Volume 8, Number 39 June  5, 2019




Dear Healthcare at Home Colleague,

We work in an unusually competitive segment of the U.S. healthcare system. Private Duty home care agencies seem to be opening in every market every month. One of the ways to make your agency stand out among the crowd is to make sure your online presence is strong. This requires a carefully constructed social media marketing strategy. One of the lesser known, but critically important components of that construction is getting your agency listed on as many search and review sites as you can. Here's the problem: there are hundreds of them. In this week's issue, marketing consultant Roger McManus defines "Citations" and tells you how to determine which 60 or so of these obscure sites are the most important to claim.

For Medicare providers, guest author and home care attorney Elizabeth Hogue analyzes the meaning of the Department of Justice's recent compliance guidelines. Her 9-point plan is a must-read for agency executives who find themselves personally liable for compliance violations.

Speaking of compliance, we continue to keep an eye on the HHS Office of Inspector General, which made history last week demanding a $7.5 million overpayment payback from an Illinois agency. This week, the story is outside home health but could easily happen inside it. A nurse practitioner and a couple of physicians will be going to prison for over-prescribing opioids. And the entire New Jersey Medicaid office has been cited for a multi-million dollar accounting mistake.

Data analytics: Software vendor Casamba has followed up its acquisition of HealthWyse and TherapySource with the release of "Casamba Analytics," which the company says was designed with the coming Patient-Driven Payment Model in mind.

For Hospices: we have the details on how to participate in the upcoming Open Door Forum about the new assessment tool, to be conducted by CMS's Center for Clinical Standards and Quality.

Worth the Trip: we have been granted a $100 discount to share with our readers who would like to attend the first SAGE conference, sponsored by Honor. The company says the September 10 gathering in Los Angeles was founded to develop innovative solutions for better aging. See our conference notices, below, for details and a link to registration.

Have a great week. Keep making a difference!

 

Editor signature
Tim Rowan



What Do the DOJ's Recent Guidelines Regarding Compliance Really Mean for Providers?
Having a Corporate Compliance Program is no longer good enough!

What are "Citations" and Why Must You Manage Them?
Internet marketing consultant Roger McManus provides a primer on the necessary foundation underlying your SEO and Local SEO efforts.

OIG Posts Report and Enforcement Action After Review of Claims Data
OIG review found that New Jersey did not always invoice and collect all rebates due for drugs administered by physicians. Nurse practitioner sentenced for unlawful distribution controlled substances and health care fraud.

Special Open Door Forum: Developing a Hospice Assessment Tool---Status Update
CCSQ will host a Special Open Door Forum (ODF) to allow hospices and other interested parties to ask questions on the development of a Hospice Assessment Tool.

Casamba Launches Predictive Analytics Service
Casamba, a provider of electronic medical record (EMR) solutions for outpatient therapy, home health agencies, skilled nursing facilities and contract therapy providers, has launched "Casamba Analytics."

 
When you click on these ads,
you make sure HCTR continues to come to you for free.

























During the 3rd Quarter of 2019, web sites of the above advertisers were visited by home care and hospice executives and staff 2767 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

Last Week's Most-Read Stories:
What Does the EHS vs. OIG Story Mean?
This could happen to any HHA. Understand the financial and political motivations on all sides before it happens to you.
 
OIG Uses Homebound Status and Skilled Care Need to Target Providers
A Chicago-area HHA received a $7.5 million overpayment bill from the OIG. This is the OIG statement on one example case among many.

As of this date, approximately 33,858,000 Baby Boomers have become Medicare eligible.



Notable Upcoming Conferences Free Webinars

WEBINAR: 5 Crucial Ways to Prepare for PDGM

Sponsored by: HealthCare Synergy

Featuring: Michael Tidd, LVN, COS-C, COS-D
Dates: November 13
Time:
10:00 am PST / 1:00 am EST

Information and Registration

Agencies are rapidly trying to prepare for the PDGM payment model. We will show you the most crucial ways an agency can prepare for the internal changes needed for PDGM. While most agencies are focusing on how to instruct clinicians on the change, PDGM has the most impact on office functions. Attend and gain insight on the things the agency needs to be doing now to prepare for January 1, 2020.

Objectives:
1. Learn agency level changes that can be implemented to be successful in 2020
2. Understand how to approach budgeting and finances under PDGM
3. What do your clinicians really need to know to ensure the agencies continued success

Michael Tidd has over 19 years of experience in the Home Care Industry and is a frequent speaker at HealthCare Synergy Workshops and Webinars. He is a Software Developer, LVN and Certified in ICD-9/10 Coding and OASIS (COS-C, HCS-D). As the Clinical Manager for HealthCare Synergy, he directs the Outsourced Management Services, assists in directing the development of the Healthcare Assistant Web Edition, oversees the Clinical Documentation Auditing provided to clients and directs the Clinical Form Development for the Healthcare Assistant Web Edition. Michael continues to educate agencies in the ongoing regulations that CMS produces, the proper application of the Medicare Conditions of Participation and completing timely, accurate and defendable clinical documentation to survive in the current Medicare Reimbursement Model.


Free Webinar: Your path to 99 - An Actionable Webinar on Achieving 99% Claims Reimbursement

Presented by: Complia Health

Date: November 13, 2019

Time: 1:30 PM EST

Reserve Your Webinar Seat

Billing is complex. Improving your billing and claims filing process doesn't have to be.

Getting on the path to a 99% claims acceptance rate can be simple, but the key is in understanding, and then overcoming, the common pitfalls that create problems for home health care agencies in the first place.

Join industry expert Scott Brashears to learn how to better identify potential problems in your agency processes and get the insights into solving for more accurate and timely filings that will put your agency on the path to 99.



Webinar: Post-Acute Care Quality Reporting Programs

Presented by: CMS

Date: Thursday, November 14

Time: 2:00 - 3:00 pm EST

Fee: Free

Description: The Centers for Medicare & Medicaid Services (CMS) will be hosting a webinar for Medicare-certified hospice providers to provide an overview on Hospital Quality Reporting Program (HQRP) requirements.

During this webinar, CMS subject matter experts will provide information on the following topics:

  • Hospice Item Set (HIS) reporting requirements;
  • HQRP compliance cycle;
  • How to achieve hospice compliance;
  • CAHPs survey requirements; and
  • How to switch CAHPS survey research vendors.

CMS will answer questions at the end of the webinar as time permits.

Register

Conference: 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: November 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

WEBINAR TRAINING: PDGM for Marketers & Liaisons

Sponsored by "Home Care Sales"

Date: November 19
Time: 11:30 am - 1:00 pm CST

Information and registration

Join us for 90 mins of proven strategy and tactics for your marketers and liaisons to lead the charge in the field and gain the "right" referrals for PDGM!


 

WEB-BASED EDUCATION: Virtual Growth Summit

Sponsored by "Home Care Sales" 

Date: November 21
Time: 10:00 am - 5:00 pm CST

Information and Registration

Join renowned agency mentors Cheryl Peltekis and Melanie Stover for an owner's and executive's only event focusing on how to survive and thrive in this rapidly changing environment. Get the inside advantage from the comfort of your own office! No Travel Expense - Just real-world solutions for navigating the new Medicare payment system!


Conference: 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.

 


Conference: 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.

 


Seminars: 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

Seminar: "COM-CARE-CON" First Annual Technology Deep Dive

Sponsored by: Ohio Council for Home Care & Hospice

Date:
December 12
Time: 9:00 am - 5:00 pm
Location: Crown Plaza North, Columbus

Information and Registration
Com-Care-Con is a one-day conference that will highlight new technologies in the Home Care and Hospice Industries with speakers, exhibitors, and demonstrations of new technologies.

Speakers:

Tim Rowan - Keynote
Healthcare Advisory Network discussing Telehealth
Medline discussing AI in Wound Care
Complia discussing Alternative EVV

FREE WEBINAR: Quarterly Home Health Topics Discussion: The Truth about PDGM Reimbursement

Sponsored by: Healthcare Synergy

Date: December 18

Presented by: Michael Tidd, LVN, COS-C, COS-D

Information and Registration


Conference: The 17th Annual World Health Care Congress

17 Years of Empowering and Connecting Leaders in Health Care Transformation

Date: March 29-April 1, 2020
Location
: Washington, DC

Information and Registration

It’s never too soon to begin planning your experience at the 2020 World Health Care Congress. View the agenda snapshot and gain access to 100+ sessions across 15+ learning tracks:

  • Payer Transformation
  • Member Engagement and Retention
  • Provider Transformation
  • Care Delivery Integration
  • Medicaid & Health Policy
  • Behavioral Health - NEW IN 2020!
  • SDoH Business Strategy
  • SDoH Tech
  • Pop Health Analytics
  • AI & ML Applications - NEW IN 2020!
  • Innovation & Investments
  • Front Line Leadership
  • Women Leaders in Health Care
  • Self-Insurance Strategy
  • Worksite Clinics
  • Direct Contracting
  • Workplace Mental Health
  • Benefits Adviser Leadership
  • Medical Travel


*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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