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:: NAHC Report
NAHC Report: Issue# 2436, 5/23/2014
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Hospices Receive Notices from Collection Agencies for Analgesics
NAHC Submits Statement for the Record for Recent House Energy and Commerce Hearing
For Your Information: Leadership Track Educational Sessions Announced for NAHC’s Financial Management Conference & Exhibition

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Hospices Receive Notices from Collection Agencies for Analgesics

The Hospice Association of America (HAA), a NAHC affiliate, has learned that many hospices have received letters from PRS, a debt collection company, requesting payment for pain medications that were paid under Medicare Part D that should have been covered under the Medicare Part A hospice benefit.  The claims are for 2011 and 2012 payment. 

All letters we have seen are for claims paid by United Healthcare Insurance Company or an affiliate under the Medicare Part D program. The letter states the hospice has 30 days to dispute the debt.  If the hospice does not dispute it, PSR will consider it a valid debt.  Because this request is not directly from CMS there is not an appeals process, just the dispute option.

HAA has been in touch with PRS and has gotten additional information.  HAA continues to communicate with PRS, and has also reached out to other appropriate parties.  Further information will be shared as it is learned.

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NAHC Submits Statement for the Record for Recent House Energy and Commerce Hearing

The United States House of Representatives Energy and Commerce Health Subcommittee recently held a hearing entitled, “Keeping the Promise: Site of Service Medicare Payment Reforms.” The National Association for Home Care and Hospice submitted a statement for the record that illustrates the homecare and hospice community’s positions on some of the key issues affecting Medicare payment reform.

Excerpts from NAHC’s statement are below:

“[NAHC agrees] with the Chairman and Ranking Member that we should find the right reforms in post-acute care (PAC) that can both improve care for today’s seniors and help extend the fiscal viability of the program well into the future.  

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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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