Volume 8, Number 34 — 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.

 
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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

 

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.

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


Fall Conference: ICD-10 & Emergency Preparedness

Texas Association for Home Care & Hospice

Date: October 9
Venue: Great Wolf Lodge
City: Grapevine, TX

Information and registration


NAHC 2019 Conference & Expo - Foresight: Care for the Future*

Join NAHC and hundreds of your peers to explore the pioneering spirit of home care and hospice providers!

Date: October 13-15
Location: Seattle, Washington

Information and Registration

Join us in Seattle, Washington, this October as the National Association for Home Care & Hospice explores “Foresight: Care for the Future.” Explorers are leaders and risk takers. They have a vision for the future, and they help others see and believe their vision. Our role as pioneers and explorers is to help others understand that home care and hospice are “Care for the Future.”

Our educational sessions have been completely redesigned with you in mind, and there’s something for everyone! Choose from over 80 sessions that cover topics that most concern you and your business.

Hear from top experts on:

  • Effective strategies to prepare for the implementation of the Patient-Driven Groupings Model (PDGM), which begins on January 1, 2020
  • Home care and hospice regulatory changes, including quality, finance, and compliance topics
  • Innovations in palliative care and hospice, including technology, quality assurance and business development
  • Trends in care continuum management and the development of relationships to facilitate care
  • Growth and development of staff, beginning with talent acquisition
  • Business and workforce development, leadership, and financial management for private duty and private pay organizations

These sessions will leave you informed and excited to implement new ideas in your workplace.

Pre-conferences will offer a more focused exploration into key topics

  • H3IT: International Conference on Home Healthcare, Hospice, and Information Technology
  • PDGM Summit: An In-Depth Primer
  • NAHC Grassroots Advocacy Boot Camp

 


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.

Michael Ferris brings 20+ years of experience to your sales team!

Home Health Sales Training Bootcamp

The Home Health Sales Training Bootcamp has an extensive training related to Success Under PDGM.  We will cover what the Sales Professionals need to know about PDGM and more importantly what the referral partners need to know!  How to have those conversations to drive more referrals and avoid the pitfalls experienced by hospices when "failure to thrive" was no longer an acceptable primary diagnosis to qualify for hospice services.

Hospice Sales Training Bootcamp

The Hospice and Palliative Care Sales Training Bootcamp is new and improved with the best of class sales training for hospice with the addition of How to Conduct Family / Patient Meetings for Maximum Success and How to Sell Palliative Care.  Send your Hospice Sales Representatives to us and we will send them back to you ready to drive significant incremental growth in quality admissions.

Each Sales Professional Will Receive:

  • Class Workbook
  • Laminated Field Cards
  • Copy of Definitive Guide to Home Health Sales: Achieve Superstar Success - PDGM Success Edition ($79 value)
  • One on one coaching
  • 90-day sales campaign planning tool
  • Lunch each day

Successful Home Health Transformation

Hosted Dixon Healthcare Solutions, Inc.

Date: December 5-6
Location
: Bally's, Las Vegas
Time: 7:00 am - 4:00 pm
Speakers: Richard K. Dixon, Cheryl Peltekis, RN, Meaghan McCormick, Esq., Donna Floyd, RN, BSN, J'non Griffin, RN, MHA, HCS-D, BCCH-C, COS-C, WCC; Annette Lee, RN, MS, HCS-D, COS-C; Cory Mertz, managing partner for a leading healthcare M&A firm.

Information and Registration

Approved for up to 10 hours of Continuing Nursing Education by Corexcel, an accredited provider by the American Nurses Credentialing Center's Commission on Accreditation.

 


Successful Hospice Transformation

Hosted Dixon Healthcare Solutions, Inc.

Date: December 5-6
Location
: Bally's, Las Vegas
Time: 7:00 am - 4:00 pm
Speakers: Richard K. Dixon, Cheryl Peltekis, RN, Meaghan McCormick, Esq., Donna Floyd, RN, BSN, Annette Lee, RN, MS, HCS-D, COS-C; Cory Mertz, managing partner for a leading healthcare M&A firm.

Information and Registration

Approved for up to 10 hours of Continuing Nursing Education by Corexcel, an accredited provider by the American Nurses Credentialing Center's Commission on Accreditation.

 


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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