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Today’s Blog Content:

News

Membership to Vote In Person on UHPCO Bylaws Changes

Hurry To Get Free Advertising with your Membership

CHAP Announces NEW Palliative Care Certification

Local Coverage Determinations (LCDs)

Hospice Notice of Termination/Revocation (NOTR) – 8XB Billing Reminders

PEPPER RETRIEVAL: How Does Utah Rate?

February 2019 Interim MIB Utah Medicaid Newsletter

How to Use the Medicare National Correct Coding Initiative Tools Booklet — Revised

How to Use the Medicare Coverage Database Booklet — Revised

Advance Care Planning Fact Sheet — Reminder

NHPCO’s NewsBriefs

Hospice Advocates Needed!

Events

Central Utah UHPCO Conference March 15. Sign Up While You Still Can!

Podcast: Opportunities in Community-Based Palliative Care

Pros and Cons of Social Media in Death, Dying, and Bereavement – Join us! (Chat)

Appeals Call: Audio Recording and Transcript — New

Interest Items

Love numbers? Apply to be UHPCO’s new Treasurer

What 2018 Taught Us About Managing Risk

Estimated Taxes & Withholding Campaign

Industry News Articles


News

Upcoming Vote on UHPCO Bylaws Changes

They say membership has its privileges. Don’t miss the opportunity to exercise yours.

UHPCO members can vote on proposed bylaws changes at either March 15th at the Central Utah UHPCO Conference in Provo or at the UHPCO General Board meeting March 19th at the HealthInsight Board Room, 756 E. Winchester Street, Suite 200 Salt Lake City, UT. 

Here’s what the vote is about. You must be present at one of the two gatherings above to vote.

Utah Hospice and Palliative Care Organization proposal to amend Bylaws. Presented at the Executive and General Board meetings of the Organization on February 19, 2019.

Bylaws proposal:
We have reviewed the bylaws of the Utah Hospice and Palliative Care Organization (UHPCO), in preparation for merging with the Utah Association for Home Care (UAHC). We are stymied by the wording of the current Bylaws and would like to make some changes and updates that would allow them to serve the UHPCO board and community more effectively.  We propose that the Executive and General Board combined be able to amend the Bylaws by a majority vote of the Boards and allow the vote to be in person, by phone, web conferencing, or electronically by email or fax. This will better serve our organization and give a voice to the greater community, than to only those who can be present in person to vote. 

Some additional changes to be addressed and included are:
1. Increasing the use of electronic devices for communication and voting. 
2. Allowing for UHPCO to combine with UAHC as a new organization to better serve the
healthcare community and those who benefit from our services.

Hurry For Free Advertising With Your Membership

Time is running out for your company to appear on the back cover of brochure that UAHC & UHPCO will mail directly to 20,000 community-dwelling Utahns over age 85.
Members of UAHC and Members of UHPCO as of March 1, 2019 will appear in the list.
 
Contact Rebecca at 915-214-4831 or rebecca@autumnleavesmedia.com to buy additional advertising at great prices.

CHAP Announces NEW Palliative Care Certification

Did you know UHPCO members receive discounted CHAP services? It’s true!

Via CHAP: “The Community Health Accreditation Program (CHAP) is proud to announce Palliative Care Certification for home and community based providers. The Palliative Care Standards are informed by the latest edition of the Clinical Practice Guidelines for Quality Palliative Care (NCPQPC, 2018), and the experience of clinicians nationwide.

Eligible organizations include independent providers of palliative care, palliative care programs that are a service of a clinic, physician group, skilled nursing facility (SNF), or of a CHAP accredited home health agency or hospice.
The Palliative Care review includes on-site review and interviews with the palliative care team, as well as patients and families to assess the delivery of care. The certification award is for three (3) years.
More information on the CHAP Palliative Care Certification and a copy of the new Palliative Care standards can be found on the CHAP website by clicking here.”

Local Coverage Determinations (LCDs)

Via CMS: “We revised the article on February 14, 2019, to reflect the revised CR 10901 issued on February 12, 2019, that includes changes to the updates in Chapter 13 of the Medicare Program Integrity Manual.” Read the full MLN Matters article here…

Hospice Notice of Termination/Revocation (NOTR) – 8XB Billing Reminders

Via CGS: “This article serves as a reminder for hospice providers of when it is appropriate to submit a notice of termination/revocation (type of bill 8XB). CGS often sees that hospice providers incorrectly submit NOTRs in situations where the patient actually transferred to another hospice. This can cause extra work for hospices” Read the full MLN Matters article here…

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. Percentages reflect the PEPPER release for SNFs, Hospices and LTCHs that was completed April 9, 2018; and for HHAs that was completed July 16, 2018. 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 a state to obtain details such as the number of PEPPERs available in the state 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 your state’s rates:
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, 2017 (Oct. 1 – Dec. 31, 2017 for HHAs) will be required.
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.
The PEPPER Team

February 2019 Interim MIB Utah Medicaid Newsletter

Selection from the newsletter:

19-24 Electronic Visit Verification Requirement for All Personal Care and Home

Health Providers
Electronic visit verification (EVV) requirements, defined in section 12006 of the 21st Century Cures Act, apply to all
personal care services and home health services provided under the State Plan or a 1915 (c) Home and Community
Based Waiver. Disallowance for claims with incomplete records will not occur until January 1, 2020, for personal
care services and January 1, 2023, for home health services.
Starting July 1, 2019, for both personal care and home health services, the Division of Medicaid and Health
Financing will begin to collect and monitor EVV records from providers. The early collection and monitoring of EVV
records will give providers an opportunity to test records submission processes to ensure compliance with the
federal requirements prior to the mandatory compliance effective dates.
Providers must select their own EVV service provider and make records available to the state for review upon
request on or after July 1, 2019. All systems must be compliant with the 21st Century Cures Act requirements
including:
(i) type of service performed;
(ii) individual receiving the service;
(iii) date of the service;
(iv) location of service delivery;
(v) individual providing the service; and
(vi) time the service begins and ends.
Utah Medicaid will promulgate an administrative rule outlining the process of evaluating ongoing provider

Access the whole newsletter here…

How to Use the Medicare National Correct Coding Initiative Tools Booklet — Revised

Via CMS: “A revised How to Use the Medicare National Correct Coding Initiative (NCCI) Tools Booklet is available. Learn about:
– Website navigation
– Medicare code pair edits
– Medically unlikely edits
– Coding and billing errors”

How to Use the Medicare Coverage Database Booklet — Revised

Via CMS: A revised How to Use The Medicare Coverage Database Booklet is available. Learn about:

Navigating the database

– Searching indexes

– Downloading reports”

Advance Care Planning Fact Sheet — Reminder

Via CMS: ” The Advance Care Planning Fact Sheet is available. Learn about: Provider and patient eligibility information & How to code and bill services.”

NHPCO’s NewsBriefs

Read NHPCO’s latest newsletter here…

Hospice Advocates Needed!

Via NHPCO: “We need hospice and palliative care advocates to join us in Washington, DC to advocate on behalf of patients and families!

Join us for the premier Leadership and Advocacy Conference for our community. We have two options to make it easier for you to participate:

Able to attend the entire conference? Fabulous!

Day 1– Opening plenary composer and innovator, Kai Kight kicks off the LAC, and NHPCO President and CEO, Edo Banach will announce changes coming to the organization. Highlights from today’s concurrent sessions include an update from CMS and the MACs.

Day 2– Laura Adams from the Rhode Island Quality Institute headlines this day. Continue your education with Advocacy Training Sessions from 2pm-6pm. These sessions are required for anyone who wants to take congressional meetings on Wednesday.

Day 3– Hear from a top official from the Administration on legislation and what recent activity means for providers and the field. Join your peers on Capitol Hill to meet with your legislators. After LAC19 wraps please join us for a Congressional reception on Wednesday evening.

All of this is included in your conference registration!

Can’t attend the whole conference, but want to visit your Members of Congress? Great!

We are happy to offer our Advocacy Pass, which will provide entry to Advocacy Pass Sessions on Days 2 and 3 that focus on policy and advocacy training. The Advocacy Pass costs $125 for NHPCO Members and $175 for non-Members and grants access to:

Day 2– Advocacy Training Sessions on Tuesday, April 16 from 2pm-6pm. These are mandatory for Advocacy Pass Holders.

Day 3-Breakfast and morning preparatory sessions on Wednesday April 17, from 7:30am-9:30am.

Then, take meetings with your Members of Congress from 10am-5pm. Advocacy Pass Holders are required to attend their congressional meetings.

Finally, join us for our celebratory Congressional Reception on Wednesday April 17 from 5pm-7pm.

Whichever option best suits you, we hope you’ll join us and be a voice for hospice and palliative care patients, families, and providers!

Register here to secure your spot today!

Events

Central Utah UHPCO Conference March 15. Sign Up While You Still Can!

Podcast: Opportunities in Community-Based Palliative Care

Via NHPCO: “Jon R. sits down with Lori Bishop and Dr. Balu Natarajan for a conversation on palliative care. We know there are so many opportunities in community-based palliative care but there are also difficulties that remain in making it work. From distinguishing between hospice and palliative care, to appropriate scaling to reimbursement, this episode dives into what one program has done to be successful and what NHPCO is doing to help. And JR discusses his love of muffins. Listen in here…

Pros and Cons of Social Media in Death, Dying, and Bereavement – Join us! (Chat)

Via NHPCO: “Social media can bring gifts and gaffes to the experience of death, dying, and bereavement. As we enter new territory, our wisdom does not always keep up with our technology.

Join us as we discuss the opportunities and potential pitfalls of using social media in our professional work and share tips to guide us as we do. Please come with your thoughts, ideas, and experiences as Section Leader, Rev. Dr. Carla Cheatham, MA, MDiv, TRT facilitates this dialogue.” Register here…

Appeals Call: Audio Recording and Transcript — New

Via CMS: “An audio recording and transcript are available for the February 5 call on the New Electronic System for Provider Reimbursement Review Board Appeals. Learn how to use the new Office of Hearings Case and Document Management System to submit new appeals, transfer issues, file position papers, and manage your appeals.”

Interest Items

Love numbers? Apply to be UHPCO’s new Treasurer

UHPCO is accepting applications for UHPCO Treasurer. This is a volunteer position. The Treasurer oversees board finances and serves on the executive board. Please send inquiries and resume to UHPCO Nominations Committee Chair Frank Barton at frank@rahslc.com.

Thank you!

What 2018 Taught Us About Managing Risk

Via VGM Insurance Services: ” As we head into another new year, most business owners and providers reflect on what they’ve learned. What went right, what went wrong, and what issues need to be addressed in 2019. Every year we learn new lessons to continue to improve. So, here’s what 2018 taught us about managing business risks in 2019. Read the full article here…

Estimated Taxes & Withholding Campaign

Shared via Jody Stamback, Utah Sr. Stakeholder Liaison: “Information for Partners to share with members, clients or employees through their website, emails, newsletters or other channels:

New FAQs on estimated taxes and penalty for underpayment of estimated taxes.

– News releases. The two releases mentioned below are attached to this message in English and Spanish. You can also find the news releases on our Tax Reform News page as they’re issued. We have two more releases for next week that we will share at a later time.

– Tax Reform Tax Tips… posted on the Tax Reform Resources page.

– Other resources and general information

Publication 5303, Paycheck Checkup, is attached in English and Spanish. The flier is also on our Resources page.

– Bookmark the IRS’s Tax Reform page on IRS.gov for the latest on tax reform topics.

– You can subscribe now to IRS Tax Tips to get the IRS’s Tax Reform Tax Tips.

Industry News Articles

Shared via Ellen Almond’s Home Health Media Clips 2-21-2019:

Spending forecast offers ammunition — and some alarm — for Democrats pushing Medicare expansion  Washington Post

U.S. Health Spending to Make Up Almost 20 Percent of GDP in 2027  Bloomberg