Author Archive | gina

HHGM Rescue Bill

NAHC, Elevating Home, and the Partnership for Home Health offered what they are calling a “unified compromise proposal” to the House Ways and Means Committee in an effort to gain a withdrawal of the HHGM proposal from the CY2018 Home Health Prospective Payment System final rule.    The CMS Final rule is expected to be released within […]

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Medicaid Adopts New Home Health Rules; F2F Requirement Delayed Until September 1

NH Medicaid adopted new Home Health Services Rules on July 1.  The He-W 553 rules include eligibility requirements, provider requirements, covered and non-covered services and documentation requirements.  The rules had been in the process of being revised since last fall and HCANH provided detailed written comments on multiple drafts.  There are two major changes which […]

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Is Your Entire Agency Ready for ICD-10?

With October 1st approaching quickly, now is the time to make your final preparations for the transition from ICD-9 to ICD-10.  Over the past few years, HCANH has offered countless webinars on the subject.  We have one more offering that examines ICD-10 from different perspectives. It Takes a Village: ICD-10 Coding Series includes 5 webinars […]

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NGS Releases Financial Impact of F2F Denials for NH

Months after HCANH formally requested data regarding the dollar value of F2F denials for New England states, National Government Services (NGS) released state-specific 2014 data to home care associations in the region.  From January 1, 2014 to December 31, 2014, New Hampshire’s Medicare-certified agencies had the following: 35,524 home health claims submitted for payment $70,686,586 in charges for claims submitted 1,712 […]

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F2F Lawsuit Goes to Court

The National Association of Home Care & Hospice’s (NAHC) lawsuit regarding the Medicare face-to-face regulation had its day in court on August 6th.  The NAHC lawsuit challenged the validity of the physician narrative as documentation that the F2F requirement had been met.  NAHC’s VP of Law William Dombi argued that Congress intended the F2F requirement as a […]

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Advocates Sought on Medicaid Administrative Rules

The administrative rules that govern Medicaid State Plan Home Health services are set to expire this Fall.  NH DHHS is beginning the process of revising the rules and has requested the Association’s input.  I’m looking for a few volunteers who are willing to review the rules and make recommendations that HCANH can submit to DHHS. […]

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Opinion Piece Highlights CFI Funding

This week’s Concord Monitor, and the Laconia Citizen, ran an Op Ed written by Home Care Association of New Hampshire CEO Gina Balkus discussing the underfunding of CFI long term care services for the elderly in New Hampshire. Link to Op Ed in Concord Monitor Link to Op Ed in Laconia Citizen Union Leader: State […]

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CMS Initiative: Better Care. Smarter Spending. Healthier People.

CMS issued news releases under the title “Better Care. Smarter Spending. Healthier People.” Links to the news releases are below. The first release outlines an ambitious goal for CMS: to have 85% of Medicare fee-for-service payments in value-based purchasing by the end 2016, and 90% by 2018. The other two releases restate information that we […]

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