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NAHC Report: Issue# 2376 2/20/2014
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Senator Wyden Becomes Senate Finance Committee Chairman
CMS Starts Permitting Automatic Denials of Related Claims
For Your Information: CMS’ Hospice Item Set Training Videos Available Online
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Senator Wyden Becomes Senate Finance Committee Chairman
Senator Mark Warner also Named to Finance Committee. Both have been Longtime Supporters of Home Care and Hospice

Senator Ron Wyden (D-OR) has become the Chairman of the powerful Senate Finance Committee after Max Baucus (D-MT) was confirmed as the United States’ Ambassador to China. The Senate Finance Committee has jurisdiction over Medicare and Medicaid issues, and will play an integral role in shaping legislation that affects the home care and hospice community.

Senator Wyden has long been a strong ally of home care and hospice – and has sponsored key pieces of legislation that would strengthen beneficiaries' access to such services. Senator Wyden’s past statements and actions on behalf of home care and hospice are encouraging as he takes over one of the Senate’s most powerful committees.

Senator Wyden has been a featured speaker at NAHC’s March on Washington. 

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CMS Starts Permitting Automatic Denials of Related Claims

The Centers for Medicare and Medicaid Services (CMS) has issued Change Request (CR) 8425 entitled Removing Prohibition, which will allow contractors to make a determination or take action on claims not under review but related to claims submitted for review.

The MAC, RAC and ZPIC contractors now have the discretion to automatically deny claims submitted that are related to other claims where non-coverage or non-payment decisions have been determined though medical record review.

In the CR, CMS provides the following examples and notes that claims with other scenarios may be considered “related” as well.

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

Washington, DC, is the place to be this spring! Join the National Association for Home Care & Hospice as we march for our profession and for the patients we serve.

NAHC will hold the 2014 March on Washington Conference & Exposition just steps from the White House and Capitol Hill. With so many pressing issues facing home care and hospice, participation in this year’s March is a must for all home care and hospice advocates.

The SGR bill will likely be coming to a head in Congress at the time that NAHC’s March on Washington takes place. Efforts to offset the cost of the bill pose a real and looming threat to home care and hospice providers.

NAHC strongly urges all its members to attend this year’s March. It’s a great chance to meet with your lawmakers and plead our industry’s case. We need to tell them why they should oppose cuts to home health and hospice payments, along with copayments, to fund the SGR fix.

While you are in DC you can attend cutting-edge courses in the areas of Medicare Home Health, Medicare Hospice, Medicaid Home Care and Private Duty. We urge you to take advantage of tips from NAHC staff and other experts in your field. We also hope you’ll make time to attend the National Cherry Blossom Festival and see thousands of splendid trees in bloom.

We look forward to seeing you in Washington, DC, on March 23-26, 2014!

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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