Volume 8, Number 7 January  16, 2019



Dear Healthcare at Home Colleague,

Isn't it fascinating to watch different judges come to different conclusions when faced with nearly the same case? In a recent issue, we reprinted (with permission) a report from home care attorney Elizabeth Hogue about a court case that declared CMS may hang on to your money during the appeals process, even if that process takes three to five years. This week, Ms. Hogue is back with another case from a different district that concluded exactly the opposite. This more reasonable judge said it is crazy to recoup and hold payments until the ALJ court decides an appeal when the ALJ system is backlogged for years. With attorney Hogue's assistance, we will continue to report on the developments in this case for you. Pay attention to her warning at the end of the article. The only problem is that I'm not sure we publish often enough to keep up with all the various court decisions.

In other news:
Clinicians with both skilled and non-skilled providers should be captivated by the new research we were alerted to by Wellpepper, a mobile technology company with a physical therapy telehealth app. Both Boston and Harvard Universities wanted to know whether an app could encourage people with Parkinson's Disease and others prone to falls to maintain their exercise routine. The studies are ongoing but preliminary results are promising. When you read it, think in terms of ways to adapt to Home Health PDGM, Medicare Advantage in Private Duty, and the need to maintain 5-star patient outcomes with fewer in-person visits.

We continue to parse our software implementation satisfaction survey results with two articles this week. In "Is There Really No ROI?" staff writer Darcey Trescone brings her years of implementation experience to bear to survey responses to questions about ROI expectations vs. reality. She supplements that analysis with insights into innovations that software developers bring to their products. Take a look and consider your stance on Darcey's definition of evolutionary innovation and revolutionary innovation. Which type helps EMR software customers, which harms?

As you read this, I am delivering a presentation at the 8th annual Compliance Cruise on new technologies that help home health agencies with regulatory compliance. This annual conference is an in-depth educational experience organized by home care attorneys Lucian Bernard and Liz Pearson. I'll come back with a full report on what we learn.

Have a great week. Keep making a difference!


Editor signature
Tim Rowan



Preventing Recoupment - Appeal, Appeal, Appeal!
The U.S. District Court for the Southern District of Texas ruled that CMS could not recoup monies until after Administrative Law Judge hearings have been held.

Is There Really No ROI?
EMR ROI requires measurement, monitoring and agency effort to be achieved.

Innovation: Why it is Important to Understand
Will your vendor's planned product roadmap innovation support your agencies needs?

Two Universities Find Mobile Digital Interventions Inspire People With Parkinson's Disease
Boston University Center for Neurorehabilitation and Harvard University release findings from studies on the effectiveness of in-home, mobile-device directed physical therapy exercises.

Vendor Watch
— AxisCare releases offline version of "Caregiver GPS" mobile app

 
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Last Week's Most-Read Stories:
BREAKING NEWS: CMS Creates New Cause for Payment Denials
Plan of Care is now not only a Condition of Participation but also a Condition of Payment. Failure to include will result in payment denial.
 
So How Are We Doing? Agencies Report on EMR Satisfaction
Are home health, home care, and hospice agencies satisfied with the EMR systems in our industry? We asked them.

As of this date, approximately 32,318,000 Baby Boomers have become Medicare eligible.



Notable Upcoming Conferences Free Webinars

PDGM National Summit in the Rockies *

Home Care Association of Colorado & NAHC


Date:
February 13, 2019
Location:
Hyatt Regency Aurora/Denver Conference Center
Fee Schedule:

Early bird – ends 11:59 p.m. MST Friday, January 11
Member $249, Non-Member $449

Regular Price  - ends 11:59 p.m. MST Sunday, February 10
Member $299, Non-Member $499 

Onsite – February 13 
Member $349, Non-Member $549

*Member rates apply to members of: Home Care Association of Colorado, National Association of Home Care & Hospice and participating state home care associations. 

Register now!

The Home Care Association of Colorado and the National Association of Home Care, together with state home-care associations in the region, will host a one-day conference Feb. 13 on the Centers for Medicare & Medicaid Services' Patient Directed Groupings Model. PDGM's adoption will bring significant change to home health care. This one-day regional conference on PDGM allows providers to hear from national experts on the new model, with significant time allocated to Q&A. Click here to view the schedule.



Information for Providers and Exhibitors


National Healthcare CNO/CMO/Informatics Summit

Date: March 18-19, 2019
Location: The Langham Huntington, Pasadena, Los Angeles, CA

The Healthcare Summits are the premium forums bringing senior level medical executives and solution providers together. The one-on-one business meetings provide access to senior medical executives within the largest healthcare organizations across the United States. A thorough selection process ensures a qualified audience, which grants unparalleled business and networking opportunities in a luxurious and stimulating environment.
Information

PDGM National Summits - Coming to a City Near You!

National Association of Home Care and Hospice

In early 2019, 12 summits were planned at strategically located cities around the United States. There are still 8 summits available to attend. Find the nearest location to gain insights and receive the tools you need to successfully transition to PDGM.  You still have time!

Previous Locations:
January 23, 2019 Orlando, Florida (Done)
January 24, 2019 Kansas City, Missouri (Done) 
February 5, 2019 New Orleans, Louisiana (Done)
February 6, 2019 Portland, Oregon (Done)
February 7, 2019 Valley Forge, Pennsylvania (Done)
February 13, 2019 Denver, Colorado (Done)

Locations Upcoming:

February 21, 2019 Columbus, Ohio

February 27, 2019 Charlotte, North Carolina

March 5, 2019 Chicago, Illinois

March 12, 2019 Boston Region - Northampton, MA (Sold Out)

March 13, 2019 Boston Region - Northampton, MA

March 19, 2019 Los Angeles, California

March 26, 2019 Dallas, Texas

Click Here for Information and to Register!

The most consequential changes to impact home health in decades are coming in 2020 — are you ready? The Patient-Driven Groupings Model (PDGM) was created by the Centers for Medicare and Medicaid Services and is slated to debut on January 1, 2020. PDGM will revolutionize the payment methodology for all Medicare Home Health Agencies (HHAs) in the United States.


2019 Omaha System International Conference: A Key to Practice, Documentation, and Information Management

Date: April 3-5, 2019
Location: Eagan, Minnesota
Fees: Pre-Conference (1 day): $165
Conference (2 days): $335
Pre-conference and Conference (all 3 days): $500

Registration and Information
The Omaha System International Conference is held every two years as a venue for those in practice, education, research, and software development to exchange experiences. There is something for everyone involved with the Omaha System, from beginners to experts to everyone in between. Joyce Sensmeier, HIMSS is the keynote speaker, and The University of Texas at Austin School of Nursing is the school host. The 2019 PDF flier includes location and registration information, speaker/planner list, agenda, exhibitors, and more.

Hospice & Palliative Care Leadership & Advocacy Conference 2019 (LAC 2019)*

National Hospice & Palliative Care Organization 

Preconference Dates: April 13-14, 2019
Main Conference Dates: April 15-17, 2019
Location: Marriott Wardman Park Hotel, Washington, DC

Rates and Fees

Register Online

Executive leadership and management at all levels of hospice and palliative care will comprise the audience for this conference, including presidents and CEOs, administrators, directors, clinical managers, finance and development professionals, quality and performance improvement professionals, regulatory and compliance officers, marketing and public relations professionals, educators, researchers and other leaders working to promote advancement of hospice and palliative care and plan its future development.


2019 Telehealth - Innovative Changes in Healthcare Delivery Conference *

Presented by: Connected Home Living

Date: April 18-19, 2019
Location: Paris Hotel - Las Vegas
Fee: $595 per person

Register

During this event, hear from some of the most dynamic and educational industry experts about current and upcoming CMS rules.  Learn about how telehealth can ease the burden of PDGM for home health, updates on PDPM for Skilled Nursing Facilities, the Physician Fee Schedule, and 2019 Quality Payment Program (QPP) for physicians.  CMS is dramatically expanding opportunities for providers to include telemedicine and telehealth in plans for improving patient care, reducing costs, and improving patient satisfaction.

 


National CXO Summit *

Presented by Marcus Evans Events


Date: May 19-21
Location: Eau Palm Beach Resort

Keynote Presenters: Susan Blumenthal, past US Assistant Surgeon General; Nicholas Webb, Healthcare Futurist

Registration Information


*The Rowan Report will see you there.

Your state or national association meeting not listed? Send the details to Conferences@RowanResources.com using this format:

Conference Title
Sponsoring Association
Date(s)
Hotel or Conference Center, City, State
URL

Navigating the Hospice Cost Report

Sponsored by: ElevatingHOME

Date: February 19, 2019
Time: 12:00pm EST
Fee: FREE

Register Now

CMS has stated that 66% of the cost reports previously filed should not have been accepted and will now be subject to more strenuous requirements. The cost reports will be used by CMS to recalibrate and adjust the hospice daily payment rates.

Join Elevating Home for this webinar as Tom Boyd, Vice President of Reimbursable Services with Simione Healthcare Consultants discusses what is new and help participants identify and understand the requirements for the completion of the Medicare Hospice cost report.



 

The Hospice Cost Report: A Requirement & A Management Tool

Presented by: Tom Boyd, MBA, CFE, CHFP, Vice President of Reimbursable Services, Simione Healthcare Consultants

Date: February 14
Time: 2:00 - 3:00 EST
Fee: FREE

Register now

Join Simione Healthcare Consultants for an overview of hospice cost reporting and ways to make sense of all the required information to support timely, accurate and affordable filing. A Simione cost report is backed by our longstanding experience with reimbursement and government reporting. Discover the difference and get the bigger picture on your hospice finances!



Learning Series Webinar: Million Hearts®2022 & Related Medicare-Covered Preventive Services 
CMS National Training Program

Date: February 14, 2019
Time: 1:00 - 2:30 EST
Fee: FREE

Register now

This webinar provides an overview of:

  • National Initiative—Million Hearts® 2022
  • Heart Disease and Stroke in the U.S.
  • Medicare-Covered Preventive Services Related to Heart Health

 



The Home Health Cost Report: Expert Advice for Hassle-Free Filing

Presented by: Tom Boyd, MBA, CFE, CHFP, Vice President of Reimbursable Services, Simione Healthcare Consultants

Date: February 21
Time: 2:00 - 3:00 EST
Fee: Free

Register now
Join Simione Healthcare Consultants for an overview of home health cost reporting and ways to make sense of all the required information to support timely, accurate and affordable filing. A Simione cost report is backed by our longstanding experience with reimbursement and government reporting. Discover the difference and get the bigger picture on your finances!

 



CMS to Test Hospice Carve-In Under Medicare Advantage
VNAA and ElevatingHOME
Date: February 20, 2019
Time:1:00pm EST
Fee: Free
Register Now 
What does this CMS demonstration mean for the hospice community? There are many unanswered questions for providers and potential relationships with Medicare Advantage (MA) plans. More than 20 million Medicare beneficiaries (34%) are enrolled in MA plans, which are mainly HMOs and PPOs offered by private insurers as an alternative to the traditional Medicare program.  
Join VNAA and ElevatingHOME Policy Consultant Jenna Paladino for an in-depth webinar to discuss the demonstration, next steps to position your program for success, and actionable items to share with your team. Now is the time to ask questions and learn how a carve-in would impact your patients. 


Webinar hosts, send your announcements to: Conferences@RowanResources.com

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