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:: NAHC Report
NAHC Report: Issue# 2302, 10/25/2013
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CMS Delays Releasing Final Payment Rules, including the CY 2014 Home Health PPS Rule
Hospice Coding Clarifications
For Your Information: Senator Jerry Moran (R-KS) Confirmed to Appear at NAHC’s Annual Meeting
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CMS Delays Releasing Final Payment Rules, including the CY 2014 Home Health PPS Rule

The Centers for Medicare & Medicaid Services (CMS) issued a statement saying that:

“Although we are still assessing the impact of the partial government shutdown on completion of the calendar year 2014 Medicare fee for service payment regulations, we intend to issue the final rules on or before November 27, 2013, generally to be effective on January 1, 2014.  The impacted regulations include:

  • Medicare Program; End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (CMS-1526-F)
  • CY 2014 Changes to the Hospital Outpatient Prospective Payment System Ambulatory Surgical Center Payment System (CMS-1601-FC)
  • CY 2014 Home Health Prospective Payment System Final Rule (CMS-1450-F)
  • Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2014 Final Rule with Comment Period (CMS-1600-FC)”

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Senator Jerry Moran (R-KS) Confirmed to Appear at NAHC’s Annual Meeting
At the General Session, Sunday, November 3, 2013

Senator Moran was taught from an early age the value of a hard day’s work, looking after your neighbors, and serving the community. These same values guide him today as he serves Kansans in the U.S. Senate. Since being elected to the Senate in 2010, he has been a leading advocate for issues related to entrepreneurship, job creation, and innovation. He is committed to putting policies in place that foster economic growth, especially for small business. As ranking member of the Senate Appropriations Subcommittee for Labor, Health and Human Services, and Related Agencies, he is a firm supporter of medical research and believes our nation’s consistent support of medical research is essential to reducing health care costs and strengthening our position as a global leader in medical innovation. Yet this global ambition has not stopped him from remaining true to his roots. Every weekend, he returns home and the conversations he has with Kansans statewide continue to shape the work he does in DC. of the moderate voices around here who tries to get things to work.”

To register for this year’s Annual Meeting, and to hear Senator Jerry Moran in person, please click here.

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Hospice Coding Clarifications
Special thanks to Judy Adams, RN, BSN, HCS-D, Approved AHIMA ICD-10-CM Trainer with Adams Home Care Consulting, Inc., for her contribution of the following article

The article below assists hospices in determining which diagnosis codes are appropriate for use as the principal diagnosis on hospice claims. Please note that the Centers for Medicare & Medicaid Services (CMS) indicated in the Final FY2014 Hospice Wage Index and Payment Rule that hospice claims with adult failure to thrive (AFTT) or debility listed as the principal diagnosis will be returned to provider (RTP’d) beginning October 1, 2014.

In a routine review of CMS publications, The National Association for Home Care & Hospice (NAHC) and its affiliate, the Hospice Association of America (HAA) found direction from CMS to Medicare administrative contractors (MACs) to RTP all hospice claims with manifestation codes (not just debility or AFTT) listed as the principal diagnosis beginning Oct. 1, 2013. Since that time, CMS has indicated that the instruction directing the MACs to reject hospice claims using any manifestation code as the principal diagnosis should not have been issued and that the MACs have been instructed to turn that particular systems edit off.

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