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:: NAHC Report
NAHC Report: Issue# 2496, 8/27/2014
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Hospice Diagnosis Reporting on Claims
Colorado Unveils New Olmstead Plan
For Your Information: Clinical Education Sessions at NAHC’s Annual Meeting
NAHC/Home Care & Hospice Events
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Hospice Diagnosis Reporting on Claims

On Friday, August 22, 2014, the Centers for Medicare & Medicaid Services (CMS) released Change Request 8877/Transmittal 3032: Hospice Manual Update for Diagnosis Reporting and Filing Hospice Notice of Election (NOE) and Termination or Revocation of Election. CR8877 provides instruction on systems edits that CMS will put in place for claims submitted on or after Oct. 1, 2014, that will return to provider (RTP) claims including a principal diagnosis that does not comport with ICD-9-CM coding guidelines and conventions. 

Under this change, claims - including any of the following - as a principal diagnosis will be subject to the RTP edit:

  • Debility
  • Failure to Thrive
  • Codes classified as “manifestation codes” in the Medicare Code Editor (V. 31.0 Oct. 2013)
  • Codes listed in Attachment A of CR8877

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Colorado Unveils New Olmstead Plan

Colorado recently released its new Olmstead plan entitled Colorado’s Community Living Plan: Colorado’s Response to the Olmstead Decision. In it, Colorado highlights the accomplishments that the state has made to date, and future plans for strengthening community living and health care. The plan sets out key goals and strategies for at least the next three years. The National Council on Medicaid Home Care – a NAHC affiliate - discusses key aspects of the Plan below.


Olmstead vs. L.C., a landmark Supreme Court case decided in 1999, suggested that a state could comply with Title II of the Americans with Disabilities Act if, among other things, it “were to demonstrate that it had a comprehensive, effectively working plan for placing qualified persons with mental disabilities in less restrictive settings.” In the wake of the Olmstead decision, many states developed such “Olmstead plans.” As of May 2013, twenty-seven states had Olmstead plans, with an additional eighteen states having alternative strategies.

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Clinical Education Sessions at NAHC’s Annual Meeting

This year’s Annual Meeting features track-specific education sessions, informative round table discussions and much, much more. Below are some of the sessions included in this year’s Clinical Track:

  • How to Prepare for Your Post-Acute Partnership: A Fresh Look at Reducing Avoidable Re-hospitalization
  • How to Incorporate Evidence-based Practices and Clinical Decision Support to Improve Outcomes and Agency Efficiency: The New EMR
  • How to Avoid the Risk and Defend your Reimbursement: Therapy Underutilization
  • How to Continue the Journey Through OASIS

Visit the NAHC website for full descriptions and to register for the this year’s Annual Meeting.

President & Chief Executive Officer

Strong Home Care Group, Inc. (SHCG) is the sole member of the certified agency Visiting Nurse Service of Rochester and Monroe County, Inc. (VNS) and of the licensed agency Signature Care (VNSC). In turn, VNS is the sole member of the licensed agency Finger Lakes Visiting Nurse Service, Inc. (FLVNS) and the licensed agency Finger Lakes Home Care, Inc. (FLHC). The combined agencies serve seven (7) counties  

Job Description:  Strong Home Care Group, Inc. seeks a dynamic, strategic, and visionary leader for the five corporations.  The President and CEO is accountable for assuring that home and community-based services meet the strategic needs of UR Medicine and aspire to set national benchmarks for patient outcomes, patient satisfaction and cost efficiency. 


  • Master’s degree in a health-related or business field. Must have 5-10 years of progressive experience in leadership management. 
  • Experience within a health system and/or academic medical center.
  • Demonstrated success as a visionary thinker with the ability to plan for the future and to execute action plans.
  • Expert knowledge of the home care and health industry. 
  • Knowledge of regulatory and The Joint Commission accreditation requirements.

Qualified candidates please send resume to:

Human Resources
2180 Empire Blvd.
Webster, NY 14580

Fax: 585-787-8369


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