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NAHC Report: Issue# 2485, 8/11/2014
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Face-to-Face Letter Receives 62 Signatures
CARING Honors the 25th Anniversary of the ADA
For Your Information: FREE Hospice Teleconference on CMS’ Final Hospice Payment Regulations
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Face-to-Face Letter Receives 62 Signatures

Reps. Reed (R-NY) and Tonko (D-NY) recently 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. Thanks in large part to the advocacy efforts of NAHC members and its Forum of State Associations, the letter that will be sent to CMS Administrator Marilyn Tavenner counts 62 Members of Congress as signatories.

The letter that the above Members of Congress signed states that:

“We acknowledge that progress was made towards eliminating the required physician narrative as part of the Face-to-Face (F2F) requirement in the 2015 proposed HHPPS rule and support the inclusion of this provision in the final rule. However, concerns remain over the providers and patients whose claims are still being denied due to an insufficient physician narrative while they wait for the rule to be finalized. CMS signaled with the proposed rule that it intends to no longer enforce the physician narrative requirement.  Therefore, we urge CMS to suspend audits related to the physician narrative beginning with the date that the 2015 proposed HHPSS rule went on display (July 1, 2014).  Similarly, in light of the changes announced in the proposed rule, we urge CMS to establish a process that would allow providers to receive full reimbursement if a claim was previously denied for an "insufficient physician narrative."”

Congratulations to NAHC members in all the states that have gotten one or more of your House delegation to sign onto the letter.

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CARING Honors the 25th Anniversary of the ADA
CARING’s editor Lisa Yarkony offers in-depth history of this landmark legislation

Twenty-four years ago, 3,000 people gathered on the White House lawn to witness a historic act. The sea of faces focused on President George H.W. Bush as he made the world’s first declaration of equality for the disabled. “Three weeks ago,” he said, “we celebrated our nation’s Independence Day. Today, we’re here to rejoice in and celebrate another ‘independence day,’ one that is long overdue. With today’s signing of the landmark Americans with Disabilities Act, every man, woman, and child with a disability can now pass through once-closed doors into a bright, new era of equality, independence, and freedom.”

The new civil rights act, Bush went on to explain, was the work of a committed coalition. It included Democrats and Republicans, public officials and private citizens, members of the executive and legislative branches, both the able bodied and the disabled. What linked them was a dream and determination to make it come true. They also shared personal experience of disability and the recognition that the disabled deserved access to the mainstream of American life. There were too many people for Bush to thank them all as he signed the act into law but he did single out Senate minority leader, Kansas Republican, and disabled World War II veteran Bob Dole. “On a very personal basis,” Bush said, “Bob Dole has inspired me.”

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FREE Hospice Teleconference on CMS’ Final Hospice Payment Regulations
Teleconference held on August 13 at 1.00pm EST. First 300 registrants can participate

The National Association for Home Care & Hospice and the Hospice Association of America invite you to a FREE Hospice Teleconference on CMS’ Final Hospice Payment Regulations titled "What Do the CMS’ Final Hospice Payment Regulations for FY 2015 and Revised Hospice/Part D Guidance Mean to You?"

On May 2, CMS issued proposed regulations to govern hospice payment for Fiscal Year (FY) 2015; these proposed regulations included numerous policy changes that would affect hospice organizations. It is anticipated that CMS will issue final rules at any time and this teleconference provides an opportunity for hospice stakeholders to learn CMS’ final decisions on these pending policy changes. Additionally, on July 18, in response to significant pressure from hospice organizations, beneficiary advocates, and Medicare Part D plans, CMS issued revised guidance related to its prior authorization policy for processing of drug coverage under Part D for hospice patients. This teleconference will cover key issues related to CMS’ revised guidance. Faculty will include: Val J. Halamandaris, NAHC President; Theresa M. Forster, NAHC Vice President for Hospice Policy & Programs and Katie Wehri, Hospice Operations.

Date: Wednesday, August 13, 2014 at 1:00 p.m. Eastern

To Register: Please send an email to Cheryl Lee ( ). The first 300 to email will participate, members will be given priority. The call-in number is 1-888-637-7740; the conference code will be emailed prior to the call.

Questions: We encourage advance submission of questions from participants or submission while the teleconference is live on the date of the broadcast. Should your question(s) not be addressed in the call due to time constraints, we will highlight in NAHC Report. Send questions to Barbara Woolley, at

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