Skip to Main Content
National Association for Home Care & Hospice
Twitter Facebook Pintrest
:: NAHC Report
NAHC Report: Issue# 2538, 10/29/2014
Follow us on:     
HHS Holds Forum on Medicare Appeals Backlog
New Hospice Information Posted to the CAHPS Website
For Your Information: NAHC members have been extended an invitation to a new webinar on the recently passed IMPACT Act
NAHC/Home Care & Hospice Events
Job Corner
Email Center

Manage Your Account Contact the Editor Ensure Delivery Advertise in NAHC Report

HHS Holds Forum on Medicare Appeals Backlog

The Office of Medicare Hearings and Appeals (OMHA) at the US Department of Health and Human Services held its second forum to review the status of its efforts to reduce the huge backlog of pending appeals before Administrative Law Judges (ALJ) that has crippled the system. In late December 2013, OMHA revealed that it had suspended the assignment of cases to ALJs because of the mounting backlog. At that time over 600,000 appeals were pending assignments to ALJs and OMHA indicated that the suspension on case assignments would last at least two years. The status report at today’s forum painted an even worse picture despite incredible efforts by OMHA to add resources and reach new heights of efficiency.

Presently, the average processing time following assignment of an appeal to an ALJ is 514 days in contrast to the 90-day requirement under Medicare law. That does not show a full picture, as it does not include the wait time prior to case assignment - a tenure that is expected to exceed two years.

 Additionally, the case backlog now exceeds 900,000. With each ALJ team expected to clear 1,000 cases annually, there is no way that the backlog can be significantly reduced without major new resources, alternative resolution processes, or a dramatic change in the volume of claim denials entering the system every week. OMHA recently added seven new ALJ teams in a new office in Kansas City. That office has a proposed budget of 18 teams in the FY 2015 budget of the President. At best, increasing the ALJs by another 11 puts nothing more than a tiny dent in the ever-increasing backlog.

:: Read Full Article

New Hospice Information Posted to the CAHPS Website

The following information was recently posted to the Hospice CAHPS website.  Specifically, hospices are required to submit a form to RAND Corporation by May 1, 2015, that authorizes the approved CAHPS Hospice Survey vendor that the hospice has entered into an agreement with for administration of the CAHPS Hospice Survey. 

Additionally, CMS has posted information about establishing access to the CAHPS Hospice Survey Data Warehouse for both the hospice and its selected vendor.

More details about these issues is provided below:

CAHPS Hospice Survey Vendor Authorization Form

Hospice agencies must authorize an approved CAHPS Hospice Survey vendor to submit data on their behalf for the 2015 administration of the CAHPS Hospice Survey. In order to authorize a survey vendor, a hospice representative must complete the CAHPS Hospice Survey Vendor Authorization Form and submit it to the RAND Corporation by May 1, 2015.

:: Read Full Article

NAHC members have been extended an invitation to a new webinar on the recently passed IMPACT Act
The IMPACT Act is new legislation that will lead to a uniform post acute care patient assessment process

The webinar faculty includes Lisa Graebert from the House Ways and Means Committee. Lisa was one of the authors of that legislation. Registration details are below.

Join the webinar to learn what the IMPACT Act means for your organization!  You will hear from Lisa Grabert at the US House of Representatives on the Ways and Means Committee, and Barbara Gage and Kelsey Mellard both at the Post-Acute Care Center for Research.  This webinar is intended for all PAC providers, administrators, payers, techies, and other health reform enablers!

Title: The IMPACT Act. What does it mean to you?

Date: Tuesday, November 4, 2014.

Time: 12:00pm – 1:00pm EST

After registering you will receive a confirmation email containing information about joining the Webinar.

Space is limited. Reserve your Webinar seat now here.

©  National Association for Home Care & Hospice. All Rights Reserved.