Advance Your Career As A Senior Home Safety Specialist

NAHC has partnered with Age Safe® America, a national membership, training, advocacy, and services organization, to provide you with an exclusive professional development opportunity.

If you provide care, comfort, safety, and security to older adults, the Senior Home Safety Specialist™ certification might be the perfect fit for your career advancement. Home safety is the #1 concern of older adults and an ESSENTIAL component to aging successfully at home.

Enrolling in the Senior Home Safety Specialist™ will empower you with actionable ways to better help educate clients, older adults, and their family members on the serious issues of home and personal safety.

Quick Facts About the Program: 

  • Comprehensive 5-hour self-paced online course
  • 17-module self-study educational program with a quiz after each section
  • The only certificate of its kind to individuals within senior services
  • A mixed array of topics from fall prevention to fire safety to senior exploitation

Video Introduction Download Guide | Sign Up Today 

As a valued NAHC member, we are committed to your ongoing professional training and development. Members will get a $100 discount (25% savings) on this internationally acclaimed certification when they sign up! Just use Coupon Code: NAHC100 at checkout!

GET CERTIFIED

Trust ERC Today for Your Employee Retention Credit Needs

The National Association for Home Care & Hospice (NAHC) has teamed up with ERC Today, a new partner that provides turnkey Employee Retention Credit (ERC) services to our valued members.

ERC Today helps businesses determine their eligibility for the Employee Retention Credit (ERC) and has helped organizations like yours secure thousands of dollars to millions of dollars in funding from the IRS. Unlike the Paycheck Protection Program (PPP), the ERC is not a loan but a payment directly from the IRS.

Their team of experts, CPAs, and tax professionals will review your detailed records for FREE to:

(1) positively determine your eligibility and

(2) calculate your estimated refund.

Established businesses can receive up to $26k per employee. If you opened a new business after February 15, 2020, ERC Today could help you receive up to $50k in Q3 2021 and $50k in Q4 2021.

As a member of NAHC, you will receive a 20% discount from their standard rates.

Getting started is easy! ERC Today will walk you through the entire process. This video provides a quick look at the process.

What happens next? 

Following this free review, ERC Today will collect a service agreement and nominal deposit if you choose to proceed with the refund process.

You will then receive your amended 941-X for submission to the IRS, initiating the refund. The remainder of your fee will be due to ERC Today, after you have received your IRS refund to minimize out-of-pocket cash while your refund is pending.

The IRS refund schedule is currently running for four to six months.

APPLY TODAY!

Did You Miss? The State of the Market: From Valuations to Volume in 2022 and Beyond

Join the National Association for Home Care & Hospice for this up-to-date look at the home health, home care, hospice and behavioral health markets, including current supply and demand, valuation trends, and how regulatory changes and potential increases to capital gains tax rates may affect market performance in 2022.

Learning objectives:

  • Explain how upcoming regulatory changes and potential capital gains tax increases could affect health care industry transactions;
  • Describe how to prepare for a potential future sale of a health care company and what to expect during the course of a transaction;
  • Discuss projections for the home health, home care, hospice and behavioral health markets in 2022.

Faculty:

  • Rich Tinsley
  • Tom Lillis
  • Brian Bruenderman

Price: Free to NAHC members // $99 for non-members

REGISTER NOW

Did You Miss? Emerging Legal Trends in Home Care & Hospice: Marketing; Compliance, Fraud and Abuse, & Pitfalls

Good and effective marketing strategies can increase patient census, and can help with patient and staff satisfaction, however, improper marketing activities can lead to significant financial penalties, exclusion from participation in federal and state programs, and even jail.   This session will

  • address the incorrect methods of marketing,
  • identify the potential pitfalls and penalties associated with improper marketing activities,
  • provide strategies and solutions to market your home health and hospice in a compliant manner.

Information on the Series

NAHC is bringing together the top experts in the industry to examine the most important legal topics in home care and hospice.

Home care and hospice is a highly regulated industry, as such, it forces providers to maintain a strong working knowledge of a bewildering array of legal issues just to stay in business — fortunately, NAHC has a solution. This 10-part webinar series offers an in-depth and practical analysis of the key legal topics every home care and hospice executive should understand.

Every part of your organization is impacted by legal and regulatory trends, that’s why we provide insight and guidance for every part of your organization from clinical to finance to legal. These webinars will help your entire organization stay ahead of the curve.

Faculty: Rachel Hold-Weiss, RPA-C, JD, Partner, Arent Fox LLP

Register for Individual Webinar
$29/member | $50/non-member 
Register for the Series
$199/member | $350/non-member

Webinars in the Series

May 6: Patient Acceptance and Discharge
May 19: Government Audits and Investigations
Jun 9: HIPAA 101: Back to Basics
Jul 14: Fraud and Abuse: Stark and Anti-kickback Law
Aug 11: Employment Law Issues
Sep 22: Wage & Hour Law
Nov 30: ACA Employer Mandate and Employee Retention Credits
Dec 1: Legal Considerations in Mergers and Acquisitions
Dec 13: Payment Audits and Appeals

Jan 18: Home Health and Hospice Marketing: Compliance, Fraud and Abuse, & Pitfalls

OSHA Increases Civil Penalties

On January 16, 2022, the Occupational Safety and Health Administration (OSHA) increased its civil penalties based on cost of living adjustments.

Below are the maximum penalty amounts, with the annual adjustment for inflation, that may be assessed after Jan. 15, 2022. (See OSHA Memo, Jan 13, 2022).

2022 Penalty Adjustments
Type of Violation Penalty
Serious
Other-Than-Serious
Posting Requirements
$14,502 per violation
Failure to Abate $14,502 per day beyond the abatement date
Willful or Repeated $145,027 per violation

State Plan States

States that operate their own Occupational Safety and Health Plans are required to adopt maximum penalty levels that are at least as effective as Federal OSHA’s.

Penalty Payment

OSHA’s Debt Management Program provides information and guidance to employers on debt collection activity. OSHA collects penalty payments for citations issued for employer violations of OSHA regulations. Learn more about citations, penalties, and steps to take if you have a debt with OSHA.

For More Assistance

OSHA offers a variety of options for employers looking for compliance assistance.

The On-Site Consultation Program provides professional, individualized assistance to small businesses at no cost.

OSHA also has compliance assistance specialists in most of their 85 Area Offices to provide outreach and education programs for employers and workers.

For more information, please contact the Regional or Area Office nearest you.

NAHC Wants Your Input for 2022 Legislative & Regulatory Agendas

The policy staff of the National Association for Home Care & Hospice (NAHC) and its affiliates — the Hospice Association of America (HAA), the Home Care & Hospice Financial Managers Association (HHFMA), and the National Medicaid Action Council — are in the process of developing their agendas for legislative and regulatory activities in the coming year. NAHC, along with its affiliated organizations, is seeking member input with regards to crafting the 2021 agenda documents.

The policy staff is seeking input to help develop these blueprints, which provide the action plans and basis for advocacy efforts for the coming year. Throughout the year as issues develop, NAHC, HAA, and the National Medicaid Action Council gather ideas for these agendas from members, state association affiliates, advisory committees, and the NAHC Board of Directors.

With the potential for big changes on the legislative and regulatory horizon for next year on Capitol Hill and in the Administration, NAHC and its affiliates are developing strategies now to protect the continued viability of home care and hospice. Please take a moment to communicate your thoughts for these agendas to guide us as an association and a community. We are particularly interested in any new issues that you believe should be included as part of NAHC’s overall advocacy agenda.

As references, previous versions of NAHC’s Legislative and Regulatory Blueprints are available on the NAHC website under Policy & Advocacy.

When the draft blueprints and legislative priorities for 2021 are completed, they will be reviewed by the NAHC Public Policy Committee, the Hospice Advisory Board, the HHFMA, and the NAHC Board of Directors.

To submit ideas to be considered for inclusion in the 2021 Legislative and Regulatory Blueprints for Action, please email cmcdaniel@nahc.org.

Please include:

  • A description of the issue;
  • Proposed recommendations; and
  • Your rationale for the change(s).

In addition, please be sure to include your name and telephone number and/or email address in case we need to contact you for more information on the issue or proposal.

The Private Duty Leadership Summit Will be a Virtual Conference

It is with regret that the National Association for Home Care & Hospice must announce that the 2022 Private Duty Leadership Summit, originally scheduled as an in-person event from February 22-24, 2022, in Hilton Head, South Carolina, will move forward as a virtual event.

This decision was not made lightly and we are enormously grateful for the support people have shown for the private duty home care community. However, despite considerable enthusiasm for the Leadership Summit, we have heard back from many who wanted to attend that the ongoing COVID-19 epidemic and the now-dominant Omicron variant that is more contagious than previous variants, has created unprecedented stress on already depleted workforces, making travel and time away from patients simply impossible.

“This was a very difficult decision to make and everyone at NAHC is disappointed that it became necessary to change the Leadership Summit from an in-person event to a virtual event said NAHC President William A. Dombi. “We have an incredible program to offer, however the safety of our guests and faculty, and of their patients, is of paramount importance.”

We plan to present much of the Leadership Summit content as webinars free to NAHC members, so please look for more information as those plans are finalized.

We have begun processing refunds for registrations, and everyone who registered will receive a full refund.

Once again, thank you to everyone who planned to be a part of the community of private duty home care professionals at the 2022 Leadership Summit and for supporting the National Association for Home Care & Hospice. We hope to see you soon.

The State of the Market: From Valuations to Volume in 2022 and Beyond

  • Thursday, Jan 20, 2022
  • 2:00 – 3:00 pm ET
  • REGISTER
  • Free to members!

Join the National Association for Home Care & Hospice for this up-to-date look at the home health, home care, hospice and behavioral health markets, including current supply and demand, valuation trends, and how regulatory changes and potential increases to capital gains tax rates may affect market performance in 2022.

Learning objectives:

  • Explain how upcoming regulatory changes and potential capital gains tax increases could affect health care industry transactions;
  • Describe how to prepare for a potential future sale of a health care company and what to expect during the course of a transaction;
  • Discuss projections for the home health, home care, hospice and behavioral health markets in 2022.

Faculty:

  • Rich Tinsley
  • Tom Lillis
  • Brian Bruenderman

Price: Free to NAHC members // $99 for non-members

REGISTER NOW

Emerging Legal Trends in Home Care & Hospice: Marketing; Compliance, Fraud and Abuse, & Pitfalls

Good and effective marketing strategies can increase patient census, and can help with patient and staff satisfaction, however, improper marketing activities can lead to significant financial penalties, exclusion from participation in federal and state programs, and even jail.   This session will

  • address the incorrect methods of marketing,
  • identify the potential pitfalls and penalties associated with improper marketing activities,
  • provide strategies and solutions to market your home health and hospice in a compliant manner.

Information on the Series

NAHC is bringing together the top experts in the industry to examine the most important legal topics in home care and hospice.

Home care and hospice is a highly regulated industry, as such, it forces providers to maintain a strong working knowledge of a bewildering array of legal issues just to stay in business — fortunately, NAHC has a solution. This 10-part webinar series offers an in-depth and practical analysis of the key legal topics every home care and hospice executive should understand.

Every part of your organization is impacted by legal and regulatory trends, that’s why we provide insight and guidance for every part of your organization from clinical to finance to legal. These webinars will help your entire organization stay ahead of the curve.

Faculty: Rachel Hold-Weiss, RPA-C, JD, Partner, Arent Fox LLP

Register for Individual Webinar
$29/member | $50/non-member 
Register for the Series
$199/member | $350/non-member

Webinars in the Series

May 6: Patient Acceptance and Discharge
May 19: Government Audits and Investigations
Jun 9: HIPAA 101: Back to Basics
Jul 14: Fraud and Abuse: Stark and Anti-kickback Law
Aug 11: Employment Law Issues
Sep 22: Wage & Hour Law
Nov 30: ACA Employer Mandate and Employee Retention Credits
Dec 1: Legal Considerations in Mergers and Acquisitions
Dec 13: Payment Audits and Appeals

Jan 18: Home Health and Hospice Marketing: Compliance, Fraud and Abuse, & Pitfalls

Supreme Court Blocks Biden’s Covid Rule for Biz, Upholds Health Worker Mandate

The Supreme Court handed down a split decision on two Biden administration workplace rules to stop the spread of the novel coronavirus COVID-19, blocking an OSHA rule requiring businesses with at least 100 employees to compel their workers to get vaccinated or wear masks and test negative at least once per week, but upholding a separate rule from the Centers for Medicare & Medicaid Services (CMS) requiring vaccination for about 20 million health care workers.

The OSHA rule would have covered about 80 million workers and administration estimated it would save about 6500 lives in six months.

“Today’s decisions from the U.S. Supreme Court brings home care a step closer to the essential clarity that is needed to determine what is required for compliance,” said NAHC President William A. Dombi in response to the rulings. “The OSHA rule is blocked from implementation and enforcement for the moment. The CMS rule can full take effect for the moment. Both cases return to the lower courts for further adjudication. The Administration has further options option to it. We strongly encourage both Congress and the Administration to quickly reach a conclusion so that affected health care businesses can focus on providing care. Infection control in patient care and staffing is an essential responsibility in all of health care. Home care is committed to protecting its patients and its staff from Covid-19.“

The decision once again laid bare the sharp ideological differences that exist on the court.

“Although Congress has indisputably given OSHA the power to regulate occupational dangers, it has not given that agency the power to regulate public health more broadly,” wrote the court’s six-member conservative majority. “Requiring the vaccination of 84 million Americans, selected simply because they work for employers with more than 100 employees, certainly falls in the latter category.”

The court’s three liberal justice dissented fiercely, writing that the majority was replacing OSHA’s expertise with its own, which lacks the necessary knowledge in public health.

“In the face of a still-raging pandemic,” wrote the dissent, “this court tells the agency charged with protecting worker safety that it may not do so in all the workplaces needed. As disease and death continue to mount, this court… usurps a decision that rightfully belongs to others. It undercuts the capacity of the responsible federal officials, acting well within the scope of their authority, to protect American workers from grave danger.”

NAHC has prepared bullet points to help you understand what these rulings mean for home care and hospice.

OSHA Rule

  • Court majority (6-3) finds that OSHA does not have the authority to issue a broad-based rule that is not specifically focused on occupational hazard affecting workers;
  • Majority views the OSHA rule as more a “public health” action rather than an occupational health one. OSHA does not have public health regulatory authority;
  • OSHA can regulate worker safety “where the virus poses a special danger” because of the employees job functions or workplace. Examples include where the employee is working with the virus or working in a crowded environment;
  • While the Court’s action stops the OSHA rule in its current form, OSHA may consider refining the rule to target certain workers in certain workplaces. This clearly could include health care settings for those entities not subject to the CMS rule.  Such action is not likely to occur quickly but is a strong possibility;
  • States that had been on the fence with respect to employer mandates may now move forward given the limitation on federal power and the Courts direct recognition that states have such power;
  • While the Court suggested that Congress might have the power to enact similar requirements to those under the OSHA rule, it is highly unlikely that such would pass in the current Congress. Earlier, a majority of the Senate opposed the OSHA rule;
  • NAHC recommends that home care companies return to focus on the expired OSHA Healthcare ETS as it may be the next generation of OSHA action as it is more targeted to a specific workplace hazard; and
  • While the OSHA case has been returned to the lower court for further adjudication, it can be expected that OSHA will ultimately lose on the existing rule. A new, targeted rule remains possible with the likelihood that new litigation will follow.

The OSHA rule was originally blocked by lower courts, but a three-judge panel of the U.S. Court of Appeals for the Sixth Circuit reversed the lower court rulings, calling the rule “an important step in curtailing the transmission of a deadly virus that has killed over 800,000 people in the United States, brought our health care system to its knees, and cost hundreds of thousands of workers their jobs.”

The Supreme Court ruling earlier today reverses the Sixth Circuit Court of Appeals decision.

CMS Rule

  • Court majority (5-4) finds clear authority for CMS to require measures, including vaccines, to protect patients and regulate provider staff qualifications
  • “Health and safety” rulemaking authority provides CMS with the ability to address a broad range of issues within its expertise
  • Majority concludes that such authority is inferred for all providers subject to conditions of participation even without express language. e.g. home infusion providers
    • Court explains that there is a provision in the rule that permits severing parts of the rule that are deemed outside of CMS authority
    • This may create an issue for the lower courts to address as the SCt sent the case back for continuing review since it was acting only on the issue as to whether a preliminary stay of the rule should continue
  • NAHC expects CMS will move quickly to bring to rule into enforcement consistent with the recent guidance issued that is applicable to the states where the injunction was not in place
  • NAHC expects that CMS will prevail ultimately in the validity of the rule. As such, we highly recommend that affected providers move forward to full compliance.

CMS released the following statement after the Supreme Court decision, setting compliance dates for the 24 states that had been subject to the injunction against the CMS rule.

As a result of today’s decision, health care providers subject to the Omnibus Health Care Staff Vaccination rule in the 24 states (Alabama, Alaska, Arizona, Arkansas, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, Montana, Nebraska, New Hampshire, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Utah, West Virginia, and Wyoming) covered by this decision will now need to establish plans and procedures to ensure their staff are vaccinated and to have their employees receive at least the first dose of a COVID-19 vaccine.

Today’s decision does not affect compliance timelines for providers in the District of Columbia, the territories, and the 25 states where the preliminary injunction was previously lifted. See the guidance released on December 28, 2021, for additional information.

Previously, two federal appeals courts halted enforcement of the CMS rule in 24 states, but it did go into effect in the remaining states.