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:: NAHC Report
 
  NAHC Report: Issue# 2746, 9/11/2015
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
Cost Report Update for Provider-based Hospices
CMS Revises SOM Manual for Consistency with the Program Integrity Regulations
For Your Information: The Largest Home Care and Hospice Marketplace in the World!
Job Corner: VNA Care Network & Hospice, Inc.
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Cost Report Update for Provider-based Hospices
Home Health Cost Report Changes Pending

The Centers for Medicare & Medicaid Services (CMS) is in the process of modifying all cost reporting forms and instructions used by hospice organizations to include reporting of costs by level of care. These changes are significant and require expansion of data collection efforts and modification of a hospice’s chart of accounts to ensure costs are attributed in detail to the appropriate level of care. The first cost reporting forms and instructions that CMS modified to reflect these changes are applicable to freestanding hospice organizations and became effective for cost reporting years beginning on/after October 1, 2014. See previous NAHC Report coverage here, here, here and here.

In more recent months, CMS has requested public comment on identical revisions to cost reporting forms and instructions for hospital (form CMS-2552-10) and skilled nursing facility (SNF)-based hospices (form CMS-2540-10). The hospital-based hospice forms/instructions have gone through an initial public comment period and we are awaiting a second opportunity for comment. CMS has requested public comment twice on the SNF-based hospice forms/instructions; the second comment period for the SNF-based hospice changes ends at close of business on September 11, 2015. Relative to the second round of the SNF cost report changes, CMS posted an earlier version of the instructions and neglected to post the forms; they are in the process of correcting the posting on the website.

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CMS Revises SOM Manual for Consistency with the Program Integrity Regulations

The Centers for Medicare & Medicaid Services (CMS) has revised section 2185 of the State Operations Manual (SOM) to specify when an existing HHA intends to move from its surveyed and certified location to a new site or location that is within the current approved geographic area, it notifies its Medicare Administrative Contractor (MAC) within 90 days of the move. Prior to the change, the SOM required home health agencies to notify their MAC within 30 days. The revision to the SOM is consistent with the Medicare’s provider enrollment regulations that require a 90 day notification for changes in location for HHAs.

When an existing HHA intends to move from its location to a new site or location that is within the current approved geographic area, the agency notifies its MAC within 90 days of the move, and submits an amended 855A. The MAC reviews the information and makes a recommendation to the RO. The RO then makes the final decision to approve the change of location. If a decision can be made on the written application and supporting documentation, CMS may grant or deny an approval without requiring an onsite survey.

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The Largest Home Care and Hospice Marketplace in the World!

Register Today!

NAHC’s Annual Meeting, October 28-30 in Nashville, Tenn., is approaching quickly! We’re proud to bring together not only thought leaders and innovators for our panel discussions and education sessions, but also to our Expo, the largest home care and hospice marketplace in the world.

This year’s Expo is expected to feature nearly 200 specialists and vendors who understand the issues and challenges agencies are facing, and are there to talk with you about solutions. The conference includes 7.5 hours of time, including meals, set aside exclusively for attendees to spend in the Expo, networking with exhibitors.

The array of regulatory and other issues facing home care and hospice, such as changes with the OASIS-C1 data sets and the ICD-10 Coding Manual, adjustments in HHCoP’s and their QAPI requirements, and developments in telehealth regulation, can be tricky to navigate. The Expo at NAHC’s Annual Meeting is the best way to explore potential vendors and specialists who can help you address real problems in your business and care more effectively for your patients.

REGISTER NOW: Join us in “NAHCville” Tennessee, October 28-30!

  • Take an active role in bringing solutions back to your agency.
  • Network with experts about services and products making a real difference.
  • Gain valuable skills to make home care and hospice a better industry.

The Meeting begins at 4:30pm on October 28 for our first education session, so make plans to arrive on Wednesday and stay through the closing party on Friday, October 30.

Booking your hotel and registering for the conference is just one click away.

Remember, special rates at the Gaylord Opryland expire on September 28, 2015!

Visit www.nahc.org or follow us on Twitter at @OfficialNAHC for the latest updates on our session topics, exhibits, and faculty.

VNA Care Network & Hospice, Inc. Southborough, MA

Reporting to the Chief Financial Officer/Chief Operating Officer the Controller 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 and CPA required.  Minimum 3-5 years of experience in health care financial management. Home Care experience preferred.

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

 

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