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:: NAHC Report
 
NAHC Report: Issue# 2443, 6/5/2014
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
NAHC Lawsuit Challenges CMS Rule on Face-to-Face Encounters for Home Health Services
CMS Releases New and Updated Utilization and Cost Data Sets and New Dashboards
For Your Information: NAHC Announces Keynote Speakers for NAHC Annual Meeting
NAHC/Home Care & Hospice Events
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NAHC Lawsuit Challenges CMS Rule on Face-to-Face Encounters for Home Health Services

The National Association for Home Care & Hospice (NAHC) filed a lawsuit on

June 5, 2014, challenging the administration of the physician face-to-face encounter documentation requirements developed and administered by the Centers for Medicare and Medicaid Services.

The NAHC Board of Directors approved the filing of the lawsuit because the regulations have caused a dramatic upsurge in the retroactive denials of patient claims for payment under Medicare.

These denials are based on the allegations not that physicians had failed to see patients or certify them for payment but rather because physicians did not supply sufficient paperwork, i.e. a narrative and explanation for their judgment that patients are homebound or in need of skilled nursing or physical therapy.

“This new regulation, which had the goal of improving the quality of care, has had the opposite effect. It has created a crisis and is denying the infirm elderly the care that they need which is why we had no choice but to take our case to Federal Court,” said Andrea Devoti, Chairman of the NAHC Board of Directors.

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CMS Releases New and Updated Utilization and Cost Data Sets and New Dashboards
New CMS data includes 2012 inpatient and outpatient services for 3,000 U.S. hospitals that receive Medicare payments for the 100 most frequently billed discharges

The Centers for Medicare & Medicaid Services (CMS) has released several new and updated utilization and cost data sets that officials announced at the recent Health Datapolooza conference in Washington, D.C.

CMS has made available 2012 data for inpatient and outpatient services. The data includes hospital-specific charges for the more than 3,000 U.S. hospitals that receive Medicare payments for the top 100 most frequently billed discharges, while the 2012 outpatient data  includes the hospital-specific charges for 30 Ambulatory Payment Classification (APC) Groups paid under the Medicare furnished in hospital outpatient departments.

CMS has also developed interactive dashboards that present information on state and county levels for chronic conditions and geographic variation in Medicare spending.

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NAHC Announces Keynote Speakers for NAHC Annual Meeting

The National Association for Home Care & Hospice (NAHC) is pleased to announce three new high-profile speakers for its Annual Meeting in Phoenix, Arizona, on October 19 - 22, 2014. Featured speakers include Senator Ron Wyden (D-OR), Chairman, Senate Finance Committee; former U.S. Representative Gabby Giffords; and her husband, astronaut and retired U.S. Navy captain Mark Kelly.

“We are honored and delighted to have Chairman Wyden join us at our annual Meeting,” said NAHC President Val J. Halamandaris. “And we are proud to bring our members two of our nation’s most-respected heroes — Gabby Giffords and Mark Kelly.”

Senator Ron Wyden is scheduled to speak Sunday, October 19, 2014. He is the senior U.S. Senator for Oregon, serving since 1996, and a former member of the U.S. House of Representatives, where he served from 1981 to 1996. Whether he’s taking on powerful interests, listening to constituents at one of his famous town hall meetings, or standing up for Oregonians on the Senate floor, Wyden is an effective leader on issues that matter most. He now serves on the Committees on Finance, Budget, and Intelligence, along with the Committee on Energy and Natural Resources. He is also chairman of the Senate Finance Committee and ranking Democrat on the Energy and Natural Resources Committee.

Former U.S. Representative Gabby Giffords is known across the country for her resilience in the face of violence, and for her consensus-building leadership in Congress. First elected to Arizona's 8th Congressional District seat in 2006, she went on to win re-elections in 2008 and 2010. Then, on January 8, 2011, a would-be assassin opened fire at a local event in Tucson, where Giffords was meeting with constituents. Six people were killed, and 13 others were injured in the attack. Among the injured was Giffords, who sustained a gunshot wound to the head and faced immediate neurosurgery to treat her life-threatening injuries. She resigned her Congressional seat in January 2012 but has gone on to lobby for public safety and share her story nationwide.

Mark Kelly is an American astronaut, retired U.S. Navy captain, bestselling author, prostate cancer survivor, and experienced naval aviator who flew combat missions during the Gulf War. As an astronaut, he flew his first of four missions in 2001 aboard Space Shuttle Endeavour, the same space shuttle that he commanded on its final flight in May 2011. He has also commanded Space Shuttle Discovery and is one of only two individuals who have visited the International Space Station on four different occasions. The mantra of the space program has long been “Failure is not an option.” And he has seen the true meaning of the phrase right at home as watches his wife’s relentless work to make the world a better place.

Giffords and Kelly are scheduled to speak on Sunday, October 19, 2014. For a taste for what’s in store, read their bestselling memoir, Gabby, in which they share their story of hope and resilience with the world. This inspiring account has topped multiple bestseller lists, including the New York Times, the Wall Street Journal, USA Today, and Amazon. Together, Giffords and Kelly show the power of the human spirit to overcome obstacles and succeed against the odds.

Additional keynote speakers are still being finalized.

For more information on the NAHC Annual Meeting, please click here.

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