Volume 6, Number 45 December  13, 2017



Dear Healthcare at Home Colleague,

Representatives from hospital, physician, and post-acute associations gathered in Washington DC this week at the intersection of healthcare and politics. It turned out to be an intersection with elevated speed limits and no traffic signals or yield signs. We'll go into more detail next week about the BRG Healthcare Leadership Congress, but imagine one panel discussion that included Obama-era CMS staffers alongside senior healthcare staffers from current Republican committees, one from the House, the other from the Senate. Then picture another panel that found David Axelrod and Karl Rove sparring from adjacent chairs about everything from the ACA to the controversial 2017 tax cut bill. When the dust settled, there was a lot to learn. We will attempt to sort through our notes by next week. BRG organizes excellent conferences. We will let you know about next year's event.

For now, we turn our attention to the next chapter in the Ohio EVV saga, to a Texas judge who administered a record-breaking prison sentence to a home health owner, and to an historic study that finally proves exactly how much home health saves payers.

In this week's news:

  • Our lead story summarizes the methodology used by the Cleveland Clinic to determine that, all told, payers save an average of $6,500 every time a hospital discharges a patient to home health instead of sending them home alone.
  • We have been advocating one EVV model over others. This week, we interview principals of a company that provides the data aggregator service that makes the best model possible. This would be a good article to share with your state Medicaid officials.
  • A Houston jury found a woman guilty of Medicare fraud after her husband had pleaded guilty to the same charges. Wait until you see the length of the sentence the judge gave the couple, in spite of the wife's health condition and little children at home.
  • Telehealth reporter Audrey Kinsella files another story from Partners Health's Connected Health Symposium. Three different keynote presentations, from totally different starting points, arrived at the same conclusion: the role of healthcare for the aging is to keep them moving, not just keep them at home, to help them age in health, not just in years.
  • As the January 13 deadline nears for compliance with the new Conditions of Participation, we are finding that software vendors are stepping up to help their customers prepare. Online webinars and in-person workshops may offer content unrelated to software support but many vendors are doing it anyway. This week we interviewed the leadership team at Change Healthcare.

We are planning one more report before taking a break for Christmas and New Year's. Let me take this opportunity to wish a Happy Hanukkah to all my Jewish readers. 

Have a great week. Keep making a difference!

 

Editor signature
Tim Rowan



Study Finally Proves How Much Healthcare at Home Saves Public and Private Payers
Print this article and show it to hospital and ACO executives, Managed Care Organizations, and your Congressional representatives. Mail a copy to MedPAC commissioners and CMS administrator Seema Verma. The American Journal of Medicine will soon publish results of a study conducted by the Cleveland Clinic that puts a precise dollar figure on Healthcare at Home savings to public and private payers when compared to hospitalization costs.

Statewide Single Source EVV; There Has to be A Better Way
In this exclusive interview with an EVV data aggregator service provider, we unearth more evidence to support our previously stated editorial position that state Medicaid offices must avoid naming a single vendor as the only approved path toward 21st Century CURES Act compliance.

Software Vendor Becomes More Than Software Vendor for COP Prep
Software vendors are stepping up to help their customers prepare for the new Conditions of Participation. In this segment of our series, we describe what Change Health has been doing.

Experts Outline New Care Directions: From 'Aging in Place' to 'Thriving in Motion'
One likes mobile devices, another technologies to repair molecular and cellular damage, a third the healthcare applications of artificial intelligence. What do they all have in common?

Texas Judge Gives Agency Director of Nursing 75 Years; Husband Gets 80
If you are going to commit Medicare fraud, do not do it within the jurisdiction of the U.S. Federal Court for the Southern District of Texas.

 
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Last Week's Most-Read Stories:
Total Knee Replacement, A Patient's-Eye View
Since I wrote my first article for this report in the summer of 1998, I have often written about the way you take care of total joint replacement patients. From wound care nurses and physical and occupational therapists in the field to the software vendors that help them track a patient's progress, it is safe to assume that everyone reading this page has been directly or indirectly impacted by the dramatic increase in the total number of these surgeries. Today, I find myself on the other side of the scalpel. I took detailed notes before, during, and after my own October 24 total knee replacement procedure. I trust I am not assuming too much that some readers might be interested in my experience.
 
Ohio Association Testifies Against EVV Rule
Joe Russell is the Executive Director of the Ohio Council for Home Care & Hospice. Last week, he told the Ohio Department of Medicaid that the model they chose to implement Electronic Visit Verification does not comply with federal law. We reprint his entire testimony.

As of this date, approximately 27,929,000 Baby Boomers have become Medicare eligible.



Notable Upcoming Conferences Free Webinars

2018 Annual Conference

AHHC of North Carolina

May 7-9
Sheraton Imperial Hotel & Convention Center

Register


West Coast Payer and Provider Summit to Address Social Determinants of Health for Complex PopulationsA World Health Care Congress Executive Series Event

June 4-5

Doubletree Resort Paradise Valley
Scottsdale, AZ


Download agenda

Post Acute 360: Strategy and Solutions Conference

Presented by: Lincoln Healthcare Leadership

June 25-27
Gaylord National Resort
National Harbor, MD
Information and Registration


NAHC Financial Managers Meeting

July 15-17
Austin, TX
Information and Registration


Leading in a Changing World

Texas Association for Home Care & Hospice 49th Annual Meeting
August 8-9
Moody Gardens Hotel & Spa
Embassy Suites Frisco Hotel & Convention Center
Frisco

Information and registration


Home Care Cruise

Sponsored by: HealthCare Synergy
Featuring: Melinda Gaboury, Michael Tidd, Paula Pettit
Dates: August 24-27
Location: Carnival Inspiration, Los Angeles to Ensenada, Mexico

Information and Registration

(Early Bird Pricing Ends May 15)


ICD-10 Coding: Beginner & Intermediate Workshops, Plus HCS-D Certification Exam

Presented by Home Care Association of Florida

Join HCAF and Home Health Solutions' J'non Griffin for full day ICD-10 workshops for beginner and intermediate coders, plus an optional Home Care Coding Specialist - Diagnosis certification exam!

Workshop 1: Beginner Coding
Date: March 4
Time: 8:30 am - 4:30 pm EST
Location: Four Points Miami Airport West

Beginner: Information and Registration

Overview: In this interactive class, you will learn the basics of assigning ICD-10-CM coding for home health and hospice. You will understand how it relates to billing, audits, OASIS, and compliance, and why it is so important to have accurate coding on your agency claims. You will learn the guidelines and conventions, and ethical and legal considerations. We will also teach you how to properly look up codes in your manual. Bring a current 2019 ICD-10 CM manual with you to class.

 

Workshop 2: Intermediate Coding
Date: March 5-6
Time: 8:30 am - 4:30 pm EST
Location: Four Points Miami Airport West

Intermediate: Information and Registration

Overview: This class is for the coder who understands the basics and is ready to take their coding knowledge to the next level. In this 2-day session, we will work through common home health and hospice scenarios for each chapter and discuss the rationale behind each. Understand how coding can affect accurate reimbursement, outcomes, and how important coding will be under PDGM. Understand the interaction between face-to-face documentation, clinical notes from the provider, accurate coding, and an accurate comprehensive assessment. Learn why it is important to get it right the first time. We will also discuss the latest coding clinic guidance related to coding. Bring a current 2019 ICD-10 CM manual with you to class.

 

Workshop 3: HCS-D Certification Exam
Date: March 7
Time: 8:00 am - 12:00 pm EST
Location: Four Points Miami Airport West

Download the Exam Registration Form

Overview: The Association of Home Care Coding & Compliance's (AHHC) credentialing arm, the Board of Medical Specialty Coding & Compliance (BMSC), offers professional credentials, including the only nationally accredited home health coding credential that tests coding skills exclusively, the "Home Care Coding Specialist - Diagnosis (HCS-D)." BMSC has been credentialing home health coders since 2003. More than 68% of agencies require coders to have earned the HCS-D credential as a condition of employment.


National Healthcare CNO/CMO/Informatics Summit

Presented by Marcus Evans Events

Date: March 18-19, 2019
Location: The Langham Huntington, Pasadena, Los Angeles, CA

The Healthcare Summits are the premium forums bringing senior level medical executives and solution providers together. The one-on-one business meetings provide access to senior medical executives within the largest healthcare organizations across the United States. A thorough selection process ensures a qualified audience, which grants unparalleled business and networking opportunities in a luxurious and stimulating environment.
Information and registration

 


PDGM National Summits - Coming to a City Near You!

National Association of Home Care and Hospice

In early 2019, 12 summits were planned at strategically located cities around the United States. There are still 8 summits available to attend. Find the nearest location to gain insights and receive the tools you need to successfully transition to PDGM.  You still have time!

Previous Locations:
January 23, 2019 Orlando, Florida (Done)
January 24, 2019 Kansas City, Missouri (Done) 
February 5, 2019 New Orleans, Louisiana (Done)
February 6, 2019 Portland, Oregon (Done)
February 7, 2019 Valley Forge, Pennsylvania (Done)
February 13, 2019 Denver, Colorado (Done)

Locations Upcoming:

February 21, 2019 Columbus, Ohio

February 27, 2019 Charlotte, North Carolina

March 5, 2019 Chicago, Illinois

March 12, 2019 Boston Region - Northampton, MA (Sold Out)

March 13, 2019 Boston Region - Northampton, MA

March 19, 2019 Los Angeles, California

March 26, 2019 Dallas, Texas

Click Here for Information and to Register!

The most consequential changes to impact home health in decades are coming in 2020 — are you ready? The Patient-Driven Groupings Model (PDGM) was created by the Centers for Medicare and Medicaid Services and is slated to debut on January 1, 2020. PDGM will revolutionize the payment methodology for all Medicare Home Health Agencies (HHAs) in the United States.


2019 Omaha System International Conference: A Key to Practice, Documentation, and Information Management

Date: April 3-5, 2019
Location: Eagan, Minnesota
Fees: Pre-Conference (1 day): $165
Conference (2 days): $335
Pre-conference and Conference (all 3 days): $500

Registration and Information
The Omaha System International Conference is held every two years as a venue for those in practice, education, research, and software development to exchange experiences. There is something for everyone involved with the Omaha System, from beginners to experts to everyone in between. Joyce Sensmeier, HIMSS is the keynote speaker, and The University of Texas at Austin School of Nursing is the school host. The 2019 PDF flier includes location and registration information, speaker/planner list, agenda, exhibitors, and more.

Hospice & Palliative Care Leadership & Advocacy Conference 2019 (LAC 2019)*

National Hospice & Palliative Care Organization 

Preconference Dates: April 13-14, 2019
Main Conference Dates: April 15-17, 2019
Location: Marriott Wardman Park Hotel, Washington, DC

Rates and Fees

Register Online

Executive leadership and management at all levels of hospice and palliative care will comprise the audience for this conference, including presidents and CEOs, administrators, directors, clinical managers, finance and development professionals, quality and performance improvement professionals, regulatory and compliance officers, marketing and public relations professionals, educators, researchers and other leaders working to promote advancement of hospice and palliative care and plan its future development.


2019 Telehealth - Innovative Changes in Healthcare Delivery Conference *

Presented by: Connected Home Living

Date: April 18-19, 2019
Location: Paris Hotel - Las Vegas
Fee: $595 per person

Register

During this event, hear from some of the most dynamic and educational industry experts about current and upcoming CMS rules.  Learn about how telehealth can ease the burden of PDGM for home health, updates on PDPM for Skilled Nursing Facilities, the Physician Fee Schedule, and 2019 Quality Payment Program (QPP) for physicians.  CMS is dramatically expanding opportunities for providers to include telemedicine and telehealth in plans for improving patient care, reducing costs, and improving patient satisfaction.

 


National Healthcare CXO Summit

Presented by Marcus Evans Events


Date: May 19-21
Location: Eau Palm Beach Resort

Keynote Presenters: Susan Blumenthal, past US Assistant Surgeon General; Nicholas Webb, Healthcare Futurist

Registration Information

The National Healthcare CXO Summit is the premium forum bringing senior level healthcare executives and solution providers together. As an invitation-only event, taking place behind closed doors, the Summit offers an intimate environment for a focused discussion of key new drivers shaping the healthcare industry.


National Healthcare CFO Summit
Sponsored by Marcus Evans

Date:
May 19-21
Location:
Eau Palm Beach Resort

Register

Andrew Gwin, Senior Director of Revenue Cycle, and his colleague David Maxwell, Senior Director of Performance Excellence at Ascension, present "Denials:Improving Your Playbook." They will discuss how Clinical Denials continue to be a leading opportunity to improve net revenue for most acute hospital organizations, and how Ascension is taking a collaborative approach by developing a comprehensive Playbook that invites each hospital to take an interdisciplinary approach to improving denials.
The session will address:
  • Discuss how to develop a national best practice playbook
  • Review key components of a successful clinical denial mitigation program
  • How to implement a national best practice amongst 150+ hospitals
  • Tracking and monitoring results

*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

Navigating the Hospice Cost Report

Sponsored by: ElevatingHOME

Date: February 19, 2019
Time: 12:00pm EST
Fee: FREE

Register Now

CMS has stated that 66% of the cost reports previously filed should not have been accepted and will now be subject to more strenuous requirements. The cost reports will be used by CMS to recalibrate and adjust the hospice daily payment rates.

Join Elevating Home for this webinar as Tom Boyd, Vice President of Reimbursable Services with Simione Healthcare Consultants discusses what is new and help participants identify and understand the requirements for the completion of the Medicare Hospice cost report.



 

The Hospice Cost Report: A Requirement & A Management Tool

Presented by: Tom Boyd, MBA, CFE, CHFP, Vice President of Reimbursable Services, Simione Healthcare Consultants

Date: February 14
Time: 2:00 - 3:00 EST
Fee: FREE

Register now

Join Simione Healthcare Consultants for an overview of hospice cost reporting and ways to make sense of all the required information to support timely, accurate and affordable filing. A Simione cost report is backed by our longstanding experience with reimbursement and government reporting. Discover the difference and get the bigger picture on your hospice finances!



How to Use FREE Online Marketing Tools

Sponsored by Shoshana Technologies
Featuring:
Tim Rowan, Editor, The Rowan Report, and Roger McManus, principal, Rowan Reputation Resources

Date: Wednesday, February 27
Time: 3:00 pm EST
Fee: None

Information and Registration

About Shoshana Private Duty EMR Software

Tim and Roger will explain the difference between Global and Local SEO and offer step-by-step instructions how to grow your census by raising your online profile.



Public Policy Leadership Series

Presented by: ElevatingHOME

Featuring:

• 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




Learning Series Webinar: Million Hearts®2022 & Related Medicare-Covered Preventive Services 
CMS National Training Program

Date: February 14, 2019
Time: 1:00 - 2:30 EST
Fee: FREE

Register now

This webinar provides an overview of:

  • National Initiative—Million Hearts® 2022
  • Heart Disease and Stroke in the U.S.
  • Medicare-Covered Preventive Services Related to Heart Health

 



The Ultimate Guide for Surviving a Home Health Survey

A Two-Part Series Presented by: HealthcareFirst

Date: March 27 and April 3
Time:
2:00 - 3:00 EDT

Fee:
Free

Register here for both sessions
Is your agency survey ready? With CMS continuing to put high expectations on home health providers to have substantial and continued compliance with the CoPs, it’s crucial to have a plan in place for surveyor readiness. These webinars will provide best practices to promote a consistent state of survey readiness as part of your general operational plan. We’ll also provide you with the foundation to develop and successfully implement an effective plan of correction.
Session one: "Preparing for a Home Health Survey" begins with identifying key leaders to guide organization and planning. Next, survey documents and the importance of updating policies and procedures. Then, tips for building a data-driven QAPI program. Finally, expert recommendations for staff preparation on all levels.

Session two: "Implementing an Effective Plan of Correction" will discuss the importance of an effective plan, including important steps you should take when developing your plan and best practice tips in its implementation, formatting, and submission. Lastly, we’ll provide valuable insight into how you can integrate your plan of correction with your QAPI program for results that are effective and long lasting.

 



CMS to Test Hospice Carve-In Under Medicare Advantage
VNAA and ElevatingHOME
Date: February 20, 2019
Time:1:00pm EST
Fee: Free
Register Now 
What does this CMS demonstration mean for the hospice community? There are many unanswered questions for providers and potential relationships with Medicare Advantage (MA) plans. More than 20 million Medicare beneficiaries (34%) are enrolled in MA plans, which are mainly HMOs and PPOs offered by private insurers as an alternative to the traditional Medicare program.  
Join VNAA and ElevatingHOME Policy Consultant Jenna Paladino for an in-depth webinar to discuss the demonstration, next steps to position your program for success, and actionable items to share with your team. Now is the time to ask questions and learn how a carve-in would impact your patients. 


OASIS-D: Ensuring Consistency & Accuracy

Presented by Curaport
Featuring:
Melissa Abbott, RN, MSN, MHA, of 5 Star Consultants

Date: Thursday, October 18
Time: 2:00 p.m. EDT

Fee: $99 (per attendee)

Information & Registration

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

OASIS! Possibly the most spoken word, or acronym, in the Home Health industry. And just when you get to grips with the current version, the next set of changes arrive before you know it, this time in the form of OASIS-D. In this webinar, you will gain an understanding of the significant changes D brings to OASIS and how to ensure consistencies and accuracy within your agency.

 

*Curaport, LLC is an approved provider of Continuing Education by the California Board of Registered Nursing. All states accept this certification for their licensing requirements. No refund shall be given, except for any change in date or time of the webinar. In such case, a full refund shall be given to the registrant upon request.



Building a Successful, Data-Driven Quality Program

Presented by Brightree

Featuring: Rhonda Dornbos, RN, BSN, Chief Clinical Information Officer, DB HealthTech Consulting
Date: Wednesday, September 26
Time: 1:00 pm CDT

Free Registration

The home care and hospice industry is increasingly competitive. The shift from “volume” to “value” means that agencies must increasingly focus on quality outcomes and prove their “worth” to customers and referral sources alike.  Agencies must have a robust quality program in place that identifies, tracks, and trends key metrics against agency goals.  Successful agencies not only have visibility into their current performance, but they continually modify and develop new strategies for improvement, while engaging their clinicians.



Using a Sales & Marketing Dashboard to Get Ahead of Your Competition

Presented by Curaport

Featuring: Melanie Stover, OT, MBA, Homecare Sales

Date: Wednesday, September 5
Time: 2:00 p.m. EDT
Fee: $59 (per attendee)

Information and registration

Webinar Overview
Driving patient admissions and revenue is the top priority for your sales team. Creating a system that quickly monitors production is key to keeping your agency on track for sustainable growth.

This webinar will provide your agency with 3 ways to use your dashboard to get ahead (and stay ahead!) of your competition.



Introduction to the CMS Electronic Medical Documentation Interoperability (EMDI) Program

Presented by: ElevatingHome
Featuring:

  • Pallavi Talekar, Project Manager, Scope Infotech, Inc.
  • Ray Wilkerson, Sr. Business Analyst, Scope Infotech, Inc.
  • Nandini Ganguly, Business Analyst, Scope Infotech, Inc.
  • Briana Barnes, Project Coordinator, Scope Infotech, Inc.
Date: Wednesday, August 8
Time: 1:00 p.m. EDT

Registration

 

Participants will gain understanding of the CMS-driven Electronic Medical Documentation Interoperability program, focused on reducing provider burden by engaging health care providers and stakeholders in pilots that establish secure communication to share medical documentation by aligning with nationally recognized interoperable standards. This event is designed for providers and vendors who are willing to enhance their workflows and communication to achieve efficiency by reducing time and cost.

In this session participants will learn about interoperability and shift in the health care IT landscape, EMDI pilot program details, EMDI pilot program benefits, and how to partner with the EMDI to achieve interoperability.



The Penalty Box Compliance Series Part 8: The IMPACT Act

Presented by Curaport
Featuring Kristi Bajer, RN, MSN

Wednesday, May 23
1:00 p.m. EDT
$39

Information and registration

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



Hospice compliance 2019: confronting a surprising new survey focus
Sponsored by: Wellsky
Featuring: Robert Markette, esq.
Date: March 14
Time: Noon CDT
Fee: None
Hospice providers today are confronting a new and unexpected survey focus. Hospice surveyors are increasingly focused on issues relating to hospice administration. This administrative focus includes topics such as your hospice’s corporate structure, the relationship between your hospice’s parent office and its multiple locations, and the role and job title of your administrator. Hospice providers who have been successfully operating for years are suddenly finding themselves hit with condition level citations. How will your hospice team adapt to the major survey focus of 2019? Join renowned hospice attorney Robert W. Markette of Hall, Render, Killian, Heath & Lyman, P.C. for an exclusive webinar that will prepare you and your team for the major survey focus of 2019.

Information and registration

Attend and learn:
Why a poorly drafted organizational chart can be a significant problem for your hospice
What hospice surveyors are looking for in the relationship between your hospice’s parent office and its multiple locations
Why calling your administrator something other than “administrator” could be a survey issue


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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