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NAHC Report: Issue# 2472, 7/22/2014
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
Another Bill Introduced to Offer Relief from CMS’ Misguided Rebasing Rule
Physician Payment for Chronic Care Management Services to Begin in 2015
For Your Information: How to Insure Your Organization is Ready to Deliver the Home Care that Referal Sources Need
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Another Bill Introduced to Offer Relief from CMS’ Misguided Rebasing Rule

Congressmen Greg Walden (R-OR) and Tom Price (R-GA) recently introduced the Securing Access Via Excellence (SAVE) Medicare Home Health Act of 2014 (H.R.5110).  The SAVE Act would repeal CMS' flawed rebasing rule starting January 1, 2015 and seek to offset the cost of repeal by establishing a home health value-based purchasing program beginning in 2019. H.R. 5110 is the second bill introduced in the House that addresses CMS’ rebasing rule.

Earlier in the legislative session, Rep. Ralph Hall (R-TX) introduced the Medicare Home Health Rebasing Relief and Reassessment Act (H.R. 4625). Rep. Hall’s bill would suspend rebasing for a year and require CMS to consider, with input from all stakeholders, alternative rebasing methodologies and submit a report to Congress.

H.R. 4625 has garnered bipartisan cosponsors, including Rep. Dave Loebsack (D-IA) and Bruce Braley (D-IA), and is supported by the entire home health industry. NAHC and the Forum of State Associations are conducting a campaign to obtain more cosponsors. For more on H.R. 4625, please see NAHC Report, July 18, 2014.

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Physician Payment for Chronic Care Management Services to Begin in 2015

Beginning in 2015, physicians will be able to receive payment for non face-to-face time a physician and their staff spends managing the care of Medicare patients with two or more chronic conditions. Last year, CMS finalized a separate payment for chronic care management (CCM) codes. For more on the CCM codes, please see NAHC Report, January 31, 2014.

Through this year’s rule, CMS is proposing details relating to the implementation of the new policy, including payment rates.

CMS defines CCM as follows:

“Chronic care management services furnished to patients with multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline; 20 minutes or more; per 30 days”

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How to Insure Your Organization is Ready to Deliver the Home Care that Referal Sources Need
Pre-Conference on Saturday, October 18, 2014 at NAHC’s Annual Meeting

Sutter Center for Integrated Care faculty offer a one-day intensive, interactive, training session designed to solidify competencies for the successful implementation of the ICM-TOC program. The program will focus on person-centered, health literate care delivery and self-management support.

Specific competencies addressed by the course include:

  • Patient/family/ engagement – identification of patient needs, values, and preferences for care
  • Early identification of risk – screening for common barriers and interventions to mitigate risk
  • Medication management – with a strong focus on medication risk assessment and adherence
  • Multidisciplinary collaboration- highly functional team principles and effective care coordination
  • Leadership – creating a culture that is accountable for outcomes

NAHC Members get a $50 discount! Register today!

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