Volume 7, Number 46 December  19, 2018




Dear Healthcare at Home Colleague,

Our final issue of the year (except for our annual year-end summary of most-read articles) is loaded with technology vendor news that impacts both non-medical home care and Medicare home health providers, as well as hospices. As always, our goal is to see all post-acute providers working collaboratively for the benefit of patients. On the surface, we may be a news outlet, but down deep we remain an advocate for the industry, its owners, caregivers, and patients. But longtime readers already knew that.

Some of the vendors of which we speak have sent us more than one major announcement this week. As you peruse the headlines, you will see some names repeated. No, we're not playing favorites, that is just how the news cycle flows.

So look for news about partnerships and collaborations, even a notable acquisition, involving Netsmart, Kindred, WellSky (you knew them as Mediware and Kinnser until October), and PlayMaker Health.

The PlayMaker Health story will give some healthcare at home providers pause. As they gathered mountains of data for their popular CRM system, they discovered they could measure length of stay by region and compare one part of the country to another. Take a look at "PlayMaker Health's Data Reveals Wide Regional Length-of-Stay Differences."

Medicare providers are scrambling to learn as much as they can about the payment system that takes effect in a couple of weeks, as well as the Patient Driven Groupings Model that is currently set to begin in 2020. WellSky is among those doing what it can to help. After hosting a webinar presented by two industry reimbursement experts, the company published a Frequently Asked Questions document generated by the attendees at that webinar. The instructions in "WellSky Publishes FAQs from Recent PDGM Webinar" will show you how to download that document.

The latest partnership chasing the Interoperability holy grail is between Netsmart and Kindred. A longtime Netsmart customer, Kindred operates post-acute care services that span home care, hospice, rehab facilities, LTACs, and hospice. Together, the companies are building a software system to enhance care coordination across all Kindred service areas. See our interview with Netsmart's VP Kevin Scalia.

In this week's Vendor Watch column, WellSky appears twice. Once is for a partnership with PlayMaker Health that will create advantages for users of both platforms. The other is the big news of the week. The Lenexa, Kansas conglomerate backed by TPG Capital has acquired rival Consolo Services Group, a leading hospice software vendor.

Worth the trip
Surprisingly, there is still room to join me and a faculty of top consultants and attorneys on the 8th Annual Compliance Cruise, January 13-20. Don't you need a break from winter yet? One where you can learn techniques to protect your agency against fraud and abuse accusations? Click here to read faculty bios and registration instructions and come along to the Caribbean with us.

Lastly, our congratulations go out to friend of The Rowan Report, Laura Mitchell. Her PR consulting company has been selected as the senior and aging market expert for the Unified Strategies Public Relations Network. USPR is an international network of independent Public Relations and Marketing Communication professionals in specific areas and demographics. usprnetwork.com

Have a great week and a Merry Christmas. Keep making a difference!

Editor signature
Tim Rowan



PlayMaker Health's Data Reveals Wide Regional Length-of-Stay Differences
Home health and hospice providers in the South and West have higher average lengths of stay than other regions of the country.

WellSky Publishes FAQs from Recent PDGM Webinar
Sharon Harder and Jill Dyer, BSN, RN, HCS-D, HCS-O summarize provider concerns over PDGM heard in recent webinar.

Netsmart Partners with Kindred
Partnership said to hasten development of interoperable software for all of Kindred's post-acute care business lines.

Vendor Watch
— WellSky Acquires Consolo
— PlayMaker Health inks partnership agreement with WellSky


 
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During the 1st Quarter of 2019, web sites of the above advertisers were visited by home care and hospice executives and staff 2026 times.

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Last Week's Most-Read Stories:
NIH Post-Acute Study Authors Blast CMS
Researchers offer proof that post-acute care saves so much for payers that those payers should not quibble about how much post-acute care costs.
 
Exclusive Interview: Software CEO Looks at Post Acute Care's Future
Silver Tsunami will lead to a Silver Rush in post-acute care, says WellSky CEO Bill Miller.

As of this date, approximately 32,010,000 Baby Boomers have become Medicare eligible.



Notable Upcoming Conferences Free Webinars

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.


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

WEDI Spring Conference

Presented by: Workgroup for Electronic Data Interchange

Date: May 20-22
Location: Hyatt Regency La Jolla at Aventine, San Diego

Information and Registration

Serving as a private and public industry solution to critical healthcare problems, WEDI is a coalition comprised of a cross-section of the healthcare industry: doctors, hospitals, health plans, laboratories, pharmacies, clearinghouses, dentists, vendors, government regulators and other industry stakeholders.

Agenda will include the following sessions:
- The Imperatives for Interoperability Standards in the Future of Healthcare and Plecosystem Economy
- The Changing Dynamic in Healthcare Security: The risk or the promise?
- Understanding the Models, Transactions, and Data Flows of Encounter Data Reporting
- Best Practices for EFT Enrollment Security
- Provider Adjustments (PLB) in the Electronic Remittance Advice (835) – How do they work?
- Anatomy of Value-Based Payment: An Interactive Discussion
- Barriers to the Broader Adoption of Telehealth

 


*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!



Giving and Getting Referrals from Hospitals

Featuring: Elizabeth E. Hogue, Esq.

Date: Wednesday, May 8
Time: 1:00 - 2:30 pm EDT

Encore date: May 15
Option to purchase CD & handouts

Information and Registration


Referrals from hospitals may be even more important for agencies under the Medicare Program's Patient-Driven Groupings Model (PDGM). Hospitals also remain a major source of referrals for hospices and HME, amid increasing competition. Private duty agencies have a key role to play in the discharge of patients to home and referrals from hospitals are expanding rapidly. All types of providers need to know how to get more referrals from hospitals without breaking the law. And hospital discharge planners/case managers need to know the rules so the referral process remains in compliance!

This teleconference will address crucial questions for both providers and discharge planners, such as:

  • Can home care providers participate in discharge planning meetings?
  • Should home care providers have access to case managers and patients prior to discharge?
  • What do regulations and interpretive guidelines for discharge planning say about giving and getting referrals?
  • How can providers and case managers use Preferred Provider Agreements?

Extensive handouts will be provided, and there will be time for comments, questions and answers.



Understanding the Hospice PEPPER

Presented by: ElevatingHOME and VNAA

Featuring: Kimberly Hrehor, Program Director, RELI Group

Date: Tuesday, May 7
Time: 12:00 pm EDT
Fee: Free to ElevatingHome, VNAA, and Alliance for Home Health Quality Improvement members

Registration

This free webinar reviews the Hospice PEPPER—a report that summarizes Medicare claims data for individual hospices and compares their statistics to other hospices in the nation, Medicare Administrative Contractor jurisdiction, and their state. The Hospice PEPPER can be used to support hospices’ efforts to protect the Medicare Trust Fund by helping to ensure that services are correctly coded and billed, and appropriate and in accordance with Medicare Payment Policy. A new release of the Hospice PEPPER is available as of April 5. Participants will gain working knowledge of how to use their Hospice PEPPER.

Kimberly Hrehor, MHA, RHIA, CHC, PMP is a program director with the RELI Group. She currently manages a contract with the Centers for Medicare & Medicaid Services to develop, produce, and distribute comparative billing reports for a variety of healthcare providers that summarize Medicare claims data in areas that are vulnerable to improper Medicare payments. Her previous experience includes health information management, quality/performance improvement, and compliance.




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

 



How to Drive Hospice Growth: New Strategies and Opportunities

Presented by: Netsmart
Featuring: Lisa Lapin, Simione Principal; Wayne Regan, Simione Director; Stacie Stark, Netsmart

Date: Thursday, May 30
Time: 2:00 pm EDT
Fee:
Free

Register Now

Have you identified new growth opportunities for your hospice agency? Do you have solid referral management strategies in place? Join us as Simione Principal Lisa Lapin and Director Wayne Regan discuss how to perform a market analysis and needs assessment so you can discover potential growth opportunities. Stacie Stark, director of client engagement with Netsmart, will explain how you can develop referral management strategies to grow your business. At the end of the webinar, you will be able to:

  • Describe growth opportunities in the hospice market
  • Identify steps to perform a market analysis and needs assessment
  • Define the key elements of an integrated marketing plan
  • Identify ways to work with data to enter new markets


The ABCs of PDGM: What it Means to Home Health and How You Should Prepare
Hosted and presented by: HEALTHCAREfirst 
Date:  May 16, 2019
Time: 1:00pm CT
Fee: Free

REGISTER NOW

According to industry experts, the Patient-Driven Groupings Model (PDGM) is the biggest change to home health in nearly 20 years. HHAs of all shapes and sizes can expect significant changes for episodes beginning on or after January 1, 2020. You must have a deep understanding of how PDGM works and how it will affect your reimbursement to successfully prepare well in advance of this change. Join HEALTHCAREfirst’s regulatory team for an overview of PDGM, including tips and resources to help your home health agency prepare.

We’ll share with you:

  • Overview of PDGM
  • PDGM Basics including 30-day Payment Periods and Case-Mix Components
  • Documentation, billing, and reimbursement changes
  • Best practices to help get your agency ready


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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