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.

 
When you click on these ads,
you make sure HCTR continues to come to you for free.































During the 3rd Quarter of 2017, web sites of the above advertisers were visited by home care and hospice executives and staff 2425 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

HCSSA Administrator Program
Texas Association for Home Care & Hospice
November 13-15
Westin Galleria
Houston
tahch.org

*HCTR will see you there.

4th Annual Home Care Winter Warm-Up
Home Care Association of Florida

January 16-17
Boca Raton Marriott
Keynotes by Stephen Tweed, Bill Dombi, 12 others

Information and Registration


CONNECTED HEALTH: Remote Patient Monitoring and Telehealth Summit

6th Annual Care Coordination and Technology Congress

January 24-26
Renaissance Atlanta Waverly Hotel & Convention Center
Agenda:
Designing successful bundles without collaboration between inpatient and post-acute (PAC) providers inhibits the cost-savings opportunities that make bundled payment a valuable model for hospitals and health systems. Designing care management incentives and solutions for complex patients requires integration across hospitals, home care, and the extended continuum of provider organizations.
Register for in-person or online participation


2018 National Leadership Conference
ElevatingHOME Annual Meeting
March 7-9
Grand Hyatt
Washington DC
Information and registration

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


A New Approach for Home Health Face-to-Face:
Updated Info, Updated Insights

Sponsored by Kinnser Software
Featuring Arlene Maxim, RN
Thursday, April 20
1:00 pm EDT

Learn:

  • What CMS requires for "adequate documentation" under Face-to-Face
  • How to handle inadequate progress notes provided by the physician/in-patient facility
  • Exactly what to include on your checklist of items for the physician's packet

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


Clinician Recruitment, Retention & Satisfaction: Does Technology Help or Hinder?

Sponsored by Brightree and Elevating Home
Featuring: Karri Harpole, RN, BSN, Brightree; Tarrah Lowry-Schreiner, President & CEO, Sangre de Cristo Hospice & Palliative Care; Wendy Cofran, CIO, Century Health Systems, Inc.; Melissa Polly, MBA, Brightree Product Marketing (moderator)

Wednesday, July 26
1:00 pm EDT

Learn:

  • Best practices related to the use of technology and the best way to engage clinicians in a model that provides the most value the organization, including recruitment, retention and satisfaction; 
  • From colleagues, how to get the most value from the use of technology from clinical documentation and nurse satisfaction to operational efficiencies; and,
  • How changes in the post-acute environment, from regulatory drivers to value-based care, drive effective utilization of technology.

Register



    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


    Workforce Webinar Series: Stacking the Odds in Your Favor
    Best Practice Selection Strategies


    Presented by ElevatingHOME

    All programs in the series have been archived for those unable to attend live:

     

    • Part 1, "Why Staff Leave and How to Keep Them," sponsored by Exact Recruiting, a Simione Talent Solution. Click here to view this session.
    • Part 2, "From Turnover to Engagement for the Healthcare Executive," sponsored by Relias. Click here to view this session.
    • Part 3, "The ROI of Using Pre-Hire Assessments," sponsored by Relias. Click here to view this session.
    • Part 4, "Stacking the Odds in Your Favor: Best Practice Selection Strategies," sponsored by Home Health Selection Solutions. Recorded 11/28, recording available soon.

    Upcoming topics in the Workforce Webinar Series:

    Part 5: "Recruiting and Compensation Strategies that Work," sponsored by Exact Recruiting, a Simione Talent Solution
    December 5 | 1:00 p.m. ET

    Register here

     

    Part 6: "Employee Engagement: Your Key to Exceeding Home Health and Hospice Outcomes," sponsored by Fazzi Associates
    December 12 | 1:00 p.m. ET

    Register here

     

    Part 7: TBD
    December 19 | 1:00 p.m. ET
    Details coming soon.


    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


    International Guidelines for Home Health Nursing

    Presented by: International Home Care Nurses Organization (IHCNO)

    Wednesday, October 25
    11
    :00 a.m. - 1:00 p.m. EDT
    Registration

    www.ihcno.org/Registration

    Contact person: Marilyn Harris marilyn@ihcno.org



    Patient Engagement & Health Literacy

    Presented by Curaport

    Featuring Stephanie Koehn, RMA, CPC CPPM, CPCO
    Thursday, December 7
    2:00 p.m. EST
    Cost: $39
    Click here to register



    QAPI Series, Part 4: Revenue Cycle Management

    Presented by Curaport

    Featuring Diane Link and Nick Seabrook of BlackTree Healthcare Consulting
    Tuesday, December 12
    2:00 p.m.EST
    Click here to register



    Strategic Use of Technology in Home Health and Hospice Organizations

    Presented by: Elevating Home and Brightree

    Thursday, October 12
    1:00 p.m. EDT

    Speakers include:

    • Melissa Polly, Brightree (Moderator)
    • Paul Pisano, CEO, Interim Healthcare - Hartford
    • Tarrah Lowry-Schreiner, CEO, Sangre de Cristo Hospice & Palliative Care
    • Todd Montigney, Managing Director and Founding Member, BlackTree Healthcare Consulting
    • Nick Knowlton, CommonWell Alliance and Brightree

    Registration



    The Penalty Box Compliance Series: Part 3, Care Planning for HHGM & VBP Success

    Presented by Curaport
    Featuring Kristi Bajer, RN, MSN, VP OperaCare
    Wednesday, December 6
    1:00 p.m. EST
    $39

    Click here to register



    Navigate your Way to Referral Success in 2018

    Presented by Home Care Sales

    Featuring Melanie Stover and Cheryl Peltekis
    Friday, December 15
    12:00 p
    .m. EST
    Registration and Information



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