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:: NAHC Report
NAHC Report: Issue# 2353, 1/15/2014
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
CMS Clarifies Documentation Requirements for the Home Health Face-to-Face Encounter
New Legislation Seeks to Improve Long-Term Care for Medicare Beneficiaries
For Your Information: NAHC 2014 March on Washington Conference & Exposition
NAHC/Home Care & Hospice Events
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CMS Clarifies Documentation Requirements for the Home Health Face-to-Face Encounter

The Centers for Medicare and Medicaid Services (CMS) recently issued a special edition of their MLN Matters newsletter in an effort to clarify the new documentation requirements for the face-to-face (F2F) encounter requirement. The article reiterates that the encounter document must include an explanation of why the clinical findings support that the patient is homebound and in need of either intermittent skilled nursing services or therapy services. Diagnoses alone do not support the need for skilled service and standard language such as “taxing effort” or a notation such as “gait abnormality” alone do not support homebound status.

CMS reviews the coverage criteria for skilled nursing and therapy home health services and describes the two criteria required for a beneficiary to be homebound. Examples of appropriate documentation are provided relative to the coverage criteria.

Several attachments are also included that show acceptable and unacceptable examples of F2F encounter documentation using various F2F document formats. The difference in the acceptable and unacceptable examples is stark. CMS provides an unacceptable example of a F2F encounter documentation using prohibited criteria such a diagnosis alone to support skilled services while using a detailed clinical summary on a physician visit note as an acceptable example.

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New Legislation Seeks to Improve Long-Term Care for Medicare Beneficiaries

The Bipartisan Better Care, Lower Cost Act seeks to improve care coordination for beneficiaries with multiple chronic conditions, the most-expensive and fastest-growing portion of the Medicare population. 

Senators Ron Wyden (D-OR) and Johnny Isakson (R-GA) and Representatives Erik Paulsen (R-MN) and Peter Welch (D-VT) earlier this week introduced the Better Care, Lower Cost Act. The new bill aims to improve care coordination for Medicare beneficiaries with multiple chronic conditions. The legislation would expand the use of multidisciplinary health teams to keep patients as healthy as possible in their homes and communities.

According to Centers for Medicare and Medicaid Services, 68 percent of Medicare enrollees have multiple chronic conditions, and account for 93 percent of Medicare spending. Additionally, 98 percent of costly hospital readmissions involved beneficiaries with multiple chronic conditions.

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NAHC 2014 March on Washington Conference & Exposition
Mayflower Renaissance Hotel | Washington, DC | March 23-26, 2014

Two Week Special Offer for NAHC Members!

Act now and save on one of NAHC’s most exciting events. Starting January 15, NAHC members can register for the 2014 March on Washington Conference & Exposition at the special rate of $350. That’s nearly $150 in savings if you register by January 29. Don’t wait because this offer is only valid for two weeks.

The 2014 March on Washington Conference & Exposition provides the perfect chance for you to make an impact on those who make the policies that affect home care and hospice. Together we can raise awareness of the issues that shape our business. So lend your voice as we deliver a unified message on Capitol Hill. Meet with your members of Congress. Tell them why home care matters to constituents in your state. Then take advantage of an unrivalled chance to network with your peers and attend educational sessions led by experts in our field.

You’ll receive full admission to the educational sessions and exhibit hall and hear addresses by leading advocates for home and hospice. You’ll get insights from political pundits who have the inside scoop on Washington, DC.

To take advantage of our special offer, you can register the following ways:

  • To register, click here.
  • By fax: 202.547.3660
  • By mail: NAHC Meetings, P.O. Box 37558, Baltimore, MD 21297-3558

To make Hotel Reservations: The NAHC Discount Rate is 289.00/night (single/double) or $389.00/night (suite), click here.

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