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Hospice Vulnerabilities: Comprehensive Updates & Suggestions – A NAHC Live Web Event Presented By Corridor Experts

NAHC will host a live Web event presented by Corridor experts on Thursday, July 16, 2015 at 1 p.m. Eastern that will explore hospice vulnerabilities and provide guidance on how hospices can assess risk and tailor its practice to achieve full compliance. Registration for NAHC members is available at reduced rates. Additionally, attendees can choose to participate live or purchase access to a program recording for viewing at a later date. Nursing CEs will be offered.

The following is additional information about the forthcoming program:


All hospices are vulnerable to payment take backs/repayments and Department of Justice sanctions.  Various oversight and regulatory bodies are gathering and analyzing hospice data from claims, cost reports, aggregate cap reports, studies, investigations, and surveys.  CMS is circling ‘relatedness’ in hospices.  This educational web event will help hospices to identify the key areas of vulnerability that are rising to the top.  The session will help hospices to identify specific areas of risk and discuss ways to address them.  The session will provide a comprehensive overview of key hospice vulnerabilities, how a hospice can assess its own compliance with these areas, and discuss common practices that are of concern, along with tips for operating in full compliance.

Program Objectives:

  • Overview of key hospice vulnerabilities
  • Suggestions for internal assessment of a hospice’s performance and practices in these areas
  • Discussion of practices that widen areas of vulnerability and how to narrow these
  • Suggest ways a hospice can strategically balance daily operations to stay out of the gray areas

Panel of Experts:

Bill Musick, BS, MBA, CHC, CHPC, Senior Associate/Project Manager, Corridor, Group, Overlook, KS, and  Principal Owner, Tower Hill Resources, Honolulu, HI; and Marsha Lambert, RN, MSN, PHN, VP, Corridor Group, San Francisco, CA 

To register, please go to NAHC’s online CARING STORE, and SHOP: EVENTS.

Hospice Quality: CMS Posts National Provider Call Audio, FAQs, & Clarification On HIS Manual/ Data Specs

The National Provider Call regarding the Hospice Item Set (HIS) manual changes was held on June 17, 2015. CMS has posted the call audio, slides, and a written transcript. Click here to see them.

Click here for more details from NAHC.

Department of Labor Proposes Overtime Rule

The U.S. Department of Labor (DOL) announced a proposed rule that would extend overtime pay to nearly 5 million workers, increasing the overtime exemption threshold from a yearly salary of $23,660 to $50,440.

The current salary level under which administrative, executive, and professional employees are eligible for overtime compensation is $23,660 per year, or $455 per week on a salary or free basis. The new regulation changes the annual salary for overtime eligibility to $50,440 or $921 per week on a salary of fee basis.

Additionally, the proposed rule provides “further clarification” about which employees are eligible for overtime. NAHC is currently analyzing the 295-page rule to determine its impact on home care and hospice agencies.

Click here to see the proposed rule.

Click here to read more.

CMS Released Two Transmittals For Home Health Agencies

CMS has issued two transmittals for home health providers.

The first is Change Request (CR) 9198. CR 9198 instructs the Medicare claims processing contractor on several changes planned for the home health Pricer. The new Pricer contains updates to allow processing type of bill 032Q or 033Q, as required by CR 8581 related to automatic claim re-openings. The CR also corrects errors affecting the payments on 2015 claims.

The second is CR 9192, which provides the quarterly update of Healthcare Common Procedure Coding System (HCPCS) codes used for home health consolidated billing. The new HCPCS codes in the CR replace the current HCPCS codes.

Click here for more details on the transmittals.

Outsource Training to Transfer Knowledge

Take a look at our latest TCG CHEX eLearning blog post – Outsource Training to Transfer Knowledge – to learn more about an article covering recent trends in the utilization of outside education for staff.

While you are there, don’t forget to use the calculator to estimate the financial savings your organization could see when you implement TCG CHEX eLearning for your staff education!

TCG Webinar: Home Health Billing Essentials

Date: Tuesday, June 14, 2011

Time: 10 am PT/12 pm CT/1 pm ET

Presented by:
M. Aaron Little, BS, CPA
Senior Managing Consultant
BKD National Health Care Group

Medicare home health PPS refinements have significantly complicated the billing process. Other issues such as the face-to-face encounter and therapy changes have influenced billing practices.
This webinar will provide strategies for drilling into the details of your billing processes, and participants will take away valuable insights on available industry resources and processes
that can be implemented to help optimize efficiencies.

Features and Benefits:

After attending this webinar, the participant will be able to:

  • List typical Medicare home health billing challenges.
  • Apply suggested key billing performance measures.
  • Identify effective and efficient process management tools.

CEs available!

Click Here to Learn More

TCG Webinar: Building a Manageable Corporate Compliance Program

Date: Tuesday, June 7, 2011

Time: 10 am PT/12 pm CT/1 pm ET

Presented by:
Deborah A. Randall, Esq.
Healthcare, Compliance and Telehealth Legal and Consulting Services

In 1998 for home health agencies and in 1999 for hospices, the OIG issued guidance for compliance programs. This webinar will discuss the OIG guidance and what an organization can do implement a “manageable” corporate compliance plan and make it a part of the corporate culture.

Features and Benefits:

After attending this webinar, the participant will be able to:

  • Identify the seven elements that should be included in a comprehensive compliance program
  • Understand the necessity of a risk assessment as part of the plan to identify agency vulnerabilities
  • Develop the required policies and procedures and communicate them to staff

CEs available!

Click Here to Learn More