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  NAHC Report: Issue #3005, 10/4/2016
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Illinois Congressional Delegation Asks CMS to Delay Pre-Claim Review
CMS Posts Hospice CAHPS Vendor Deadline Notices
For Your Information: “The Invisible Patients,” a documentary film about life at the edges of our healthcare system
Job Corner: Corporate Compliance and Privacy Officer, Evangelical Lutheran Good Samaritan Society; Director of Patient Services — Home Care & Hospice, Long Island, NY
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Illinois Congressional Delegation Asks CMS to Delay Pre-Claim Review

The entire Illinois Congressional delegation signed a letter to Centers for Medicare and Medicaid Services (CMS) Acting Administrator Andy Slavitt, calling for a delay in the further implementation of the Pre-Claim Review Demonstration (PCR) in Illinois.

The PCR requires home health agencies (HHA) to submit claims to CMS contractors very early in the care process for an audit before the claim is submitted for payment. The demonstration began August 3 in Illinois and was scheduled to expand to expand to four other big states later this year and early in 2017. However, the experiment in Illinois has gone so badly that last month CMS indefinitely delayed any expansion of PCR outside Illinois.

“Illinois’ experience under the PCRD has been alarmingly burdensome for home health providers, which is harming patient access to care,” reads the letter. “Presently, our understanding is that between 60-80percent of PCRD submissions in Illinois are being non-affirmed” by Medicare contractors. “This non-affirmation rate is unacceptable, as patients are left without clarity on whether their medically necessary care will be covered.”

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CMS Posts Hospice CAHPS Vendor Deadline Notices

CAHPS Hospice Survey Materials Submission Deadline:  CAHPS Hospice Survey vendors approved to administer the CAHPS Hospice Survey are required to submit samples of their CAHPS Hospice Survey materials in English for review that will be used beginning with survey administration in January 2017. CAHPS Hospice Survey mailing materials (e.g., questionnaires, cover letters and outgoing envelopes) and/or telephone script and interviewer CATI screenshots (including skip pattern logic) must be submitted to the CAHPS Hospice Survey Project Team via by November 2, 2016.

CAHPS Hospice Survey Quality Assurance Plan and Attestation Submission Deadline: CAHPS Hospice Survey vendors approved to administer the CAHPS Hospice Survey must submit an updated Quality Assurance Plan (QAP) and CAHPS Hospice Survey Attestation Statement. The CAHPS Hospice Survey QAP must be complete, comprehensive and accurate in reflecting updates made to the CAHPS Hospice Survey Quality Assurance Guidelines V3.0, as well as any changes in key personnel, resources and processes.

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“The Invisible Patients,” a documentary film about life at the edges of our healthcare system
Screening at the NAHC 2016 Annual Meeting Conference and Exposition, October 25, 2016 in Orlando, Florida

Register for the Conference

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View the Schedule at a Glance

NAHC’s 2016 Annual Meeting & Exposition is sponsored by:

Point Click Care
Homecare Homebase
Ability Network
Benefits in a Card

THE INVISIBLE PATIENTS tells the story of Jessica Macleod, a nurse
practitioner, and four homebound patients she cares for in Evansville, Indiana. Together they put a human face on some of the most urgent healthcare issues facing our nation, from the living conditions of the elderly poor and end-of-life care, to the soaring costs of hospitalization, complexity of insurance and overprescription of opiates. Their stories reveal the emotional as well as financial burdens created by our current system, and cry out for solutions. THE INVISIBLE PATIENTS pulls back the curtain on a hidden, vulnerable population, whose circumstances ask us to wrestle with not just healthcare policy, but as importantly, how to mend today’s fraying social fabric.

“We are proud to bring this film to the attention of our members.  It is a highly moving and highly professional depiction of what Mother Teresa called ‘loving from the heart.’ The film will make everyone even more proud of the work to which all of us have given our lives,” said NAHC President, Val J. Halamandaris.

To learn more about the conference educational opportunities, keynote speakers, the home care & hospice expo and much more, click here.

Corporate Compliance and Privacy Officer — The Evangelical Lutheran Good Samaritan Society, Sioux Falls, South Dakota
Full Time

The Evangelical Lutheran Good Samaritan Society (Society), the nation’s largest not-for-profit, faith-based provider of senior housing and services, seeks a Corporate Compliance and Privacy Officer for its fast-growing Home & Community Based Services (HCBS) business enterprise. 

This leader directs planning, development, implementation, training, and monitoring of all regulatory compliance and HIPAA privacy programs for Home Health and Hospice services and Services@Home/Private Duty across the enterprise, including the Society’s subsidiary operations. This position is located in Sioux Falls, South Dakota; however, a telework arrangement may be considered.

Compliance: Broad knowledge of healthcare and business operations gained through a four-year degree in business, management or healthcare; prefer advanced degree applicable to the duties and responsibilities of the position, a minimum of 5 years’ experience in healthcare industry and at least three years’ experience in compliance/quality for a healthcare organization or equivalent.  Must have knowledge and experience in payment, reimbursement and clinical documentation requirements for home-health related services - especially for the Medicare program.

Privacy: Certified in Healthcare Privacy (CHPS) or Registered Health Information Administrator (RHIA) designation preferred; knowledge/experience in electronic medical records in healthcare; ability to learn/develop high proficiency in computerized records systems.

To apply, visit the Society’s career website at:

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