Volume 5, Number 42 October  26, 2016



Dear Healthcare at Home Colleague,

What we have here is a failure to communicate!

It became clear at last week's NAHC Annual Meeting that a consensus is building that patients are being harmed and money is being wasted by care silos. Especially in the non-acute care world, both pre- and post-hospital, the message was as large as mouse ears in Orlando. Failure to communicate (at best) or out and out competition (at worst) among home health, home care, hospice, assisted living, rehab facilities, skilled nursing facilities and other community-based healthcare services must end

Our lead article this week underscores the message. Netsmart has acquired HealthMEDX, bringing Long Term Care EMR software under the same umbrella with its home health, hospice and behavioral health offerings. But that announcement arrived after we had left Orlando, where the message had already been delivered.

Look, for example, at our second story, summarizing NAHC 2016 highlights and lowlights. We discuss the meaning of Long Term Care EMR vendor PointClickCare exhibiting for the first time. Next to their elaborate booth, Optima Healthcare Solutions, the leading provider of software to physical therapy companies, unveiled its just-released home health EMR. HeathWyse was there, in its own exhibit space, after having been acquired just the week before by another large PT software vendor, Casamba LLC.

Outside of the vendor space, we continue to hear reports of Skilled Nursing Facility organizations acquiring home health and home care agencies, creating highly competitive pathways to keep patients under one corporate roof as they transition from one care locale to another. Underscoring that trend, we also noticed Brookdale Senior Living, Optima's largest customer, also had a booth to promote its home health business unit.

This is a trend that is likely to continue. Let's all keep an eye on it. If I have missed any signals, let me know.

In other news:

  • We plan to always include non-skilled private duty home care in our watch over this developing trend. Correspondent Michelle Boasten attended a unique home care marketing conference — actually she likens it to a revival — last week. She writes about the number of Medicare agency owners there investigating "the other side."
  • We close the book, hopefully for the last time, on the story of the conviction and sentencing of an Amedisys VP who pleaded guilty to embezzling from his employer.
  • After months of contract bidding battles, CMS finally chose a new crop of bill collectors to reboot the RAC program. Guest author attorney Elizabeth Hogue analyses the new rules they will be bending in their quest to find improper payments and win their 12% commissions. Don't skip this article, there is actually some good news in it.
  • CMS just released the 2017 Home Health Final Rule and Kinnser has a free webinar about it already. Two experts, Sharon Harder, an executive management consultant, and Jill Dyera clinical consultant will show how the two sides of your home health operation depend on each other. It should be relevant to both business and clinical leaders. Click on the ad above.

Before I close, a special invitation. I will be one of the VIP healthcare at home experts making a presentation during the Sixth Annual "Compliance Cruise," January 15-22, 2017. This will be my first time on this popular event but I hear the Caribbean is a fabulous place to learn. And what a learning experience it will be. Joining me will be attorneys Liz Pearson and Lucian Bernard, Medicare consultant Jim Plonsey, financial consultant Patrick Brown, and sales and marketing expert Cheryl Peltekis, a collective 120+ years of experience keeping Medicare and Medicaid agencies in good standing with CMS and its contractors. Click here to see the details (and the tempting photos).

Have a great week. Keep making a difference!

Editor signature
Tim Rowan



New RACs and New Rules
Brace yourselves. RACs are back. This time there are more of them but, attorney Elizabeth Hogue explains, they will still pit their subjective definition of homebound status and terminal illness against yours. There is some good news in the new rules, however. Read on...

Netsmart Broadens LTPAC Reach With HealthMEDX Acquisition
This is not just another vendor consolidation announcement. This is one more indicator that a consensus is forming that non-acute care is bigger than home health care. Is it time for enhanced collaboration? Spearheaded by a national association with a larger, more inclusive umbrella?

Clear Theme Emerges at NAHC Meeting: "Come Together"
In our annual summary of what caught our eye in the NAHC exhibit hall, we detected not only new software but also an important new trend. The presence of so many skilled nursing facility and senior living providers may indicate they are telling us it is time for pre- and post-acute providers of all types to start working together.

Joel, Billy & TD...Make Room for the Hurricane!
Ever been to a tent revival meeting? Special correspondent Michelle Boasten attended Steve Weiss' "Hurricane Bootcamp" for owners of non-medical private duty agencies and came back believing that she had just seen one.

Amedisys VP Jailed for Wire Fraud
After pocketing more than $7.6 million over eight years, Michael David Pitts pleaded guilty last March and was sentenced last week to four years in prison.

 
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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:
HealthWyse Acquired by California Software Firm
18-year old healthcare at home EMR vendor will remain in Wilmington, Massachusetts. Graham Barnes to remain at the helm.
 
Procura Changes its Name, Keeps All Software Products Intact
International healthcare at home software company says rebranding reflects comprehensive investments in products, customer experience, and unified cloud-based suite.

As of this date, approximately 23,386,000 Baby Boomers have become Medicare eligible.



Notable Upcoming Conferences Free Webinars

Pre-Claim Revue Implementation
Palmetto GBA and CGS Tours Texas in Partnership with TAHC&H

Multiple Locations:
October 11 – McAllen
October 13 – San Antonio
November 16 – Houston
November 17 – Dallas
Details for each conference


The Journey Forward
South Carolina Home Care & Hospice Association Annual Conference
December 5-6
Hyatt Place + Hyatt House | Historic District
Charleston
www.schchaconferences.com

The 6th Annual Medicare Compliance Cruise *

Presented by Pearson & Bernard, PSC

January 15-22
Departs from Ft. Lauderdale
Information and registration


2017 Northeast Home Health Leadership Summit

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

January 17-19, 2017
Colonnade Hotel
Boston

Information and Registration


OASIS-C2: The Next Steps

Texas Association for Home Care & Hospice
Presented by Lisa Selman-Holman
January 19, 2017
Westin Riverwalk Hotel

San Antonio 
Details and registration


Homecare 100 *February 4-7
Ritz-Carlton
Amelia Island, FL
Registration is full. To be added to the waiting list, contact Miriam Adams at madams@lincolnhc.com

National Leadership Conference *
Sponsored by:
Visiting Nurse Associations of America

Alliance for Home Health Quality and Innovation

April 19-21

Hilton San Diego Bayfront
https://www.homebasedcareevents.com/

Omaha System International ConferenceA Key to Practice, Documentation and Information Management
April 20-22, 2017
Eagan, MN
Bi-annual conference offers opportunities to gain knowledge about using electronic health records across diverse settings, exchanging health information, and enabling data sharing among practice, education, and research. For additional information about the conference, the call for poster abstracts and award nominations, and to register, visit www.omahasystem.org/conferences.html.
Email abstracts to lchoromanski@gillettechildrens.com

ATA Annual Meeting

American Telemedicine Association
April 23-25
Orange County Convention Center
Orlando

http://www.ata2017.org


Pediatric Home Care Conference

Texas Association for Home Care & Hospice
May 9
Omni Austin Hotel Southpark

Details and registration


New England Home Care & Hospice Conference & Trade ShowMay 16-18
Radisson Hotel
Manchester, NH
Brochure and Registration

Annual Conference *Home Care Association of Colorado
May 17-19
Keystone Resort & Conference Center
Keystone, CO
http://www.homecareofcolorado.org


Home Health Emergency Preparedness CoP Requirements:
Getting Your Agency Ready

Featuring Mary St. Pierre, RN, BSN, MGA
Free, sponsored by HEALTHCAREfirstSeptember 13

1:00 pm Central Time
Omni Austin Hotel Southpark

Details and registration

http://www.healthcarefirst.com/webinars/

  • Overview of the emergency preparedness requirement
  • What surveyors will be looking for
  • Steps home health agencies should take to prepare

AHHC 2017 Leadership ConferenceAssociation for Home & Hospice Care of North Carolina
October 9-10
Holiday Inn Resort
Wrightsville Beach

Click here to register

Our Home Care Landscape: Big Challenges, Bigger Opportunities *
Annual Meeting of the Home Care Association of America
October 8-11
Austin, TX
Information and registration

*HCTR will see you there.
MHHA Annual Conference

Michigan Home Care & Hospice Association
April 25-26
Amway Grand Plaza
Grand Rapids
Information and Registration


New England Home Care and Hospice 2018 Conference
Presented by Home Care Associations of:
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont


April 25-27
Cliff House Maine Hotel
Cape Neddick

Information and Registration


2018 Annual Conference

AHHC of North Carolina

May 7-9
Sheraton Imperial Hotel & Convention Center

Register


2018 National Leadership Conference

Home Care Association of America

September 22-25
Marriott Wardman Park Hotel
Washington DC

Information for Providers and Exhibitors


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

2017 Regulatory Updates, Including Home Health Conditions of Participation

Free Webinar Hosted by DeVero Software and Relias Learning
Featured Speakers: Michael Tidd, Healthcare Synergy; Robert Love, DeVero
Tuesday, March 21
2:00 pm EDT / 11:00 am PDT

Register Here


Juggling the New CoPs and Other Applicable Laws

Sponsored by Kinnser Software
Featuring Robert W. Markette, Jr., Esq., CHC, of Hall, Render, Killian, Heath & Lyman, P.C.
Thursday, January 25
1:00 - 2:00 pm EDT

Attend to Learn:

  • Why "legal representative" is a concept you should already be familiar with
  • What compliance with the nondiscrimination provision of the Affordable Care Act may mean for the new CoPs
  • Why you must be more aware of harassment issues and prepared to take action
  • How harassment issues affect your discharge policies

Free: Register here



How to be the TOP DOG Sales Rep
Sponsored by PlaymakerCRM
Featuring Cheryl Peltekis, RN
December 14
2:00 EST
Register here


Improving CAHPS Response Rates: 2 Free Webinars

Sponsored by HEALTHCAREfirst
Featuring:
Liz Silva, Director of Home Health & Hospice, HEALTHCAREfirst

Hospice CAHPS: Wednesday, May 2
2:00 pm EDT
Free Registration

Home Health HHCAHPS: Thursday, May 10
2:00 pm EDT
Free Registration

With greater visibility into quality through public reporting on Hospice Compare and Home Health Compare, hospice and home health providers have an even greater incentive for performance improvement. During each 45-minute webinar, we will discuss methods and activities that have been instrumental in improving CAHPS survey response rates, a key element of implementing a data-driven approach and improving your scores. To be discussed:

  • Hospice CAHPS Regulations
  • Response Rate Calculation
  • Available Benchmarks
  • Effective Strategies to Improve Response Rates

 



Navigating the Final Rule for Medicare PPS for CY 2017
Sponsored by PPS Plus
Tuesday, November 15, 1:00 - 2:30 pm CST
Featuring Dave Macke, CHFP, FHFMA
Director of Reimbursement Services, VonLehman & Company
FREE

Register here


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



Why your claims are being denied:  Performing a self-assessment of your ZPIC, Pre-Claims, and VBP liabilities

Featuring Michael McGowan, CEO, OperaCare
Tuesday, January 17
2:00 p.m. EST
Cost:  $79
Register


2017 What You Need to Know about Electronic Visit Verification

EVV offers many benefits to agencies and care providers, and choosing the right solution can lead to improved operating efficiency, caregiver communication, quality of care, and client satisfaction.

Wednesday, March 15
11:00 am MST - 12:15 pm MST

Register Here



How to Attract and Retain Health System Relationships

Presented by Netsmart
Ongoing
Free
Watch now

 


Under Pressure — OASIS Service Utilization Review

Presented by Michael McGowan of OperaCare
Thursday, April 6
12:00 p.m. EDT
Cost: $49
Registration



What You Need To Know About Electronic Visit Verification
Presented by Darby Anderson, CDO, Addus HomeCare Corporation
Sponsored by CellTrak
Wednesday, April 12
1:00 p.m. EDT
Cost:  Complimentary
Registration link
 


Understanding the Effect Functional Scoring Has on Your Agency
Presented by Chad Whitefield, PTA, Managing Partner of Advance Rehabilitation Management Group
Thursday, April 13
2:00 p.m. EST
Cost:  $99
Registration link 


Increase Referrals, not Overhead- Streamlining the Intake Experience

A streamlined, efficient intake process creates a better patient experience and improves referral relationships. During this webinar, industry experts will share their quick tips and best practices for improving your intake process and managing your organization's revenue cycle.

Sponsored by Forcura
Featuring: Craig Mandeville, Founder & CEO of Forcura Jessica Stover, Senior Manager of Blacktree Healthcare Consulting
Tuesday, Oct 3
2:00 pm EDT

Registration


QAPI Overview

Presented by Diane Link, BlackTree Healthcare Consulting
Tuesday, May 23rd
2:00 p.m. EST
Cost:  $99
Registration


Good Ways to Break Bad News: Social Worker Edition

Presented by Curaport
Featuring:
Heather Calhoun, RN, BSN, COS-C, HSC-D

Date: Tuesday, May 1 
Time: 2:00 p.m. EDT

Fee: $79
Information & Registration

*This education session is pending approval from the National Association of Social Workers for one (1) contact hour of Continuing Education for Social Workers.

 

 

 



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

 



The Penalty Box Compliance Series
Part 7: Audit-Proof Your Visit Notes

Presented by Curaport

Featuring: Kristi Bajer, RN, MSN

Wednesday, April 18
1:00 p.m. EDT
$39

Information and registration

Description: An auditor shows up on your doorstep and fear sets into your agency.  You have worked hard to be compliant, but you still have several days of anxiety until the auditor pronounces you have passed and are deficiency free!   Everyone celebrates.  The next day you receive 20 audits from CMS. Don't let this happen to you and your agency!  Learn from the compliance experts at OperaCare how to ensure compliance with the new CoP's. This education session in part 7 of the Penalty Box Compliance Series.

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

 

 

 





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 6: Audit-Proof Your Visit Notes

Presented by Curaport
Featuring Kristi Bajer, RN, MSN

Wednesday, March 21
1:00 p.m. EDT
$39

Information and registration

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


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

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