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:: NAHC Report
 
NAHC Report: Issue# 2390, 3/12/2014
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
Comprehensive Survey on Medicare Advantage Managed Care Plans
CMS Revises Prior Authorization Guidance for Part D Drugs for Hospice Patients; Provides Two-Month Delay in Effective Date
For Your Information: Medicare Hospice Education Sessions Announced for this Year’s March on Washington
NAHC/Home Care & Hospice Events
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Comprehensive Survey on Medicare Advantage Managed Care Plans

Earlier today, the Home Care and Hospice Financial Managers Association – a NAHC affiliate – released a new survey that is intended to help home health agencies understand the increasing impact of Medicare Advantage.

In combination with the survey, HHFMA is developing an instrument that can be used by HHAs to calculate the true cost of services provided to MA plans. The survey results and the new tool will be made available in the coming months in hopes of preparing HHAs better for Medicare Advantage negotiations. We cannot encourage any particular payment rate, but we can help educate our members on the whys and wherefores of Medicare Advantage business.

The Managed Care Task Force Committee of the Home Care and Hospice Financial managers Association (HHFMA) has developed a comprehensive survey on Medicare Advantage Managed Care Plans.  The survey is designed to capture information by State by carrier/plan and will provide results to answer important questions

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CMS Revises Prior Authorization Guidance for Part D Drugs for Hospice Patients; Provides Two-Month Delay in Effective Date

On March 10, 2014 CMS released a memo, Part D Payments for Drugs for Beneficiaries Enrolled in Hospice – Final 2014 Guidance, to hospice providers and all Part D plan sponsors.  This memo is a follow-up to a December 6, 2013 memo suggesting a prior authorization (PA) process for Part D enrollees receiving hospice care.  NAHC’s Hospice Association of America (HAA) submitted comments to CMS on the December memo that included the following concerns:

  • Statements made in the December 6, 2013 memo and other previous instruction from CMS may lead some to conclude that ALL care for terminally ill patients receiving hospice care is the responsibility of the hospice
  • The negative impact of numerous and inconsistent PA processes
  • Concerns over the independent review entity and process
  • More time needed prior to implementation (originally proposed for March 1, 2014)

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Medicare Hospice Education Sessions Announced for this Year’s March on Washington

The Home Care and Hospice community is at a critical point as new rules are being considered on Capitol Hill that could affect how home care and hospice organizations operate and pose a significant challenge to the mission to serve America’s aged, disabled, and ill.

Join NAHC, your peers and colleagues at this year’s March on Washington to make home care and hospice the center of health care in our country.

Along with legislative meetings and advocacy, this year’s March on Washington will have compelling educational sessions to provide home care and hospice advocate with the tools, skills and information that they need to make the strongest case possible for preserving access to quality home care and hospice services for all who need them.

This year’s Educational Tracks include:

  • Medicare Home Care
  • Medicare Hospice
  • Medicaid Home Care, and,
  • Private Duty

Some of the Educational Sessions for the Medicare Hospice track include:

  • Program Integrity and Beyond
  • Answers from the Experts: Panel on the Medicare Hospice Program
  • Revisions to the Hospice Cost Report — the Why, What, and How-to of Expanded Data Collection Under the Affordable Care Act (ACA)
  • Medicare Hospice Policy Roundup

To view all of the Medicare Hospice tracks, please click here.

To register to attend this year’s March on Washington, please click here.

Physical Therapist or PTA

NORTH IDAHO – Ski renowned Schweitzer Mountain, play on the shores of picturesque Lake Pend Oreille, and live in beautiful Sandpoint, Idaho.   Bonner General Hospital ~ where our mission is "To provide excellence in Healthcare close to home" ~ is seeking a Physical Therapist or PTA to join our progressive Rehabilitation Home Health team.  We are recruiting to fill a full and part-time position; State of Idaho license and prior experience as a PT or PTA required. 

BGH offers a comprehensive benefit package, including PTO, employer paid medical and dental coverage, retirement savings and competitive wages.  

A completed BGH Employment Application is required for consideration; an application and full job description is available at www.bonnergeneral.org

We look forward to hearing from you!  Please visit us online at www.bonnergeneral.org 

BGH is an Equal Opportunity Employer. 


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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