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:: NAHC Report
  NAHC Report: Issue# 2914, 5/26/2016
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Tips for Getting Through the Second Round of Probe and Educate
House Panel Discusses Improving Cybersecurity Efforts at HHS
For Your Information: Communicating Organizational Change
Job Corner: 1) Home Health Executive Director; 2) Education Coordinator/HHA Department Manager
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Tips for Getting Through the Second Round of Probe and Educate

Well known to home health providers is that the first round of Probe and Educate has produced high denial rates related to the face to face (F2F) encounter requirement. The National Association for Home Care & Hospice (NAHC) has discovered that one area that has been particularly tripping up agencies is the F2F “encounter documentation form.” Many agencies developed such a form in order to comply with the F2F encounter regulations applicable prior to 1/1/2015 when a narrative describing the reason for homebound and skilled services was required.  Although these forms are no longer necessary, many agencies continue to use them. If agencies continue to use an “encounter documentation form,” it is important to understand how the form should be used in the context of the new F2F encounter requirements.           

One issue connected to use of the “encounter documentation form” is that some agencies mistakenly believe this form is the F2F encounter note. For Medical Review, the agency must be able to produce an actual F2F encounter note or discharge summary that includes the date of the encounter, is related to the primary reason for home health services, and has been  completed by an allowed practitioner (non- physician practitioner (NPP) or physician). There is no requirement for the note itself to include the reason for homebound or the need for skilled services. If the visit note does not include documentation to support homebound and skilled services, the physician’s medical record will be reviewed for information that supports eligibility for home health services.

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House Panel Discusses Improving Cybersecurity Efforts at HHS

The U.S. House of Representatives Energy & Commerce Subcommittee on Health held a hearing on Wednesday, May 25, 2016, to discuss the responsibilities at the U.S. Department of Health and Human Services (HHS) with regards to cybersecurity. Last year, the committee released a report stating that structural flaws at HHS have led to problems in the department’s information security efforts. Following up on the report’s findings, the hearing included discussion on H.R. 5068, the HHS Data Protection Act, introduced by Rep. Billy Long (R-MO) and Rep. Doris Matsui (D-CA), which would establish the Office of Chief Information Security Officer (CISCO) within HHS. This would involve elevating the HHS CISCO so that the position no longer reports to the HHS Chief Information Officer. Supporters of the legislation argue that the current organizational structure at HHS prioritizes information operations over information security.

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Communicating Organizational Change

This year’s FMC will be July 10-12 at the Red Rock Casino & Spa in Las Vegas, Nevada.  We hope to see you there!

FMC is the premier gathering of home health and hospice financial leaders.  It’s an opportunity to connect, explore, solve, inspire, learn, and advocate.  You’ll be surrounded by peers and over 200 vendors offering products and services designed to streamline your productivity and preserve your profits. 

The ability to foresee potential problems as well as opportunities and to convince organizations to respond is a critical leadership skill. At FMC 2016, you’ll learn the tools to address the change process, needs assessment for innovation, SWOT analysis, and how successful change leads to wins.

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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