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:: NAHC Report
 
  NAHC Report: Issue# 2625, 3/18/2015
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
PEPPER to be available for Home Health Agencies
Senators Criticize Meaningful Use Program over Interoperability Issues and its Failure to Enable Providers to Adopt EHR
For Your Information: NAHC’s Legislative Hotsheets Now Available
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PEPPER to be available for Home Health Agencies
NAHC Cautions Policy is “Inadvisable”

Beginning July 2015, Home Health Agencies (HHAs) will have a *free* new tool available to help them to assess their risk for improper Medicare payments. TMF® Health Quality Institute is developing a new Program for Evaluating Payment Patterns Electronic Report (PEPPER) for HHAs.

PEPPER is an educational tool available to providers to help them proactively monitor their claims and work to prevent improper Medicare payments. PEPPER summarizes an HHA’s Medicare claims data in areas that may be at risk for improper Medicare payments. It compares the HHA’s statistics with aggregate statistics for the nation, Medicare Administrative Contractor (MAC) jurisdiction and the state. If a provider’s statistics are at/above the national 80th percentile the provider is identified as an “outlier” and may be at risk for improper Medicare payments. PEPPER cannot identify the presence of improper payments.

As the regulatory focus on improper Medicare payments becomes more intense for HHAs, this free comparative data report can help providers identify when their billing statistics differ from most other HHAs for these six target areas.

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Senators Criticize Meaningful Use Program over Interoperability Issues and its Failure to Enable Providers to Adopt EHR

This week, the U.S. Senate Health, Labor, Education, and Pensions (HELP) Committee convened a hearing titled, “America’s Health IT Transformation: Translating the Promise of Electronic Health Records into Better Care.” During the hearing, several senators emphasized problems within the meaningful use program, which was enacted as part of the Health Information Technology for Economic and Clinical Health Act in the 2009 Stimulus bill.

The meaningful use program set the criteria for meaningful use of electronic health records (EHR) and established incentives for qualifying providers. It also established penalties for failure to the achieve standards. Unfortunately, the program excludes certain providers, such as home care and hospice providers, from receiving the incentives.

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NAHC’s Legislative Hotsheets Now Available
Hotsheets serve as an important tool to quickly learn about the most important issues affecting the home care and hospice community

NAHC’s Office of Legislative Affairs recently released the Legislative Hotsheets for 2015. The Hotsheets will be used by home care and hospice advocates during the March on Washington. They are designed to help advocates prepare for legislative visits and can also be used as handouts during this year’s March.

They also serve as good primers on the most pressing current issues for the home care and hospice community.

The Legislative Hotsheets are:

Medicare

Medicaid

Hospice

Private Pay

Technology

To learn more about the March on Washington, and to register to attend, please click here.  
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