Volume 7, Number 46 October  17, 2018




Dear Healthcare at Home Colleague,

Medicare Advantage now accounts for nearly one-third of Medicare beneficiaries and is expected to grow. More and more, certified providers will be dealing with insurance companies for payment rather than with a CMS contractor such as a MAC and an auditor such as a ZPIC or UPIC. That means they need to know how these payers operate. We have two important articles this week that should help. One is an analysis by home care attorney Elizabeth Hogue of a new OIG report that has made scathing accusations against MA companies. Another is our own commentary on Elizabeth's analysis, from the point of view of a Medicare beneficiary and taxpayer. You'll want to read both, so click below, first on "What Providers Should Do About Denials From Medicare Advantage Plans" and then read "A Patient and Taxpayer Looks at the OIG MAO Report."

Other news this week: Keeping an eye on tech vendors for you, we report on a new release by Brightree in the Home Medical Equipment sector, and a partnership of note by e-Caregiving that will enhance patient engagement and family caregiver support. Regular readers will remember that we profiled e-Caregiving a couple of weeks ago in "Experts Release Software for Staff Retention/Recruiting; Training Family Caregivers." Longtime home care nurse Tina Marrelli saw a need, family caregiver burnout, and found a creative way to address it.

Private Duty agency owners will want to watch this space next week. We have been researching the resurrection of Honor Health, the San Francisco startup that famously failed with its attempt over the last two years to "uberize" home care. Their second attempt to find the best use of the technology they developed is to partner with small- to medium-sized non-medical agencies. We have heard pros and cons and have spoken with early adopters and with Honor president Nita Sommers. We'll tell you what we think next week.

Compliance, compliance, compliance
Anybody old enough to remember Frankie Ford? I've had his 1959 hit on my mind lately. "Come and let me take you on a Sea Cruise..." In January, I will be joining a host of other consultants and attorneys on the 8th annual Compliance Cruise and I encourage you to consider it. Three solid days of rules and regulations and how to follow them to keep your agency safe from payment denials and accusations of fraud, all from presenters who know the regs better than anyone. Between those three days, get away from winter on the Royal Princess, with several stops in the Caribbean. What is more, all of the experts are available the entire week for consultations, and the policy of the organizers, Pearson & Bernard Law, is that they are not allowed to charge you for their consulting while on the ship. Take a look at the brochure here.

I am on my way to address the good people of the New York State Home Care Providers association next week in Uniondale. I look forward to seeing my great New York friends there.

Have a great week. Keep making a difference!

Editor signature
Tim Rowan



What Providers Should Do About Denials From Medicare Advantage Plans
Guest author Elizabeth Hogue, Esq. looks at the OIG report on abusive insurance practices and finds the familiar refrain "always appeal" applies to Medicare Advantage plans as well as Medicare MACs and UPICs.

A Patient and Taxpayer Looks at the OIG MAO Report
Editor Tim Rowan takes a deeper dive into the OIG report on Medicare Advantage Organization abuses.

ICmed and e-Caregiving Partner
Medicare estimates 66 million lay caregivers in the US. New partnership formed to bolster patient-caregiver engagement.

Brightree Releases "Patient Hub" for HME Providers
App to enhance patient communication introduced at Medtrade conference.

 
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Last Week's Most-Read Stories:
Software Company Fined $115 Million
Could it happen in post acute care?
 
Telehealth Giants MIA but RPM Startups Make A Splash at NAHC Conference
In spite of some surprising absences, remote patient monitoring was a strong theme at this year's NAHC Conference and Expo.

As of this date, approximately 31,317,000 Baby Boomers have become Medicare eligible.
Notable Upcoming Conferences Free Webinars

The 8th Annual Medicare Compliance Cruise *

Presented by Pearson & Bernard, PSC

January 12-19, 2019
Departs from Ft. Lauderdale

Information and registration


17th Annual Northeast Home Health Leadership Summit: Playing to Win!

Sponsoring Associations:

  • Connecticut Association for Healthcare at Home
  • Home Care and Hospice Alliance of Maine
  • Home Care Alliance of Massachusetts
  • Home Care Association of New Hampshire
  • Home Care and Hospice Association of New Jersey
  • Home Care Association of New York State
  • New York State Association of Health Care Providers
  • Rhode Island Partnership for Home Care
  • VNAs of Vermont

Date: January 22-24, 2019
Location: Colonnade Hotel, Boston

Information and Registration

In addition to the pre-conference and full Summit program, There will be a bonus Home Care & Hospice Special Medical Directors Meeting that coincides with the conference on January 23 from 8:30 to 10 a.m. Details.


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 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

Home Health Regulatory Update: Final Rule CY2019/CY2020 Payment & Policy Changes

Hosted by Healthcarefirst

Date:
Tuesday, December 11
Time: 2:00 pm EST
Audience: Home Health Agencies
Fee:
Free


Register Here

Please join HEALTHCAREfirst for a discussion of the final rule and how it may impact your agency. Topics include:
  • Payment rates, rural changes/FIPS
  • Elimination of the recertification estimate
  • HHVBP/HHQRP updates
  • Patient Driven Groupings Model (PDGM) including OASIS-D2 and no RAP payment for newly certified agencies
  • Patient monitoring and home infusion therapy updates


 

The 2019 Home Health Final Rule: Preparing for change
Your PDGM Questions Answered

Presented by WellSky

Featuring: Executive Management Consultant Sharon S. Harder and Home Health Clinical Expert Jill Dyer, BSN, RN, HCS-D, HCS-O
Date: Download on demand
Fee: FREE

Download now

Get answers to questions about the 2019 final rule and PDGM:

  • How to calculate case-mix
  • How to qualify for a rural rate
  • What does the term "budget neutral" mean
  • How will your agency be reimbursed for therapy under PDGM
  • How will LUPAs be calculated under PDGM


Public Policy Leadership Series

Presented by: ElevatingHOME

Featuring:

• Joy Cameron, Vice President, Policy and Innovation, ElevatingHOME and VNAA
• Bill Dombi, President, National Association for Home Care & Hospice
• Sarah Myers, Partnership for Quality Home Healthcare

Schedule: Wednesdays, October 3 - November 7
Session 1: October 3
Time: 1:00 pm EDT
Fee: Free to ElevatingHome, VNAA, and Alliance for Home Health Quality Improvement members

Click here for complete schedule and registration




Hospitalization Performance Improvement Projects (PIPs)

Presented by HealthcareFirst
Hosted by ElevatingHOME & HHQI

Date: December 12
Time: 1:00 pm EST
Free

Information and registration

In this webinar, ElevatingHOME and HHQI will explore how to develop hospitalization avoidance Performance Improvement Project (PIP) for your Quality Assurance & Performance Improvement (QAPI) program. This will include data collection, goals, interventions, rapid-cycle testing, spread, and sustainment. They will review several key strategies to reduce avoidable hospitalizations and emergent visits.



Dementia Webinar Series

Presented by Home Care Association of America

Featuring: Dr. Deborah Bier, PhD

Date: Thursday, January 17
Time: 1:00 pm EST
Fee: None

Register
Dr. Bier will discuss how to create dementia behavior handling success within home care. In addition, this presentation will include ten “secrets” few in home care understand about dementia and behavior handling. Part 2 of the series is set for January 24.


OASIS-D: Ensuring Consistency & Accuracy

Presented by Curaport
Featuring:
Melissa Abbott, RN, MSN, MHA, of 5 Star Consultants

Date: Thursday, October 18
Time: 2:00 p.m. EDT

Fee: $99 (per attendee)

Information & Registration

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

OASIS! Possibly the most spoken word, or acronym, in the Home Health industry. And just when you get to grips with the current version, the next set of changes arrive before you know it, this time in the form of OASIS-D. In this webinar, you will gain an understanding of the significant changes D brings to OASIS and how to ensure consistencies and accuracy within your agency.

 

*Curaport, LLC is an approved provider of Continuing Education by the California Board of Registered Nursing. All states accept this certification for their licensing requirements. No refund shall be given, except for any change in date or time of the webinar. In such case, a full refund shall be given to the registrant upon request.



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

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Home Care Technology Report is published by Rowan Consulting Associations, Inc., Colorado Springs, CO. All rights reserved. Request reprint permission by writing to editor@homecaretechreport.com.

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