Volume 8, Number 18 April  10, 2019




Dear Healthcare at Home Colleague,

As hard as we try to balance news for both private duty and home health and hospice providers, the relentless push toward next year's new Medicare payment system has pretty much taken over our pages this week. We promise to return to our wax on / wax off balance next week. That said, look below to see if our story about penalized hospitals gives you some ideas about how non-medical home care providers might be able to partner with hospitals in desperate need of help.

Vendor PDGM update

Home health providers are looking to their EMR vendors for guidance and leadership between now and January 1. Our series of interviews with software product managers and company executives continues this week with Darcey Trescone's report on the plans being assembled by Axxess, Netsmart, and OperaCare. Combined with Darcey's conversations last month with Brightree and KanTime, I think you will begin to see that they are all working hard to make sure you thrive through the transition. And why wouldn't they? Keeping you in business is good for you, and good for them. A number of webinars have been scheduled to help you prepare for PDGM. Scroll to the bottom of this page for a complete listing.

In other news

Medical and non-medical providers alike are keeping a close eye on the new rule that opens Medicare Advantage to private duty providers. In this week's news, CMS announces an expansion of its support for remote patient monitoring technologies when used by MA plans. Perhaps today's millennials will live to see Medicare reimburse home health for caring for patients with telehealth systems.

In this week's Vendor Watch column, Wellsky has announced a partnership with Citus Health to improve home health and Home IV documentation.

We have an extra news item this week. It appears to be about hospitals but if you read between the lines you may see an opportunity. A problem that hospitals have that post-acute care does not have is fatal errors. This week, CMS announced that eight hundred hospitals will be penalized this coming year because of high rates of infections and patient injuries, as well as elevated readmission rates. We include a link to a CMS tool that can be used to find the penalized hospitals in your area. Perhaps one near your agency would appreciate your offer of help with at least one of those problems.

Have a great week. I hope to see you next week in Las Vegas at the "Telehealth 2019" conference; details below. Keep making a difference!

 

Editor signature
Tim Rowan



EMR Vendors Discuss PDGM Preparations and Innovations
The success of your transition to a drastically different Medicare payment system is largely dependent on the efforts of your EMR vendor. Staff writer Darcey Trescone spoke with three more of them this week to learn what they are planning for you.

CMS Finalizes Policies to Bring Innovative Telehealth Benefit to Medicare Advantage
Final Rule will strengthen popular Medicare private health insurance plans, expand telehealth access for patients, and improve coordination for dual-eligible individuals

Medicare Trims Payments To 800 Hospitals, Citing Patient Safety Incidents
We republish a story from Kaiser Health News as a reminder to be grateful that some healthcare segments have problems we do not have.

Vendor Watch
WellSky and Citus Health collaborate to provide a web-based, secure, mobile messaging and automated workflow solution for post-acute pharmacy providers and patients

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

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As of this date, approximately 33,242,000 Baby Boomers have become Medicare eligible.



Notable Upcoming Conferences Free Webinars

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


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

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