Volume 7, Number 22 January  31, 2018



Dear Healthcare at Home Colleagues,

Conditions of Participation; Value-Based Purchasing; ACO partnerships; Managed Care; Medicare Advantage. Insiders with insights into each of these areas gathered in Orlando this week at the 2018 Homecare 100 meeting. This is the gathering sponsored by Lincoln Healthcare Leadership where only the executives from the largest home health, home care, and hospice providers are invited. The volume of information and opinion was overwhelming but we have done our best to summarize the highlights for you. This week, we start with the onstage discussion between NAHC Interim President Bill Dombi and the CEO and president of the National Hospice and Palliative Care Organization, Edo Banach.

Though technically competitors, Bill and Edo agreed on almost every point, especially regarding the likes of MedPAC, Congress, CMS, and the incoming HHS Secretary. Don't miss our summary of what developed during their moderated conversation.

Vendor Watch is our most important column this week. We just heard about two significant acquisitions in the tech vendor community. Some of the biggest names in Healthcare at Home software are involved. As the announcements were only released hours before we wrapped up this issue, we have only had time to conduct brief interviews with the principals so far. Mediware CEO Bill Miller was quite forthcoming about the meaning of his company's purchase of MedTranDirect. And HomeCare Accounting Solutions founder Mike DelCollo shared some thoughts about selling his company to Netsmart, not the least of which might trigger a memory among readers who have been around long enough.

Mike was the software development genius behind one of our industry's first software systems, a DOS-based gem called HCS. When HCS CEO Steven Griff retired in 1999, DelCollo's software was sold to Misys. Later, Misys became Allscripts and Allscripts was ultimately acquired by Netsmart. Meanwhile, DelCollo built HAS. So, loosely defined, Mike DelCollo has sold two products to essentially the same company. Business is interesting.

Next week, we will dig a little deeper into the acquisitions and have more to say about our chats with the people at their center.

Lastly, as we continue to try to help you cope with regulations, especially the new CoPs, we bring a guest article by home care attorney Elizabeth Hogue, titled "Refusal of Services and/or Non-Compliance." She bases her analysis on the draft Implementation Guidelines.

We also detail coming changes in Medicare ID card numbers. The transition from social security numbers to randomly-generated number and letter combinations will pose a challenge for providers and software vendors for at least a full year.

Have a great week. Keep making a difference!


Editor signature
Tim Rowan



Dombi and Banach Spar at Homecare 100
When leaders of competing associations essentially agree, their members should pay attention. Bill Dombi and Edo Banach kicked off Homecare 100 with some strong language, not for each other but for their common enemies.

Merger Mania: Mediware + MedTranDirect; Netsmart + HAS
This week, two major acquisitions were announced in the home health and hospice tech community. Mediware, Kinnser's parent company, acquired Medicare connectivity and eligibility vendor MedTranDirect. Netsmart announced the acquisition of HomeCare Accounting Solutions.

Draft Interpretive Guidelines for HHAs: Refusal of Services and/or Non-Compliance
Guest author Elizabeth Hogue, esq. explains the compliant procedure for refusing to continue services to a non-compliant patient.

CMS Begins to Generate Random Medicare ID Numbers
EMR software developers have their work cut out for them. During the transition from Social Security Numbers to randomly-generated ID numbers on Medicare cards, CMS contractors will accept either number but return both on remittance advices. Here is the official guidance from CMS.

 
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During the 1st Quarter of 2018, web sites of the above advertisers were visited by home care and hospice executives and staff 2597 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

Last Week's Most-Read Stories:
Home Health Attorney Explains Most Vexing CoP Challenges in Plain English
Getting into compliance with the new CoPs is much harder than reading them and having a training session with your staff. Attorney Liz Pearson walked a group through it this week and helped agency owners see the tasks ahead of them more clearly.
 
Vendor Watch: Patient Recruitment Tool
— Swift Shift Introduces Boost, A Re-Engagement Platform to Revitalize Home Healthcare Recruitment
— BlackTree Healthcare Consulting Partners with Forcura
— Nasdaq Chair Joins Wellbe, A Connected Care Software Company

As of this date, approximately 28,468,000 Baby Boomers have become Medicare eligible.



Notable Upcoming Conferences Free Webinars

2018 Annual Conference

AHHC of North Carolina

May 7-9
Sheraton Imperial Hotel & Convention Center

Register


West Coast Payer and Provider Summit to Address Social Determinants of Health for Complex PopulationsA World Health Care Congress Executive Series Event

June 4-5

Doubletree Resort Paradise Valley
Scottsdale, AZ


Download agenda

Post Acute 360: Strategy and Solutions Conference

Presented by: Lincoln Healthcare Leadership

June 25-27
Gaylord National Resort
National Harbor, MD
Information and Registration


Leading in a Changing World

Texas Association for Home Care & Hospice 49th Annual Meeting
August 8-9
Moody Gardens Hotel & Spa
Embassy Suites Frisco Hotel & Convention Center
Frisco

Information and registration


Home Care Cruise

Sponsored by: HealthCare Synergy
Featuring: Melinda Gaboury, Michael Tidd, Paula Pettit
Dates: August 24-27
Location: Carnival Inspiration, Los Angeles to Ensenada, Mexico

Information and Registration

(Early Bird Pricing Ends May 15)


Hospice Financial and Administrative Management Academy

Presented by: The Health Group, LLC

Date: September 17-18
Location: Mirage Las Vegas

Information and registration


2018 National Leadership Conference *

Home Care Association of America

Date:
September 22-25
Location: Marriott Wardman Park Hotel
Washington DC

 

Information for Providers and Exhibitors


*HCTR 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

Patients' Right to Freedom of Choice of Providers: How to Avoid Lawsuits

 

Presented by Elizabeth Hogue, Esq.

 

Thursday, June 14 (Encore Date: 6/21)
Recording available 24/7 On Demand; option to purchase CD & handouts.
1:00 - 2:30 pm EDT

 

Register here

 

Conflict between hospitals and home health agencies, private duty agencies, hospices and HME companies that receive referrals from hospitals may be intensifying regarding patients' right to freedom of choice. Hospitals say that they comply with all requirements while some post-acute providers maintain the exact opposite. Now post-acute providers are suing hospitals for violations.
  • What exactly are hospitals supposed to do?
  • What do post-acute providers say are common violations?
  • What is an example of a recent lawsuit filed against hospitals for violations?
  • What can hospital discharge planners/case managers do to avoid these types of lawsuits?
  • How can providers help ensure that patients' rights are honored instead of filing court cases against hospitals?
Participate in this teleconference to learn the answers to all of these questions! Extensive handouts will be provided that will also serve as a resource when questions come up in the future.


FY2019 Hospice Proposed Rule: What You Need to Know

Sponsored by HEALTHCAREfirst
Featuring:
Deanna Loftus, Director of Regulatory Compliance, HEALTHCAREfirst

Date: Tuesday, June 5
Time: 2:00 pm EDT

Free Registration

On April 27, 2018, CMS issued a proposed rule that would update FY2019 Medicare wage index and payment rates for Medicare hospice agencies. The proposed rule includes changes to the hospice payment rates, updates to the Hospice Quality Reporting Program (HQRP), and more. Ms. Loftus will review the latest information regarding proposed changes and how they may affect you.


Are You Marketing to the Wrong Person?
A Different Way to Get Home Health Referrals

Presented by Healthcare Synergy
Featuring: Melinda Rodriguez, PT, DPT, MSCS, LSVT
Date: Wednesday, March 7
Time: 10:00 a.m. PST; 1:00 p.m. EST

In this Webinar, you will:
  • Learn another way to market inpatient facilities other than discharge planners, case managers or social workers.
  • Discuss the role of Home Health in the challenging healthcare environment – Short Term Home health.
  • Describe the Continuum of Care Concept in the post acute care network
  • Identify strategies to reduce risk of acute care readmission.
  • Discuss options for discharge disposition for potential skilled nursing facility candidates to decrease SNF discharge rate for inpatient rehab units.

Register



How to Attract and Retain Health System Relationships

Presented by Netsmart
Ongoing
Free
Watch now

 


Dementia, Alzheimer's, and Mental Health Aide Education

Presented by Curaport
Featuring:
J'non Griffin, RN, MHA, WCC, President, Home Healthcare Solutions, LLC

Date: Tuesday, May 15
Time: 2:00 p.m. EDT

Fee: $79 (per attendee)
Information & Registration

*This education session is approved for one (1) contact hour of Continuing Education for Nursing

 



Clinical Impact of OASIS-D

Presented by HEALTHCAREfirst

Featuring:

Deanna Loftus, HEALTHCAREfirst Director of Regulatory Compliance
Mary St. Pierre, RN, BSN, MGA, Regulatory Consultant

Tuesday, May 1
2:00 pm EDT

Free Registration

In March 2018, CMS released the draft of the latest version of the OASIS data set, OASIS-D. Modifications are being made to OASIS in order to comply with the IMPACT Act, to reduce data collection burden, and to improve formatting throughout the document. CMS is seeking approval from the Office of Management and Budget for a January 1, 2019 implementation date. Topics:

  • Addition of six new standardized items
  • The removal of 28 OASIS questions that will no longer be assessed.
  • Modification to M1311 to support a new standardized pressure ulcer measure.
  • Addition of responses to M1028, M1311, M2102 and removal of responses to M2310.
  • Review of additional changes to OASIS

 



ADR Education: Prevention & Response

Presented by Curaport

Featuring: Diane Link, RN, MHA

Date: Thursday, May 17
Time: 2:00 p.m. EDT
Fee: $79 (per attendee)

Information and registration

This education session is approved for one (1) contact hour of Continuing Education for Nursing


What Does Behavioral Health Have to do With Home Health Outcomes?

Presented by: Netsmart/DeVero
Featuring: Katherine J. Vanderhorst ,RN-BC,BSN and Dr. Amy Craven

Thursday, February 22
2:00 p.m. Eastern
Learn why integrating behavioral health with chronic care management can improve star ratings.

Many home health patients have co-existing Chronic Behavioral Health problems that are not dealt with. If not addressed, problems like anxiety and depression leave patients unable to self-manage diabetes, congestive heart failure, CHF, COPD and other serious medical conditions. This presentation will show why recognizing and managing behavioral health diagnoses and can have a positive outcome on your agency’s STAR ratings. Presented by Katherine J. Vanderhorst ,RN-BC,BSN and Dr. Amy Craven.

Registration



The Penalty Box Compliance Series Part 8: The IMPACT Act

Presented by Curaport
Featuring Kristi Bajer, RN, MSN

Wednesday, May 23
1:00 p.m. EDT
$39

Information and registration

This education session is approved for one (1) contact hour of Continuing Education.



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

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