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:: NAHC Report
 
  NAHC Report: Issue# 2614, 3/3/2015
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
CMS Releases Spreadsheet, Instructions for the Self-Calculation of Aggregate Cap for Hospices
NAHC’s Vice President of Technology Policy Delivers Presentation at Briefing for Congressional Staff
For Your Information: Hear Leading Voices in Congress Talk About the Importance of Homecare and Hospice at the March on Washington’s Tuesday Senate Breakfast and Wednesday House Breakfast!
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CMS Releases Spreadsheet, Instructions for the Self-Calculation of Aggregate Cap for Hospices
Hospices Must Submit Calculation by March 31

A provision of the FY2015 final hospice payment rule requires that, beginning with the 2014 cap year, each hospice must self-calculate its aggregate cap and submit it to its Medicare Administrative Contractor (MAC) within five months of the close of the cap year (along with any associated overpayment) or risk suspension of payment.   A final determination of a hospice’s aggregate cap liability will be calculated by the hospice’s MAC at a later date.  On March 2, the Centers for Medicare & Medicaid Services (CMS) released the long-awaited spreadsheet and instructions for use by hospices for self-calculating their 2014 aggregate cap. 

Release of the cap self-calculation spreadsheet had been delayed as CMS and the Department of Health & Human Services (HHS) resolved the most appropriate method for addressing the 2% sequester as part of the overall cap determination.  CMS is not requiring that a hospice take the sequester into consideration as part of its initial cap self-calculation; rather, the hospice’s MAC will incorporate the sequester as part of the final cap liability determination at a later date. 

Hospices should anticipate that their MACs will be circulating the pro-forma spreadsheet and instructions for self-calculation of the aggregate cap in the very near future, along with specifics as to where hospices should send their cap spreadsheets and any overpayment.  In order to complete the spreadsheet, hospices must secure information from the Provider Statistical & Reimbursement Report (P S & R) system.  However, since late January CMS has been transitioning the P S & R application from the IACS system to the EIDM system; throughout this time period providers have been unable to register to secure access to the P S & R, so unless a hospice was in active status prior to the beginning of the transition, it cannot gain access to the P S & R application at this time.

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NAHC Urges its Members to Contact their Lawmakers and Ask them to Support the Home Health Care Planning and Improvement Act
Bipartisan legislation, recently introduced in the Senate and anticipated to be introduced in the House in the coming days, will allow nurse practitioners, physician assistants and others to sign home health plans of care

Last week, Senators Susan Collins (R-ME) and Chick Schumer (D-NY) reintroduced the Home Health Planning and Improvement Act of 2015 (S.578). The bill seeks to allow health care professionals other than physicians to sign home health plans of care and is identical to legislation that was introduced in the last Congress.

It is anticipated that a companion bill will be introduced in the House with bipartisan support in the coming days. NAHC strongly supports this legislation, and encourages all of its members to contact their lawmakers and urge them to support this legislation.

Non-physician health care providers are increasingly providing necessary medical services to Medicare beneficiaries, especially in rural and underserved areas. NPs, CNSs, CNMs, and PAs in rural or underserved areas are sometimes more familiar with particular cases than the attending physician, so allowing them to sign orders may be most appropriate.

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Hear Leading Voices in Congress Talk About the Importance of Homecare and Hospice at the March on Washington’s Tuesday Senate Breakfast and Wednesday House Breakfast!

This year, attendees to NAHC’s March on Washington will be able to hear from leading home care and hospice advocates from both the House of Representatives and the Senate.

These breakfasts will bring together some of the leading voices in Congress. Come hear their perspectives on the 2015 legislative agenda, receive guidance on how home care and hospice providers can more effectively advocate for their patients and employees, and show appreciation to those who have worked so hard on our behalf in recent years.

Congressional breakfasts routinely rank as the highlight of the March on Washington, and this year’s is not to be missed.

The March on Washington is being held March 22 – 25 at the historic Mayflower Renaissance Hotel in Washington, DC.

To register to attend the March on Washington, please click here.

To learn more about this year’s March on Washington, please click here.

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