Home Health & Hospice Week

Industry Notes:

Home Care Providers Grapple With Hurricane Katrina

Thousands of HHA employees displaced.

Many home care providers' and patients' worst fears came true when they were among the Louisiana, Alabama and Mississippi residents struck by Hurricane Katrina.
 
Fifty home health agencies in New Orleans were flooded and possibly destroyed and another 44 in  Louisiana were affected by winds and rain, the American Association for Homecare reports. Those providers serve about 21,000 patients.
 
The hurricane and its aftermath have displaced as many as 2,000 home care employees from the New Orleans area for weeks or months, Warren Hebert of the Homecare Association of Louisiana tells AAH. Nearby HHA staffers may offer housing to colleagues and agencies may offer them jobs, Hebert says.
 
Alabama has also been hard hit. Lack of communication, flooding and power outages were the state's biggest problems after the hurricane hit, Mike Hamilton of the Alabama Durable Medical Equipment Association tells AAH.
 
Amedisys Inc. says it has fully operational headquarters in Baton Rouge, LA. But it estimates "significant damage" at six of its southeastern Louisiana and Mississippi agencies and "some disruption to service" at nine more locations.
 
"Amedisys is focused on contacting and assisting both our patients and employees," CEO William Borne says in a release.
 
Norcross, GA-based Pediatric Services of America Inc. reports "a significant disruption in operations" at a respiratory office and a nursing office in southern Louisiana and a respiratory office in Mobile, AL. "PSAI's additional branches in Louisiana are expected to return to normal operations over the next few days," the company says.
 
"We are working through our recovery plans and will remain focused on providing all appropriate forms of assistance to our employees and patients," PSAI CEO Daniel J. Kohl says in a release.

Palmetto to the Rescue

Regional home health intermediary and DME regional carrier Palmetto GBA has offered up assistance. "We realize the impact Hurricane Katrina may have on the provider community we service," Palmetto says in an Aug. 29 Web site posting. "We will provide assistance to providers impacted by the hurricane so that they may continue to provide services to the Medicare beneficiary community and consider those services for reimbursement."
 
DME suppliers can replace lost or destroyed equipment at replacement value, Palmetto says. And beneficiaries can pick up supplies before next month's drop shipment date if they had to evacuate and/or supplies were destroyed or lost.
 
Hospices can contract for core services due to the emergency. "Thus hospice agencies should not discharge or advise patients to revoke the Hospice Medicare Benefit," Palmetto instructs.
 
Here's what to do: Palmetto will accept paper claims for affected providers if they put "Disaster Claim" in bold letters at the top of the claim and "Flood Claim" in the supporting documentation.
 
Palmetto may also assist with other specific situations such as medical review, cost reports, overpayments, and more, the contractor says. More information is at
www.palmettogba.com.

 

  • You may have a chance next year to share your views on how well your Medicare contractor is doing its job. The Centers for Medicare & Medicaid Services piloted a Medicare Contractor Provider Satisfaction Survey earlier this year and plans to apply it nationwide to all contractors - including RHHIs and DMERCs - in 2006, CMS says. The agency will send the survey to a sample of about 30,000 Medicare providers and suppliers.
     
    CMS is seeking Office of Management and Budget approval of the survey. Providers can submit their comments to CMS or the OMB until Oct. 4. More information is at
    www.cms.hhs.gov/providers/mcpss.

     

  • More data on the costs of home inhalation drug therapy is on the way. AAH has commissioned Washington-based research firm Muse & Associates to conduct a follow-up survey on the costs of the therapy and the Medicare dispensing fee.
     
    Muse earlier this month sent a detailed survey to more than 800 providers seeking information on service costs and other expenses, use of 90-day drug supplies and the impact of changes to the dispensing fee on patient access to care. CMS requested the information in its proposed 2006 Medicare physician fee schedule.

     

  • You can brush up on your claims processing system basics by checking out a free tutorial from CMS. Home care providers can access the Fiscal Intermediary Shared System (FISS) Tutorial online by ordering a CD ROM or by printing it up, CMS explains. Access to the tutorial in all three formats is at www.cms.hhs.gov/medlearn/fiss-tutor.asp.

     

  • Expect a crowd at CMS' next meeting on competitive bidding. A large number of home care providers have expressed an interest in attending the agency's next Program Advisory & Oversight Committee meeting on competitive bidding scheduled for Sept. 26 and 27 in Baltimore, AAH reports.
     
    For details on the agenda and registration, visit
    www.cms.hhs.gov/suppliers/dmepos/compbid/paoc.asp.

     

  • Pediatric Services of America Inc. is touting increased earnings for the quarter ended June 30. Norcross, GA-based PSAI reported net income of $1.5 million on revenues of $63.3 million for the quarter, up from a $1.0 million profit on $58.4 million in revenues for the same period in 2004.
     
    "We continue to see increased demand for our services," PSAI CEO Daniel J. Kohl says in a release.

     

  • It's not just the bigwigs who get caught in fraud schemes - authorities will pursue bookkeepers too. A federal grand jury indicted southwest Virginia-based Homestead Foundational Services owner Rebecca Conyer and bookkeeper Donna Bates on health care fraud, money laundering and mail fraud charges, the state Department of Justice recently announced. Homestead provided personal care services to elderly and disabled Medicaid recipients in the area.
     
    The two women allegedly submitted fraudulent claims to bilk the state Medicaid program of more than $1 million. Conyer and Bates may face 80-year and 70-year prison sentences, respectively, the DOJ says. Their trial will begin on Nov. 28.