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:: NAHC Report
  NAHC Report: Issue# 2924, 6/10/2016
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MedPAC Submits Comments on FY2017 Proposed Rule on Hospice Payment, Quality
CMS to Host Special Open Door Forum on Pre-Claim Review Demonstration for Home Health Services
For Your Information: How to Avoid Risk while Meeting Care Needs: Getting Hospice GIP and Continuous Care Right!
Job Corner: 1) Executive Director, VNAs of Vermont; 2) Director, Hospice, OSF Healthcare
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MedPAC Submits Comments on FY2017 Proposed Rule on Hospice Payment, Quality

In late May, the Medicare Payment Advisory Commission (MedPAC) submitted comments to Andrew Slavitt, Acting Administrator of the Centers for Medicare & Medicaid Services (CMS) on CMS-1652-P: Medicare Program; FY 2016 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements. The comment letter is available online here. MedPAC focuses the bulk of its comments on proposed hospice quality measures and related initiatives, on CMS’ plans to monitor the impact of payment reform, and on urging that CMS aim program integrity efforts at aberrant patterns of care by some hospice providers.

MedPAC’s letter references the two new quality measures -- the two-part (paired) measures related to visits in the final days of life and the composite measure aggregating performance across the seven existing Hospice Item Set (HIS) measures -- as well as CMS’ plans to create a hospice assessment instrument that would include the current HIS measures. MedPAC expresses support for the proposed new measures, and is particularly supportive of the “paired” measures related to visits at the end of life. Despite MedPAC’s expressed support, its letter cautions that it is better to have a smaller number of “meaningful quality measures,” and advises that CMS continue to assess existing measures, eliminate those that no longer provide value, and consolidate measures where possible as the hospice quality program evolves. MedPAC also articulates strong support for the development of outcomes measures for hospice, as well as measures indicating live discharge rates.

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CMS to Host Special Open Door Forum on Pre-Claim Review Demonstration for Home Health Services
Tuesday, June 14; 2:00 p.m. – 3:00 p.m. Eastern Time

The Centers for Medicare & Medicaid Services (CMS) has announced it will host a Special Open Door Forum (ODF) call regarding the Pre-Claim Review Demonstration for Home Health Services.

As previously reported in NAHC Report, CMS posted in the Federal Register  a Notice announcing a 3-year Medicare pre-claim review demonstration for home health services in the states of Illinois, Florida, Texas, Michigan, and Massachusetts where there have been high incidences of fraud and improper payments for these services.

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How to Avoid Risk while Meeting Care Needs: Getting Hospice GIP and Continuous Care Right!
Web Event: Tuesday, June 21, 2016, 1:00 PM – 2:30 PM Eastern

Program Description:

As part of the Medicare participation agreement, hospices commit to having general inpatient acute care (GIP) and continuous home care (CHC) available when patient need dictates that one of these levels of care is appropriate. Research findings of the Centers for Medicare & Medicaid Services (CMS) and the Office of the Inspector General (OIG) have raised serious concerns about potential misuse of GIP — including both inappropriate use when patients are not eligible as well as instances where hospices do not have GIP available in the event that a patient may need it. These concerns have only intensified with the findings from data gathered for use in hospice payment reform efforts. CMS is also closely watching utilization trends in continuous home care (CHC). Given that CHC and GIP are under intense scrutiny, it’s time to ensure that your use of these levels of care “syncs” with the applicable regulations. As a special bonus, attendees will receive a GIP Audit Tool for use in their agency.

Program Objectives:

  • Review the CMS regulations for the GIP and CHC levels of care
  • Discuss the similarities and differences between general inpatient care and continuous care
  • Identify patient eligibility criteria and expected documentation for each level of care
  • Discuss barriers to the use of GIP and CHC
  • Share applicable scenarios for utilizing each level of care

Panel of NAHC Experts:

  • Katie Wehri, CHC, CHPC, Hospice Operations Expert, NAHC
  • Susan Garcia Strauss, Chief Compliance Officer, HopeHealth, Hyannis, MA
  • Rich Chesney, President and Founder, Healthcare Market Resources, Dresher, PA


Live Event plus Recording: Members -$150, Non-members - $300

Recording Only: Members -$150, Non-members - $300

Click Here to Register!

Executive Director, VNAs of Vermont

The VNAs of Vermont is a membership organization of ten not-for-profit Visiting Nurse Associations in Vermont. The purpose of this organization is to increase knowledge of and to develop, improve, and expand the quality of community based home health and hospice care in Vermont. This is done through fostering collaboration and cooperation amongst member agencies and partner organizations and programs, education, leadership and public policy and advocacy.

The Executive Director is a dynamic leader who creates vision and strategically executes a plan to the membership organizations:

  • Works in conjunction with the Board of Directors to prioritize initiatives, issues, and presents to legislators or state officials
  • Possess knowledge of health care reform, accountable care organizations and health care provider systems in conjunction with home health and hospice’s role in the delivery of health services
  • Demonstrates skills as an effective and persuasive communicator, negotiator and motivator
  • Demonstrates creative thinking and innovative capabilities for and with the members.

To apply, forward cover letter, resume, and salary expectations to Sandy Rousse, VNAVT President:, or by mail: CVHHH/VNAs of VT ED Search, Attn: Sandy Rousse, CEO, 600 Granger Road, Barre, VT 05641.

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

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