Volume 8, Number 14 March  6, 2019




Dear Healthcare at Home Colleague,

Medicare HHAs are hoping their EMR software will be ready when the new PDGM payment system starts in January. We sent senior staff writer Darcey Trescone to talk to a few vendor product managers to find out. The general consensus is that they regard it as a luxury to have a final rule in place so long before its deadline date. They know they have a lot of work to do but are confident they will be ready in time. Read Darcey's report "Software Vendors Discuss PDGM Perspectives and Preparations."

We are heavy on Medicare news this week but some of it will be of interest to private duty providers as well. CMS administrator Seema Verma is launching a program she hopes will make hospitals safer places. Be sure to read her open letter by clicking on "CMS Administrator Announces..." below. Her plan will have an impact on the entire post acute care community.

Patient data interoperability is a goal that concerns home health, home care, and hospice providers alike. Every health system executive has told us they will not consider a post acute care partner if they do not have an EMR system that can elegantly exchange patient data with their own EMR. If partnerships are in your agency's plans, be sure to see the proposed rule from the Department of Health and Human Services. The public comment period has just opened. In our reprint of the HHS announcement, we have a link to the entire proposed rule and to the public comment page.

Private Duty home care providers will be interested to read the announcement from one of our sponsors. KanTime, an EMR with functionality for both Medicare/Medicaid and non-medical, shift-based care, has released an interface with Notifyd, a staff communication system that takes most of the effort out of ensuring that all shifts are covered.

In our Vendor Watch column, read about Playmaker Health expanding into HME and Home IV markets and about CHAP expanding into palliative care accreditation. Also, be sure to read about the new award just created. Corstrata, a virtual wound care service, wants you to nominate your favorite wound care nurse to be recognized.

Worth the Trip

There are still four more opportunities to catch the PDGM cross-country education tour. Scroll down this page to our "Upcoming Conferences" section to register for the remaining NAHC-sponsored events in Boston, L.A., and Dallas. Also, the semi-annual Omaha System International Conference is coming up in Eagan, Minnesota April 3-5.

Hospice providers, mark your calendars for the annual NHPCO Leadership and Advocacy conference in Washington DC. We are sending Darcey to cover that meeting so be sure to say hello when you see her. I will be attending and speaking at a telehealth conference that same week in Las Vegas. Scroll down to learn how to register for "Telehealth 2019: Innovative Changes in Healthcare Delivery," set for April 18-19 at the Paris Hotel. I hope to see you there.

Thank you for your continued support of our efforts. Remember to click on our sponsors' display ads. They make all of this possible.

Have a great week. Keep making a difference!

Editor signature
Tim Rowan



Software Vendors Discuss PDGM Perspectives and Preparations
In interviews with some of the top software vendors in the home health industry, we learned there is a lot of preparation and planning taking place to ensure their customers are ready to meet the demands of PDGM.

CMS Administrator Announces Effort to Curb Deadly Healthcare Errors
Seema Verma is beginning a campaign to cut down the frequency of healthcare errors that cause injury or death to patients.

Notice of Proposed Rulemaking to Improve the Interoperability of Health Information
The U.S. Department of Health and Human Services (HHS) recently proposed a new rule to support seamless and secure access, exchange, and use of electronic health information (EHI).

NOTIFYD Integrates with KanTime Enterprise Agency Platform
NOTIFYD integrates with KanTime enterprise agency platform.

Vendor Watch
— PlayMaker Health expands professional services offering, names Business Development Coach Ty Bello as partner
— Corstrata invites nominations for "Post-Acute Care Wound Nurse Excellence Award"
— CHAP announces new Palliative Care Certification

 
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:
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
 
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.

As of this date, approximately 32,857,000 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

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.



State of Home Care and Hospice with NAHC President Bill Dombi

Presented by: Netsmart

Date: April 11, 2019 
Time:
2:00 pm EDT

Fee:
Free

Register Now
Are you aware of the policies and legislation that could impact your organization and the individuals you serve?
Join us on Thursday, April 11 at 2 p.m. ET as Bill Dombi, National Association for Home Care & Hospice (NAHC) president, sits down with Kevin Scalia, our executive vice president, to discuss legislative issues and industry trends that could impact your organization now and in the future. 
You’ll walk away with practical understanding to address:
  • Home care and hospice policy priorities
  • Medicare hospice reform issues
  • Review Choice Demonstration (RCD)
  • Condition of Participations (CoPs)
  • Patient-Driven Groupings Model (PDGM)



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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