Blogs - Tagged: home care


NAHC Adds ICD-10 Resource Page To Its Website

Posted: 02.25.15 | Category: TCG Solutions

NAHC has added an ICD-10 Resource Page to its website to help home care and hospice agencies transition to the new coding system, and to provide up-to-date information on the ICD-10 update. NAHC and the home health and hospice vendor community have a shared goal in assuring that agencies are adequately preparing for the transition from ICD-9 to ICD-10 diagnosis coding. The page includes education and guidance materials along with tools to assist NAHC’s members in attaining that goal.

Click here to see it.

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NAHC Completes Its 2015 Legislative Blueprint

Posted: 02.12.15 | Category: TCG Solutions

Every year, the policy staff at NAHC develops its Legislative Blueprint for the coming year. This year’s Legislative Blueprint has been completed. To help develop these blueprints, NAHC’s policy staff sought input from the organization’s Membership and affiliated organizations. As issues develop throughout the year, NAHC gathers additional ideas for these agendas from members, state association affiliates, advisory committees, and the NAHC Board of Directors. With big changes on the legislative and regulatory horizon this year for Capitol Hill, NAHC is planning ahead with strategies to protect the continued viability of home care and hospice.

Click here to view NAHC’s 2015 Legislative Blueprint for Action, as well as Blueprints from past years.

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CMS Develops Pilot Program To Better Estimate Home Health Agency Fraud

Posted: 02.09.15 | Category: Talent Solutions

CMS is developing a pilot program to determine how many Medicare fraud cases are taking place in home health agencies. A contractor search is currently underway to help implement the new initiative. Many Medicare fraud experts are commending the endeavor, believing the move to be positive in an industry with long-standing allegations of fraud.

Between 2010 and 2014, there were nearly $1 billion in improper Medicare payments and fraud identified relating to the home health benefit, according to the OIG. Statistically valid estimates of the rate of fraud in Medicare does not currently exist for home health agencies. The new contractor will focus on developing a methodology to estimate the extent of probable fraud of home health agencies in the Medicare fee-for-service program. The initial pilot will focus on agencies in Florida, which accounted for $2.1 billion of total Medicare home health spending in 2013.

Contractors will begin by reviewing 130 home health claims in the Miami-Dade County area. As part of the review process, the contractor will interview beneficiaries and their medical providers and make unannounced visits to the offices of onsite home health agencies. Any formed methodology is expected to be replicated later for a larger, nationwide program. CMS hopes the new initiative will help it better allocate its resources.

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