Volume 8, Number 18 February  27, 2019



Dear Healthcare at Home Colleague,

In your expert opinion, where is the current healthcare trajectory leading? Rationing? Robots? Single-Payer? Something else? Over the long term, all of these things are possible. But for the immediate future, public and private insurance companies have set the stage. All we can do is choose our roles and learn our lines. CMS and insurance companies have decided they want to pay you based on how your patients improve.

Health systems are choosing their roles already. They want to play the part of central manager of a coordinated care team. They are looking for partners with the wherewithal to meet their needs, and they are looking at non-medical home care, skilled home health, long-term rehab hospitals, SNFs, and Senior Living Facilities.

In our lead article this week, Unlocking the Value of Managed Care Contracts, we report on the admonitions delivered by leadership from each of these provider types. At last month's Home Care 100 meeting, they described the improved patient outcomes and lowered costs they achieved by working together. Why pay attention to their message? As the U.S. population ages and payers emphasize savings, post acute care providers that earn health system partnerships will thrive. Those not chosen to join them on the stage will be left in the wings, and there is very little revenue in the wings.

In other news this week: Homecare Homebase has signed a large new customer in Virginia, Five Star Home Health Care. Wellsky announces the acquisition of a behavioral health EMR software company, Health Care Software, Inc.

Worth the Trip

I have been invited to join the faculty of a new conference that will explore the uses of remote patient monitoring in the 21st Century. Sponsored by Connected Home Living, "2019 Telehealth: Innovative Changes in Healthcare Delivery" will take place April 18-19 at the Paris Hotel in Las Vegas. I will be joining NAHC's Bill Dombi, consultants Arlene Maxim and Karen Thomas, attorney Robert Marquette, and others. The discussions will be of interest to both Medicare/Medicaid and non-medical providers. Follow this link for the complete schedule and registration information. connectedhomeliving.com/event-2

Marcus Evans Events asked us to tell you about five top-shelf summits they have scheduled this spring. Three will take place simultaneously on March 18-19 at the Langham Huntington Hotel in Pasadena, California. Click here to learn more about the National Healthcare CMO Summit, National Healthcare CNO Summit, and National Healthcare Informatics Summit. May 19-21, the National Healthcare CXO Summit and National Healthcare CFO Summit will be held at the Eau Palm Beach Resort & Spa, Palm Beach, Florida.

Did you know?

We save for you every news article we have written since The Rowan Report went electronic in 2005. When you are conducting research, use our convenient search tool on the main page of our web site at homecaretechreport.com.

Also, we offer other services to the industry that you may not have known about. When you go to the same link, click on the cleverly named "Other Services" to learn about our consultants, speakers, and our popular Online Technology Buyer's Guide.

Personal note: I received some heartfelt responses to my 20th anniversary edition last week, more than I had time to acknowledge. Thank you for letting me know you appreciate our efforts here. But I did make one error that I'd like to correct. When I expressed my gratitude for the sponsors who continued their support when I ventured out as a solo act, I neglected to thank the one person without whose relationship-building skills, that financial support would never have materialized. Kristin of the Girard Marketing Group has been with me since 2009, taking great care of our advertisers. I could not have kept going the last 10 years without her.

Have a great week. Keep making a difference.

 

Editor signature
Tim Rowan



Unlocking the Value of Managed Care Contracts
The future of healthcare is coordinated care, centered around acute- post-acute partnerships, proclaim four participants in a successful Southern California partnership that is showing dramatic patient and cost improvements.

Vendor Watch: Leading Software Companies Announce Sales, Acquisitions
— WellSky Acquires HCS, Entering Long-Term Acute Care and Inpatient Behavioral Health Markets
— Homecare Homebase Signs Virginia's Five Star Home Health Care

National Healthcare CFO Summit Set for May 19-21
Ascension's Senior Director of Revenue Cycle and Senior Director of Performance Excellence to Co-present at Upcoming National Healthcare CFO Summit

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























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

To inquire about placing your message here, contact:

Kristin@rowanresources.com

Last Week's Most-Read Stories:
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.
 
Editor's Reflections on 20 Years of Home Care Tech Report
Editor Tim Rowan recounts the origin story of Home Care Technology: The Rowan Report

As of this date, approximately 32,780,000 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

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.




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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