Events   

  • Compliance Extravaganza with Annette Lee! June 4-5
  • Annual Utah Geriatric Education Consortium Retreat- 2019
  • New Webinar on the Impact of Trauma and the Body and Brain
  • New CMS Webinar on how to Ensure Your Agency’s Hospice Compare Data is Accurate
  • Hospice Quality Reporting Program: Review and Correct Report Overview Webinar
  • Streamline Your HR and Payroll

News    

  • PEPPER RETRIEVAL: How Does Your State Rate?
  • Hospice PEPPER Review Recorded May 16, 2019
  • What Do the DOJ’s Recent Guidelines Regarding Compliance Really Mean for Providers?
  • Home Health and Hospice News from CGS
  • NAHC to Congress: Permanently Fund Medicare Outreach and Enrollment
  • CMS Finalizes Changes to the Appeals Regulations
  • Veterans Administration to Require New Agreements Under Community Care Program
  • MLN Connects 5-23-2019
  • CMS Primary Care First “High Need Population” Model Envisions Role for Hospice Clinicians
  • May 2019 Interim MIB
  • NAHC Bulletin 5-17

Interest Items

  • Industry News Articles

Events

Compliance Extravaganza with Annette Lee June 4-5

Hospice Regulatory Extravaganza!

June 5 @ 9-noon (3 CEUs pending)

“We will review the current changes, including the proposed rule for FY2020, the changes in HIS and quality reporting,” Annette says, “along with strategies to reduce your risk and thrive among it all!”

Annette will also cover “A few of her favorite things” – a quick overview of some of the amazing things she has been seeing nationally in hospice – from IDT memorials to unique volunteer and bereavement practices!

Home Health Regulatory Extravaganza!

June 4 @ 9-noon and 1-4 (8 CEUs pending)

“We will review the current changes, including the evolution of the update of the COPs, survey citations, Medicare coverage, medical review risks and denials,” Annette says, “along with strategies to reduce your risk and thrive among it all!

Annette will also discuss “operation and documentation strategies leading up to PDGM.”

This members-only workshop is a benefit of your UHPCO/UAHC membership. 

Annual Utah Geriatric Education Consortium Retreat- 2019

We would love to invite you to our annual UGEC retreat on the evening of June 12th. We will honor our nurse residents with a graduation as well as hear from our keynote speaker Jill Lorentz, the President of Summit Resilience Training, on person-centered care for Alzheimer’s and Parkinson’s. Hors d’oeuvres will be served as well. This event is welcome to the public, so please invite those who you think would enjoy!
 
 

New Webinar on the Impact of Trauma and the Body and Brain

Via NAHC Report: “The Jewish Federations of North America’s Center for Advancing Holocaust Survivor Care will host a webinar to address the impact of trauma on the brain and body, the long-term consequences of trauma, and the best practices to promote the health and well-being of older adults with a history of trauma.

The webinar will air on Thursday, May 30, 2019, from 1:00 PM to 2:15 PM Eastern Time.

Register for the webinar

The faculty for this webinar will be:

      • Laura Hinds teaches a variety of courses focusing on life span and social emotional development, children and adolescents, human behavior, brief treatment and crisis intervention.
      • Amanda Jarvis is the Assistant Project Manager at The Jewish Federations of North America’s Center for Advancing Holocaust Survivor Care.
      • Naomi Jones, Ph.D, is the Senior Director of Outpatient Services at the Jewish Family Service of Atlantic & Cape May Counties

Registration

Registration is required to attend. After registering, you will receive a link to the webinar no later than 12:00 PM ET on May 29. Registration closes at 11:59 PM ET on May 27. Visit the registration page to sign up.”

New CMS Webinar on how to Ensure Your Agency’s Hospice Compare Data is Accurate

Via NAHC Report: “The Centers for Medicare & Medicaid Services (CMS) will be hosting a webinar on Tuesday, June 11, 2019, from 2:00 to 3:30 p.m. ET. The primary purpose of the webinar is to increase providers’ awareness of how to use the new Review and Correct Report to verify the data displayed on the Hospice Compare website for their facility is accurate. This webinar will cover:

        • An overview of public reporting in the context of the Hospice Quality Reporting Program (HQRP).
        • The purpose of the Review and Correct Report.
        • How to access the Review and Correct Report.
        • How to use and interpret the information in the Review and Correct Report.
        • How and when you can submit corrections to errors found in the Review and Correct Report.

Registration for this webinar is limited to 1,000 attendees on a first-come, first-serve basis.

CMS is asking that you please register only if you know you will be able to attend the webinar, as space is limited. If you would like your name placed on a list to receive an email notification when the recorded version of the webinar is available, please CLICK HERE to be placed on an email notification list.

CLICK HERE to register for the Hospice Quality Reporting Program: Review and Correct Report Overview Webinar.

If you have questions or need additional information regarding the logistics of this training session, you can contact the PAC Training mailbox at PACTraining@econometricainc.com.”

Hospice Quality Reporting Program: Review and Correct Report Overview Webinar

The Centers for Medicare & Medicaid Services (CMS) will be hosting a webinar on Tuesday, June 11, 2019, from 2:00 to 3:30 p.m. ET. The primary purpose of the webinar is to increase providers’ awareness of how to use the new Review and Correct Report to verify the data displayed on the Hospice Compare website for their facility is accurate. This webinar will cover:

 An overview of public reporting in the context of the Hospice Quality Reporting Program (HQRP).

        • The purpose of the Review and Correct Report.
        • How to access the Review and Correct Report.
        • How to use and interpret the information in the Review and Correct Report.
        • How and when you can submit corrections to errors found in the Review and Correct Report.

Registration for this webinar is limited to 1,000 attendees on a first-come, first-serve basis.

Please register only if you know you will be able to attend the webinar, as space is limited. If you would like your name placed on a list to receive an email notification when the recorded version of the webinar is available, please CLICK HERE to be placed on an email notification list.

CLICK HERE to register for the Hospice Quality Reporting Program: Review and Correct Report Overview Webinar.

If you have questions or need additional information regarding the logistics of this training session, please email the PAC Training mailbox at PACTraining@econometricainc.com.”

Streamline Your HR and Payroll

Via HealthCare Synergy, Inc: “Are you still manually tracking new Applicants and your Employees’ Onboarding, Personal Time Off, Sick Days, Disciplinary Write-ups, Medical Benefits, Overtime, Clinical Visits, 24-hour Shifts, etc? Have you often thought of automating your Human Resources and Payroll tasks to avoid issues with constantly changing federal regulations geared towards the home health industry?

OneHRPayroll takes a look into how businesses can streamline their Human Resources and payroll functions, compliance, and employee records as it relates to multiple Post-Acute settings. They will provide insight into Human Resources and Payroll automation that adds critical value to an agency’s bottom line while keeping with the theme of flexibility and mobility in today’s modern world.

WHEN:  Wednesday, May 29, 2019
TIME:    10:00AM, Pacific Standard Time
COST:  Complimentary; No Charge”

Interested? Register here…

News

PEPPER RETRIEVAL: How Does Utah Rate?

The PEPPER team has updated the maps that display the PEPPER retrieval rates for PEPPERs accessed via the PEPPER Resources Portal for each state/territory. Please click on a link below to view the maps. States on the interactive maps are color-coded according to their retrieval rates. Click on Utahh to obtain details such as the number of PEPPERs available in Utah via the portal, the number of PEPPERs accessed via the portal, the retrieval rates and a link to the data file for all states/territories in the nation. The maps are updated monthly.
Have you accessed your PEPPER? If not, you can boost Utah’s rates:
        1. Visit the Distribution Schedule – Get Your PEPPER page at PEPPER.cbrpepper.org.
        2. Review the instructions and obtain the information required to authenticate access. Note: A new validation code will be required. A patient control number or medical record number from a claim for a traditional Medicare FFS beneficiary with a “from” or “through” date in July 1 – September 30, 2018 (Oct. 1 – Dec. 31, 2017 for HHAs) will be required.
        3. Access the PEPPER Resources Portal.
        4. Complete all the fields.
        5. Download your PEPPER.
PEPPER is an educational tool that summarizes provider-specific data statistics for Medicare services that may be at risk for improper payments. Providers can use the data to support internal auditing and monitoring activities. Visit PEPPER.cbrpepper.org to access resources for using PEPPER, including user’s guides, recorded web-based training sessions and a sample PEPPER. PEPPER is distributed by the PEPPER Team under contract with the Centers for Medicare & Medicaid Services.
Do you have questions or comments about PEPPER or need help obtaining your report?  Provide your feedback or suggestions regarding PEPPER through our feedback form, and visit our Help Desk to request assistance with PEPPER.

What Do the DOJ’s Recent Guidelines Regarding Compliance Really Mean for Providers?

From Elizabeth E. Hogue, Esq.: “The following article is about recent guidelines from the U.S. Department of Justice (DOJ) regarding fraud and abuse compliance, and what they really mean for providers.” Read the full article here…

Hospice and Home Health News from CGS

January 1, 2020: Seven Months To Go and Counting!

Beginning January 1, 2020, you MUST submit your home health and hospice billing transactions using the Medicare Beneficiary Identifier (MBI) regardless of the dates of service. Billing transactions include home health requests for anticipated payments (RAPs), final claims, hospice notice of elections (NOEs) and claims. Read more…

Recordings of Recent Home Health and Hospice Webinars Now Available

In case you missed the most recent webinars for hospice providers, access the HHH Recorded Webinars Web page to view and listen to the following webinars, all at your own convenience.

4/10/2019 – Bulletin Review for Home Health and Hospice Providers

5/15/2019  – Optimizing Your Medicare Appeals Experience

April 2019 Common Reasons for Delays in CMS Application Processing – The April 2019 common reasons for delays in processing online PECOS and paper CMS-855 applications are now available. These common errors may delay the processing of your application. Please take a moment to review this information to ensure you are submitting a complete and accurate CMS application.

T Mobile Currently, T-Mobile users are experiencing issues receiving myCGS and myCGS DME Multi-Factor Authentication (MFA) codes via text message. We have confirmed this issue is impacting T-Mobile users only. MFA codes are still being received successfully via text to other carriers as well as via email. We are working with the appropriate areas to resolve this issue and will notify users when the issue is resolved or an update is available. There is not an estimated time of resolution. We apologize for the inconvenience and appreciate your patience.

Medicare MBI Look-Up Tool Outages

Attention Medicare MBI Look-Up Tool Users:

CMS has announced that the Medicare MBI Look-Up Tool will be unavailable due to system maintenance during the following estimated periods:

Saturday, May 18, 2019 at 7:30 AM ET – Saturday, May 18, 2019 at 12:00 PM (noon) ET

Sunday, May 19, 2019 at 12:00 AM (midnight) ET – Sunday, May 19, 2019 at 8:00 AM ET

Friday, May 24, 2019 at 8:30 PM ET – Saturday, May 25, 2019 at 12:30 PM ET

NAHC to Congress: Permanently Fund Medicare Outreach and Enrollment

Via NAHC Report: ” The National Association for Home Care & Hospice (NAHC) has joined with like-minded organizations to urge Congress to permanently and fully fund Medicare outreach and enrollment for low-income beneficiaries.
 
Specifically, NAHC would like Congress to include in the fall “Extenders Package” a provision to make funding permanent for Medicare outreach and enrollment and increase that funding from $36.7 million to $50 million annually. NAHC reached out to Senators Charles Grassley (R-IA) and Ron Wyden (D-OR) of the Finance Committee, and Reps. Richard Neal (D-MA-1) and Kevin Brady (R-TX-8) of the House Ways and Means Committee, and all members of Congress, in urging this move by Congress.” Read the full article here…

CMS Finalizes Changes to the Appeals Regulations

Via NAHC Report: “On May 7, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that that fine-tunes several of the regulations governing the Medicare appeals process. CMS finalized all the provisions in the rule as proposed.

Removal of Requirement That Appellants Sign Appeal Requests

CMS finalized its proposal to allow appellants in Medicare Parts A and B claim and Part D coverage determination appeals to submit appeal requests without a signature and to remove the requirement of the appellant’s signature for appeal requests.

Change to Timeframe for Vacating Dismissals

CMS finalized its proposal to revise the timeframe for vacating a dismissal from 6 months to 180 days.

Technical Correction to Regulations to Change Health Insurance Claim Number (HICN) References to Medicare Numbers

CMS finalized its proposal to remove references to the Social Security Number-based HICN on Medicare cards that are included in the Medicare appeals regulations, and to replace them with references to Medicare number to clarify that either a HICN or MBI can be included on appointment of representative documentation and appeal requests.

Removal of Redundant regulatory Provisions Relating to Medicare Appeals of Payment and Coverage Determinations and Conforming changes

CMS finalized its proposal to revise the regulations within 42 CFR 423 and 42 CFR 405 to remove redundant provisions.

Change to Timeframe for Council Referral

CMS finalized its proposal to add new sections 405.1110(e) and 423.2110(e) to provide that the date of receipt of the Administrative Law Judges (ALJ’s) or attorney adjudicator’s decision or dismissal is presumed to be 5 calendar days after the date of the notice of the decision or dismissal, unless there is evidence to the contrary. This would help facilitate the Council’s determination on the timeliness of the referral by establishing a date by which the Council may presume that CMS or its contractor received the decision from Office of Medicare Hearings and Appeals (OMHA).

Technical Correction to Regulation Regarding Duration of Appointed Representative in a Medicare Secondary Payer Recovery Claim

CMS  finalized its proposal  to correct an incorrect cross-reference stated in a final rule entitled “Medicare Program; Right of Appeal for Medicare Secondary Payer Determinations Relating to Liability Insurance (Including Self-Insurance), No-Fault Insurance, and Workers’ Compensation Laws and Plans” that was issued in February, 2015. This proposed correction would not alter any existing processes or procedures within the Medicare claims appeals process.

Technical Correction to Actions That Are Not Initial Determinations

Section 405.926 sets forth actions that are not considered initial determinations subject to the administrative appeals process under part 405, subpart I. On October 4, 2016, CMS issued a final rule entitled “Medicare and Medicaid Programs; Reform of Requirements for Long-Term Care Facilities” that moved the definition of “transfer and discharge” in § 483.12 to the definitions under § 483.5. CMS updated the cross-reference to “§ 483.5” within § 405.926(f) to the cross-reference to “§ 483.5(n)”. However, the citation of § 483.5(n) is an incorrect cross-reference. CMS is proposing to revise § 405.926(f) to remove the incorrect reference to “§ 483.5(n)” and replace it with the cross-reference “§ 483.5 definition of `transfer and discharge’ ”. The proposed changes would not alter any existing processes or procedures within the Medicare claims appeals process. CMS finalized the changes as proposed.

Changes to Enhance Implementation of Rule Streamlining the Medicare Appeals Procedures

CMS finalized, as proposed, revisions to several provisions that posed unanticipated challenges with implementation. Several other regulatory provisions that CMS believes require additional clarification and the correction of technical errors and omissions were finalized as proposed.”

Veterans Administration to Require New Agreements Under Community Care Program

Via NAHC Report: “The Veterans Administration (VA) has issued an interim final rule that implements section 102 of the VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018 (MISSION Act), authorizing the VA to enter into agreements with community providers to furnish required care and services when care and services are not feasibly available through a VA facility, a contract, or a sharing agreement.

The new interim final rule also establishes a certification process for providers furnishing care or services, a methodology by which payment rates will be calculated, and an administrative process for adjudicating disputes arising under or related to these agreements.

The MISSION Act was passed in to law on June 6, 2018 and includes five titles containing more than 60 substantive provisions, many of which amend existing law or create new law that affects the way VA furnishes necessary care and services to covered individuals.

Under the requirements of the MISSION Act, after June 6, 2019, the VA will no longer be able to use Veteran Choice Program agreements to purchase care from community providers. These agreements must be replaced with new Veteran Care Agreements in order to implement the Veteran Community Care Program that allows the VA to purchase services from community health care providers.

Home health agencies are well positioned to provide veterans with home health services under the Veterans Community Care Program and have been providing services to individuals paid for by the VA for many years; long before the Veterans Choice Program was implemented

The National Association for Home Care & Hospice (NAHC) is aware of outreach activities by the VA to community providers with information regarding the transition, however there are still many unanswered questions. NAHC is working to obtain more information, but recommends in the interim; that agencies contact their local VA office for more information.”

MLN Connects 5-23-2019

Read the latest from CMS in their most recent MLN Connects here…
 
This edition includes stories on the following:
– No Shortcuts to Safer Opioids Prescribing: CDC Commentary
– CMS Takes Action to Lower Prescription Drug Prices and Increase Transparency
– Medicare Shared Savings Program: Do You Plan to Apply to be an ACO?
– Promoting Interoperability Program: 2015 Edition CEHRT Required
– April – June Quarterly Provider Update
– Break Free from Osteoporosis
– Medicare Basics: Commonly Used Acronyms – Reminder

CMS Primary Care First “High Need Population” Model Envisions Role for Hospice Clinicians

Via NAHC Report: “In late April the Centers for Medicare & Medicaid Services (CMS) announced further plans to encourage primary care practices to participate in value-based payment arrangements under new “Primary Care First” models, which will be operated under the Center for Medicare and Medicaid Innovation (CMMI) and are designed to reward high quality outcomes in primary care and deliver on a number of other goals — including increased transparency, enhanced care for high needs populations, reduced administrative burdens and a shift away from fee-for-service care.” Read the full article here…

May 2019 Interim MIB

The Division of Medicaid and Health Financing has issued a special, out-of-cycle interim MIB.  The May 2019 Interim Medicaid Information Bulletin is now available on the Medicaid website at https://medicaid.utah.gov/.

NAHC Bulletin 5-17

Read Calvin McDaniel’s NAHC Bulletin here…

Interest Items

Industry News Articles

Shared via The Carolinas Center’s News of Note 5-21-2019:

Where Should a Child Die? Hospice Homes Help Families With the Unimaginable  The New York Times Magazine

At Life’s End, The Gift Of Intimacy  by Ashwini C. Bapat   WBUR Radio

Lost in Translation: Google’s Translation of Palliative Care to ‘Do-Nothing Care’  by: Cynthia X. Pan, MD, FACP, AGSF  GeriPal 

Managing the Symptoms of Ovarian Cancer with Palliative Care  By Andrew Esch, MD Get Palliative Care

COPD Risk Score May Help Guide Care Decisions  MD Magazine

A Palliative Care Primer for State Policymakers  The John A. Hartford Foundation

Legal Advocacy To Improve Care For Older Adults With Complex Needs  Health Affairs 

Home-Based Primary Care: Helping Homebound Older Adults Achieve Better Outcomes with Lower Health Care Spending  The John A. Hartford Foundation

Aligning Practice with Policy: The Carolinas Center  By Jon Stone |  Coalition to Transform Advanced Care (C-TAC)