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NAHC Report: Issue# 2419, 4/29/2014
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New Chapter Added to the State Operations Manual that Guides Surveyors on Imposing Alternate Sanctions
Hospice Item Set Manual Revised
For Your Information: Leadership Track Educational Sessions Announced for NAHC’s Financial Management Conference & Exposition

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New Chapter Added to the State Operations Manual that Guides Surveyors on Imposing Alternate Sanctions

The Centers for Medicare & Medicaid Services (CMS) has issued Transmittal 114, which includes in the State Operations Manual (SOM) a new chapter, chapter 10, to guide State Survey Agencies and Regional Offices on the implementation of new alternative sanctions for home health agencies. CMS initially issued the guidance in March, 2014 through their Survey and Certification Policy and Memo web page with the intention of adding the guidance to the SOM.  The authority to impose alternative sanctions was finalized in the November 8, 2012 Federal Register notice.

CMS now has the authority to impose alternative sanctions of civil money penalties (CMPs), directed in-service training, directed plans of correction, suspension of payment for new admissions, and temporary management on HHAs that are found to have condition level deficiencies. The guide instructs on the implementation, basis for, and notification requirements for the individual sanctions, in addition to, the process for an informal dispute resolution (IDR), and the formal appeals process for when CMPs sanctions are imposed.

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Hospice Item Set Manual Revised

CMS has updated the Hospice Item Set Manual.  The newest version, V1.01, is not yet available for provider download, but will be posted on this website soon.  There is a Change Table, however, that is available for immediate download. 

The Change Table denotes the edits that were made from V1.00.0 to V1.01 of the HIS Manual.  The edits are primarily clarifications and include topics such as consents for the data collection (not required), who may complete the HIS, and guidance on updating care process items.  Providers should review the Change Table to ensure correct implementation of the HIS.

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Leadership 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 Home Health track:

Managing within Managed Care: Lessons Learned in Home Care>
Over the last several years, managed care has become a significant part of life in home care. Medicare Advantage enrollment has increased along with a growing shift to managed Medicaid, particularly Managed Long Term Services and Supports. While traditional fee-for-services remains the dominant source of business on home care, working within a managed care system is an essential part of today's operations. This program is a "lessons learned" workshop on managed home care. 

Revenue Cycle Management: Protecting Cash Flow through Efficiency, Effectiveness & Compliance
Understanding the influence of operations on the revenue cycle is critical to optimizing cash flow and avoiding unnecessary compliance risks. Managing the revenue cycle must include a means of monitoring evolving clinical and related processes that are key performance influencers. This workshop will focus on evaluating, measuring, and managing revenue cycle performance as a means of optimizing and protecting cash flow and reducing compliance risks.

Medicaid Rate Advocacy: Succeeding in Getting Fair Payment
To survive and thrive in today’s home care and hospice environment, access to capital may be a necessity.  Common strategies for success, such as initiatives for expansion, innovation in care delivery, and technology implementation, usually require a substantial investment of capital.  Increased compliance reviews and new regulatory requirements could delay payments and create the temporary need for cash to fund operations… This workshop will focus on creative strategies and alternatives for gaining access to capital to meet all your business goals.

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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