The Rules Have Changed in the Middle of the Game

Home care is always on our mind, and in this part of the country at this time of year football is often on our minds too. Imagine if in the middle of the game the rules of the game changed. Instead of 10 yards you need to go 20 for a first down. And at halftime, they decide you don’t get four plays to get first down, you only get three. And imagine if you are no longer able to pass the ball unless the receiver has first run through the backfield.

Rules are changing mid-game for the health care industry

Image courtesy of Yahoo Sports

The number of crazy analogies could go on and on but we’d risk losing the non-football fans. The rules have changed for home health. And getting a firm grasp on those 2011 changes are a must for providers. And the other changes coming with the Affordable Care Act will make the PPS 2011 rule look like a Super Bowl compared to an elementary school game.

HCLA has two workshops on our schedule that will help you to adapt to the changes in the rules. By providing you and your agency with a stronger foundation and understanding of the new rules the decisions you make will be based on facts that will give you choices about how to best adapt to the new environment.

Jan Spears will be in Monroe next Wednesday, January 26th, and Baton Rouge on January 27th, speaking to the 2011 Rule changes. Go to this link for more details: Analysis of PPS Home Health Rule for 2011: What Steps are Successful Agencies Taking?

And mark your calendars for March 3rd, 2011. Richard Dixon will take us through the Affordable Care Act, and its implications on healthcare and home health. Duane Blackwell will also present that day on a cost report study HCLA has put together comparing Louisiana agencies by region in the state, with other states and parts of the country. The information promises to be a revealing look at our state’s numbers and practices. Information on that workshop will be posted later this week.

Remember the rules of the home health game are changing rapidly. Will your organization’s understanding of the new approaches allow you to adapt in a timely manner?

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CHAP Appoints Community-based Healthcare Thought Leaders to Board of Directors–HCLA’s Warren Hebert to Serve

WASHINGTON, DC — December 15, 2010 — Community Health Accreditation Program, Inc. (CHAP) announced Wednesday the appointment of five new three-year term members and two one-year Sphere of Influence members to the CHAP Board of Directors.  The new appointees represent community-based healthcare sectors and were appointed at CHAP’s November 2010 Board meeting.

Appointees include: Jane L. Delgado, PhD, MS, President and CEO, National Alliance for Hispanic Health; Kathleen J. Dodd, BSN, MA, Founder and CEO, Corridor International; Warren Hebert, RN, BSN, CAE, Chief Executive Officer, Home Care Association of Louisiana; Daniel L. Maison, MD, FAAHPM, Palliative Care Physician, Spectrum Health Care; and Kevin P. McQueen, Partner, BWB Solutions, LLC.

In addition to the three-year term appointments, CHAP has appointed two Sphere of Influence members to the Board.  Sara Wentworth Adams, Managing Principal, Health Care Information Consultants, LLC, and Jack E. Rydell, Assistant Professor, Concordia College, will begin one-year terms in 2011.

“CHAP is excited to have thought leaders of this caliber join our Board of Directors,” said Terry A. Duncombe, CHAP President and CEO. “As we continue to define and advance the highest standards of community-based care, these new members bring a wealth of skills and experience from the industry, broadening the Board’s depth and knowledge.”

The seven new Board members will join the CHAP Board in 2011. CHAP’s Board of Directors is comprised of volunteer industry leaders representing community-based healthcare providers, consumers, and the payor community, and oversees CHAP policy.

About CHAP
In an official news release, CHAP describes itself as an independent, not-for-profit, accrediting body for community-based health care organizations. “Created in 1965, CHAP was the first to recognize the need and value for accreditation in community-based care. CHAP is the oldest national, community-based accrediting body with more than 5,000 agencies currently accredited nationwide.”

Through “deeming authority” granted by the Centers for Medicare and Medicaid Services (CMS), CHAP has the regulatory authority to survey agencies providing home health, hospice, and home medical equipment services, to determine if they meet the Medicare Conditions of Participation and CMS Quality Standards. CHAP’s purpose is to define and advance the highest standards of community-based care.
www.chapinc.org

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“Home Health Face-to-Face Encounter: A New Home Health Certification Requirement” MLN Matters Article

The Medicare Learning Network® (MLN) has just released MLN Matters Special Edition Article #SE1038 (“Home Health Face-to-Face Encounter: A New Home Health Certification Requirement”) to remind physicians who certify a patient’s eligibility for home health benefits that the Affordable Care Act mandates that they, or an allowed non-physician practitioner (NPP), document that they have had a face-to-face encounter with the patient.

Documentation regarding these encounters must be present on certifications for patients whose care starts on and after Sat Jan 1, 2011.  This article is informational in nature and supports the Home Health Prospective Payment System (HHPPS) Final Rule (CMS-1510-F), as published in the Federal Register on Wed Nov 17, 2010.

For more details, please read the article at http://www.cms.gov/MLNMattersArticles/downloads/SE1038.pdf.

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