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:: NAHC Report
 
NAHC Report: Issue# 2442, 6/4/2014
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
CMS Posts New FAQs on Medicare Care Choices Model for Hospice-Eligible Patients
Effort Launched to Eliminate Onerous Face-to-Face Documentation Requirements through the Appropriations Process
For Your Information: Home Health Sessions at NAHC’s Financial Management Conference & Exhibition
NAHC/Home Care & Hospice Events
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CMS Posts New FAQs on Medicare Care Choices Model for Hospice-Eligible Patients

On March 18, 2014, the Centers for Medicare & Medicaid Services (CMS) announced the launch of its Medicare Care Choices Model (MCCM).  Under the MCCM, as many as 30 Medicare-certified hospices will be selected to provide palliative support services in the form of routine home care (RHC) and inpatient respite to patients with advanced cancers, chronic obstructive pulmonary disease, congestive heart failure and HIV/AIDS who meet hospice eligibility requirements. 

Since announcement of the model, CMS has received numerous inquiries from hospices interested in participating in the model; in response, CMS has issued a series of frequently asked questions (FAQs) to address those inquiries.  The latest version was issued on May 30; the FAQs are reprinted below for the convenience of interested hospices.

May 30, 2014

Can a networked group of hospices that are under State Action Immunity combine to apply for the Medicare Care Choices Model?

Yes. By law, or under State Action Immunity, none of these applicant hospices may compete for service. All agencies must serve everyone, regardless of where they live in the service area and regardless of payment source. Combined applicants must explain in their application their past experience working with other Medicare certified and enrolled hospices to provide coordinated care services with other providers in their service area.

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Effort Launched to Eliminate Onerous Face-to-Face Documentation Requirements through the Appropriations Process
Effort is targeting members of the Appropriations Committees; NAHC Members are encouraged to contact their Members of Congress to urge support

encouraged to contact their Members of Congress to urge support

The Home Care Association of New York State, NAHC’s Forum of State Associations (Forum), and NAHC are spearheading an effort that would provide a simple legislative fix that would offer relief from the onerous Medicare face-to-face (F2F) rule.  They are working to get language inserted into the Appropriations legislation that would simplify the face-to-face requirement. NAHC members with a Representative or Senator on the House and/or Senate Appropriations Committees are urged to contact them to urge their support.

The language would specifically allow for physician certification of the face-to-face requirement on the '485,' or plan-of-care document, in place of a separate, redundant narrative requirement currently being enforced by the Centers for Medicare and Medicaid Services (CMS).

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Home Health Sessions at NAHC’s Financial Management Conference & Exhibition
July 13 – 15 in Chicago, IL

Below are some of the highlights from this year’s Home Health sessions at FMC:

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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