Volume 5, Number 42 December  31, 2016



Dear Healthcare at Home Colleague,

In our annual year-end summary, we offer you a collection of articles that you, our readers, decided were the most interesting news items of the past year.

And what a year

2016 has been!

  • The number of Medicare-certified agencies declined for the first time since IPS while Private Duty home care agencies and hospices grew in both size and number.
  • Mergers and acquisitions were announced at an accelerated pace, not only among providers but within the technology vendors that serve them as well.
  • CMS experimented with pre-claim reviews and, when its contractor could not adequately handle the increased workload, was bombarded with one-star reviews of its own.
  • Finally, as the year drew to a close, an unforeseen Presidential election result changed every expert's prediction about what to expect in healthcare over the next four years, including our own.

Here are some of the highlights found in our pages during 2016:

May 11: Beware of software that uses automated scripting to submit OASIS data to the ASAP system, in violation of CMS rules.

June 22 and December 14: We reviewed Marilyn Harris' "Home Health Administrator's Handbook" and Tina Marrelli's "Home Care Nursing."

October 19: HealthWyse acquired

July 6: Suncoast Solutions acquired

In a series of articles, we revealed the weaknesses of CMS's Pre-Claim Review experiment and the reaction of state and national associations and providers in affected states:

Finally, reluctantly, we followed up on the unfortunate story of the conflict that began in October, 2015 between the National Association for Home Care and Hospice and two of its board members. This July 20 story described the conclusion of a lawsuit filed by the Home Home Care Association of New York.

All of these articles, including the rest of the 150 we filed in 2016 — and the thousands we have kept in our online datasbase since 2005 — can be found via a keyword search at: http://homecaretechreport.com/search.asp.

Have a great 2017. Keep making a difference!

Editor signature
Tim Rowan



 
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Last Week's Most-Read Stories:
A Peek Into ZPIC Working Conditions May Explain High Error Rate
As the ZPIC system gives way to a new Unified Program Integrity system, we thought it would be helpful to get some insight into the people who have been investigating the care given by Medicare providers, looking for fraud and abuse. What better source than the people themselves?
 
Home Health Will Continue to Be An OIG Target
The OIG has made it clear that the effort to eradicate Medicare fraud, waste and abuse will continue as the Presidential transition proceeds. With this announcement they have issued a disturbing warning.

As of this date, approximately 24,112,000 Baby Boomers have become Medicare eligible.



Notable Upcoming Conferences Free Webinars

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


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


Home Health Emergency Preparedness CoP Requirements:
Getting Your Agency Ready

Featuring Mary St. Pierre, RN, BSN, MGA
Free, sponsored by HEALTHCAREfirstSeptember 13

1:00 pm Central Time
Omni Austin Hotel Southpark

Details and registration

http://www.healthcarefirst.com/webinars/

  • Overview of the emergency preparedness requirement
  • What surveyors will be looking for
  • Steps home health agencies should take to prepare

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

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

 


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.

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

NAHC Financial Managers Meeting *

July 14-16
Sheraton Grand Hotel
Chicago

Information and Registration


Senior Care 360: Strategy and Solutions Conference *

Presented by: Lincoln Healthcare Leadership

Date: July 31 - August 2
Location: Gaylord National Resort, National Harbor, MD

Information and Registration


 

3rd Interoperability Forum

Office of the National Coordinator for Health IT (ONC) 

Date: August 21-22
Location: Renaissance Hotel, Washington, DC

Register Online

This event will bring people together from ONC, the healthcare industry, and the technology sector to:
  • Learn about recent efforts to advance interoperability nationwide
  • Identify concrete actions in response to current interoperability barriers
Attendees will hear keynotes from industry influencers, have the opportunity to view demos showcasing innovative solutions and participate in tracks focused on various aspects of interoperability. Co-led by industry leaders and supported by ONC experts, the tracks will provide an opportunity to discuss the latest issues and identify actions that can be taken to address key barriers to interoperability in a group setting.
Who: Health IT standards and technology community, including developers, policymakers, technology staff at provider organizations, and consumers.

SAGE/2019 *

Hosted by Honor

Date: September 10
Location
: Portofino Hotel & Marina, Redondo Beach, CA
Time: 9:00 am - 5:00 pm

Information and Registration
(Rowan Report subscribers have been offered a 25% discount; use discount code "Rowan" when you register)

How we care for our aging population is one of the most daunting and important challenges we face as family members, as community builders, as leaders in our industry.
That’s why Honor is launching SAGE/2019, a day of inspiring keynotes, lively panel discussions, and intimate conversations on the most compelling topics in senior care and wellness. We’re bringing together thinkers and doers, innovators and entrepreneurs, academics and leaders in healthcare and home care.
You’ll meet creative thinkers who are shifting the narrative about aging, company founders who are driving change, and visionaries who are imagining what’s possible in the future. This is a unique opportunity to network with thought leaders, peers, and potential partners, to revolutionize how we think about aging, and, most importantly, to take action.

HCAOA 2019 Annual Leadership Conference *

Home Care Association of America

Date: September 22-23
Location: Marriott Tucson Starr Pass Resort

Information


*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

 



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



Security Risk Assessment Tool Overview and User Feedback Session

Presented by: CMS

Date: Wednesday July 17

Time: 1:00 pm EDT

Fee: Free

ONC and the HHS Office for Civil Rights are holding a training session and overview of the Security Risk Assessment (SRA) Tool. The tool is designed to assist small to medium providers in conducting an internal security risk assessment. This assessment will aid providers with their security risk analysis as required by the HIPAA Security Rule and the CMS EHR Incentive program. Following the webinar, participants will have the opportunity to ask questions and provide feedback.
 
Register


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
 


"Motivating Providers to Deliver Care Vitually"

Sponsored by Arizona Telemedicine Program and Southwest Telehealth Resource Center

Presented by Jan Ground, PT MBA

Date: June 6, 2019
Time:
12:00pm MT
Fee: Free

REGISTER NOW

Learning Objectives:

1. Define the problem: be clear on the problem to be solved with telehealth initiatives.

2. Sponsorship: identify the right sponsorship, be clear on what is specifically needed from each level of sponsors.

3. Reinforcement: start with positive reinforcement, move to negative reinforcement on the clearly defined behavior changes

Jan Ground PT, MBA, has been leading clinicians and other healthcare personnel through change for more than twenty years. She led the virtual care work for the Colorado Permanente Medical Group and was the Innovation Hunter for the Colorado Region of Kaiser Permanente (KPCO). Most of her work supported innovation initiatives to enable people to get care anywhere and providers to provide care from anywhere. Areas of focus have included video visits, remote patient monitoring, e-visits, as well as the use of mobile apps and social media in care delivery. In all of these efforts, motivating providers to provide care differently was the most significant barrier to success. Jan has trained physicians and staff inside and outside of KP in Innovation, Meeting Management, and Leading People through Change. Jan has degrees in psychology, physical therapy, exercise science, and business administration from Middlebury College, Middlebury, VT; Emory University, Atlanta, GA; and the Univ of S. FL



Increase Referrals, not Overhead- Streamlining the Intake Experience

A streamlined, efficient intake process creates a better patient experience and improves referral relationships. During this webinar, industry experts will share their quick tips and best practices for improving your intake process and managing your organization's revenue cycle.

Sponsored by Forcura
Featuring: Craig Mandeville, Founder & CEO of Forcura Jessica Stover, Senior Manager of Blacktree Healthcare Consulting
Tuesday, Oct 3
2:00 pm EDT

Registration


QAPI Overview

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


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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