Volume 5, Number 42 — February  24, 2016



Dear Healthcare at Home Colleague,

CMS and its contractors are all over the news again this week. We only had time to treat one of three stories in a full-length article. Here is a briefing on the other two. Beware Medicare providers in California, Georgia, Massachusetts, New Jersey, New York, North Carolina, Ohio, Pennsylvania, and Virginia. CMS's newly released Moratoria and Utilization Map identifies these states as having too many home health providers. All are in the top quartile, with California and New York separated out as having "extreme values." If the existing moratorium expands to more states, these will be the next ones added to the list.

The other Medicare news item is an odd one and we are asking your help to understand it. In an effort to provide "guidance," Palmetto GBA published this statement and we have heard there is widespread confusion over exactly what it means. One Medicare expert believes whoever wrote it has conflated two different rules: CFR 40.1.2.1 and 40.2.1, begging the question, is it possible that the people CMS has entrusted to decide whether to pay you or not do not understand the rules under which you are required to operate?

"Assessments must be completed and include the initial assessment, which must contain an assessment of function that objectively measures activities of daily living such as reassessments performed timely to reassess the beneficiary and compare resultant measurement to prior measurements and any assessments performed by therapist, not assistants. Also, for observations and assessments, include documentation of the beneficiary’s status after 21 days."

If you have an opinion on what this means, please let us know. And then there is one more bulletin from Baltimore. A CMS proposed rule would test the practice of requiring prior authorization for home health services, just as commercial insurance does. It would be tested in five states with the worst fraud reputations. We have published instructions for submitting your comments on the idea before the April 5 deadline. Click on "Home Health Pre-Authorization Proposed" in this week's headlines, below. 

In other news this week:

  • NHPCO President Don Schumacher will retire at the end of this year.
  • HEALTHCAREfirst has announced a new product line. We interviewed CEO Bobby Robertson to get the details on a way of bundling products and services that we have not seen before.
  • Do not miss our Letters column. A reader adds important advice to help you avoid the kind of ransomware attack on a Los Angeles hospital we told you about last week.
  • And we are running an excellent guest article by PlaymakerCRM's Jason Lewallen, with advice about what NOT to do when money gets tight.

I'll have an important announcement next week about a joint project I am working on with the VNAA. It will happen during their annual meeting, April 6-8 in Miami. If you do not already have plans to attend, here is the link: vnaa.org/vnaa-2016. Lastly, speaking of links, put June 8-10 on your calendar as well. The folks who operate Homecare 100 have created a new event, in Chicago, for all types of post-acute care providers. Click on the large banner ad below. I hope to see you at both events.

Have a great week. Keep making a difference!

Editor signature
Tim Rowan



Times are Tough? Don’t Cut Sales & Marketing!
Guest writer Jason Lewallen has some advice for those considering budget cuts during periods of shrinking revenue.

Letters to the Editor: Popular Consultant Survives Ransomware Attack
We said last week that the ransomware attack experienced by a Los Angeles hospital could happen to anyone, including you. Little did we know how true that statement is. It has already happened to someone we know well and you'll be surprised to see who is was. Proper planning, however, saved this victim from disaster. Read and learn from their CIO's experience-enhanced advice. It could be a life-or-death issue for your agency.

Home Health Pre-Authorization Proposed
The comment period for the proposed rule to require HHAs in five states to obtain authorization before submitting claims ends on April 5.

HealthcareFirst Introduces "Solution Suite"
Array of coordinated products and services designed to enhance profit margins, regulatory compliance, and reputation.

NHPCO President Schumacher Announces Retirement
J. Donald Schumacher, PsyD, has been president and CEO of the leading national hospice association since 2002.

 
When you click on these ads,
you make sure HCTR continues to come to you for free.































During the 3rd Quarter of 2017, web sites of the above advertisers were visited by home care and hospice executives and staff 2425 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

Last Week's Most-Read Stories:
HME, Hospice and Home Health Software Vendor Brightree Acquired
$800 million cash deal makes the Atlanta software vendor a subsidiary of ResMed, a San Diego medical device company specializing in sleep-disordered breathing and respiratory care.
 
Home Health Value-Based Purchasing: Directions for Participation
New VBP report is available for free download.

As of this date, approximately 20,691,000 Baby Boomers have become Medicare eligible.
Notable Upcoming Conferences Free Webinars

Leading Change Together
Illinois HomeCare & Hospice Council Annual Meeting and Exposition
March 9-10
Lombard
Information and Registration


ITS' A Whole New Ballgame: 2017 Annual ConferenceMichigan Home Care & Hospice Association

May 3-5
Grand Traverse Resort
Acme, MI
Information and Registration


Public Policy Leadership Conference
Visiting Nurse Associations of America

Wednesday, September 14 at 8:00 AM through Thursday, September 15 at 3:00 PM
Washington Court Hotel
Washington, DC

More information and registration

 


ICD-10 Coding Conference
Texas Association for Home Care & Hospice

Featuring Lisa Selman-Holman
September 13-14
Westin Galleria
Houston

Receive up to 11 clock or contact hours.

http://tahch.org/tahchorg/education/icd10


By the Numbers: ICD-10 Coding Conference
Texas Association for Home Care & Hospice
September 13-14
Westin Galleria Hotel
Houston


Information and registration



By the Numbers: ICD-10 Coding Conference

Texas Association for Home Care & Hospice
September 13-14
Westin Galleria Hotel
Houston

Information and registration


Home Care Sales and Marketing Society *
6th Annual Conference

Learn tactics and techniques for gaining more patients and clients. This year, two breakout tracks: "Field Sales Tactics" and "Internal Operational Excellence: Intake, Admissions and Inquiry."

October 6-7
Bally's Hotel and Casino
Las Vegas
Click here for more information


HURRICANE Home Care Marketing Boot Camp 2.0 *
October 5-7
Embassy Suites Philadelphia Airport
http://homecaremarketing.net/hurricanebootcamp/

Annual Meeting *
National Association for Home Care and Hospice

October 23-25
Gaylord Palms Resort and Convention Center
Orlando

Information and Registration


Pre-Claim Revue Implementation
Palmetto GBA and CGS Tours Texas in Partnership with TAHC&H

Multiple Locations:
October 11 – McAllen
October 13 – San Antonio
November 16 – Houston
November 17 – Dallas
Details for each conference


The Journey Forward
South Carolina Home Care & Hospice Association Annual Conference
December 5-6
Hyatt Place + Hyatt House | Historic District
Charleston
www.schchaconferences.com

The 6th Annual Medicare Compliance Cruise *

Presented by Pearson & Bernard, PSC

January 15-22
Departs from Ft. Lauderdale
Information and registration


2017 Northeast Home Health Leadership Summit

Sponsoring Associations:

  • Connecticut Association for Healthcare at Home
  • Home Care and Hospice Alliance of Maine
  • Home Care Alliance of Massachusetts
  • Home Care Association of New Hampshire
  • Home Care and Hospice Association of New Jersey
  • Home Care Association of New York State
  • New York State Association of Health Care Providers
  • Rhode Island Partnership for Home Care
  • VNAs of Vermont

January 17-19, 2017
Colonnade Hotel
Boston

Information and Registration


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

Our Home Care Landscape: Big Challenges, Bigger Opportunities *
Annual Meeting of the Home Care Association of America
October 8-11
Austin, TX
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

HCSSA Administrator Program
Texas Association for Home Care & Hospice
November 13-15
Westin Galleria
Houston
tahch.org

*HCTR will see you there.

4th Annual Home Care Winter Warm-Up
Home Care Association of Florida

January 16-17
Boca Raton Marriott
Keynotes by Stephen Tweed, Bill Dombi, 12 others

Information and Registration


CONNECTED HEALTH: Remote Patient Monitoring and Telehealth Summit

6th Annual Care Coordination and Technology Congress

January 24-26
Renaissance Atlanta Waverly Hotel & Convention Center
Agenda:
Designing successful bundles without collaboration between inpatient and post-acute (PAC) providers inhibits the cost-savings opportunities that make bundled payment a valuable model for hospitals and health systems. Designing care management incentives and solutions for complex patients requires integration across hospitals, home care, and the extended continuum of provider organizations.
Register for in-person or online participation


2018 National Leadership Conference
ElevatingHOME Annual Meeting
March 7-9
Grand Hyatt
Washington DC
Information and registration

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



How to be the TOP DOG Sales Rep
Sponsored by PlaymakerCRM
Featuring Cheryl Peltekis, RN
December 14
2:00 EST
Register here


Grow Your Census with Online Marketing Tools

Sponsored by Shoshana Technologies

October 20
http://rosemarksystem.com



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



    Navigating the Final Rule for Medicare PPS for CY 2017
    Sponsored by PPS Plus
    Tuesday, November 15, 1:00 - 2:30 pm CST
    Featuring Dave Macke, CHFP, FHFMA
    Director of Reimbursement Services, VonLehman & Company
    FREE

    Register here


    Workforce Webinar Series: Stacking the Odds in Your Favor
    Best Practice Selection Strategies


    Presented by ElevatingHOME

    All programs in the series have been archived for those unable to attend live:

     

    • Part 1, "Why Staff Leave and How to Keep Them," sponsored by Exact Recruiting, a Simione Talent Solution. Click here to view this session.
    • Part 2, "From Turnover to Engagement for the Healthcare Executive," sponsored by Relias. Click here to view this session.
    • Part 3, "The ROI of Using Pre-Hire Assessments," sponsored by Relias. Click here to view this session.
    • Part 4, "Stacking the Odds in Your Favor: Best Practice Selection Strategies," sponsored by Home Health Selection Solutions. Recorded 11/28, recording available soon.

    Upcoming topics in the Workforce Webinar Series:

    Part 5: "Recruiting and Compensation Strategies that Work," sponsored by Exact Recruiting, a Simione Talent Solution
    December 5 | 1:00 p.m. ET

    Register here

     

    Part 6: "Employee Engagement: Your Key to Exceeding Home Health and Hospice Outcomes," sponsored by Fazzi Associates
    December 12 | 1:00 p.m. ET

    Register here

     

    Part 7: TBD
    December 19 | 1:00 p.m. ET
    Details coming soon.


    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



    How to Attract and Retain Health System Relationships

    Presented by Netsmart
    Ongoing
    Free
    Watch now

     


    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 


    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


    International Guidelines for Home Health Nursing

    Presented by: International Home Care Nurses Organization (IHCNO)

    Wednesday, October 25
    11
    :00 a.m. - 1:00 p.m. EDT
    Registration

    www.ihcno.org/Registration

    Contact person: Marilyn Harris marilyn@ihcno.org



    Patient Engagement & Health Literacy

    Presented by Curaport

    Featuring Stephanie Koehn, RMA, CPC CPPM, CPCO
    Thursday, December 7
    2:00 p.m. EST
    Cost: $39
    Click here to register



    QAPI Series, Part 4: Revenue Cycle Management

    Presented by Curaport

    Featuring Diane Link and Nick Seabrook of BlackTree Healthcare Consulting
    Tuesday, December 12
    2:00 p.m.EST
    Click here to register



    Strategic Use of Technology in Home Health and Hospice Organizations

    Presented by: Elevating Home and Brightree

    Thursday, October 12
    1:00 p.m. EDT

    Speakers include:

    • Melissa Polly, Brightree (Moderator)
    • Paul Pisano, CEO, Interim Healthcare - Hartford
    • Tarrah Lowry-Schreiner, CEO, Sangre de Cristo Hospice & Palliative Care
    • Todd Montigney, Managing Director and Founding Member, BlackTree Healthcare Consulting
    • Nick Knowlton, CommonWell Alliance and Brightree

    Registration



    The Penalty Box Compliance Series: Part 3, Care Planning for HHGM & VBP Success

    Presented by Curaport
    Featuring Kristi Bajer, RN, MSN, VP OperaCare
    Wednesday, December 6
    1:00 p.m. EST
    $39

    Click here to register



    Navigate your Way to Referral Success in 2018

    Presented by Home Care Sales

    Featuring Melanie Stover and Cheryl Peltekis
    Friday, December 15
    12:00 p
    .m. EST
    Registration and Information



    Webinar hosts, send your announcements to: Conferences@RowanResources.com

    Did you receive this issue as a forward from a colleague? Would you like to have your own free subscription? Click here.

    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.

    HCTR is free to subscribers and supported by its generous advertisers. To inquire about presenting your message to our 5,000 subscribers, write to Kristin in our ad sales department, Kristin@RowanResources.com.