Volume 7, Number 41 April  11, 2018



Dear Healthcare at Home Colleague,

Before I get to this week's headlines, I have an announcement. You are familiar with my Home Care Technology Buyer's Guide, one of the free services offered to home health, home care, and hospice providers by this newsletter's parent company, Rowan Consulting Associates, Inc. Hundreds of you have used it to find software with features that match your needs. Today, the task of keeping The Guide current is growing larger and more time consuming. So I need to hire someone to help me.

Somewhere among thousands of HCTR subscribers, there must be someone with a high level of familiarity with the industry's software vendors and who might be, shall we say, between jobs at the moment. For the right person, the compensation will be quite generous. If I have just described you, contact me at tim@rowanresources.com.

In this week's news: Since January, 2014, the Administrative Law Judge court system has been closed to home health appeals because it is buried under such a backlog of cases (ALJ Appeals on Hold; All Agencies at Risk (HCTR 1/29/2014). What makes this closure harmful is that a CMS rule allows MACs to withhold payments until all amounts a ZPIC or RAC claims are owed have been paid.

This is a Catch-22 situation that has forced many providers to permanently close their doors when they run out of money, even if their appeal is legitimate. Our lead story this week offers some hope that this unfair system may come to an end. Attorney Elizabeth Hogue reports on a new court case in which the door was opened to reversing CMS's draconian practice. In other words, you may get to keep your money until the appeals process runs its course. Be sure to read Hogue's excellent analysis by clicking below on "Backlog of Appeals Before ALJs: More Progress."

We also have a report this week on the release of a new software system that Netsmart has been working on since its acquisitions of Allscripts Home Care, HealthMEDX, DeVero, and HAS. The new product will be called myUnity™.

I believe you will also get a kick out of the report by guest author Dr. Cory Kidd, PhD. He describes several uses of robots as companions for the elderly.

Have a great week. Keep making a difference!

 

Editor signature
Tim Rowan



Backlog of Appeals Before ALJs: More Progress
Home care attorney Elizabeth Hogue has been keeping a close eye on recent, positive developments in the ALJ backlog problem. She gave us permission to reprint two recent articles based on her research. We put them all in one place for reader convenience. The court is getting frustrated with HHS, slamming "Medicare's Byzantine four-stage administrative appeals process" and "the harrowing labyrinth of Medicare appeals."

Why Robot Companions and AI Are the Future of Aging in Place
The latest of several applications of AI that support aging in place include hospital and home-based robot companions that are quickly becoming an essential component for seniors, says Dr. Cory Kidd, PhD.

Netsmart Announces Next Generation Platform
myUnity™ will support full continuum of care at home and senior living communities.

 
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During the 3rd Quarter of 2018, web sites of the above advertisers were visited by home care and hospice executives and staff 1726 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

Last Week's Most-Read Stories:
BREAKING NEWS: Netsmart Acquires Change Healthcare's Home Care and Hospice Division
Two of the historically largest rivals, once known as Allscripts and McKesson, are now one.
 
New Leadership at ElevatingHOME and VNAA
Danielle Pierotti, RN, PhD, CENP, will replace the departing Tracey Moorhead, with the title "Interim Leader."

As of this date, approximately 29,238,000 Baby Boomers have become Medicare eligible.



Notable Upcoming Conferences Free Webinars

2018 Annual Conference

AHHC of North Carolina

May 7-9
Sheraton Imperial Hotel & Convention Center

Register


West Coast Payer and Provider Summit to Address Social Determinants of Health for Complex PopulationsA World Health Care Congress Executive Series Event

June 4-5

Doubletree Resort Paradise Valley
Scottsdale, AZ


Download agenda

Post Acute 360: Strategy and Solutions Conference

Presented by: Lincoln Healthcare Leadership

June 25-27
Gaylord National Resort
National Harbor, MD
Information and Registration


NAHC Financial Managers Meeting

July 15-17
Austin, TX
Information and Registration


Leading in a Changing World

Texas Association for Home Care & Hospice 49th Annual Meeting
August 8-9
Moody Gardens Hotel & Spa
Embassy Suites Frisco Hotel & Convention Center
Frisco

Information and registration


Home Care Cruise

Sponsored by: HealthCare Synergy
Featuring: Melinda Gaboury, Michael Tidd, Paula Pettit
Dates: August 24-27
Location: Carnival Inspiration, Los Angeles to Ensenada, Mexico

Information and Registration

(Early Bird Pricing Ends May 15)


Medicare and Managed Care Reimbursement Necessities

Presented by HealthCare Synergy, Inc. and Illinois Homecare & Hospice Council

Featuring: Melinda Gaboury, COS-C
Date: Wednesday, September 5
Time: 8:30 am CDT
Location: Northern Illinois University

This is an In-person Workshop and Live Webinar

Information and Registration

(HealthCare Synergy clients, call for a special discount: 714-229-8700; ext 118 for Rangsey Ouk or ext. 137 for Edleen English.)

To maximize your reimbursement, you need to be well informed. Melinda Gaboury of Healthcare Provider Solutions, and a trusted consultant for HealthCare Synergy, will help you stay on top of constantly changing regulatory requirements so you can get paid.


Hospice Financial and Administrative Management Academy

Presented by: The Health Group, LLC

Date: September 17-18
Location: Mirage Las Vegas

Information and registration


2018 National Leadership Conference *

Home Care Association of America

Date:
September 22-25
Location: Marriott Wardman Park Hotel
Washington DC

 

Information for Providers and Exhibitors


NAHC 2018 Annual Meeting*National Association of Home Care and Hospice
October 7-9
Gaylord Texan
Grapevine, TX

Information and registration


TRANSFORMATIONS *
New York Association of Health Care Providers
Annual Management Conference and Exhibition


October 23-24
Uniondale, NY
Information and registration


The 8th Annual Medicare Compliance Cruise *

Presented by Pearson & Bernard, PSC

January 12-19, 2019
Departs from Ft. Lauderdale

Information and registration


*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

QAPI 101

Presented by HealthcarefirstHosted by ElevatingHOME & HHQI
Date: Wednesday, November 14
Time: 1:00 pm EST
Free
Audience: Home Health Agencies
Register Here


ElevatingHOME and HHQI will review the 5 Standards that are required to be included into an agency’s QAPI program. They will discuss possible activities, tools, and resources for each standard, as well as infection prevention and patient safety.



 

Wound Care Basics: Acute and Chronic Wound Healing
Presented by Curaport
Featuring:
Myra Varnado, BS, RN, CWOCN, Director of Clinical Services, Corstrata
Date: Thursday, October 9
Time: 2:00 pm EDT

Fee: $59
Register
*This education session is approved for one (1) contact hour of Continuing Education for Nursing
Providing the best level of Wound Care for your patients is an expensive and daunting task.  Or is it?  To be an expert at Wound Care, you first must master the basics.  This education session will get your clinicians on the right path to improving outcomes for your Wound population.  Part 1 of a 4-part Series.


Public Policy Leadership Series

Presented by: ElevatingHOME

Featuring:

• Joy Cameron, Vice President, Policy and Innovation, ElevatingHOME and VNAA
• Bill Dombi, President, National Association for Home Care & Hospice
• Sarah Myers, Partnership for Quality Home Healthcare

Schedule: Wednesdays, October 3 - November 7
Session 1: October 3
Time: 1:00 pm EDT
Fee: Free to ElevatingHome, VNAA, and Alliance for Home Health Quality Improvement members

Click here for complete schedule and registration




Hospitalization Performance Improvement Projects (PIPs)

Presented by HealthcareFirst
Hosted by ElevatingHOME & HHQI

Date: December 12
Time: 1:00 pm EST
Free

Information and registration

In this webinar, ElevatingHOME and HHQI will explore how to develop hospitalization avoidance Performance Improvement Project (PIP) for your Quality Assurance & Performance Improvement (QAPI) program. This will include data collection, goals, interventions, rapid-cycle testing, spread, and sustainment. They will review several key strategies to reduce avoidable hospitalizations and emergent visits.



PDGM is on the Horizon - What Now?

Presented by Netsmart

Featuring: Chris Attaya, President, Rapid Recovery Center; AJ Peterson,Netsmart VP of Interoperability

Date: Thursday, October 25
Time: 2:00 pm EDT
Fee: None

Register
To thrive in the regulatory climate today, it’s important to stay ahead of the changes and adjust your business model to face the challenges. That is why we invited Strategic Healthcare Programs (SHP) to share the latest updates from CMS and to review the components of the proposed Patient-Driven Groupings Model (PDGM) program.  
Using data from the SHP national database, Chris Attaya, vice president of product strategy, and Zeb Clayton, vice president of client services, will identify the expected winners and losers of the new model. They will share insights around the operational and clinical changes you need to consider to remain a vital organization. Teresa Craig, director of client strategy for Netsmart, will join the discussion to outline what you should expect from your EHR partner as you prepare for the new PDGM requirements.
Key Takeaways:
  • The latest updates from CMS and the components of the proposed PDGM model
  • Insights to help your agency prepare for a PDGM-like model
  • How to work with your EHR partner to prepare for new requirements


OASIS-D: Ensuring Consistency & Accuracy

Presented by Curaport
Featuring:
Melissa Abbott, RN, MSN, MHA, of 5 Star Consultants

Date: Thursday, October 18
Time: 2:00 p.m. EDT

Fee: $99 (per attendee)

Information & Registration

* This education session is approved for one (1) contact hour of Continuing Education for Nursing.

OASIS! Possibly the most spoken word, or acronym, in the Home Health industry. And just when you get to grips with the current version, the next set of changes arrive before you know it, this time in the form of OASIS-D. In this webinar, you will gain an understanding of the significant changes D brings to OASIS and how to ensure consistencies and accuracy within your agency.

 

*Curaport, LLC is an approved provider of Continuing Education by the California Board of Registered Nursing. All states accept this certification for their licensing requirements. No refund shall be given, except for any change in date or time of the webinar. In such case, a full refund shall be given to the registrant upon request.



Building a Successful, Data-Driven Quality Program

Presented by Brightree

Featuring: Rhonda Dornbos, RN, BSN, Chief Clinical Information Officer, DB HealthTech Consulting
Date: Wednesday, September 26
Time: 1:00 pm CDT

Free Registration

The home care and hospice industry is increasingly competitive. The shift from “volume” to “value” means that agencies must increasingly focus on quality outcomes and prove their “worth” to customers and referral sources alike.  Agencies must have a robust quality program in place that identifies, tracks, and trends key metrics against agency goals.  Successful agencies not only have visibility into their current performance, but they continually modify and develop new strategies for improvement, while engaging their clinicians.



Using a Sales & Marketing Dashboard to Get Ahead of Your Competition

Presented by Curaport

Featuring: Melanie Stover, OT, MBA, Homecare Sales

Date: Wednesday, September 5
Time: 2:00 p.m. EDT
Fee: $59 (per attendee)

Information and registration

Webinar Overview
Driving patient admissions and revenue is the top priority for your sales team. Creating a system that quickly monitors production is key to keeping your agency on track for sustainable growth.

This webinar will provide your agency with 3 ways to use your dashboard to get ahead (and stay ahead!) of your competition.



Introduction to the CMS Electronic Medical Documentation Interoperability (EMDI) Program

Presented by: ElevatingHome
Featuring:

  • Pallavi Talekar, Project Manager, Scope Infotech, Inc.
  • Ray Wilkerson, Sr. Business Analyst, Scope Infotech, Inc.
  • Nandini Ganguly, Business Analyst, Scope Infotech, Inc.
  • Briana Barnes, Project Coordinator, Scope Infotech, Inc.
Date: Wednesday, August 8
Time: 1:00 p.m. EDT

Registration

 

Participants will gain understanding of the CMS-driven Electronic Medical Documentation Interoperability program, focused on reducing provider burden by engaging health care providers and stakeholders in pilots that establish secure communication to share medical documentation by aligning with nationally recognized interoperable standards. This event is designed for providers and vendors who are willing to enhance their workflows and communication to achieve efficiency by reducing time and cost.

In this session participants will learn about interoperability and shift in the health care IT landscape, EMDI pilot program details, EMDI pilot program benefits, and how to partner with the EMDI to achieve interoperability.



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

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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.

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