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  NAHC Report: Issue# 2809, 12/16/2015
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Senate Finance Committee Chairman and Ranking Member Introduce Bill to Reduce Medicare Appeals Backlog
Private Duty Conference Spotlight: Marketing Education Session
For Your Information: 2016 Private Duty Home Care Conference
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Senate Finance Committee Chairman and Ranking Member Introduce Bill to Reduce Medicare Appeals Backlog

On Wednesday, December 9, United States Senate Finance Committee Chairman Orrin Hatch (R-UT) and Ranking Member Ron Wyden (D-OR) introduced the Audit & Appeals Fairness, Integrity, and Reforms in Medicare (AFIRM) Act of 2015 (S. 2368), legislation designed to improve the Medicare audit and appeals process, and reduce the backlog of hearings and appeals.

The backlog of appeals is having an adverse effect on beneficiaries and providers. Under Medicare law a decision must be issued by a Medicare Administrative Law Judge (ALJ) within 90 days following the filing of an appeal by the Medicare beneficiary or provider. However, the appeal system is backlogged with nearly 900,000 appeals pending review before a handful of ALJs. With stepped up claims reviews in all provider sectors in Medicare, the number of appeals has increased exponentially. Despite efforts by the Office of Medicare Hearings and Appeals (OMHA) to expand the number of ALJs and achieve greater efficiencies in processing appeals, with 14,000 new appeals filed every week, a decision on any current ALJ appeal is over a year away.

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Private Duty Conference Spotlight: Marketing Education Session

The 2016 Private Duty (PD) Conference will include the education session, “Marketing Your Agency: Best Practices and Processes.” The lead faculty for the session is Melanie Stover, President/COO of Home Care Sales by Power Shot Training, who described the value of the session and the issues it will address.

“Often I see PD firms that do not have a dedicated sales representative out in the field,” Stover said. “The desire of each agency I work with is to serve more patients and grow. This goal can be achieved through the creation of a consistent process of communicating with other health care professionals that serve our clients. The owners and care managers are key to the success of developing a communication methodology that supports the clients care and other health care professionals.”

Stover said the session will especially benefit owners and care managers. “They will gain a clear pathway to systematize their communication with other professionals that touch the lives of their clients,” she said. Increased and improved communication allows for “a deeper relationship with our care partners (other care professionals” and results in “more referrals from our care partners.”

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2016 Private Duty Home Care Conference

At the Private Duty Home Care Conference, you’ll participate in education sessions on marketing and operations tactics, financial acuity, staff recruitment and retention, and more. You’ll hear from leaders and experts at lectures, roundtables, panel discussions, and more. You’ll learn from success stories and pioneering strategies with statistical analysis, data-driven forecasting, improvement studies, and more. Our conference faculty will guide you through legal and regulatory changes. We value what Private Duty brings to the industry and we support your business achievements.

The Private Duty Home Care Conference will feature one-and-half days of speakers, education sessions, and networking opportunities in charming Charleston, South Carolina where you’ll enjoy special rates at the Doubletree Hotel in the heart of the Market District. Reserve your room now to take advantage of our special low rate of $159 while rooms are still available.

This conference is where you can get real solutions to real issues. So, together we can make real progress.

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