Skip to Main Content
National Association for Home Care & Hospice
Twitter Facebook Pintrest
:: NAHC Report
NAHC Report: Issue# 2403, 4/1/2014
Follow us on:     
NAHC Plans Lawsuit on Medicare Face-to-Face Rule
NIH Offers Comprehensive Online Information on End of Life Care
For Your Information: CMS Announces the OASIS C1 Webinar
NAHC/Home Care & Hospice Events
Email Center
Manage Your Account Contact the Editor Ensure Delivery Advertise in NAHC Report

NAHC Plans Lawsuit on Medicare Face-to-Face Rule

Val J. Halamandaris, president of the National Association for Home Care & Hospice announced at the recent March on Washington and Annual Policy Conference that the NAHC Board of Directors approved moving forward with the filing of a lawsuit to challenge Medicare's implementation of the Affordable Care Act requirement that home health patients have a face-to-face encounter with a physician to qualify for coverage. It is expected that the lawsuit will be filed in mid-April.

Since CMS issued its rule and guidance on the face-to-face encounter requirements, home health agencies have experienced a significant increase in retroactive claim denials. Statistics released by Medicare Administrative Contractors indicate that over 80 percent of these claim denials relate to the face-to-face requirements. Specifically, these denials are due to allegations of insufficient physician narratives related to a patient's home bound status and need for skilled care."

"When the vast majority of claim denials involve documentation insufficiency, it should be apparent that something is seriously wrong with Medicare's documentation guidance, " noted Bill Dombi, NAHC's Vice President for Law. "Home health agencies are desperately trying to submit claims with compliant documentation. They have no interest in suffering the losses triggered by retroactive claim denials," he noted.

:: Read Full Article

NIH Offers Comprehensive Online Information on End of Life Care
Symptom Management, Practical Concerns are Focus of Topic

A new Web resource from the National Institutes of Health (NIH) is aimed at helping people address a sensitive subject -- the end of life. The latest addition to NIHSeniorHealth, the health and wellness website for older adults, the End of Life module provides visitors with information about the most common issues faced by the dying and their caregivers.

The End of Life module describes the physical, mental, and emotional needs of people nearing the end of life and suggests ways to maintain their quality of life, such as hospice and home care. It also addresses the often complex practical concerns that can attend death, including financial issues, advance directives, caregiver support, and more.

:: Read Full Article

CMS Announces the OASIS C1 Webinar

On, April 30, 2014, the CMS Survey and Certification Group is sponsoring a webinar on “OASIS-C1”. The topics of this hour and a half-long webinar include:

  • The new OASIS-C1 data set and its implementation, scheduled for October 1, 2014;
  • Types of changes made to the data set;
  • OASIS-C1 Guidance Manual changes; and
  • OASIS Q&As update.

There will not be a live Q&A session at the end of the presentation. Questions related to OASIS-C1 and its guidance should be submitted prior to and following the webinar to the OASIS mailbox at:

Following the webinar, a Q&A document will be posted addressing questions previously submitted.

A total of 1,000 lines for this webinar have been reserved. All participants will be in the same queue, so participants are encouraged to call in up to 30 minutes ahead of start time. The webinar will be archived within 3-4 weeks after the live presentation.

The intention of the webinar is to provide important guidance related to the implementation of the OASIS-C1 data set scheduled for implementation on October 1, 2014, therefore providers are encouraged to attend this webinar. Webinar materials will be forthcoming prior to the webinar and posted here.

Webinar Instructions for HHAs and other participants:

  1. On the day of the webinar go directly to
  2. From the Adobe Connect Meeting window, type your name in the “Guest Box.”
  3. Press “Enter Room” to access the webinar.
  4. Dial into audio bridge number, (877) 251-0301 (Conference ID: 9431125) to hear the audio portion of the Webinar.

For webinar technical questions contact Etolia Biggs at, 410-786-8664.

©  National Association for Home Care & Hospice. All Rights Reserved.