Skip to Main Content
National Association for Home Care & Hospice
Twitter Facebook Pintrest
:: NAHC Report
NAHC Report: Issue# 2301, 10/24/2013
Follow us on:     
CMS Issues Manual Changes to “Confined to the Home” Definition
CMS Provides Hospice Item Set Update
For Your Information: Senate Majority Leader Harry Reid (D-NV) Confirmed as a General Session Speaker at NAHC’s Annual Conference & Exposition
NAHC/Home Care & Hospice Events
Email Center

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

CMS Issues Manual Changes to “Confined to the Home” Definition

The Centers for Medicare & Medicaid Services (CMS) has released Change Request (CR) 8444 that clarifies the definition of “confined to the home” for Medicare-covered home health services. 

In the 2012 Home Health Prospective Payment System (HH PPS) rule, CMS finalized clarifications to the Benefit Policy Manual language regarding the definition for "confined to the home.” CMS claims they clarified the definition in response to the Office of Inspector General (OIG) recommendations and to more accurately reflect the definition as written in the Social Security Act. The CR also removes vague terms such as “generally speaking”.  

In order for a patient to be considered confined to the home, both the following criteria must be met:

  1. The individual has a condition due to an illness or injury that restricts his or her ability to leave their place of residence except with the aid of supportive devices such as crutches, canes, wheelchairs, and walkers; the use of special transportation; or the assistance of another person; or if leaving home is medically contraindicated.
  2. The condition of the patient should be such that there exists a normal inability to leave home and, consequently, leaving home would require a considerable and taxing effort.

:: Read Full Article

Senate Majority Leader Harry Reid (D-NV) Confirmed as a General Session Speaker at NAHC’s Annual Conference & Exposition

Senate Majority Leader Harry Reid has earned the respect of colleagues from both sides of the political aisle. Every day, he delivers results for all Nevadans, including hardworking families like those he grew up with in the small mining town of Searchlight, Nevada.

Despite his leadership position, he still lives in Searchlight, and he is still guided by the lessons and values he learned there. The Las Vegas Sun newspaper summarized Senator Reid’s story by saying that he “has gone from underdog to Senate’s top dog.”

Since Nevadans first elected him to the Senate in 1986, Senator Reid has developed a reputation as a consensus builder and skillful legislator. His Republican colleagues have praised his reasoned, balanced approach. Senator Orrin Hatch, Republican from Utah, has said, “We all respect Senator Reid. He is one of the moderate voices around here who tries to get things to work.”

To register for this year’s Annual Meeting, and to hear Majority Leader Harry Reid in person, please click here.

Visit the CARING Store online for the latest Resources

CMS Provides Hospice Item Set Update

A Hospice Item Set (HIS) Fact Sheet was posted to the Hospice Quality page of the Centers for Medicare & Medicaid Services (CMS) website. The Fact Sheet provides a general overview of the HIS as well as some suggestions for implementation.  The HIS is one component of the Hospice Quality Reporting Program (HQRP) and is used to collect data on seven hospice quality measures.

All Medicare certified hospices must implement the HIS beginning July 1, 2014.  Detailed information on the HIS can be found in the August 6, 2013 edition of NAHC Report.  Providers can also find information on the hospice page of the CMS website and the QTSO hospice  website. 

The Fact Sheet underscores that the HIS is a data collection tool and not a patient assessment instrument.  Hospices will collect data on the HIS for each patient at admission (Admission HIS) and at discharge (Discharge HIS).  Hospices will then submit that data to CMS electronically. The Fact Sheet answers the questions surrounding the timeframe for completion and submission of the HIS. 

:: Read Full Article

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