13, 2013; e) What’s new at the NAHC Annual Meeting & Exposition in Washington, D.C. on October 31 – November 3, 2013; and, f) Who will win the 2014 elections.

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

Who may participate: NAHC members will receive priority, but the conference is open to all. Please send an email to to reserve your place on the call. The first 300 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

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.

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