Skip to Main Content
National Association for Home Care & Hospice
Twitter Facebook Pintrest
:: NAHC Report
NAHC Report: Issue# 2325, 11/26/2013
Follow us on:     
NAHC’s Analysis of the 2014 HHPPS Rate Rule
ONC Considering the Development of A Voluntary EHR Certification Program for LTPAC; Home Care
For Your Information: NAHC Will Host Free December 2 Teleconference on the Medicare Rate Rebasing Rule
NAHC/Home Care & Hospice Events
Job Corner
Email Center

Editor's Note:

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

NAHC’s Analysis of the 2014 HHPPS Rate Rule

The Centers for Medicare and Medicaid Services (CMS) published the long-awaited Final Rule that sets out the 2014 Medicare home health payment rates. The Final Rule represents an overall modest improvement over the proposed rule that was issued in late June. The improvements are due to a combination of changes including modification of the case mix weight recalibrations, updated visit utilization data, and a modification in the calculation of the 3.5 percent annual rebasing adjustment cap. Overall, the base episode rate increases by $9.07 per episode, case mix weights increase by an average of .39 percent, and LUPA rates and Non-routine supplies (NRS) payment decrease slightly from the proposed rule.

CMS rejected the industry’s call for alternative rebasing methodologies, recognition of already decreasing Medicare margins, and the need for operating capital.

CMS estimates that the Final Rule reduces Medicare payments by 1.05 percent or $200 million, in contrast to the 1.5 percent reduction it estimated with the proposed rule. However, the real reduction is greater because CMS includes the 2.3 percent increase coming from the annual inflation update, an increase intended to cover increased costs of care. The actual effective cuts are $520 million from rate rebasing and $120 million from HHPPS grouper refinements.

:: Read Full Article

NAHC Will Host Free December 2 Teleconference on the Medicare Rate Rebasing Rule

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

When: The conference will take place Monday, December 2, 2013, from 1:00 p.m. to 2:00 p.m. EST. The number to call in US/CAN Toll free is 1-877-757-0919 and the code is 351087.

Why: The final rule for the Medicare home health prospective payment system (HHPPS) was issued late on Friday, November 22, 2013. The purpose of the calls is to help NAHC members prepare for the impact of the final rule. The rule establishes four consecutive annual cuts of 3.5% in the Medicare payment rate.
In light of the new rule, NAHC and its allies plan to address the following issues:

  • What kind of legislation should NAHC introduce (if any) to improve the outcome in the final regulation?
  • What can be done to lessen the impact of the cuts on agencies in rural or underserved areas particularly because the current 3 percent rural add-on expires in 2015?
  • What measure can be taken to increase access to the Medicare home health benefit and limit the effect of the "homebound requirement?"
  • What steps can be taken to persuade the Centers for Medicare and Medicaid Services (CMS) recognize and reimburse agencies that have invested in telehealth, along with other IT hardware and software?
  • What can be done to ensure that home care fulfills its potential to produce savings under the ACA?
  • Should NAHC and its allies prepare a lawsuit to challenge the regulations?
  • Should NAHC wage a public relations campaign to keep the issue of fair compensation before the American public?

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; Theresa Forster, Vice President for Hospice Policy and Programs; Colin Roskey, JD, Cozen O’Connor, NAHC Counsel; and, Mary B. Langowski, JD, Partner, DLA Piper, NAHC Counsel.

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

Will questions be allowed: Yes. Questions from participants will be received 24-hours in advance or submitted while the teleconference is live on the date of the broadcast. Send questions to Mike Wittke at

Will the teleconference be recorded: Yes, there will be a recording of the teleconference. Highlights of the event will also appear in NAHC Report, NAHC’s daily electronic newsletter, and in CARING, its monthly magazine.

Visit the CARING Store online for the latest Resources

ONC Considering the Development of A Voluntary EHR Certification Program for LTPAC; Home Care

Providers of long-term and post-acute care (LTPAC) services are highly anticipating the work of the Health IT Policy Committee (HITPC) Federal Advisory Committee (FACA) regarding a voluntary electronic health records (EHR) certification program that is meant to coordinate federal and private interest in certified EHR products that promote care coordination and information exchange across the spectrum of care.

This new initiative by The Office of the National Coordinator (ONC) for Health Information Technology (IT) is part of a broader effort to encourage the exchange of health information by LTPAC providers with providers participating in the Medicare and Medicaid EHR Incentive Program under The Health Information Technology for Economic and Clinical Health (HITECH) Act.

:: Read Full Article

National Director Private Duty/Managed Care

Responsible for execution of all private duty operational matters for Intrepid. Oversee total operations of the Private Duty Division. Responsible for the successful opening, licensing and certification of all private duty agencies. Ensures that each private duty agency has adequate staffing to meet licensing and certification requirements.

Education: R.N., Bachelors degree; Master’s preferred; not a pre-requisite with proven performance experience and results.

Experience: Minimum five years experience in managerial, leadership and business management positions; private duty related preferred.

Special Skills: Strong negotiation skills, budget management experience, regulatory knowledge, strategic planning experience and analytical skills. Leadership and management experience in effective team building and continuous quality improvement programs. Working knowledge and experience in cross-functional business segments and their integrated influences and relationships. Effective and experienced in motivating and mentoring others who may or may not be in a direct reporting relationship. Strong and effective verbal and written communication skills. Working knowledge of email programs, word processing, etc.

If you are interested in this position please contact Ursala Isom at 214-445-3758 or send your resume to

Mercy Home Care Job Opportunities in Oklahoma

Mercy Home Care, Oklahoma provides the same high-quality medical services you’ve come to expect from Mercy Hospital and our network of primary-care and specialty clinics.  Our team of home-health professionals provides the compassionate health care you need from the comfort of your own home.

Job Opportunities in Oklahoma:
Clinical Supervisor – FT/Ardmore
Physical Therapy Asst – PRN/Ardmore
Regional Director – FT/Oklahoma City
RN – FT/Oklahoma City
LPN – FT/Oklahoma City
Physical Therapist – FT/El Reno
Occupational Therapist – PRN/El Reno
RN – FT/El Reno
RN Case Manager - FT/El Reno
Nursing Asst – FT & PT/El Reno

For more information and to apply online, visit:

For information about placing an ad, contact Scott Baum at

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