Volume 5, Number 42 October  5, 2016



Dear Healthcare at Home Colleague,

In our last issue, we reported that the Pre-Claim Review experiment in Illinois was failing. Since then, we have discovered that it is not going nearly as well as we thought. We are hearing that PGBA did a miserable job training all the new reviewers it hired with the bonus funds CMS awarded it. Those funds arrived only a few weeks before the experiment began in Illinois, meaning hiring and training were rushed. Those trainee reviewers give different answers to every Illinois provider with every pre-claim request. PGBA changes its mind about what the rules are, regardless of what CMS tells them the rules are, on a daily, sometimes hourly, basis. The Illinois denial rate continues to hover around 80% and CMS continues to state that all the blame lies with incompetent Illinois providers. If you operate in one of the other four states slated to join the experiment at some unspecified time in the future, I hope you are on the phone with your Representatives and Senators, especially the ones up for re-election next month.

NAHC Annual Meeting, October
If you plan to journey to Orlando at the end of this month, we hope you will drop in on the booths of our supporting partners and thank them for keeping Home Care Technology Report coming to you for free. After you thank them, why not take a look at the software and services they offer? You never know, they might just have what you need. Here is how you find their booths:

  • Briggs: 309
  • DeVero: 203
  • HEALTHCAREfirst: 733
  • Homecare Homebase: 1124
  • MatrixCare (Soneto): 1316
  • PlaymakerCRM: 300
  • Sandata: 517

We will be there too, in booth number 742. And we will be giving away an Amazon Edge. Do you want to get an inside track on winning it? If you are planning to attend, drop me a line with your mailing address and I'll send you extra entries into our drawing.

McKesson Extended Care Solutions is in the news. Tucked away in a corner of last June's announcement that the San Francisco-based pharmaceutical distributor was spinning off its technology division was a brief statement that the spin-off will not include Healthcare Information Technology, the Atlanta EMR division that owns the home health EMR operation in Springfield, Missouri. We have a story about the new business formed by the divestiture. We will have more detail soon about how it will impact Springfield and its healthcare at home customers.

Free webinars: We have added a new list to the bottom of this weekly page. In addition to keeping you up to speed on live events in our "Notable Upcoming Conferences" column, we now have a "Free Webinars" column to assist you with your ongoing education efforts. There is one just announced that you do not want to miss. PlaymakerCRM has sponsored a number of excellent free webinars this year but the next one needs to be on your calendar. Do not miss Arnie Cisneros with "Volume to Value? Home Health Guide to Quality Outcomes (and Star Ratings)," October 12, at 2pm ET/11am PT.

Kinnser's most recent webinar was recorded and is still available. Register here for "What is Medical Necessity?" with Jill Dyer, BSN, RN, HCS-D, HCS-O.

Lastly, I am pleased to report that response to my new consulting service has been quite gratifying. An impressive number of Healthcare at Home providers realize that gathering client reviews to boost an agency's presence on Google, Yelp, and Facebook is a smart thing to do. Early adopters are the ones who realize that you have to be among the first to try it in order to get the full benefit. Write to me if you would like to learn more. editor@homecaretechreport.com

Have a great week. Keep making a difference!

Editor signature
Tim Rowan



Pre-Claim Continues to Grow Worse in Illinois
A quick glance at page after page of comments and complaints on the Illinois Association for Home Care listserv makes it crystal clear that CMS needs to stop this chaotic pilot today.

Insurance Industry Insider Incensed Over Ultimatums
If you deal with insurance companies, as a customer or as one of your payers, you need to keep an eye on what they are up to, and what they are planning depending on who wins the Presidency next month.

Change Comes to McKesson Technology Solutions
One of the first news stories this publication covered, back in 1998, was the acquisition of Healthcare IT vendor HBOC, and its home care division, the former MSI, by pharmaceutical distributor McKesson. This summer, that relationship came to an end as McKesson departed the HIT world. This article was edited for accuracy on 10/5/16 at 1:00 pm EDT. Please disregard previous versions.

 
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During the 1st Quarter of 2017, web sites of the above advertisers were visited by home care and hospice executives and staff 1312 times.

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Last Week's Most-Read Stories:
CMS Postpones Pre-Claim
To many, CMS's decision to postpone implementation of the Pre-Claim Review experiment in Texas, Florida, Michigan, and Massachusetts does not come as a surprise. Poorly trained reviewers make so many mistakes, it may be wise to turn the program off in Illinois as well, where it has already begun but is not working.
 
Illinois Home Health Providers Frustrated, Angry, But Not Powerless
Almost everything that can go wrong has gone wrong in the first state burdened with poorly planned Pre-Claim Review experiment.

As of this date, approximately 23,155,000 Baby Boomers have become Medicare eligible.



Notable Upcoming Conferences Free Webinars

Home Care Sales and Marketing Society *
6th Annual Conference

Learn tactics and techniques for gaining more patients and clients. This year, two breakout tracks: "Field Sales Tactics" and "Internal Operational Excellence: Intake, Admissions and Inquiry."

October 6-7
Bally's Hotel and Casino
Las Vegas
Click here for more information


HURRICANE Home Care Marketing Boot Camp 2.0 *
October 5-7
Embassy Suites Philadelphia Airport
http://homecaremarketing.net/hurricanebootcamp/

Annual Meeting *
National Association for Home Care and Hospice

October 23-25
Gaylord Palms Resort and Convention Center
Orlando

Information and Registration


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

Pre-Claim Revue Seminars
Presented by QIRT
Seminars and webinars will be offered in the pilot states in advance of each state's pre-claim start date.

  • Florida seminars in September (PCR roll out date:October 1, 2016)
  • Texas seminars in November (PCR roll out date: December 1, 2016
  • Michigan and Massachusetts seminars in December (PCR roll out date: January 1, 2017)

QIRT.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


Community Care Conference

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

Details and registration


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


Technologies and Tactics Transforming Long-term Care Conference: Igniting Innovation and Best Practices Across the Long-term and Post-acute Care Continuum
Sponsored by TCBI and Telehealth and Medicine Today
June 30
Washington, DC
Information and registration

2017 Annual Conference and Trade Show *
Home Care Association of FloridaJuly 23-27
Renaissance Orlando at Sea World
Information and Registration

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

Click here to register

Hospice Financial and Administrative Management Conference
Presented by The Health Group
November 6-7
Caribe Hilton
San Juan, Puerto Rico
Registration: conference@healthgroup.com
 

*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

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


Grow Your Census with Online Marketing Tools

Sponsored by Shoshana Technologies

October 20
http://rosemarksystem.com



Leveraging Technology on Your Path for A 5-Star Rating

Sponsored by Brightree
Featuring Diane Link, RN, MHA, Blacktree Healthcare Consulting; Michael Puskarich, CEO, Kenosha VNA; Wendy Cofran, CIO, Natick VNA; Elaine Stephens, RN, MPH, FHHC, CEO, Walpole Area VNA

April 13
2:00 pm - 3:15 pm EDT

Learn:

  • The impact technology and process have on a 5-star rating
  • How to utilize dashboards to track and trend data that may impact outcomes
  • How to develop outcome scorecards, and how to use them during employee evaluations
  • How to utilize reports to identify educational opportunities

Free: Register here



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


Nursing Reference Center Plus Overview
Sponsored by VNAA
Date: Every Thursday through December 8
Time: 1:30 PM Eastern
Nurses use Nursing Reference Center Plus to get answers to questions, access care plans, watch video demonstrations, strengthen nursing skills, earn continuing education credits, access drug information and patient education.
Register and attend


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



Navigating Alternative Payment Models

Presented by Mark Sharp and Raymond Belles of BKD
Tuesday, March 28
2:00 p.m. EDT
Cost: $79
Registration

 


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 


Navigating Pre-Claim Review

The controversial Pre-Claim Review Demonstration has been delayed in FL and paused in IL. So what's next? We'll cover what we've learned, what you should be doing now, and what home health care agencies can expect next.

Sponsored by Forcura
Featuring: Nick Seabrook, BlackTree Healthcare Consulting; Craig Mandeville, Forcura; Kim Gaffey, MSN, RN, Gaffey Home Nursing & Hospice
Thursday, April 13
2:00 pm EDT

Registration Link


Hospice Proposed Rule FY2018

Presented by Curaport

Featuring Katie Wehri, CHPC, Healthcare Provider Solutions
Tuesday, June 6
2:00 p.m. EDT
Cost: $89
Registration


QAPI Overview

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


Understanding the Effect Functional Scoring Has on Your Agency

Presented by Curaport

Featuring Chad Whitefield, PTA, Managing Partner of Advance Rehabilitation Management Group
Monday, June 12
2:00 p.m. EDT 
Cost: $59 
Registration


The Trump Effect: How the New Administration is Impacting Homecare

Presented by Curaport

Featuring Angelo Spinola, Shareholder, Littler Mendelson PC
Thursday, June 29
11:00 a.m. EDT 
Cost: $99 
Registration



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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