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  NAHC Report: Issue #3006, 10/5/2016
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The Invisible Patients — Primary Healthcare for the Homebound
OIG Report Finds Persistent Medicaid Abuse in Personal Care Services
For Your Information: New Emergency Preparedness Pre Conference Workshop to Answer Your Questions
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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The Invisible Patients — Primary Healthcare for the Homebound
An Essay by Jessica Macleod, PhD, APRN

The following essay was submitted to NAHC Report by Jessica Macleod, a family nurse practitioner working with patients who are homebound or home-limited. She does heroic work serving people who would otherwise be overlooked by the health care industry due to poverty or severe impairment.

Ms. Macleod and four of her patients are the subjects of The Invisible Patients, a new documentary film by Patrick O’Connor that will be shown at the NAHC Annual Meeting in Orlando, Florida later this month. The work Ms. Macleod and her colleagues do is invaluable and NAHC is delighted to present both the film and this essay to our members. We hope you will be inspired and enlightened.

The Invisible Patients – Primary Healthcare for the Homebound
By Jessica Macleod, PhD, APRN

I’ve been a family nurse practitioner (FNP) caring for patients with different backgrounds and health issues for 14 years.   

Early in my career my office work involved physicals, well-child exams, and treating minor acute illnesses. During this time I formed relationships with patients and families, helping them navigate issues like melanoma diagnoses, childhood diabetes, and unexpected pregnancies. 

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OIG Report Finds Persistent Medicaid Abuse in Personal Care Services

Federal investigators in the Department of Health and Human Services’ Office of Inspector General (OIG) are calling for reform after finding more than $600 million of questionable Medicaid billing from November 2012 to August 2016.

A new OIG report revealing the alleged abuse is sharply critical of Medicaid for not sufficiently cracking down on what investigators characterize as persistent fraud and abuse in Medicaid-funded personal care services. Better regulation and oversight is needed to prevent fraud and patient neglect, according to the OIG. The report is a compilation of findings and insights gained through several Medicaid audits and studies performed by the OIG in past years. Essentially, it is a trend report that was triggered by what the OIG perceives as a pattern of fraud and abuse in Medicaid personal care services.

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New Emergency Preparedness Pre Conference Workshop to Answer Your Questions
NAHC 2016 Annual Meeting Conference and Exposition, October 23, 2016 in Orlando, Florida

Register for the Conference

View the Educational Content

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

Point Click Care
Homecare Homebase
Ability Network
Benefits in a Card

Relias Learning

This interactive workshop, which places special emphasis on home-based care (including home health and hospice home and inpatient care) will assist agencies in understanding and executing the four major components of the regulation, which are:

  1. Developing an Emergency Plan (ALL HAZARDS APPROACH):  Providers must develop an emergency plan using an all-hazards approach focusing on capacities and capabilities that are critical to preparedness for a full spectrum of emergencies and disasters.
  2. Establishing Organizational Policies and Procedures:  Providers must develop and implement policies and procedures based on the emergency plan and risk assessment.
  3. Developing and Maintaining a Communication Plan:  Providers must develop and maintain a communication plan that complies with both federal and state law. Patient care must be well-coordinated within the facility, across health care providers and with state and local public health departments and emergency systems.
  4. Conduct a Training and Testing Program:  Providers must develop and maintain training and testing programs, including initial and annual trainings, and conduct drills and exercises or participate in an actual incident that tests the plan.

OBJECTIVES:  At the conclusion of the session attendees will be able to:

  • Conduct a risk assessment (hazard vulnerability assessment)
  • Describe home health and hospice providers’ role in local healthcare coalitions
  • Secure a GETS/WPS card for communication during an event
  • Define surge capacity , patient classification, and patient transportation levels
  • Identify key areas of the organizational disaster plan that require revision or enhancement

SPECIAL NOTE:  PACE programs are welcome to attend as this session is applicable to PACE as well.

Faculty: Barbara B. Citarella MS, RN, President, RBC Limited Healthcare & Management Consultants, Staatsburg, NY
Barbara Citarella is the CEO, President, and founder of the award winning national company RBC Limited, a healthcare and management company specializing in healthcare operations including home care and hospice. She has worked extensively with agencies in the areas of infection control, disaster preparedness, corporate compliance, accreditation, strategic planning and leadership.

To learn more, click here. To register, 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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