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:: NAHC Report
  NAHC Report: Issue# 2913, 5/25/2016
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Bipartisan Group of House Members Ask Medicare to Rescind Its Prior Authorization Proposal
HHS Preparing Ransomware Guidance for Health Care Organizations
For Your Information: Achieving Successful Clinical and Financial Collaboration at Your Agency at FMC 2016
Job Corner: 1) Home Health Executive Director; 2) Education Coordinator/HHA Department Manager
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Bipartisan Group of House Members Ask Medicare to Rescind Its Prior Authorization Proposal

A bipartisan group of House members led by Congressman Tom Price (R-GA) and James F. McGovern (D-MA) sent a letter to Department of Health and Human Services Secretary Sylvia Mathews Burwell and Centers for Medicare & Medicaid Services Administrator Andrew M. Slavitt calling for the withdrawal of the recently proposed use of prior authorization for all home health claims in five targeted states. The letter’s sponsors were joined by a diverse group of House members totaling 116 signers of the letter.

The House letter strongly states, “[w]e encourage you to refrain from moving forward with the proposed demonstration project in order to avoid delays or disruption in patient care and prevent restrictions on patient access to home health services.” Stating that prior authorization will interfere with the patient-physician relationship, the House members raise concerns that it “will effectively delay and deny home health care coverage for countless Medicare beneficiaries” and create an “unwarranted disruption and delay in patient care [that] will put the oldest and frailest Medicare beneficiaries at greatest risk.”

The House letter adds that there are concerns regarding “costlier hospital stays” and increased hospital readmissions along with “increased administrative burdens on both physicians and home health agencies, while likely adding little value for identifying and preventing fraud.” The 116 members of Congress also are critical that “[r]ather than a more focused approach targeting bad actors, this proposal will put a tremendous administrative burden on agencies with absolutely no track record of fraud.”

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HHS Preparing Ransomware Guidance for Health Care Organizations

The U.S. Department of Health and Human Services Office for Civil Rights recently announced that it is working on guidance for future release to help health care providers prepare for and prevent ransomware attacks. The remarks were made by Deven McGraw, deputy director for health information privacy, during a recent cybersecurity panel.

According to a subsequent interview with Bloomberg BNA, Ms. McGraw said that the guidance will provide clarification with regards to when a ransomware attack is considered a “breach” so that health care organizations know when to report the incident and notify patients.

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Getting a Seat at the Integrated Health Care Table — A Peek into FMC 2016

On July 10-12, 2016, the Home Health Financial Managers Association, in partnership with NAHC, will be conducting their Financial Managers Conference.  FMC is the best opportunity during the year to connect with other industry leaders looking to stay ahead of the curve.  Not only does FMC bring you educational choices, but you also have the chance to connect with over 200 vendors specializing in home health products and services to streamline your business. We hope you’ll join us at the Red Rock Casino & Spa in Las Vegas to attend!

Home health and hospice agencies find that their ability to get referrals is affected by the senior management of referring organizations, such as hospitals, health systems, ACOs/bundle conveners, and MCOs.  Changes in regulations, legislation, and the business of health care delivery put these referral sources at financial risk because of the performance of downstream providers.  Discuss what will matter to this new audience in distinguishing your organization from the competition at FMC 2016.

Learn more about FMC 2016!  See the conference program and schedule here.

Register for discounted attendee hotel rates at the Las Vegas Red Rock Casino & Spa and the conference itself here.

Director, Hospice

OSF Healthcare “More than a Career … A Calling”

OSF Healthcare has a Director, Hospice opportunity available in our hospice division, located in Peoria, IL. The responsibilities would include supervision and operational oversight of hospice operations in all regions and for the clinical care and non-clinical services delivered to patients with twenty-four hour accountability for patient care and operations of the hospice division. Candidates must have a current RN license and bachelor’s degree. Three years of management/supervisory experience and hospice experience preferred. OSF Healthcare offers excellent benefits and compensation.

Inquires can be directed to or please apply online at

Home Health Executive Director

Certified Home Health Agency operating in the Kansas City metropolitan area is seeking an Executive Director.  Organization has been part of the Kansas City community for over 30 years and is affiliated with a hospital system within the community.  Strong outcomes, financial performance and tenured staff.  Opportunities for growth and development of additional business models present.  Excellent opportunity for someone wanting to live in a culturally diverse city, with major sports teams, theatre, great seasonal weather and wonderful neighborhoods and school districts. 


The position provides direction, planning, and oversight for the entire organization and must have strong knowledge of the Conditions of Participation, Federal and State laws and Medicare program requirements. Strong leadership skills, computer skills and clinical expertise a must. Qualified candidate will be able to move the organization forward into new service areas, new programs and new technologies.

Education & Experience

  • Bachelors Degree Nursing, Masters in nursing or Business Administration preferred.
  • A minimum of 5 years’ experience in Management or executive level in home health agency preferred.
  • Knowledge of corporate business management including budget development and monitoring, market analysis and strategic planning, and licensure and/or regulatory compliance
  • Experience with McKesson software preferred.
  • Current and valid RN License in Missouri and Kansas

For more information, contact: Jenifer Bellamy, 909.625.8275,

Education Coordinator/HHA Department Manager

Our Education Coordinator meets the needs of our employees by providing for educational experiences needed to ensure a competent workforce. The Education Coordinator identifies the educational needs of our employees and meets those needs with the most appropriate methods including, but not limited to, one-on-one education, in-servicing, external conferences, joint visits, workshops and other activities. The right candidate will understand the role of each member of the agency, how those roles intersect and complement each other, and what is needed to have each employee capable of performing his or her role competently. The ability to analyze trends and performance improvement opportunities is essential. Oversight of the Home Health Aide Department is also an essential part of this position’s responsibilities. Performing home visits based upon patient and agency needs is also included.

Requires NJ RN, BSN or equivalent experience and actively pursuing BSN, minimum of 3 years certified home care experience, including 1 year instructional experience or 1 year supervisory experience. OASIS-C certification is preferred. Excellent interpersonal and communication skills, and strong organizational skills are required.

For consideration send your resume to

Visiting Health Services of New Jersey, Inc.
783 Riverview Drive
Totowa, NJ 07511

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