Volume 8, Number 43 October  9, 2019



Dear Healthcare at Home Colleague,

(I am testing a new layout this week. Let us know what you think of it.)

BREAKING NEWS

Just as we thought the next chapter in our PDGM series of interviews with experts would be our lead article in this week's issue, WellSky called us Tuesday to let us know they had just that morning signed a deal to acquire ClearCare. We spoke with CEO Bill Miller to get the full story. His comments appear within the press release that was sent out Tuesday.

 

PDGM Preparation

In our ongoing effort to help Medicare home health providers prepare for a new payment system, we continue our series of PDGM interviews with people we consider to offer the best advice. This week, two CEOs who have been involved with improving clinical documentation and coding for most of their careers. Select Data's Ed Buckley, himself a former HHA owner, and OperaCare's Michael McGowan, a former OASIS coordinator for CMS Region 9, offer a rare positive take on PDGM as well as specific preparatory tactics you should be deploying right now.

Tip: To find all previous articles in this series, use the SEARCH engine on The Rowan Report web site. Enter PDGM in the search field.

 

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Finally Favorable Court Decision

Loyal reader and consultant John Reisinger, of Innovative Financial Solutions for Home Health, alerted us to an appeals court decision that involved one hospice provider but will reverberate throughout Medicare. MACs, ZPICs, UPICs, and RACs have been barred from turning a simple payment denial into a False Claims Act accusation. Read the details about this major court decision in "Court Sides With Medicare Providers Against CMS Auditors."

 

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Telehealth Moves Forward

It may still only be about physicians using telemedicine, but a new presidential executive order instructs CMS to find ways to use technology, especially remote technologies, to promote more use of Medicare Advantage and reduce costs. See "Executive Order Promotes Telehealth and MA."

 

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Worth the Trip

It goes without saying, I look forward to seeing you in Seattle next week at the NAHC 2019 Conference & Expo. I'll be in Booth #301 in the exhibit hall. As you explore, be sure to seek out the sponsors that make this free service possible. Maybe even thank them for their support. Here is where you will find them in the exhibit hall:

  • Axxess: 609
  • Brightree: 501
  • Delta Health Technologies: 719
  • eSolutions: 925
  • HEALTHCAREfirst: 341
  • HomeCare Homebase: 309
  • Kantime: 508
  • Netsmart: 700
  • Sandata: 724
  • Swift Medical: 1124

 

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Have a great week. Keep making a difference!

Editor signature
Tim Rowan



BREAKING NEWS: WellSky to Acquire Clearcare
As strong demographic and cost trends drive greater demand for personal care, newest addition facilitates WellSky's long-term strategy of helping providers better manage healthcare costs.

Coding and OASIS Experts Deliver Severe PDGM Forecasts
In this episode of our ongoing PDGM series, we spoke with three experts this week. They have intimate knowledge of claims data, OASIS and other clinical documentation errors, and coding rule changes.

Court Sides With Medicare Providers Against CMS Auditors
CMS auditors can no longer file a False Claims Act indictment just because their doctor disagrees with yours.

Executive Order Promotes Telehealth and MA
Physicians still at the center of proposed telehealth expansion, though CMS is encouraged to find system-wide cost-saving innovations.

Axxess to Share Positive PDGM Perspective at NAHC Conference
Software company's staff will be featured in five NAHC education presentations.

 
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During the 4th Quarter of 2019, web sites of the above advertisers were visited by home care and hospice executives and staff 3664 times.

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Last Week's Most-Read Stories:
Eight Facebook "Nevers"
Are you posting articles to attract people to your Facebook business page? Do you know the rules?
 
Vendor Watch
— Wellsky releases "CareInsights" data analytics tool
— Industry veterans develop new home care schedule-centric EMR
— Egbert van Acht appointed as Global Business Growth Advisor for SoClean


As of this date, approximately 35,244,000 Baby Boomers have become Medicare eligible.
Notable Upcoming Conferences Free Webinars

WEBINAR: 5 Crucial Ways to Prepare for PDGM

Sponsored by: HealthCare Synergy

Featuring: Michael Tidd, LVN, COS-C, COS-D
Dates: November 13
Time:
10:00 am PST / 1:00 am EST

Information and Registration

Agencies are rapidly trying to prepare for the PDGM payment model. We will show you the most crucial ways an agency can prepare for the internal changes needed for PDGM. While most agencies are focusing on how to instruct clinicians on the change, PDGM has the most impact on office functions. Attend and gain insight on the things the agency needs to be doing now to prepare for January 1, 2020.

Objectives:
1. Learn agency level changes that can be implemented to be successful in 2020
2. Understand how to approach budgeting and finances under PDGM
3. What do your clinicians really need to know to ensure the agencies continued success

Michael Tidd has over 19 years of experience in the Home Care Industry and is a frequent speaker at HealthCare Synergy Workshops and Webinars. He is a Software Developer, LVN and Certified in ICD-9/10 Coding and OASIS (COS-C, HCS-D). As the Clinical Manager for HealthCare Synergy, he directs the Outsourced Management Services, assists in directing the development of the Healthcare Assistant Web Edition, oversees the Clinical Documentation Auditing provided to clients and directs the Clinical Form Development for the Healthcare Assistant Web Edition. Michael continues to educate agencies in the ongoing regulations that CMS produces, the proper application of the Medicare Conditions of Participation and completing timely, accurate and defendable clinical documentation to survive in the current Medicare Reimbursement Model.


Free Webinar: Your path to 99 - An Actionable Webinar on Achieving 99% Claims Reimbursement

Presented by: Complia Health

Date: November 13, 2019

Time: 1:30 PM EST

Reserve Your Webinar Seat

Billing is complex. Improving your billing and claims filing process doesn't have to be.

Getting on the path to a 99% claims acceptance rate can be simple, but the key is in understanding, and then overcoming, the common pitfalls that create problems for home health care agencies in the first place.

Join industry expert Scott Brashears to learn how to better identify potential problems in your agency processes and get the insights into solving for more accurate and timely filings that will put your agency on the path to 99.



Webinar: Post-Acute Care Quality Reporting Programs

Presented by: CMS

Date: Thursday, November 14

Time: 2:00 - 3:00 pm EST

Fee: Free

Description: The Centers for Medicare & Medicaid Services (CMS) will be hosting a webinar for Medicare-certified hospice providers to provide an overview on Hospital Quality Reporting Program (HQRP) requirements.

During this webinar, CMS subject matter experts will provide information on the following topics:

  • Hospice Item Set (HIS) reporting requirements;
  • HQRP compliance cycle;
  • How to achieve hospice compliance;
  • CAHPs survey requirements; and
  • How to switch CAHPS survey research vendors.

CMS will answer questions at the end of the webinar as time permits.

Register

Conference: Successful Home Health Transformation

Hosted Dixon Healthcare Solutions, Inc.

Date: December 5-6
Location
: Bally's, Las Vegas
Time: 7:00 am - 4:00 pm
Speakers: Richard K. Dixon, Cheryl Peltekis, RN, Meaghan McCormick, Esq., Donna Floyd, RN, BSN, J'non Griffin, RN, MHA, HCS-D, BCCH-C, COS-C, WCC; Annette Lee, RN, MS, HCS-D, COS-C; Cory Mertz, managing partner for a leading healthcare M&A firm.

Information and Registration

Approved for up to 10 hours of Continuing Nursing Education by Corexcel, an accredited provider by the American Nurses Credentialing Center's Commission on Accreditation.

 


WEBINAR: Manage Intake Orders with WellSky + Forcura

Date: December 5
Time: 1:00 pm - 2:00 pm EST

Information and registration

Jonathan Fluhart, Intrepid USA VP of Technology & Process Excellence and Windy Adams, Forcura Director of Strategic Partnerships, will share how the WellSky and Forcura workflow solution is enabling Intrepid USA to:

  • Go 100% paperless by digitizing all faxes and eliminating manual document scanning
  • Streamline intake documentation by driving referrals, authorizations and labs to one centralized location
  • Instantly reconcile signed orders and notifications that documents are ready for approval and billing

 

WEBINAR: PDGM Preparation: Operational Strategies

Sponsored by Kornetti & Krafft Health Care Solutions & MedBridge

Date: December 5
Time: 1:00 pm EST

Information and Registration

Knowing that resources are tight as PDGM approaches, Kornetti & Krafft is offering a free overview of OASIS D1 to ensure that changes to this critical data collection instrument do not get lost in the shuffle.

What is Included:

  • Highlight key differences between OASIS D and D1
  • Make an informed decision about the use of "=" as a response
  • As an outsourced OASIS/Coding company, the most commonly seen OASIS errors and proven strategies for success will be included.

 


FREE WEBINAR: Quarterly Home Health Topics Discussion: The Truth about PDGM Reimbursement

Sponsored by: Healthcare Synergy

Date: December 18

Presented by: Michael Tidd, LVN, COS-C, COS-D

Information and Registration


Free Webinar: "One Last PDGM Webinar"

Sponsored by: Gateway

Date: December 27
Time: 12:30 pm - 1:00 pm CST
Featuring: Arlene Maxim, RN, HCS-C

Information and Registration
This FREE, 30-minute webinar will provide answers to the most frequently asked questions on PDGM, and actual solutions to this major challenge.


Homecare 100 *January 19-22
JW Marriott Miami Turnberry Resort
Miami, FL

https://www.homecare100.com/

Training: Sales Coach Certification

Presented by Healthcare Strategica, LLC

Featuring: Michael Ferris
Location: Westin Lake Las Vegas Resort, Henderson, NV
Date: February 18-21

Information and registration

Your sales management team is critical to the results from the sales teams they manage, day to day, month to month and quarter to quarter. The goal must be to drive more admissions with less expenditure on sales and marketing. The best way to do that is to is to increase the number of admissions generated by EVERY member of the sales team.  That will drive down your acquisition cost of each new admission – this metric, cost of sales per admission, is the one that will drive most top and bottom line success!

Sales Managers have four basic functions – manage, train, coach and mentor. For most, the greatest challenge is to have enough time to spend in the field coaching ALL of their sales professionals.  We know, though our research and experience, that the NUMBER ONE way to increase the results of home health and hospice sales professionals is to have regular, effective sales coaching.  Coaching WILL drive the most results consistently.

Sales Coach is the newest, fastest growing position in home care. A Sales Coach can spend the entire week in the field or in the training room, wherever you need them. This frees up your time and allows you to be able to manage a larger team, spend more time where it counts, have consistent on-boarding practices and a happier sales team that is hitting and exceeding all expectations.

Our new Sales Coach Certification Course is the answer to having a Sales Coach up and operational in a hurry. Sales Coach Certification Course participants will get actual time working with and coaching Bootcamp attendees. And, because this is a very nice, secluded, non-gaming location, there is not the same level of distraction you find at a casino on the strip.

Who should attend?

•            Sales Coaches
•            Sales Managers who want to improve their coaching, training and onboarding
•            Senior Leadership who want to understand how to maximize their sales structure for success

Location:

Westin Lake Las Vegas Resort located in Henderson, NV – about a 30 minute drive from the Las Vegas airport.  Uber or Lyft is your best option but if you drive, parking is free!  Once you are there, you have everything you need and a shuttle to take you to restaurants or stores in the area.  The special room rate is available for a few days before and after the event, so if you want to hit the golf course or just relax, please come early or stay late.  This is a non-gaming property that has restaurants, bars, pools, putting green, sport court, gym, hiking and biking trails.


Conference: The 17th Annual World Health Care Congress

17 Years of Empowering and Connecting Leaders in Health Care Transformation

Date: March 29-April 1, 2020
Location
: Washington, DC

Information and Registration

It’s never too soon to begin planning your experience at the 2020 World Health Care Congress. View the agenda snapshot and gain access to 100+ sessions across 15+ learning tracks:

  • Payer Transformation
  • Member Engagement and Retention
  • Provider Transformation
  • Care Delivery Integration
  • Medicaid & Health Policy
  • Behavioral Health - NEW IN 2020!
  • SDoH Business Strategy
  • SDoH Tech
  • Pop Health Analytics
  • AI & ML Applications - NEW IN 2020!
  • Innovation & Investments
  • Front Line Leadership
  • Women Leaders in Health Care
  • Self-Insurance Strategy
  • Worksite Clinics
  • Direct Contracting
  • Workplace Mental Health
  • Benefits Adviser Leadership
  • Medical Travel


Conference: Leading Age Leadership Conference

Hosted by: VNAA, Elevating Home, and Leading Age

Date: April 5-6
Location:
OMNI Shoreham Hotel, Washington DC

Information and Registration

With the Leadership Summit, LeadingAge has designed an event for forward-thinking leaders to connect, engage in dialogue, and deepen their knowledge about the future—how we can shape it, and the paths to get there together.

 


Seminars - NAHC and HHFMA PDGM Roadshow 

Sponsored by: The National Association for Home Care & Hospice (NAHC), Home Care and Hospice Financial Managers Association (HHFMA), and NAHC Forum of State Associations, have joined together to co-host 12 intensive, one-day seminars across the country to prepare home health operators for PDGM.  

The Patient-Driven Groupings Model (PDGM) is here and home health agencies are already dealing with the most important change to home health payment in the 21st century. What is working? What is causing problems? Agencies need the latest information and advice on how to make sure their businesses prosper in the PDGM era.

Dates and Locations:
  • March 30:    Boston area, MA
  • March 30:    Seattle, WA
  • March 31:    Kansas City, MO
  • March 31:    Charlotte, NC
  • April 1:         Ontario, CA
  • April 7:         Orlando, FL                              
  • April 7:    Houston, TX
  • April 7:    Columbus, OH
  • April 7:    Salt Lake City, UT
  • April 8:    New Orleans, LA
  • April 8:    Minneapolis, MN
  • April 14:  Philadelphia area, PA
Additional Information and Registration To Be Announced Soon!


*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

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

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