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NAHC Report: Issue# 2554, 11/21/2014
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
New England Senators Send a Letter on Face-to-Face Issue to CMS Administrator Tavenner
CMS to Host a National Provider Call on the New F2F Encounter Requirements December 16, 2014
For Your Information: NAHC’s November 19 Web Event, “What Does the CMS Final Rule Mean to You” Now Available for Purchase
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New England Senators Send a Letter on Face-to-Face Issue to CMS Administrator Tavenner

Last week, nine senators representing New England states sent a letter to the Centers for Medicare and Medicaid Services (CMS) Administrator Marilyn Tavenner expressing growing concerns that home care providers in the region are having with CMS’ cumbersome face-to-face requirements.

The letter was signed by both senators from the states of Maine, New Hampshire, Vermont, and Massachusetts, and one of the senators from Connecticut. The letter, originated by Senator Kelly Ayotte (R-NH), crosses ideological and partisan lines with Democrats, Republicans and Independents alike signing the letter on behalf of the home care and hospice community in the Senators’ respective states.

The letter states that:

“Home health agencies in our states are being overwhelmed by a significant increase in medical review activity, with millions of dollars in payment denials related to physician face-to-face (F2F) documentation for medically necessary care to Medicare beneficiaries. Home health agencies in New England inform us that these reviews and payment denials, which they believe in many cases are unjustified, could jeopardize seniors’ access to home health care.

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CMS to Host a National Provider Call on the New F2F Encounter Requirements December 16, 2014

CMS recently announced a National Provider Call on the new F2F encounter requirements to be held on December 16, 2014. The National Provider Call will offer an overview of certifying patient eligibility for the Medicare home health benefit - including an overview of a new requirement for home health agencies to obtain documentation from the certifying physician's and/or the acute/post-acute care facility's medical record for the patient that served as the basis for the certification of patient eligibility.

This new requirement was finalized in the Calendar Year 2015 Home Health Prospective Payment System final rule, effective for home health episodes beginning on or after January 1, 2015. 

The CY 2015 Home Health Prospective Payment System final rule finalized a new patient certification requirement for home health agencies beginning January 1, 2015. During this National Provider Call, CMS subject matter experts discuss the changes to the Medicare home health benefit, followed by a question and answer session.

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NAHC’s November 19 Web Event, “What Does the CMS Final Rule Mean to You” Now Available for Purchase

NAHC’s recent web event, “What does the CMS Final Rule Mean to You,” is now available for purchase. The interactive web event offers unique insight into CMS’ 2015 Medicare Home Health Prospective Payment System Rate Update, and how home care and hospice agencies can best be prepared for the changes included in the 2015 HHPPS.

Even those who were unable to attend the live web event are eligible to purchase the recording. Please click here to download the right to view the recorded live event, which includes a complete analysis of the CMS final rule with video and slides prepared by NAHC staff.

The recorded live web event is now available for viewing for 30 days or until December 22, 2014.

Click here to purchase the right to view the recorded web event.

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