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NAHC Report: Issue# 2413, 4/21/2014
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Final Hospice Item Set Version and Data Specifications Now Available
Michigan Signs Memorandum of Understanding with CMS
For Your Information: Home Health Track at NAHC’s Financial Management Conference & Exhibition
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Final Hospice Item Set Version and Data Specifications Now Available

The Office of Management and Budget (OMB) has given final approval to the latest versions of the Hospice Item Set (HIS) admission and discharge. All Medicare-certified hospices are required to submit an HIS-Admission record and a HIS-Discharge record for each patient admission occurring on or after July 1, 2014.

The collection instruments  are available on the HIS web page in the “Downloads” section, and the data specifications, which detail the requirements for the submission of HIS records, are available on the HIS Technical web page. The final versions of the HIS estimate that completion of the HIS-Admission will take an average of 19 minutes, while completion of the HIS-Discharge is estimated to take 10 minutes.

The Centers for Medicare & Medicaid Services (CMS) conducted HIS training in February that is now posted on the HIS web page, along with additional reference materials.

The video recordings of the Data Collection Training for the Hospice Item Set (HIS), originally presented on February 4 and 5, 2014 are now available online. For links to all of this information, follow the link to the full article.

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Michigan Signs Memorandum of Understanding with CMS
Becomes Eleventh State to Adopt Medicare-Medicaid Dual Eligibles Initiative

On April 3, the Centers for Medicare and Medicaid Services (CMS) and the Michigan Medical Services Administration (the State of Michigan) signed a Memorandum of Understanding (MOU) establishing the Medicare-Medicaid Alignment Initiative (MMAI) in a capitated model for beneficiaries eligible for both Medicare and Medicaid, or “dual eligibles.”

The new demonstration (the Demonstration) will begin no earlier than January 1, 2015, and continue until December 31, 2017.

Michigan’s MOU marks the eleventh MMAI MOU, after Massachusetts, Washington State (fee-for service), Ohio, Illinois, California, Virginia, New York, South Carolina, Washington State (capitated), and Colorado. Thirteen other states have active proposals submitted to CMS.

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Home Health Track at NAHC’s Financial Management Conference & Exhibition

NAHC and its affiliated Home Care & Hospice Financial Managers’ Association (HHFMA) recently announced the educational sessions for its upcoming Financial Management Conference & Exhibition. The conference is being held July 13 – 15 in Chicago, IL.

This year, attendees have four different tracks to choose from – based on their and their agencies’ unique needs. The four tracks are:

  • Home Health
  • Hospice
  • Changing Healthcare Delivery
  • Leadership

Below are some of the highlights from this year’s Home Health track:

Home Health Cost Containment Strategies
Faced with Medicare rate cuts of 3.5% from rebasing in 2014 with additional cuts scheduled for the next 3 years alongside shifts to a managed care payment model, Home Health agencies need to find new sources of cost savings and operating efficiencies in order to survive… This program offers insights and ideas on successful ways to squeeze out even more efficiencies than you thought possible. 

Episode Management: Managing Clinical and Financial Outcomes Before They Occur
The success of care management in home health requires a shift in focus from making visits to managing episodes of care… Episode Management provides the structure for concurrent monitoring of clinical and financial outcomes while there is still influence of control during the episode.

Minimize Denials:  Practicing Effective Home Care Compliance
Agencies must put processes in place to ensure they compliance is monitored.  Learn the common documentation flaws and operational practices, including failure to conduct appropriate pre-billing audits, that could increase your compliance risk. 

To see all of this year’s Financial Management Conference Educational Sessions, please click here.

To register to attend this year’s Financial Management Conference, please click here.

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