Volume 7, Number 44 October  31, 2018

Dear Healthcare at Home Colleague,

Well, Medicare providers, it is out. The final rule that ushers in the Patient-Driven Groupings Model era was published this week by CMS. It is mostly what we expected, with a few insignificant improvements. The big news is that this law moves home telehealth equipment from the administrative column to the allowable cost column on your cost report. We print the entire CMS announcement for you, minus the over-hyped headline, and we interview NAHC president Bill Dombi to get his take on the final rule. His most important message? Start now! You'll want to start your reading today at "CMS Puts Positive Spin on PDGM Final Rule."

This week's guest author has information useful to private duty providers as well as those who send claims to public and private insurers. Melanie Stover is a popular home care sales consultant who has a healthy admiration for technology. She writes for you about several tech categories which, if you use them, can boost your patient outcomes, which improves your reputation, which inevitably leads to census growth. Don't miss "Seven Healthcare Technology Trends Home Care Services Must Be Aware Of."

Many of you work with immigrant populations. Not only you healthcare-at-home providers in border states such as California, Arizona, New Mexico, and Texas but everywhere immigrants settle, whether they arrive on foot or on airplanes, they need healthcare sooner or later. With all the talk in the news today about immigrants as invaders and about what a burden they are on our social infrastructure, and with the general absence from the news about the fact that two-thirds of illegal immigrants arrive on airplanes and then overstay their student or work or visitor visas, it occurred to me that a recent report from the California Health Care Foundation would be informative. We are running it for you as we found it, with little added comment, under the title, "The Cost of Providing Immigrant Healthcare."

In this week's Vendor Watch column, learn about a tech integration between Playmaker Health's CRM system and Brightree's EMRs for home health, hospice, and home medical equipment providers. Also, there is more news on the acquisition page. Briggs Health is now the parent company of Selman-Holman & Associates. It appears that Lisa Selman-Holman will stay on, empowered by the backing of 70-year old Briggs.

Worth the trip
Look me up if you happen to be attending the Decision Health Private Duty conference, November 12-14, in Las Vegas. I'll be in my "Rowan Reputation Resources" booth, talking with folks about my system to improve their online reputation and get ahead of the competition.

Finally, please don't forget that you are cordially invited to join me on next year's "Compliance Cruise." A team of attorneys and other expert consultants will get you into the weeds of the new Medicare payment system and you will emerge armed with the information you need to adapt. Remember, 14 months goes by quickly. You need to focus now to be ready for 2020. I have posted the information about this conference here.

Have a great week. Keep making a difference!


Editor signature
Tim Rowan

CMS Puts Positive Spin on PDGM Final Rule
CMS announces PDGM final rule, including a major step toward reimbursement for using telehealth.

7 Healthcare Technology Trends Home Care Services Must Be Aware Of
Home Care Sales Instructor Melanie Stover surveys current technologies that support agency marketing efforts.

The Cost of Providing Immigrant Healthcare
If you serve immigrant populations, this report from the California Health Care Foundation should have meaning.

Vendor Watch
— Playmaker Health integrates with Brightree
— Briggs acquires Selman-Holman & Associates

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

During the 3rd Quarter of 2018, web sites of the above advertisers were visited by home care and hospice executives and staff 1726 times.

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Last Week's Most-Read Stories:
What is Honor Up To?
"Everyone laughed at us but we were the last ones to get the joke." After failing to get away with deploying a fleet of "uberized" 1099 contract home care workers, Honor is resurrecting with a new investor and a new approach, partnerships. Should you "joinhonor.com"? We spoke with CEO Nita Sommers as well as a couple of doubters.
How Will PDGM Change Your Revenue?
Use this free PDGM tool to analyze your current claims under 2020 rules.

As of this date, approximately 31,471,000 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

*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
Hotel or Conference Center, City, State

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

Hosted by Healthcarefirst

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

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

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


• 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

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.

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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