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:: NAHC Report
NAHC Report: Issue# 2316, 11/15/2013
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Congressional Budget Office Releases Options for Reducing the Federal Deficit
CMS Issues Guidance on Completing the ABN for Dual Eligibles
For Your Information: Hospice Webinar – Additional Data Reporting on Claims
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Congressional Budget Office Releases Options for Reducing the Federal Deficit

The Congressional Budget Office (CBO) recently released a report that outlines several ways that Congress could act to reduce the Federal Deficit between 2014 – 2023. The CBO includes sixteen broad-based healthcare options within its proposal. Those options are:

  • Option 1 - Impose Caps on Federal Spending for Medicaid
  • Option 2 - Add a “Public Plan” to the Health Insurance Exchanges
  • Option 3 - Eliminate Exchange Subsidies for People With Income Over 300 Percent of the Federal Poverty Guidelines
  • Option 4 - Limit Medical Malpractice Torts
  • Option 5 - Introduce Minimum Out-of-Pocket Requirements Under TRICARE for Life
  • Option 6 - Convert Medicare to a Premium Support System
  • Option 7 - Change the Cost-Sharing Rules for Medicare and Restrict Medigap Insurance

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Hospice Webinar   Additional Data Reporting on Claims
Register NOW for this December 4 Session

Since release of Change Request (CR) 8358 (Additional Data Reporting Requirements for Hospice Claims) in July 2013, hospices and hospice industry stakeholders have been wrestling with how to capture the newly required data on the claim. Given the amount and type of data that must be reported beginning April 1, 2014, it’s not too early for hospice programs to begin tackling the significant challenges associated with CR 8358 compliance. The National Association for Home Care & Hospice’s Hospice Association of America is hosting a webinar on Wednesday, Dec. 4 at 1 p.m. EASTERN on this important topic. The registration fee per site is $125; a recorded version of the webinar will also be available for purchase. CEs will be provided.

12/4/13 Online registration form

12/4/13 Product registration form

This webinar will provide the following to participants:

  • Review the four categories of additional data
  • Review the six data elements required
  • Discuss the many outstanding questions
  • Provide practical tips to be used in meeting the new requirements

Faculty will focus on the data elements that are required in order to have a 5010 compliant claim but that are not necessarily evident in the CR, with special emphasis on the drug reporting requirements. A review of questions submitted to CMS and their answers, as we have them at the time of the webinar, will be provided.

Webinar Faculty: M. Aaron Little, CPA, Managing Director, BKD, LLP A CPA and leading national home care and hospice consultant, Aaron has over 15 years of experience with BKD, LLP and specializes in revenue cycle outsourcing and consulting services, as well as compliance and routinely consults with providers and legal counsel on home care and hospice billing compliance matters.

Nationally recognized for his home care and hospice expertise, Aaron serves on the Home Care & Hospice Financial Managers Association (HHFMA) Workgroup. He chairs HHFMA's Young Financial Professionals Committee and is an active member of its subcommittee on revenue cycle matters. He routinely presents for the National Association for Home Care & Hospice (NAHC), HHFMA, Visiting Nurse Associations of America and numerous other regional and state industry organizations and is frequently quoted in industry periodicals.

Aaron's professional affiliations include the HHFMA, American Institute of Certified Public Accountants and Missouri Society of Certified Public Accountants.

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CMS Issues Guidance on Completing the ABN for Dual Eligibles

The National Association for Home Care & Hospice has been hearing from members with concerns regarding completing the Advanced Beneficiary Notice (ABN) Form CMS –R-131 for dual eligible beneficiaries.

Of particular concern is that none of the options the beneficiary has to choose from clearly states when Medicaid will be paying for the care. The Centers for Medicare & Medicaid Services (CMS) clarified that agencies should include information regarding coverage by Medicaid in the “Additional Information” section of the form and that the forms may be pre-typed. CMS also clarified that if another payer is to cover the full cost of care the amount listed in section “F Estimated Cost” may be $0.

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