NHPCO NewsLine Summer 2017 - 15

hospice community. There are still unknown factors that are coming into
play, such as how the SIA payments will be balanced against the payment
rates going forward. And, to complicate matters more, FY 2018 has a
"limit" on the market basket update. So, it is hard to isolate payment
reform as a single point of influence in how hospice programs are
managing their resources.

Q: Many hospices have also had issues with timely filing of NOE/NOTR.

Are those issues ongoing or have they been resolved? If those issues
are ongoing, what does NHPCO hospices recommend do?

This issue arose before my tenure at NHPCO, but I am acutely aware of its
impact. NOE/NOTR is a perfect example of "no good deed goes unpunished."
However well-intentioned the hospice community was in trying to provide
an early warning system for other health care providers when a patient
elects hospice (to reduce the likelihood of extraneous payments), the
infrastructure at CMS and the MACs just wasn't ready for the change. And,
far too many days of care, provided by hospice programs, were not
reimbursed, solely because of administrative mistakes, antiquated systems,
or transposed numbers, without an adequate way to correct these types of
errors. CMS stepped in and tried to fix some of these issues and we have
made progress. But, there are still tens of millions of dollars of unreimbursed
care, and we have asked CMS to resolve those glitches the same way they
handled them prospectively.

We need to strike a good
balance between setting
a solid foundation that
forces accountability, and
overburdening compliant
organizations.

Q: A new emergency preparedness CoP is coming in November 2017.

What advice/tips is NHPCO offering for hospices about how to prepare
for this requirement?

NHPCO has developed a toolkit for our members to help them with this new
COP. We've also helped them prepare in advance with an article in our
membership quarterly, NewsLine, we have done a Regulatory Podcast
available online, and we hosted a special Webinar on April 18 that many
providers took advantage of. Some of the points we are stressing would be
the need for hospices to evaluate their current emergency response plan to
see what enhancements must be made to ensure they comply with
applicable Federal, State and local emergency preparedness requirements;
it's also important for hospices to map out their process for coordinating
and cooperating with local, tribal, regional, state or federal emergency
preparedness officials (efforts to reach these officials must be documented);
also, hospices must ensure emergency preparedness is incorporated into
organizational policies and procedures and these procedures, like the

Summer 2017 | NHPCO NewsLine

15



Table of Contents for the Digital Edition of NHPCO NewsLine Summer 2017

Table of Contents
Virtual Conference (display ad)
Message from Edo
History, Innovation and Trust
Edo Q&A
Summer Listening Tour (display ad)
NHF Gala (display ad)
Lighthouse of Hope Fund (display ad)
Put "Passed Away" to Rest
ACHC (display ad)
Hospice Aides Webinar Series (display ad)
Using Education to Connect
2017 Interdisciplinary Conference
2017 Interdisciplinary Conf (display ad)
Music & Memory
Pioneers of Hospice
NHPCO Career Center (display ad)
2017 Management and Leadership Conf
Advocacy at MLC
NHDD Congressional Briefing
2017 Advocacy Intensive
2017 Advocacy Intensive (display ad)
Virtual Conference 2017
Linda Rock Receives Award
NHPCO Webinars (display ad)
Podcasts (display ad)
Member News
MVI (display ad)
CaringInfo Content Licensing (display ad)
News from NHF
News from We Honor Veterans
Online Resources
NHPCO NewsLine Summer 2017 - Intro
NHPCO NewsLine Summer 2017 - 1
NHPCO NewsLine Summer 2017 - Table of Contents
NHPCO NewsLine Summer 2017 - 3
NHPCO NewsLine Summer 2017 - Virtual Conference (display ad)
NHPCO NewsLine Summer 2017 - Message from Edo
NHPCO NewsLine Summer 2017 - History, Innovation and Trust
NHPCO NewsLine Summer 2017 - 7
NHPCO NewsLine Summer 2017 - 8
NHPCO NewsLine Summer 2017 - 9
NHPCO NewsLine Summer 2017 - 10
NHPCO NewsLine Summer 2017 - 11
NHPCO NewsLine Summer 2017 - 12
NHPCO NewsLine Summer 2017 - Edo Q&A
NHPCO NewsLine Summer 2017 - 14
NHPCO NewsLine Summer 2017 - 15
NHPCO NewsLine Summer 2017 - Summer Listening Tour (display ad)
NHPCO NewsLine Summer 2017 - Lighthouse of Hope Fund (display ad)
NHPCO NewsLine Summer 2017 - Put "Passed Away" to Rest
NHPCO NewsLine Summer 2017 - 19
NHPCO NewsLine Summer 2017 - 20
NHPCO NewsLine Summer 2017 - 21
NHPCO NewsLine Summer 2017 - 22
NHPCO NewsLine Summer 2017 - Hospice Aides Webinar Series (display ad)
NHPCO NewsLine Summer 2017 - Using Education to Connect
NHPCO NewsLine Summer 2017 - 25
NHPCO NewsLine Summer 2017 - 26
NHPCO NewsLine Summer 2017 - 27
NHPCO NewsLine Summer 2017 - 2017 Interdisciplinary Conference
NHPCO NewsLine Summer 2017 - 2017 Interdisciplinary Conf (display ad)
NHPCO NewsLine Summer 2017 - Music & Memory
NHPCO NewsLine Summer 2017 - 31
NHPCO NewsLine Summer 2017 - Pioneers of Hospice
NHPCO NewsLine Summer 2017 - 33
NHPCO NewsLine Summer 2017 - 34
NHPCO NewsLine Summer 2017 - NHPCO Career Center (display ad)
NHPCO NewsLine Summer 2017 - 2017 Management and Leadership Conf
NHPCO NewsLine Summer 2017 - 37
NHPCO NewsLine Summer 2017 - Advocacy at MLC
NHPCO NewsLine Summer 2017 - NHDD Congressional Briefing
NHPCO NewsLine Summer 2017 - 2017 Advocacy Intensive
NHPCO NewsLine Summer 2017 - 2017 Advocacy Intensive (display ad)
NHPCO NewsLine Summer 2017 - Virtual Conference 2017
NHPCO NewsLine Summer 2017 - 43
NHPCO NewsLine Summer 2017 - Linda Rock Receives Award
NHPCO NewsLine Summer 2017 - Podcasts (display ad)
NHPCO NewsLine Summer 2017 - Member News
NHPCO NewsLine Summer 2017 - 47
NHPCO NewsLine Summer 2017 - 48
NHPCO NewsLine Summer 2017 - MVI (display ad)
NHPCO NewsLine Summer 2017 - 50
NHPCO NewsLine Summer 2017 - CaringInfo Content Licensing (display ad)
NHPCO NewsLine Summer 2017 - News from NHF
NHPCO NewsLine Summer 2017 - News from We Honor Veterans
NHPCO NewsLine Summer 2017 - Online Resources
https://www.nxtbook.com/mercury/nhpco/NewsLine_Winter2020
https://www.nxtbook.com/mercury/nhpco/NewsLine_Fall2020
https://www.nxtbook.com/mercury/nhpco/NewsLine_Summer2020
https://www.nxtbook.com/mercury/nhpco/NewsLine_Spring2020
https://www.nxtbook.com/mercury/nhpco/NewsLine_Winter2019
https://www.nxtbook.com/mercury/nhpco/NewsLine_Fall2019
https://www.nxtbook.com/mercury/nhpco/NewsLine_Summer2019
https://www.nxtbook.com/mercury/nhpco/NewsLine_Spring2019
https://www.nxtbook.com/mercury/nhpco/NewsLine_Winter2018
https://www.nxtbook.com/mercury/nhpco/NewsLine_Fall2018
https://www.nxtbook.com/mercury/nhpco/NewsLine_Summer2018
https://www.nxtbook.com/mercury/nhpco/NewsLine_Spring2018
https://www.nxtbook.com/mercury/nhpco/NewsLine_Winter2017
https://www.nxtbook.com/mercury/nhpco/NewsLine_Fall2017
https://www.nxtbook.com/mercury/nhpco/NewsLine_Summer2017
https://www.nxtbook.com/mercury/nhpco/NewsLine_Spring2017
https://www.nxtbook.com/mercury/nhpco/NewsLine_2016Winter
https://www.nxtbook.com/mercury/nhpco/NewsLine_2016Fall
https://www.nxtbook.com/mercury/nhpco/NewsLine_2016Summer
https://www.nxtbook.com/mercury/nhpco/NewsLine_2016Spring
https://www.nxtbook.com/mercury/nhpco/NewsLine_2015Winter
https://www.nxtbook.com/mercury/nhpco/NewsLine_2015Fall
https://www.nxtbook.com/mercury/nhpco/NewsLine_2015Summer
https://www.nxtbook.com/mercury/nhpco/NewsLine_2015Spring
https://www.nxtbook.com/mercury/nhpco/NewsLine_2014Winter
https://www.nxtbook.com/mercury/nhpco/NewsLine_2014Fall
https://www.nxtbook.com/mercury/nhpco/Newsline_201406
https://www.nxtbook.com/mercury/nhpco/Newsline_201405
https://www.nxtbook.com/mercury/nhpco/newsline_201404
https://www.nxtbook.com/mercury/nhpco/newsline_201403
https://www.nxtbook.com/mercury/nhpco/newsline_201402
https://www.nxtbook.com/mercury/nhpco/newsline_201401
https://www.nxtbook.com/mercury/nhpco/newsline_201312
https://www.nxtbook.com/mercury/nhpco/newsline_201311
https://www.nxtbook.com/mercury/nhpco/Newsline_201310
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201309
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201308
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201307
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201306
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201305
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201304
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201303
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201302
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201301
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201212
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201211
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201210
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201209
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201208
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201207
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201206
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201205
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201204
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201203
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201202
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201201
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201112
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201111
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201110
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201109
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201108
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201107
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201106
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201105
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201104
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201103
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201102
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201101
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201012
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201011
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201010
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201009
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201008
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201007
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201006
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201005
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201004
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201003
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201002
https://www.nxtbook.com/nxtbooks/nhpco/newsline_201001
https://www.nxtbookmedia.com