Volume 8, Number 21 — May  22, 2019

Dear Healthcare at Home Colleague,

Be sure to click on the "Listen" button above to hear my summary of this week's news items. This service is brought to you by our friends at Kantime.

Are you ready for a little Cash? How about Sinatra? Presley? We learned amazing statistics last week about the power of music in dementia and COPD care. Not having patients listen to music, mind you, but sing it. Senior staff writer Darcey Trescone spent some time with our old friend Rachel Francine who, with her music therapist partner, Andrew Tubman, founded a company called Musical Health Technologies and developed a product, Singfit, to enable caregivers who are not music therapists to deliver the benefits of singing to their patients. We first introduced you to SingFit four years ago (SingFit Wins CES Innovation Award, 1/7/15) and have been impressed with their progress since then. Medicare and non-medical providers alike will get some new therapy ideas from Darcey's interview.

The rest of this week's issue is all Medicare and CMS-focused. There is a lot going on as software vendors prepare to help their provider clients through the January, 2020 regulatory changes. Darcey conducted this week's inside interview with Casamba, owner of the software once known as HealthWyse, and Thornberry, Ltd., with its six-time "Best in KLAS" nDoc software. As we make our way through interviews with as many vendors as we can between now and January, we are beginning to see they are all working diligently to make sure their software supports PDGM. Of course, they can't do it all. You have a lot of process changes to make. We will do our best to bring interviews with experts to help with that as well.

This next article came as quite a surprise. CMS has taken steps to bring RAC auditors under control. Guest author Elizabeth Hogue, esq., explains what CMS administrator Seema Verma is trying to accomplish by inserting rules that should stop some of the abuses plaguing many Medicare providers.

Lastly, providers in Illinois are well aware that Pre-Claim Reviews are coming back, though under a different name. If this revamped (of course, that means "repaired") version is successful, CMS will continue its original plan to extend it to additional states. That means our announcement from eSolutions about software they have developed to help Illinois Home Health providers with the new "Review Choice" demonstration should be of interest to everyone.

Worth the trip
It was good meeting so many readers in New York and Colorado this month at their respective association meetings. Remember that we are always open to receiving news tips and article submissions. Following recent reader comments, we will be looking closely at data interoperability and state-by-state EVV issues in coming editions. Thank you for subscribing, and don't forget to click on our sponsors' graphics. They make this free service possible.

Have a great week. Keep making a difference!

Editor signature
Tim Rowan

Music as Medicine to Improve Patient Outcomes
Singfit is using music as medicine to address the needs of dementia and COPD patient's in home care.

CMS Reins in RAC Abuses
Guest author Elizabeth Hogue, esq. describes major limitations to Recovery Audit Contractor powers, imposed after numerous provider complaints about RAC overreaching.

PDGM Vendor Perspectives and Preparations
Casamba and Thornberry discuss their PDGM perspectives and preparations.

eSolutions Launches Product to Help with Review Choice Demonstration
The Centers for Medicare and Medicaid Services’ (CMS) Review Choice Demonstration (RCD) for Home Health Services will begin June 1, 2019, in Illinois. To assist home health providers with the pre-claim review and post-payment review requirements, eSolutions has launched its Review Choice Demonstration tool.

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:


Last Week's Most-Read Stories:
Netsmart Acquires Healthcare Advisory Firm McBee
Netsmart expands service offerings with acquisition of healthcare advisory firm McBee.
Philips Redefines Remote Patient Management
As long predicted, at least one telehealth company has turned from home health and home care to hospitals and ACOs to keep sales revenue flowing.

As of this date, approximately 33,704,000 Baby Boomers have become Medicare eligible.

Notable Upcoming Conferences Free Webinars

NAHC Financial Managers Meeting *

July 14-16
Sheraton Grand Hotel

Information and Registration

Senior Care 360: Strategy and Solutions Conference *

Presented by: Lincoln Healthcare Leadership

Date: July 31 - August 2
Location: Gaylord National Resort, National Harbor, MD

Information and Registration

SAGE/2019 *

Hosted by Honor

Date: September 10
: 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.

HCAOA 2019 Annual Leadership Conference *

Home Care Association of America

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


*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
Hotel or Conference Center, City, State

Registration Open - Home Health Quality Reporting Program: Achieving a Full APU/Market Basket Increase

Presented by: CMS

Date: Wednesday June 19th, 2019

Time: 2:00 pm - 3:30pm ET

Fee: Free - Registration for this webinar is limited to 1,000 people on a first-come, first-serve basis.

Please register only if you know you will be able to attend the webinar, as space is limited. If you would like your name placed on a list to receive an email notification when the recorded version of the webinar is available, please CLICK HERE to be placed on an email notification list.

CLICK HERE to register for the Home Health Quality Reporting Program: Achieving a Full APU/Market Basket Increase Webinar.

The Centers for Medicare & Medicaid Services (CMS) will be hosting a webinar on Achieving a Full Annual Payment Update (APU)/Market Basket Increase for home health providers on Wednesday, June 19, 2019 from 2:00 to 3:30 p.m. ET.

The purpose of the webinar is to educate providers about the Annual Payment Update (APU) process and the requirements associated with achieving a full APU. Specifically, this webinar will cover:

  • The relationship between the APU and the Home Health Quality Reporting Program.
  • Associated data submission requirements.
  • The reconsideration process for providers who are identified as being noncompliant.


"Motivating Providers to Deliver Care Vitually"

Sponsored by Arizona Telemedicine Program and Southwest Telehealth Resource Center

Presented by Jan Ground, PT MBA

Date: June 6, 2019
12:00pm MT
Fee: Free


Learning Objectives:

1. Define the problem: be clear on the problem to be solved with telehealth initiatives.

2. Sponsorship: identify the right sponsorship, be clear on what is specifically needed from each level of sponsors.

3. Reinforcement: start with positive reinforcement, move to negative reinforcement on the clearly defined behavior changes

Jan Ground PT, MBA, has been leading clinicians and other healthcare personnel through change for more than twenty years. She led the virtual care work for the Colorado Permanente Medical Group and was the Innovation Hunter for the Colorado Region of Kaiser Permanente (KPCO). Most of her work supported innovation initiatives to enable people to get care anywhere and providers to provide care from anywhere. Areas of focus have included video visits, remote patient monitoring, e-visits, as well as the use of mobile apps and social media in care delivery. In all of these efforts, motivating providers to provide care differently was the most significant barrier to success. Jan has trained physicians and staff inside and outside of KP in Innovation, Meeting Management, and Leading People through Change. Jan has degrees in psychology, physical therapy, exercise science, and business administration from Middlebury College, Middlebury, VT; Emory University, Atlanta, GA; and the Univ of S. FL

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

Did you receive this issue as a forward from a colleague? Would you like to have your own free subscription? Click here.

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.

HCTR is free to subscribers and supported by its generous advertisers. To inquire about presenting your message to our 5,000 subscribers, write to Kristin in our ad sales department, Kristin@RowanResources.com.