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  NAHC Report: Issue# 2598, 2/4/2015
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President’s Budget Includes Provisions for Home Health Copays, Additional Payment Cuts for Post-Acute Care Providers
CMS Allows for Resubmission of Some Hospice NOE/NOTRs to Correct Billing Errors
For Your Information: 2015 March on Washington Conference Program Now Available
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President’s Budget Includes Provisions for Home Health Copays, Additional Payment Cuts for Post-Acute Care Providers
Budget includes other proposals – bundling and value-based payments – impacting home health care

President Obama released his 2016 budget proposal earlier this week, laying out his agenda and legislative priorities for the coming year. Two of the provisions included in President Obama’s FY16 budget are similar to previous proposals that would be of great concern to the home health community. For more on NAHC’s position on these budget proposals, please see NAHC Report, February 3, 2015.

Specifically, President Obama’s budget once again calls for the introduction of a home health copayment - as well as further cuts to post-acute care providers, including home health care.

President Obama’s budget also includes provisions for a bundled payment program for post-acute providers, as well as value-based purchasing for post-acute care providers. The specifics of these four proposals are included below:

Implement Bundled Payment for Post-Acute Care Providers

Beginning in 2020, this proposal would implement bundled payment for post-acute care providers, including long-term care hospitals, inpatient rehabilitation facilities, skilled nursing facilities, and home health providers. Payments would be bundled for at least half of the total payments for post-acute care providers. Rates based on patient characteristics and other factors would be set so as to produce a permanent and total cumulative adjustment of -2.85 percent by 2022. [$9.3 billion in savings over 10 years]

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CMS Allows for Resubmission of Some Hospice NOE/NOTRs to Correct Billing Errors

Effective with the implementation of Change Request (CR) 8877, hospices are now required to submit a Notice of Election (NOE) for hospice patients admitted on or after October 1, 2014 within five days following the date of admission.  In instances where a hospice fails to file the NOE on a timely basis, payment will be denied for days of service prior to the Medicare Administrative Contractor’s (MAC’s) receipt and acceptance of the NOE.  Hospices are also required to submit a Notice of Termination/Revocation (NOTR) within five days following the date of live discharge, as well, but no penalty for late submission is being assessed at this time.

Since October, many hospices have failed to meet the NOE timely filing requirement because they have submitted NOEs that include errors. To correct NOE billing errors, hospices have been required to wait for the NOE to be returned to provider (RTP), after which a new NOE could be submitted.  In many cases, the systems time required to process the RTP has meant that a replacement NOE could not be submitted and accepted in time for the hospice to be in compliance with the five-day rule.

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2015 March on Washington Conference Program Now Available
Conference and Hotel Registration is Now Open

The nation’s capital is the heart of legislative activity that affects home care and hospice. That makes it the perfect place to raise awareness of the vital work we do. Together, we can deliver a unified message to those who make the policies that shape our business. Take advantage of this chance to lobby your lawmakers, connect with colleagues, and attend educational sessions led by experts in our field.

Conference Program
You may view the conference program here.

Registration Information
You may register using the Online Registration or print the Downloadable Registration Form and fax it to the phone number on the form. You may also call 202-547-7424 and register by phone.

Hotel Information: The Mayflower Renaissance Hotel, Washington, DC 
NAHC is hosting the 2015 March on Washington Conference in the splendid city of Washington, DC. Join us as we pursue a historic mission to make home care and hospice the center of health care in our country.

Standard room rate per night: $318.00 + tax (rate available until Friday, February 27, 2015)

To book hotel rooms online, click Online Reservations.

Number to call for room reservations: Toll Free: 1-877-212-5752

When making hotel reservations, please tell the agent that you are with the National Association for Home Care & Hospice March on Washington Room Block.

Director of Finance. VNA Care Network & Hospice, Inc., Southborough, MA

Reporting to the Chief Financial Officer/Chief Operating Officer the Director of Finance will oversee and actively participate in the accounting, budgeting, cost reporting, accounts payable, billing and cash flow systems of the Network and affiliates. BS Accounting required, MBA and CPA preferred. Minimum 4  years of experience in Home Health financial management and experience in personal computer spreadsheet applications.

Please forward your resume and cover letter with salary requirements to Ann Bohac, HR Recruiter VNA Care Network & Hospice at or visit our website at


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