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:: NAHC Report
 
NAHC Report: Issue# 2470, 7/18/2014
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
NAHC Commends CMS for its Guidance on Medicare Part D for Hospice Patients
An Update on Inappropriately Returned Hospice Claims for Pumps
For Your Information: Replay of the NAHC and HHNA Teleconference from July 11, 2014 Now Available Online
NAHC/Home Care & Hospice Events
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NAHC Commends CMS for its Guidance on Medicare Part D for Hospice Patients

Andrea L. Devoti, chairman of the board of directors for the National Association for Home Care & Hospice (NAHC), commended Marilyn Tavenner, administrator at the Centers for Medicare and Medicaid Services (CMS), for taking essential steps to reduce prior authorization requirements for the processing of drugs under Part D for hospice patients.

“The action will bring marked relief to hospice patients and their hospice providers who have been dealing with the previous policy under which all drugs processed through Part D for hospice patients were subject to prior authorization,” Devoti said. Since implementation of the comprehensive prior authorization (PA) policy in May, hospice patients and their families have suffered significant and sometimes harmful delays in securing needed medications.

While drugs under the four categories of analgesics, antinauseants, laxatives, and anti-anxiety medications will continue being subject to prior authorization, the reduced number of medications subject to PA will significantly lessen the challenges and difficulties present under the full PA policy.

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An Update on Inappropriately Returned Hospice Claims for Pumps
Palmetto and CGS have both implemented the override function and hospices may resubmit claims

NAHC’s Hospice Association of America (HAA) recently posted an update from CGS about hospice claims that include ambulatory infusion pumps and their anticipated schedule for addressing the issue. For more, please see NAHC Report, July 17, 2014). Since then, another Medicare Administrative Contractor (MAC) has issued a notice that it, too, is addressing the issue.

The following is a notice from Palmetto that recently was posted to its website:

PALMETTO: Jurisdiction 11 Home Health and Hospice

Correction to Inappropriately Returned Hospice Claims: Reason Codes W7061 and W7072

Effective April 1, 2014, hospices are required to report certain prescription drugs and durable medical equipment items (MLN Matters® Article MM8358). It was found that some hospice claims reporting these items were being returned to providers in error.

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Replay of the NAHC and HHNA Teleconference from July 11, 2014 Now Available Online

NAHC and its affiliate Home Healthcare Nurses Association’s recent teleconference on the proposed changes to the face-to-face requirement is now available online.

The teleconference was presented by NAHC and HHNA and was hosted by a faculty of: Val J. Halamandaris, NAHC’s President; Elaine Stephens, HHNA’s Executive Vice President; Jeff Kincheloe, NAHC’s Vice President for Government Affairs; Bill Dombi, NAHC’s Vice President for Law; and Mary Carr, NAHC’s Vice President for Regulatory Affairs.

To access the full teleconference, please click here.

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