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:: NAHC Report
NAHC Report: Issue# 2417, 4/25/2014
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MACs Release Additional Q & A on Hospice Claim Data Reporting
National Council on Medicaid Home Care Holds LTSS Panel Discussion
For Your Information: Hospice Track Educational Sessions Announced for NAHC’s Financial Management Conference & Exhibition

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MACs Release Additional Q & A on Hospice Claim Data Reporting

Hospice claims for dates of services on or after April 1, 2014, must comply with the additional data reporting requirements issued by the Centers for Medicare & Medicaid Services (CMS) as part of Change Request (CR) 8358.  These requirements include reporting of:

  • Line item visit data for hospice staff provided under general inpatient care (GIP) in skilled nursing facilities (SNF) or hospitals
  • NPI of nursing facility, hospital, or hospice inpatient facility where patient receives services (if not billing hospice)
  • PM visits (occurring on date of death) for hospice employed nurses, aides, social workers and therapist
  • Injectable prescription drugs
  • Non-injectable prescription drugs
  • Infusion pumps and medication refills

CR 8358 has generated a great deal of concern among hospice providers and vendors; in response Medicare’s Administrative Contractors (MAC) have put forth significant effort to secure accurate answers to the many questions they have received.  On Friday, April 25, 2014, the MACs issued a second iteration of a series of Q & A related to CR 8358 that are now available online on the NGS and Palmetto websites. 

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National Council on Medicaid Home Care Holds LTSS Panel Discussion

NAHC’s affiliated National Council on Medicaid Home Care held a panel discussion during the March on Washington entitled, “Medicaid Managed Long Term Services and Supports: This is the Future!”  Michelle Martin, the Council’s Director of Policy, moderated.  The session featured the following speakers:

  • Sherl Brand, Chief External Affairs Officer & VP/Business Development, VNA Health Group
  • Christopher Palmieri, President VNS of New York
  • Michael Brown, BAYADA Home Health Care
  • Richard Fredrickson, Sr. VP, Long Term Care, Centene Corporation

Topics of discussion included: the overall transition of the long term services and supports (LTSS) population into managed care; the use of technology in managed LTSS; the importance of providers and plans communicating and educating each other; concerns regarding credentialing and claims submission; and discussion of what plans think determines “quality providers.”

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Hospice Track Educational Sessions Announced for 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 Hospice track:

Hospice Payment Refinement
This presentation will review the CMS proposed rule for Fiscal Year 2015 and model how the proposed rule will impact agencies.  The session will also look back at the FY 2014 proposed rule comments on rebasing the routine home care rate and the site of service adjustment, and will provide an overview of the payment reimbursement curve. 

Regulatory Change is Inevitable: Are We Prepared and What Will Medicare Learn from the Data?
The pace of regulatory and legislative changes in the hospice industry is at an all time high… his session will discuss the status of several regulatory changes that have or will occur in the hospice industry. We will discuss the additional burden placed on hospices to report additional patient-specific data elements, what impact it has on an agency and the industry and what Medicare will learn from this additional information.

Hospice Cost Savings: Finding Efficiencies
The outlook for 2014 Medicare home health and hospice rates are foggy at best with the threat of rate rebasing combined on top of the continuation of sequestration. Costs will continue to increase with new Medicare regulatory requirements, labor shortages, and modernization efforts in technology and delivery models…This program offers insights and ideas on successful ways to squeeze out even more efficiencies than you thought possible. Everything from back office costs to care utilization must be on the table for consideration. 

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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