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  NAHC Report: Issue #3009, 10/10/2016
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CMS Replaces Instructions to Correct Payment Basis for Hospice Vaccines
Social Media Monday: How To Get Started
For Your Information: New Emergency Preparedness Pre Conference Workshop to Answer Your Questions
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CMS Replaces Instructions to Correct Payment Basis for Hospice Vaccines
Vaccines Billed on 8X1/8X2 TOB will be paid on Reasonable Cost Basis

Effective October 1, 2016, hospices may bill vaccines and their administration on an institutional claim (8X1, 8X2).  Prior to this change, hospices wishing to bill for preventive vaccines and their administration were required to enroll as suppliers and bill the appropriate Medicare Administrative Contractor (MAC).  The National Association for Home Care & Hospice (NAHC) and members of its Forum of State Associations (FSA) sought this administrative simplification on behalf of hospice providers (see NAHC Report, April 8, 2014). 

While the Centers for Medicare & Medicaid Services (CMS) issues instructions on the new option for hospice billing of vaccines and their administration earlier this year (see NAHC Report, May 1, 2016) with an effective date of October 1, 2016, the agency recently issued a correction to specify that the vaccines will be reimbursed at the “reasonable cost” rate rather than the “MPFS (Medicare Physician Fee Schedule)” rate, as was previously indicated in Change Request 9052/Transmittal 3540.  In issuing the correction CMS rescinded the June issuance of CR 9052 and reissued it on October 7, 2016.  As was indicated in previous issuances of CR 9052, the administration of these vaccines by hospice providers will be paid according to the MPFS. Payment made through the MPFS is based on geographic locality, and is at the assigned rate. Therefore, payments vary based on the geographic locality where the service was performed.

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Social Media Monday: How To Get Started

Today we continue a new series of articles on NAHC Report that I hope you will enjoy and find useful. It’s called Social Media Monday and, as the name implies, NAHC Report will feature a story on Monday about social media and how NAHC members can use it.

Last Monday we discussed what social media is and I briefly summarized the three biggest social media platforms – Facebook, Twitter and LinkedIn. Today, we will cover more of the basics, such as how to sign up for these social media platforms.

To sign up for Facebook, go to and you should see a signup form. If you do not see the signup form, click on the words Sign Up and proceed. Fill out your name, email address or phone number, choose a password and enter your birthday and your gender. Finally, click Sign Up.

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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.

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