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  NAHC Report: Issue# 2601, 2/9/2015
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CMS Proposes Cost Report Revisions for Hospital-based Hospices
CMS Holds Second Open Door Forum on Proposed Home Health Star Rating System
For Your Information: NAHC’s Recent Legal Victories & Your Business
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CMS Proposes Cost Report Revisions for Hospital-based Hospices

As part of efforts to secure more detailed data from hospice programs to support payment reform, the Centers for Medicare & Medicaid Services (CMS) has been revising cost reporting requirements for hospices.  The first set of revisions -- applicable to freestanding hospices -- significantly expanded reporting requirements and became effective with cost reporting years beginning on or after October 1, 2014.  

On February 6, 2015, CMS published notice in the Federal Register that proposed revisions to the Hospital/Hospital Health Care Complex Cost Report will be made available for review, and providing a 60-day period for submission of public comments on the changes.  After the 60-day comment period closes, it is expected that CMS will announce a second, 30-day public comment period. 

Once CMS has completed review of public comments, it will issue final revisions to the Hospital/Hospital Health Care Complex Cost Report as a regulatory transmittal.  The comment process will take a minimum of three months, although it could take several more months to complete. For freestanding hospices, for example, the time period for the cost report revisions from initial issuance until final release as a transmittal took approximately 16 months.

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CMS Holds Second Open Door Forum on Proposed Home Health Star Rating System

The Centers for Medicare & Medicaid Services (CMS) held its second Open Door Forum (ODF) call for the proposed five star rating system for home health agencies. The presenters reviewed the star rating system, the comments received from the previous an ODF call, the revised methodology for calculation, and the next steps in developing the star rating system.

CMS reviewed their initial plans to implement a five-star rating system for home health agencies (HHAs), similar to the system used for skilled nursing facilities. The plan was officially announced on an ODF call held back in December. During that call, CMS presented ten selected measures and a preliminary methodology to be used for the five-star rating system.  

Many of the comments CMS received from the initial ODF call were related to the selected measures, the methodology for calculating the star rating, and concerns regarding consumer interpretation of the rating system. Several comments addressed the robustness of risk adjustment and the request for CMS to issue changes through the rule making process.

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NAHC’s Recent Legal Victories & Your Business
2015 March on Washington Conference Panel Discussion

Hear about NAHC’s recent legal victories directly from the team that achieved them, and what they mean to you and your business.  NAHC has recently won two major victories for the home care and hospice community in Federal court. The first case helped to eliminate the “physician narrative” in the ACA’s Face-to-Face regulations while the second decision invalidated a rule promulgated by the Department of Labor that would have overturned established labor law by abolishing the companionship and live-in exceptions to the Fair Labor Standards Law and forcing employers to pay overtime for home care and hospice workers. While both of these victories are significant, there is speculation that the Federal Government will try to appeal either or both of these rulings.  NAHC has to keep up the fight against both the HHS and DoL to ensure that these rulings are not fleeting. Bipartisan members of Congress are standing by ready to introduce legislation that would shore up these victories for the long-term future.

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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