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What Hospices Need to Know to do Business with VA Christine Cody, RCN, MSN Department of Veterans Affairs (114), 810 Vermont Ave. NW, Washington, DC 20420.

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Presentation on theme: "What Hospices Need to Know to do Business with VA Christine Cody, RCN, MSN Department of Veterans Affairs (114), 810 Vermont Ave. NW, Washington, DC 20420."— Presentation transcript:

1 What Hospices Need to Know to do Business with VA Christine Cody, RCN, MSN Department of Veterans Affairs (114), 810 Vermont Ave. NW, Washington, DC 20420 Christine.Cody@va.gov, 202-273-8537 Diane Jones, Project Administrator, HVP Program PO Box 844, Moorestown, NJ 08057 djones@ethosconsult.com, 856-234-5878

2 Doing Business with the Federal Government Get a Data Universal Numbering System (DUNS) number from Dun & Bradstreet Get a Data Universal Numbering System (DUNS) number from Dun & Bradstreet Register with Central Contractor Registration (CCR) Register with Central Contractor Registration (CCR)

3 DUNS NUMBER Unique 9-digit identification number provided by Dun & Bradstreet Unique 9-digit identification number provided by Dun & Bradstreet Free for all businesses required to register with the federal government for contracts or grants Free for all businesses required to register with the federal government for contracts or grants Each hospice location must have a separate DUNS number Each hospice location must have a separate DUNS number

4 How to request a DUNS number On-line application On-line application –D&B DUNS Numbers for US Government Contractors & Grantees –http://fedgov.dnb.com/webform Call (866) 705-5711 Call (866) 705-5711

5 Central Contractor Registration (CCR) What is CCR What is CCR –Central vendor database for the federal government –Maintains electronic payment information –Allows VA to pay contractors and vendors such as hospice agencies –Registration is free to vendors –Annual renewal is required

6 Central Contractor Registration (CCR) Why do hospices have register? Why do hospices have register? –Federal regulation –Prerequisite to contracting with the government How do hospices register? How do hospices register? –Online registration at www.ccr.gov –You must have your DUNS number to register

7 General information you need to register DUNS number DUNS number CAGE (Commercial and Government Entity) code CAGE (Commercial and Government Entity) code –If you do not have a CAGE code, one will be assigned to you after you register with CCR –There is no fee to get a CAGE code http://www.dlis.dla.mil/CAGESearch/cage_faq.asp

8 General information you need to register Company name Company name Federal Tax Identification Number Federal Tax Identification Number Location Location Receipts Receipts Website address Website address

9 Other information you need to register Organization or business type Organization or business type Small Business Administration defined socioeconomic characteristics Small Business Administration defined socioeconomic characteristics NAICS (North American Industry Classification System) code NAICS (North American Industry Classification System) code –62160 (hospice care services, in home) –623110 (hospice, inpatient care)

10 Other information you need to register SIC (Standard Industrial Classification) code SIC (Standard Industrial Classification) code –80599905Personal care home, with health care –80599906Rest home, with health care –80820000Home health care services Product Service code Product Service code –Service codeQ – Medical services FSC (Federal Supply Classification) code FSC (Federal Supply Classification) code

11 Other information you need to register Financial Information Financial Information –Financial institution –American Banking Association (ABA) routing number –Account number –Remittance address –Lock box number –Automated clearing house (ACH) information –Credit card information

12 Other information you need to register Point of Contact information Point of Contact information –Principal and alternate points of contact –Electronic business, past performance, and government points of contact Electronic Data Interchange (EDI) information Electronic Data Interchange (EDI) information –EDI point of contact and contact information –Optional – for businesses interested in conducting transactions through EDI

13 Doing Business with the Government Getting started can be very emotional! Getting started can be very emotional! Once you have a DUNS number Once you have a DUNS number –Update only if there are changes in your business Once you are registered with CCR Once you are registered with CCR –Annual on-line re-certification

14 VA Policy Hospice and palliative care is a covered benefit for all enrolled veterans, all settings "VA must offer to provide or purchase hospice & palliative care that VA determines an enrolled veteran needs." 38 CFR 17.36 and 17.38

15 VA Paid and VA Referred Hospice VA Inpatient VA Hospice and Palliative Care Mission To Honor Veterans Preferences for Care at the End of Life...... in all settings

16 16 VA Paid Hospice Care Average Daily Census FY04 – FY07

17 VA Purchasing Hospice Care Purchased Home Health Care Services Handbook Purchased Home Health Care Services Handbook –Contract and clinical staff at facility and VISN level jointly develop processes –Broad array of home and community based care options –Veterans preference for specific resources

18 Purchasing (contd) Services purchased from hospices that are licensed or otherwise state approved or certified by Medicare/Medicaid Services purchased from hospices that are licensed or otherwise state approved or certified by Medicare/Medicaid Purchasing options Purchasing options –Basic Ordering Agreement – geographical area or low frequency of use –Bid Contract best value approachbest value approach price, quality, service area coverageprice, quality, service area coverage Written agreements at facility, VISN, multi- VISN level Written agreements at facility, VISN, multi- VISN level

19 Statement of Work Purpose – purchase comprehensive package of bundled services at a per diem rate for eligible veterans Purpose – purchase comprehensive package of bundled services at a per diem rate for eligible veterans Pricing – locally calculated Medicare Hospice Benefit rates as maximum Pricing – locally calculated Medicare Hospice Benefit rates as maximum –$2/day for physician services beyond scope of routine hospice care –Negotiated rates reflect fair market value for services

20 Statement of Work (contd) Hospice responsibilities Hospice responsibilities –Services –Hospice manages care plan –Request level of care changes –Contact VA to preauthorize inpatient admissions

21 Statement of Work (contd) VAMC Procedures VAMC Procedures –Approve referral –VA physician certifies prognosis, encouraged to act as attending –VA sets recertification time frame and processes –Treatment issues identified and coordinated

22 Statement of Work (contd) Communication/Coordination Communication/Coordination –Liaisons – facilitate collaborative efforts, streamline communication, promote coordination of services –Communication process – referrals, general information, physician, patient discharge, death Quality Improvement Quality Improvement –joint review of quality and appropriateness of services


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