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NAHC Report: Issue# 2365, 2/4/2014
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CMS Reissues Change Request (CR) 8358 – Additional Data Reporting Requirements for Hospice Claims
House Panel Backs Changes to Health Care Overhaul
For Your Information: Special Offer Pricing for NAHC Members Extended to February 5!
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CMS Reissues Change Request (CR) 8358 – Additional Data Reporting Requirements for Hospice Claims

Last Friday CMS re-issued Change Request (CR) 8358 – Additional Data Reporting Requirements for Hospice Claims in order to clarify the reporting requirements and make technical corrections.  None of the requirements in the original CR have changed including the mandatory reporting implementation date of all claims with dates of service on or after April 1, 2014. 

CR 8358 revises Section 30.3 of Chapter 11 of the Medicare Claims Processing Manual and requires the following additional data required on hospice claims includes:

  • General inpatient (GIP) visit reporting for certain hospice-paid staff (in 15-minute increments)
  • Facility National Provider Identifier (NPI) number when care provided is not at the hospice facility that is billing the care
  • Post mortem (PM) visit reporting
  • Injectable drugs
  • Non-injectable prescription drugs
  • Infusion pumps

After the CR was originally issued in July 2013, the hospice providers and hospice stakeholders had numerous questions about the details of the requirements especially the bullet points pertaining to the reporting of drugs and infusion pumps. After doing some research into billing Medicare for medications it became clear that hospices needed several pieces of information in order to submit a compliant claim.  Not all of this information was specified in the CR because it is elsewhere in the Claims Processing Manual and part of HIPAA v5010 requirements.  For instance, billing of any prescription medication requires an NDC number and a corresponding charge.  The NDC number detail and charge detail are part of already existing billing requirements and were not separately specified in the CR. 

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House Panel Backs Changes to Health Care Overhaul

CQ Roll Call  is reporting that the House Ways and Means Committee voted to change sections of the Affordable Care Act that addresses the Employer Mandate. According to the article:

The House Ways and Means Committee approved two bills that would make changes to the 2010 health care overhaul’s employer mandate, which requires coverage to be provided by companies with at least 50 full-time workers.

One amended measure (HR 2575), backed 23-14, would raise the full-time worker minimum for the mandate from 30 hours to 40 hours per week. The other (HR 3979), approved 37-0, would prevent emergency services volunteers from being taken into account as employees.

NAHC supports increasing the full-time worker definition from 30 to 40 hours and has submitted testimony to that effect for previous House hearings on the topic.

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

Special Offer Pricing for NAHC Members Extended to February 5!

Act now and save on one of NAHC’s most exciting events. 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 February 5. 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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