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NAHC Report: Issue# 2525, 10/10/2014
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Recent CMS Changes and Revisions for Hospices
CMS Extends Exceptional Circumstance Exemption for Hospice Employment of Nurses
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Recent CMS Changes and Revisions for Hospices

CMS recently issued Transmittal 123 – Revisions to State Operations Manual For Home Care and Hospice. The revisions affect Chapters 1, 2 and 3 of the Manual. CMS additionally also recently released Change Request 8501 – Instructions to MACs for Defending Medical Review Decisions.

What the new revisions and change request mean for hospices is detailed below.

Revisions to State Operations Manual Impacting Home Health and Hospice

CMS recently released Transmittal 123, Revisions to State Operations Manual (SOM) Chapters 1, 2, and 3.  The revisions do impact both home health and hospice but are only updates in the SOM to reflect current policies and procedures concerning home health and hospice agencies deemed to satisfy participation requirements on the basis of their accreditation by a CMS-approved Medicare accreditation program; reflect current regulations governing determination of the effective date of the Medicare agreement/supplier approval; and clarify the type of subsequent survey required when an initial applicant for participation in Medicare has been denied initial certification based on an initial survey findings.  There is no new information in the revisions.

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New ACA Employer Mandate Survey Activated
Call for Survey Responses Goes Out Nationwide

The employer mandate responsibilities In the Affordable Care Act are scheduled to take effect on January 1, 2015. Employers of 100 or more full-time equivalent employees (FTEs) will be required to either offer a qualified health plan to all their full-time employees or face a potential financial penalty. For purposes of this law, a “full-time employee” is an individual who works 30 hours or more per week. The Internal Revenue Service (IRS) has determined that the requirement will be applied on a monthly basis using 130 hours per month as the standard for full-time.

For employers of 50-99 FTEs, the mandate takes effect on January 1, 2016.

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Adam Darkins, MD, MPHM, FRCS, Senior Director, Enterprise Technology Solutions, Medtronic, Inc. Just Confirmed as a General Session Speaker
Dr. Darkins will address the 2014 NAHC Annual Meeting & Exposition in Phoenix Convention Center, Phoenix, AZ, October 19 – 22, 2014

Adam Darkins, MD, MPHM, FRCS, Senior Director, Enterprise Technology Solutions, Medtronic, Inc. will address the attendees at NAHC’s Annual Meeting and Exposition on Wednesday, October 22 at 8:30am.

Learn from a leading physician about the convergence of medical devices and connected care technologies and the role it can play in improving patient management. Dr. Adam Darkins will give his unique perspective on the future of healthcare with enhanced patient management facilitated by technology-enabled solutions. It’s a subject on which Dr. Darkins has extensive expertise since he leads the development of Medtronic’s Enterprise Health Service strategies pioneering work in this area. He serves as the executive thought leader and is responsible for Integrated Health Services strategy development and execution.

Dr. Darkins is the former leader of the National Telehealth Programs for US Department of Veterans Affairs (VA). Under his leadership VA developed the clinical, technology and business underpinnings to successfully implement and sustain enterprise-wide telehealth-based services that have demonstrably improved access to care for patients, reduced utilization of health care resources and are associated with very high levels of patient satisfaction. His work resulted in over 600,000 patients receiving telehealth-based care annually on dedicated national platforms, making VA a recognized national/international leader in the field. He envisioned VA's clinical enterprise videoconferencing network, a national telehealth platform with over 4,500 clinical videoconferencing end points providing services linking 151 VA hospitals, 600 community based outpatient clinics and offering IP-based video services directly into patient's homes.

Registered Nurses and Hospice Staff

Renown Health, based in Reno, Nevada, is looking for experienced, supportive Registered Nurses and hospice staff.

In keeping with our commitment to providing compassionate and continuum care at every stage of life, we are opening Renown’s first-ever hospice program and we're looking for experienced RNs and hospice staff with at least two years of prior hospice experience.

Renown Health is northern Nevada’s largest integrated health network and a nationally recognized healthcare leader. Based in Reno, Renown serves a 17-county region comprised of northern Nevada, Lake Tahoe and northeast California. The Reno-Tahoe region holds a range of lifestyle options that spans from downtown Reno to the shores of Lake Tahoe. With over 300 days of sunshine annually, it’s easy to understand why so many people choose to explore the natural beauty of our region. Experience as much or as little as you want as you thrive in our small-town feel and friendliness and all the financial benefits that come from a state with no state income tax.

Learn more at: or contact Anne Larson, Recruiter, at 775-982-6306. EEO/M/F/V/D


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