Volume 8, Number 31 April  24, 2019



Dear Healthcare at Home Colleague,

I got to meet some interesting people at last week's "2019 Telehealth" conference in Las Vegas, sponsored by Connected Home Living. In addition to Bill Dombi's detailed explanation of upcoming PDGM rules and how he expects Medicare providers to adjust, I met Elcee Cortez, BNS, RN, the president of the Philippine Nurses' Association, a wonderful nurse and wonderful organization dedicated to patient care. And I met retired DEA agent David Schiller.

If you are a regular "60 Minutes" viewer, you may recognize Schiller's name. Rather than go into detail here, I'll let you read my interview with him in this week's issue. You need to read it if your field staff has ever been in a home where there are leftover opioids or other controlled substances. According to Schiller, that is just about every person on your staff. A new law authorizes hospices to dispose of these drugs but every caregiver who enters a home should be aware that leftover dangerous meds are probably there. He related one story about a woman who showed up at one of his disposal centers with two lawn leaf bags full of prescription bottles.

In my interview, you will learn your legal obligations and a new way to handle no longer needed controlled substances when you find them. See "New Product Solves Leftover Controlled Substance Problem."

Another Chapter in the Ongoing ALJ Controversy
Guest author Elizabeth Hogue, esq. continues her series tracking court cases trying to settle the issue of who gets to hold the money, you or your MAC, during the appeals process. In recent months, she has told us about several cases but they were all decided differently. Sometimes CMS wins, sometimes the provider, depending on the judge's opinion. When CMS wins, however, the provider often goes out of business while waiting its turn in front of the ALJ. That is what happened in the case Hogue tells us about today. Except this time, the owner of the destroyed home health agency filed a class action suit, claiming the devastating extrapolation was founded on UPIC or ZPIC misunderstanding of its own rules. The stakes are getting higher and higher, Hogue warns. Be prepared.

In other news, be sure to see this week's Vendor Watch column for announcements of two partnerships. Casamba has started working with Forcura, and Netsmart has a new partnership with Senior Living provider Plum Healthcare. Hospice providers will be interested to read about a gentleman who became frustrated with the wrong kinds of chairs and beds provided to people at end of life. So he invented his own. The Immersus Health Company was founded to set a new standard with clinically proven products designed specifically for hospice patients.

Speaking of hospice, be sure to scroll down to read about a free webinar offered by ElevatingHome and the VNAA, "Understanding the Hospice PEPPER."

Worth the Trip
Association conference season is upon us and we will be attending a few state meetings next month. Senior staff reporter Darcey Trescone is at the Missouri association meeting this week. I will be speaking at the annual meeting of the New York State Home Care Association in Saratoga Springs on May 9-10. After that, I'll be going straight to the Rockies for the Colorado association meeting on May 15-17. I hope to see you at one of these events.

Have a great week. Keep making a difference!

Editor signature
Tim Rowan



Providers v. UPICs and ZPICs: Another Chapter
Guest author Elizabeth Hogue brings us another chapter in the continuing saga of Providers v. UPICs and ZPICs. The stakes are high! Providers must continue to seek relief from the courts from devastating actions by the UPICs and ZPICs.

New Product Solves Leftover Controlled Substance Problem for Hospices
What do you do with leftover opioids after a hospice patient dies? Rules from the DEA and EPA make it clear you have only two options, and one of them can be expensive. Here is our review of a new product for the other option.

Immersus Health: Clinically Proven Products for Hospice
Patients at the end of their life deserve exceptional care and appropriate products. The Immersus Health Company was founded to set a new standard with clinically proven products designed specifically for hospice patients.

Vendor Watch
— Plum Healthcare and Netsmart partner to enhance integrated care in senior living
— Casamba partners with Forcura for document workflow solution, aimed at streamlining documentation.


 
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During the 2nd Quarter of 2019, web sites of the above advertisers were visited by home care and hospice executives and staff 2157 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

Last Week's Most-Read Stories:
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.
 
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.

As of this date, approximately 33,396,000 Baby Boomers have become Medicare eligible.



Notable Upcoming Conferences Free Webinars

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.


 

3rd Interoperability Forum

Office of the National Coordinator for Health IT (ONC) 

Date: August 21-22
Location: Renaissance Hotel, Washington, DC

Register Online

This event will bring people together from ONC, the healthcare industry, and the technology sector to:
  • Learn about recent efforts to advance interoperability nationwide
  • Identify concrete actions in response to current interoperability barriers
Attendees will hear keynotes from industry influencers, have the opportunity to view demos showcasing innovative solutions and participate in tracks focused on various aspects of interoperability. Co-led by industry leaders and supported by ONC experts, the tracks will provide an opportunity to discuss the latest issues and identify actions that can be taken to address key barriers to interoperability in a group setting.
Who: Health IT standards and technology community, including developers, policymakers, technology staff at provider organizations, and consumers.

SAGE/2019 *

Hosted by Honor

Date: September 10
Location
: Portofino Hotel & Marina, Redondo Beach, CA
Time: 9:00 am - 5:00 pm

Information and Registration
(Rowan Report subscribers have been offered a 25% discount; use discount code "Rowan" when you register)

How we care for our aging population is one of the most daunting and important challenges we face as family members, as community builders, as leaders in our industry.
That’s why Honor is launching SAGE/2019, a day of inspiring keynotes, lively panel discussions, and intimate conversations on the most compelling topics in senior care and wellness. We’re bringing together thinkers and doers, innovators and entrepreneurs, academics and leaders in healthcare and home care.
You’ll meet creative thinkers who are shifting the narrative about aging, company founders who are driving change, and visionaries who are imagining what’s possible in the future. This is a unique opportunity to network with thought leaders, peers, and potential partners, to revolutionize how we think about aging, and, most importantly, to take action.

Home Health, Home Care, Hospice GROWTH SUMMIT *

Date: Sept. 17-19
Location: Green Valley Ranch, Las Vegas

Information and Registration

Join renowned agency mentors Cheryl Peltekis and Melanie Stover for an owners' and executives' ONLY event focusing on how to survive and thrive in this rapidly changing environment. Cheryl and Melanie will break down exactly how to maximize your agency’s growth during this time of disruption in an easy to follow system you can use, over and over.

HCAOA 2019 Annual Leadership Conference *

Home Care Association of America

Date: September 22-23
Location: Marriott Tucson Starr Pass Resort

Information


NAHC 2019 Conference & Expo *

October 13-15
Seattle

Information and Registration


Two Sales Training Boot Camps: Home Health and Hospice & Palliative Care

Presented by Healthcare Strategica, LLC

Featuring: Michael Ferris
Location: Westin Lake Las Vegas Resort

Bootcamp 1: PDGM Home Health Sales
Date: November 12-13

Bootcamp 2: Hospice & Palliative Care Sales
Date: Novenber 14-15


Register with code "HCTR" for $100 off.


PDGM Success Seminars hosted by Axxess *
Sponsored by: BKD, Aegis Therapies, HealthCare ConsultLink, Home Health Care News, Gateway Home Health Coding and Consulting, Worldview, Connected Home Living, Laengrich Healthcare Partners and Swift Medical

Dates and Locations (open to all Home Care providers):
  • Dallas, TX Tuesday, September 24
  • Houston, TX Thursday, September 26
  • Boston, MA Tuesday, November 5
  • Fort Lauderdale, FL Thursday, November 14
  • Chicago, IL Tuesday, October 22
  • Columbus, OH Thursday, November 12
  • Las Vegas, NV Friday, October 4
  • McAllen, TX Tuesday, December 3
  • San Antonio, TX Thursday, December 5
Information and Registration (early bird discount code: Axxess2020)
The one-day seminars will focus on the following learning objectives:
  • The PDGM impact numbers that matter most, along with operational strategies to ensure proper reimbursement                   
  • Specific actions to take for each PDGM risk factor, including coding, non-groupable diagnoses, LUPA avoidance and management, chronic care management, and therapy management
  • How to drive growth for your organization through institutional referral strategies and the use of specialty programs, including wound care and complex nursing
Including specifics such as:
  • How to get the most important OASIS information you need in five minutes
  • Implementing maintenance therapy programs and telemonitoring
  • Setting up visit schedules that prevent avoidable LUPAs 
  • How each component of PDGM builds the case weight 
  • Restructuring intake processes to obtain necessary billing information

*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

Interoperability for Service Providers through CMS’s EMDI Initiative

Presented by: ElevatingHOME and VNAA

Featuring: Pallavi Talekar, Project Manager, Scope Infotech, Inc.; Ray Wilkerson, Sr. Business Analyst, Scope Infotech, Inc.; Nandini Ganguly, Business Analyst, Scope Infotech, Inc.; Kishan Patel Business Analyst, Scope Infotech, Inc.; Briana Barnes, Project Coordinator, Scope Infotech, Inc.

Date: Tuesday, July 30
Time:
12:00 pm EDT
Fee:
Free to ElevatingHome, VNAA, and Alliance for Home Health Quality Improvement members

Registration

Representatives from the EMDI Initiative team will discuss interoperability using health IT standards, including Fast Healthcare Interoperability Resources (FHIR). Participants will learn about pilot opportunities with CMS to enhance provider workflow using three critical use cases. Participants will:
  • Gain knowledge of interoperability concepts and use of latest standards, including FHIR;
  • Gather information on three critical use cases in the post-acute care setting to reduce provider burden and enhance their interoperability footprint; and
  • Identify next steps for participation in an upcoming pilot opportunity with CMS.


Security Risk Assessment Tool Overview and User Feedback Session

Presented by: CMS

Date: Wednesday July 17

Time: 1:00 pm EDT

Fee: Free

ONC and the HHS Office for Civil Rights are holding a training session and overview of the Security Risk Assessment (SRA) Tool. The tool is designed to assist small to medium providers in conducting an internal security risk assessment. This assessment will aid providers with their security risk analysis as required by the HIPAA Security Rule and the CMS EHR Incentive program. Following the webinar, participants will have the opportunity to ask questions and provide feedback.
 
Register


PDGM’s Behavioral Adjustments - What You Need to Know Now

Sponsored by eSolutions

Featuring: Karri Wright, Sr. Director, Product Management at Homecare Homebase

Date: Thursday, August 29
Time: 2:00 pm CDT
Fee: Free

REGISTER NOW

The webinar covers:

  • CMS assumptions and intended adjustments and their impact on:
    • Upcoding
    • Comorbidities
    • LUPA Avoidance
  • Considerations for HHAs
  • Evaluating your HHA data now to assess tomorrow based on today’s reality


A QUALITY JOB: Clinical Management & Care Coordination Under PDGM

Hosted by VNAA
Sponsored by MatrixCare/Brightree
Presented by Simione Healthcare Consultants

Featuring: Laura Wilson, RN, BSN, Sr. Manager, Simione Healthcare Consultants
Date: Wednesday, September 11
Time: 12:00 pm EDT

Free Registration

PDGM is so much more than a billing change! Home health agencies preparing for payment reform need to look closely at clinical operations to make accommodations that will uphold quality, including care alternatives that add value to the equation. In this webinar, we’ll share insights based on the findings of gap analyses to help your organization make a successful transition under the new requirements. Recommended Attendees: Clinical Managers, Intake Staff, Coders / QA, Finance & Billing personnel Hosted by VNAA, sponsored by MatrixCare/Brightree, presented by Simione Healthcare Consultants



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

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