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  NAHC Report: Issue #3008, 10/7/2016
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NAHC’s Emergency Preparedness Pre-Conference Has Never Been More Important
HOSPICE COST REPORT: Recommendations on Hospice Cost Report Revisions Submitted to CMS
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’s Emergency Preparedness Pre-Conference Has Never Been More Important

Hurricane Matthew is battering the Florida coast on Friday morning, as this report is being written. The storm has already claimed its first U.S. fatality and knocked out power for over 600,000 people – and this is just the beginning. Things will get worse before they get better. The need for the home care and hospice community to be prepared in the event of a disaster has never been greater or clearer.

As reported by NAHC, on September 8 the Centers for Medicare and Medicaid Services (CMS) finalized a rule creating emergency preparedness requirements for health care providers participating in Medicare and Medicaid. The rule, Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers, aims to improve patient safety and establish coordinated responses to natural and man-made disasters. The rule requires all 17 provider and supplier types to plan for disasters and coordinate with federal, state, regional, tribal and local emergency preparedness systems.

As the rule is part of the condition for participation in Medicare, anyone in the home care and hospice community who does not comply could jeopardize their Medicare certification. Further, CMS may impose stiff financial penalties on any home health care providers who do not comply with the new emergency preparedness rule. And as more disasters occur, CMS is likely to take a very dim view of any providers who are not following the emergency preparedness rules.

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HOSPICE COST REPORT: Recommendations on Hospice Cost Report Revisions Submitted to CMS
REMINDER: Provider-Based Hospices Must Use Revised Cost Report Starting with 10/1/2015 Cost Reporting Year

Provider-Based Hospice Cost Report News:  In 2014, the Centers for Medicare & Medicaid Services (CMS) finalized revisions to the freestanding hospice cost report (CMS-1984-14) to reflect expanded requirements, including collection of cost data by level of care; the requirements became effective with cost reporting periods beginning on or after October 1, 2014.  These changes are intended to support CMS’ efforts to refine the hospice payment methodology.  Since finalizing form 1984-14, CMS has solicited comment on similar changes to the hospital (CMS-2552-10), home health (HHA CMS-1728-94), and skilled nursing facility (SNF CMS-2540-10) hospice cost reporting forms and instructions.   

CMS has consistently maintained that these changes for the provider-based hospice cost reports would become effective with cost reporting periods beginning on or after October 1, 2015.  While as of this writing only the SNF-based hospice cost report changes have been finalized and displayed on the CMS Transmittals page, this week CMS has once more confirmed to the National Association for Home Care & Hospice (NAHC) that all provider-based hospices are expected to complete the revised and expanded hospice cost reporting requirements  for cost reporting periods starting on or after October 1, 2015.  CMS indicated that the HHA-based hospice cost report changes were recently released and should be posted online (to the transmittals page) in very short order.  The changes to the hospital-based cost report will likely be finalized next month.  In the interim, provider-based hospices may use the SNF-based hospice forms as CMS has indicated that they mirror the HHA and hospital-based changes.  NAHC will post notices to the NAHC member listservs when the final forms/instructions are posted publicly.

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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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