Volume 6, Number 28 February  22, 2017



Dear Healthcare at Home Colleague,

"It seemed like a great idea at the time."

It turns out that $23 million was not enough to launch and sustain a non-medical home care service modeled after Uber. In his February 24 letter explaining why Home Hero has stopped accepting new patients, effective immediately, founder and CEO Kyle Hill blamed the Department of Labor ruling that forced him to switch from a 1099 to a W-2 employee format. "The switch to W-2 would increase our caregiver onboarding costs by 10X," he wrote. "The additional costs of payroll taxes, overtime, paid sick leave, minimum wage regulations, benefits and health insurance, unemployment tax, workers comp insurance, and potential for lawsuits in a highly litigious industry put us in heavy handcuffs." In other words, Home Hero could not compete with traditional Healthcare at Home providers if it had to treat its caregivers as well as you do.

Mr. Hill's complete statement, "There's No Magic in Venture-Backed Home Care," can be found here.

In This Week's NewsCompliance continues to be our theme as we study the new Home Health Conditions of Participation. At the same time, we hear more and more descriptions of how payers scrutinize every document, looking for reasons to deny claims. Protecting your agency, attorney Liz Pearson explains in our lead story, is not merely about knowing and following tomes of regulations. You will learn a lot from our summary of her presentation at a recent compliance-oriented conference.

We also asked some software vendors about their plans for helping you meet the Conditions of Participation. We thought it would be good to know how challenging they think it will be to make the necessary updates in time for the July 13 deadline. What they told us may surprise you.

Worth the trip
There are a couple of national conferences coming up that you should add to your calendar. The VNAA holds its annual National Leadership Conference in San Diego, April 19-21. As soon as it ends, you can fly across the country to the annual meeting of the American Telemedicine Association in Orlando, April 23-25. Keynote speakers at the ATA will include Patrick J. Kennedy and Thomas L. Friedman.

Have a great week. Keep making a difference!

 

Editor signature
Tim Rowan



New CoPs Demand Software Changes
The new Home Health Conditions of Participation take effect on July 13. We asked some software developers what they have to do to help their clients comply.

Regulatory Compliance Requires Knowing the New Rules
During a recent compliance conference, longtime home health attorney Elizabeth Pearson outlined a pathway to survival during a time when change is certain but its details are still unknown.

 
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During the 2nd Quarter of 2017, web sites of the above advertisers were visited by home care and hospice executives and staff 2300 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

Last Week's Most-Read Stories:
HEALTHCAREfirst Announces Continued Expansion
HEALTHCAREfirst continues its hiring spree, announces new faces in key positions.
 
Former HCHB Exec Launches Post-Acute Care Consulting Firm
Tom Maxwell has created a post-acute care consulting firm, bringing together a group of experts with a level of knowledge and experience that equips them to fill the technology and optimization gap in the home health and hospice industry.

As of this date, approximately 24,695,000 Baby Boomers have become Medicare eligible.



Notable Upcoming Conferences Free Webinars

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


Community 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


Technologies and Tactics Transforming Long-term Care Conference: Igniting Innovation and Best Practices Across the Long-term and Post-acute Care Continuum
Sponsored by TCBI and Telehealth and Medicine Today
June 30
Washington, DC
Information and registration

2017 Annual Conference and Trade Show *
Home Care Association of FloridaJuly 23-27
Renaissance Orlando at Sea World
Information and Registration

AHHC 2017 Leadership ConferenceAssociation for Home & Hospice Care of North Carolina
October 9-10
Holiday Inn Resort
Wrightsville Beach

Click here to register

Hospice Financial and Administrative Management Conference
Presented by The Health Group
November 6-7
Caribe Hilton
San Juan, Puerto Rico
Registration: conference@healthgroup.com
 

*HCTR 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

2017 Regulatory Updates, Including Home Health Conditions of Participation

Free Webinar Hosted by DeVero Software and Relias Learning
Featured Speakers: Michael Tidd, Healthcare Synergy; Robert Love, DeVero
Tuesday, March 21
2:00 pm EDT / 11:00 am PDT

Register Here


A New Approach for Home Health Face-to-Face:
Updated Info, Updated Insights

Sponsored by Kinnser Software
Featuring Arlene Maxim, RN
Thursday, April 20
1:00 pm EDT

Learn:

  • What CMS requires for "adequate documentation" under Face-to-Face
  • How to handle inadequate progress notes provided by the physician/in-patient facility
  • Exactly what to include on your checklist of items for the physician's packet

Free: Register here



Clinician Recruitment, Retention & Satisfaction: Does Technology Help or Hinder?

Sponsored by Brightree and Elevating Home
Featuring: Karri Harpole, RN, BSN, Brightree; Tarrah Lowry-Schreiner, President & CEO, Sangre de Cristo Hospice & Palliative Care; Wendy Cofran, CIO, Century Health Systems, Inc.; Melissa Polly, MBA, Brightree Product Marketing (moderator)

Wednesday, July 26
1:00 pm EDT

Learn:

  • Best practices related to the use of technology and the best way to engage clinicians in a model that provides the most value the organization, including recruitment, retention and satisfaction; 
  • From colleagues, how to get the most value from the use of technology from clinical documentation and nurse satisfaction to operational efficiencies; and,
  • How changes in the post-acute environment, from regulatory drivers to value-based care, drive effective utilization of technology.

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



    Navigating Alternative Payment Models

    Presented by Mark Sharp and Raymond Belles of BKD
    Tuesday, March 28
    2:00 p.m. EDT
    Cost: $79
    Registration

     


    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
     


    Understanding the Effect Functional Scoring Has on Your Agency
    Presented by Chad Whitefield, PTA, Managing Partner of Advance Rehabilitation Management Group
    Thursday, April 13
    2:00 p.m. EST
    Cost:  $99
    Registration link 


    Navigating Pre-Claim Review

    The controversial Pre-Claim Review Demonstration has been delayed in FL and paused in IL. So what's next? We'll cover what we've learned, what you should be doing now, and what home health care agencies can expect next.

    Sponsored by Forcura
    Featuring: Nick Seabrook, BlackTree Healthcare Consulting; Craig Mandeville, Forcura; Kim Gaffey, MSN, RN, Gaffey Home Nursing & Hospice
    Thursday, April 13
    2:00 pm EDT

    Registration Link


    Hospice vs. Palliative Care: What's the Difference?

    Presented by Curaport

    Featuring Katie Wehri, CHPC, Healthcare Provider Solutions
    Thursday, August 17
    2:00 p.m. EDT
    Cost: $49 per attendee
    Registration


    QAPI Overview

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


    Home Health Conditions of Participation Series 1: Overview and Patient Rights

    Presented by Curaport

    Featuring Sharon Litwin, RN, BSHS, MHA
    Thursday, August 10
    2:00 p.m. EDT 
    Cost: $39 
    Registration



     

    The Current Homecare Market: an M&A Perspective

    Presented by Curaport

    Featuring Rich Tinsley, CEO, Stoneridge Partners
    Friday, July 14
    12:00 p.m. EDT 
    Cost: $39 
    Registration



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