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:: NAHC Report
 
NAHC Report: Issue# 2380 2/26/2014
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
CMS Responds to Complaint on ZPIC
Pennsylvania Submits Alternative Medicaid Expansion Waiver to CMS
For Your Information: NAHC and HHNA Seek 2014 Nominations for America’s Top Nurses in Home Care & Hospice/a>
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CMS Responds to Complaint on ZPIC

In early November, 2013, the Zone Program Integrity Contractor (ZPIC), Health Integrity, issued an “educational letter” to a series of home health agencies that it had screened as potentially aberrant. For more, please see NAHC Report, November 7, 2013. That letter set out policy statements that were at odds with long-established Medicare law and policy. NAHC contacted the Centers for Medicare and Medicaid Services (CMS) demanding immediate action to correct the seriously deficient ZPIC.

After more than two months of repeated inquiries on the status of the matter, CMS issued a response:

“CMS recognizes that the letter, while providing educational guidance to the home health provider community, contained some broad generalities and technical inaccuracies, particularly with regard to the statements identified in your correspondence. As a result, CMS has directed Health Integrity to issue clarifying guidance to each recipient of the original educational letter.”

“We are pleased to see that CMS has taken affirmative steps to correct the serious misstatements of Medicare coverage standards expressed by its ZPIC,” stated William A. Dombi, NAHC’s Vice President for Law. “However, we remain very concerned that CMS did not order the ZPIC to reopen its past claim denials that were likely based on invalid policy standards.”

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Pennsylvania Submits Alternative Medicaid Expansion Waiver to CMS

On February 19, Pennsylvania submitted its Section 1115 demonstration waiver application (the Waiver Application) to the Centers for Medicare and Medicaid Services (CMS) for an alternative to traditional Medicaid expansion. This followed a public comment period beginning on December 6. CMS will in turn submit the proposal for a 30-day public comment period, after which CMS and the State will negotiate the final waiver. Pennsylvania hopes to begin instituting the program, called Healthy Pennsylvania, in January 2015.

If granted as currently formulated, the waiver would expand Medicaid coverage via private insurance for those at least 21 years old but under 65 earning up to 133% of the federal poverty level (FPL). This expansion is expected to bring coverage to over 500,000 Pennsylvanians. Some of the important elements of the submitted Waiver Application are discussed below.

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NAHC and HHNA Seek 2014 Nominations for America’s Top Nurses in Home Care & Hospice

The National Association for Home Care & Hospice (NAHC) and the Home Healthcare Nurses Association (HHNA) are launching their third annual Nurse Recognition Program. They are now accepting nominations to honor and recognize home care and hospice nurses from across the country.

To nominate a nurse for the 2014 recognition program, please visit www.hhna.org or www.nahc.org

One nurse will be recognized from each state and one of those 50 nurses will be chosen as Home Care & Hospice Nurse of the Year. Home care and hospice agencies that are NAHC members may nominate any registered nurse to represent their state for 2014. Nominations will be reviewed by the Nurse Recognition Program Selection Committee.

“Our focus is highlighting the impact that nurses make day in and day out in homes across the country,” said Andrea L. Devoti, MSN, MBA, CHCE, and NAHC chairman of the board. “We have a unique opportunity to put a face on the industry.”

“We intend for these top nurses to serve as role models who will inspire their peers to become leaders in enhancing the quality of health care, preserving the standards of nursing, and expanding opportunities in the profession,” said Elaine Stephens, RN, MPH, FHHC, and chairman of HHNA.

The ongoing recognition program will collect stories of special home care and hospice nurses who have served their agencies by providing exceptional care, reducing hospital readmissions, and making a difference in patients’ lives. The selection committee will review all the nominees to choose those who best represent the ideals that are honored during National Nurses Week each May. The nurses will be highlighted in the May issue of CARING and have their registration fee waived at the NAHC Annual Meeting in October.

To nominate a nurse for the 2014 recognition program, visit www.hhna.org or www.nahc.org.

Private Duty Nursing Supervisor

We have an opening for a Private Duty Nursing Supervisor in St. Louis, MO. Must have current Missouri RN license, at least two years of private duty nursing experience with medically fragile patients, and one year of private duty supervisory experience. The position is full time, Monday through Friday.

Responsibilities include:

- Creates Plan of Care. Documents patient status in an accurate, timely and concise manner and reviews all documentation for accuracy and completeness
- Competent and knowledgeable in performing baseline-nursing skills. Knowledge in wound care, tube feedings, tracheotomy care, catastrophic injury care, pulmonary care, ventilator care, spinal cord injury care, seizure disorder care, catheter care, and diabetes care strongly encouraged
- Communicates effectively with patients, families and physicians and other team members
- Demonstrates organization and leadership abilities by effective use of time and personnel through supervision and teaching.
- Maintains a committed and cooperative attitude with staff, promoting teamwork and harmony by readily assisting other staff and patients.
- Supervises employee at recerts, and supervises each employee annually and PRN.
- Maintains Recert/Evaluation calendar

We are a solid company and offer an attractive salary and benefits package that includes medical and dental insurance, vision-care plan, life insurance, and paid personal and vacation time. Please send resume to ConfidentialPrivateDutyNursing@gmail.com.


Private Duty Staffing Coordinator

Immediate opening for a Private Duty Staffing Coordinator in St. Louis, MO. We are looking for someone with a minimum of one year private duty nursing scheduling experience at a licensed homecare agency. The position is full time, Monday through Friday.

Responsibilities include:
- Record intake from prospective clients
- Obtain availability from nursing and aide field staff
- Coordinate private duty clients' needs with medical staff availability
- Assign nurses and aides to service patients
- Communicates effectively with patients, families and medical staff
- Maintains a committed and cooperative attitude with patients and staff

Job Requirements:
- Minimum of one year experience in private duty nursing scheduling
- Great interpersonal and telephone skills
- Strong organizational, time-management and computer skills
- Ability to multi-task
- Must be detail oriented and pleasant

We are a solid company and offer an attractive salary and benefits package that includes medical and dental insurance, vision-care plan, life insurance, and paid personal and vacation time. Please send resume to ConfidentialPrivateDutyNursing@gmail.com.

For information about placing an ad, contact Scott Baum at ads@nahc.org.

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