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  NAHC Report: Issue #3007, 10/6/2016
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NAHC Submits Comments on the Proposed Cardiac Bundle Model
CMS to Remove all Social Security Numbers from Medicare Cards by April 2019
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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NAHC Submits Comments on the Proposed Cardiac Bundle Model

On August 2, 2016, the Centers for Medicare & Medicaid Services (CMS) issued the proposed rule: Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR). The propose rule outlines the structure  for a bundled payment project for acute myocardial infarctions (AMI), coronary artery bypass graphs (CABG), and adds surgical hip/femur fracture treatments (SHFFT) to the CJR bundled initiative that went into effect April 1, 2016. (See NAHC report

The National Association for Home Care & Hospice submitted the following comments expressing concerns regarding CMS’ plan to implement additional bundled episode payment models without fully evaluating the effectiveness of the CJR model.

Overall, NAHC is highly supportive of innovations in Medicare that improve access to care, enhance the quality of health care services and patient care outcomes, and institute efficiencies in Medicare spending. Medicare is one of the most valuable public programs in the country and should operate in the best interests of present and future Medicare beneficiaries. With the expected growth in Medicare spending related to the aging baby boom generation, innovative approaches to care and the financing of that care should be explored thoroughly.

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CMS to Remove all Social Security Numbers from Medicare Cards by April 2019

Social Security Numbers (SSN) will be removed from all Medicare cards by the Centers for Medicare and Medicaid Services (CMS) no later than April 2019, in accordance with the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015. CMS is calling this the Social Security Number Removal Initiative (SSNRI).

The SSN-based Health Insurance Claim Number (HICN) will be replaced with a new randomly generated Medicare Beneficiary Identifier (MBI) on the new Medicare cards for transactions like claim status and eligibility status and billing. The new system will assign the new MBI to each beneficiary and send them a new Medicare card.

Like the SSN, the MBI is confidential and all parties protect it as Personally Identifiable Information. CMS believes the SSNRI and its new system will enable it to better protect private health care and financial information, as well as federal health care benefit and service payments.

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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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