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NAHC Report: Issue# 2482, 8/5/2014
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CMS Issues Final Hospice Payment Rule for FY2015
An Update on the Face-to-Face Dear Colleague Letter
For Your Information: How to Insure Your Organization is Ready to Deliver the Home Care that Referal Sources Need
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CMS Issues Final Hospice Payment Rule for FY2015

Late Monday, Aug. 4, the Centers for Medicare & Medicaid Services (CMS) issued a final rule governing hospice payment for fiscal year (FY) 2015.  The rule included final payment rate information and policy changes that become effective on Oct. 1, 2014, as well as a summary of public comments submitted earlier this summer and CMS’ responses.  For FY2015, the combined impact of market basket changes, legislatively-mandated reductions and wage index changes will net hospices an increase of 1.4 percent. 

Relative to key hospice policy changes, CMS was response to a number of industry comments.  While CMS is finalizing plans to impose timeframes for submission of the hospice notice of election (NOE) and a notice of termination or revocation (NOTR) if the hospice has not submitted a final claim, it has set the time frame at 5 days following the effective date of election or date of termination/revocation as compared with a proposed 3-day time frame.  CMS also finalized a proposal requiring hospices to calculate and file (along with any overpayment due) their aggregate cap determinations within 5 months of the close of the cap year but decided against requiring hospices to calculate their inpatient caps.  CMS also finalized its proposed requirement relative to inclusion of the patient or representative’s choice of attending physician on the hospice election statement (as well as documentation of a change in attending).  All of these changes are effective Oct. 1, 2014.

The National Association for Home Care & Hospice (NAHC) is conducting analysis of the final rule and will be providing additional coverage in future issues of NAHC Report.

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An Update on the Face-to-Face Dear Colleague Letter
NAHC members encouraged to contact their Representatives and urge them to support latest F2F letter. Deadline for signatures is August 7

NAHC Report recently announced that several Members of Congress circulated a Dear Colleague letter and a draft sign-on letter to CMS regarding the Medicare home health face-to-face (F2F) physician encounter requirements that continue to be a burden for home health providers.

Every member of the House of Representatives received copies of the Dear Colleague and draft CMS letter seeking relief from the onerous F2F documentation requirements, which was sent by sent by Representatives Tom Reed (R-NY) and Paul Tonko (D-NY).

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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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