Volume 8, Number 11 February  13, 2019




Dear Healthcare at Home Colleague,

Happy Valentine's Day! I want to start with a clarification. As our understanding of next year's Medicare payment rules evolves, we gather input from a wide variety of consultants and attorneys. Their understanding is evolving as well. Last issue, we reported that every home health payment episode would be billed under the rules in place on the day of discharge, meaning episodes starting as early as December 2 would fall under PDGM rules. We apparently misinterpreted that paragraph in the rule.

At a recent CMS webinar, officials made it clear that the episode's starting date, not end date, will determine whether it should be billed under 2019 or 2020 rules. For example, an admission on December 31, 2019 will be a 60-day episode, billed under the HHRG reimbursement system.

Something for everyone

Providers of both Home Health and Home Care services will want to be sure to catch guest author James Cohen's deep dive into Artificial Intelligence in home care. Starting with the research that early technology adopters most often experience better business outcomes, he recommends all of  healthcare pay attention to AI. It has the potential to supplement human decision-making for the benefit of patients.

For Medicare Home Health

We continue to unpack what we learned from the experts at last month's Home Care 100 gathering. We'll start with their advice regarding next year's PDGM reimbursement system for Medicare providers and, in our next issue, explore what they said about post-acute care providers of all types building partnerships with health systems, physician groups, and investors. Find PDGM recommendations from the CEOs of VNSNY, AccentCare, and Kindred in "Experts Offer PDGM Advice at Home Care 100."

These were two of the strongest messages at that January Scottsdale conference, sponsored by Lincoln Health. Start now to prepare for PDGM in January and build partnerships with other healthcare providers. This second piece of advice leads back to technology, specifically interoperability. It is not a buzzword but a necessity. You will not build partnerships with large health systems if your EMR cannot exchange data with them. Look at both our Vendor Watch column and CMS News column for developments in interoperability.

IMHO

I thought about letting this slide but decided it might be important. We get reports that show how many times each news article we post is opened by readers. Looking back, I see that we have posted ten articles – some news, some analysis – about the coming PDGM payment system since last July. Checking our reports, I also see that these articles have been read by only a handful of people.

Frankly, I am worried about you.

Of course, I know we are not your only source of information. Nevertheless, you have opened other news items between five and ten times as often as our PDGM articles. This makes me suspect you think it is too early to think about PDGM. It is not.

This new payment system will bring big changes; Medicare home health agencies will not be able to start preparations after their summer vacations and be ready by 1/1/20. Predictions are that many of you will struggle to survive even if you do prepare and that hundreds, if not thousands, of agencies will go under. Your EMR vendor will help, and we are interviewing them to let you know what their plans are, but you cannot rely exclusively on your software to rescue you. Notice that NAHC, with BKD, Simione, and HPS, began a 12-city PDGM seminar tour already in January, delivering a clear message that you need to start now. PDGM will require improvements in clinical documentation, operational timeliness, and enhanced coding skills. Training, not software, is your path to those goals.

If you would like to catch up, we would like to help. On this publication's web site, homecaretechreport.com, we provide an article search tool. Enter PDGM in the search field and it will pull up all ten of the PDGM articles I mentioned. Happy reading!

Have a great week. Keep making a difference!

Editor signature
Tim Rowan



Experts Offer PDGM Advice at Home Care 100
At last month's Home Care 100 conference, CEOs from our largest home health organizations delivered stark, severe warnings to their peers about the folly of waiting too long to start PDGM preparations.

Early Adopters Thrive with Artificial Intelligence in Home Care
Artificial Intelligence is the buzzword at this year's HIMSS meeting...and every other healthcare IT meeting in the country. What does it mean for post-acute care? Guest author James Cohen has some ideas that may change the way you think about AI.

CMS News
Promoting Interoperability Programs: IPPS Final Rule Fact Sheet and Hospitals Submit Attestation Data by February 28

Vendor Watch
— QliqSOFT has announced the release of a new, patient-facing chronic care management solution that allows for the easy sharing and monitoring of data between patients and their care team members.
— Kno2 feted at HIMSS for interoperability innovation.
— Wellsky selected for Commonweal membership

 
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During the 4th Quarter of 2018, web sites of the above advertisers were visited by home care and hospice executives and staff 2106 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

Last Week's Most-Read Stories:
PDGM - How Well You Utilize Your EMR is About to be Tested!
It is imperative as an agency that your EMR vendor's PDGM plans be reviewed alongside your present system utilization and internal processes. Have you asked your EMR vendor about their plans?
 
Does Your Behavior Really Need Modification?
CMS believes a 6.42% pay rate reduction will inspire all nurses to develop more accurate OASIS assessments.

As of this date, approximately 32,626,000 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.


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.



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. 


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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