Volume 5, Number 42 July  20, 2016



Dear Healthcare at Home Colleague,

Between two noisy political conventions and the interesting news that the Department of Justice is blocking the proposed mergers of Anthem with Cigna and Aetna with Humana, this has been a busy news cycle. And it seems to circle back to healthcare issues at every turn. Two things we know for sure, come November we will either see the Affordable Care Act repealed or expanded. We will either see millions of people lose health insurance or we will see a Medicare enrollment option for 55 year olds. We know for sure it is anyone's guess.

In the midst of all the noise, we have found some important news that directly affects healthcare at home providers and tech vendors.

Our lead story will help hospices cope with the problems that have arisen because of the Notice of Eligibility reporting rule and the clumsy way in which it has been implemented. For that background, see the middle section of our June 8 article, "Three New Problem Solving Technologies..." As a follow-up, we looked into a little-known part of the rule that can be quite costly if overlooked or misunderstood. See "Many Hospices Not Taking the NOE Problem Seriously" below for instructions about complying with the self reporting requirement.

Procura has an announcement about adding Electronic Visit Verification to its ContinuLink product. And we are watching the rise of a new software system designed to enhance OASIS assessment accuracy and protect against payment denial vulnerability. OperaCare is a shoestring startup that has secured its first partner/reseller and may be on its way. See "ChartaCloud Announces Agreement to Introduce OperaCare," below.

Lastly, we have an update on a story we have been following since last October. The Home Care Association of New York has emerged victorious in its lawsuit against the National Association for Home Care over the improper dismissal of two NAHC board members. We examined court documents and tried to read between the lines a little to help provide some insights into the long term impact of the case.

Upcoming webinar: Click on the ad graphic in the column on the right for information about "5 Points to 5 Stars: Make Your Agency a CMS 5-Star Organization," a free webinar presented by PlaymakerCRM and featuring Beau Sorenson, COO, VisionBound International and First Choice Home Health and Hospice.

In keeping with our summer schedule, there will be no issue next week, barring any breaking news. Our next issue will be dated August 3.

Have a great week...or two. Keep making a difference!

 

 

Editor signature
Tim Rowan



Many Hospices Not Taking The NOE Problem Seriously
It may be that some of the mechanics of how to comply with CMS's Notice of Eligibility rule are unclear. We spoke with the CEO of a hospice software vendor to gain some clarification.

ChartaCloud Announces Agreement to Introduce OperaCare
"Don't submit what you can't defend," warns longtime OASIS trainer, marking the release of clinical guidance software built from his 17-year journey.

Court Declares NAHC Violated Its Own By-Laws
The unfortunate story that began last October is nearly at an end. Joanne Cunningham and Laurie Neander were reinstated by a Washington DC Superior Court to the NAHC board as though their improper dismissal had never happened. Here is the complete story to this point.

ContinuLink Offers EVV to Meet Texas Requirement
Not all Texas Medicaid home health providers are happy with the choices of Electronic Visit Verification vendors the state has given them. One EMR vendor with a number of Texas customers has done something to give them one more option.

HCA Updates Members After Winning NAHC Lawsuit
"HCA has been reasonable in its approach throughout," the Board of Directors of the Home Care Association of New York State informed its members last month. In a carefully worded announcement, HCANY related to HCA members its victory in a Washington DC Superior Court regarding the improper dismissal of two NAHC board members.

 
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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:
Over 300 Arrested for $900 Million in False Medicare Billing
Largest alleged loss amount in Strike Force history includes criminal fraud operations, not minor overpayments due to honest errors. Ohio joins Florida, Texas, Illinois, Michigan, and California as one of the top home health Medicare crime centers. False billing also alleged in Louisiana and New York.
 
Revised Clinical Procedures Take HHA From Average to Five (Super) Star Status
Healthcare reform requires a different way of providing care, asserts Cathy Sorenson, administrator of Home Healthcare Hospice and Community Services in Keene, New Hampshire. The new care practices she implemented, based on a program designed by Arnie Cisneros, rocketed her agency's case-mix index from .81 to 1.37, episode HHRG average from under $2,200 to over $3,600, and virtually eliminated claims denials.

As of this date, approximately 22,308,000 Baby Boomers have become Medicare eligible.



Notable Upcoming Conferences Free Webinars

Public Policy Leadership Conference
Visiting Nurse Associations of America

Wednesday, September 14 at 8:00 AM through Thursday, September 15 at 3:00 PM
Washington Court Hotel
Washington, DC

More information and registration

 


By the Numbers: ICD-10 Coding Conference
Texas Association for Home Care & Hospice
September 13-14
Westin Galleria Hotel
Houston


Information and registration



By the Numbers: ICD-10 Coding Conference

Texas Association for Home Care & Hospice
September 13-14
Westin Galleria Hotel
Houston

Information and registration


HURRICANE Home Care Marketing Boot Camp 2.0 *
October 5-7
Embassy Suites Philadelphia Airport
http://homecaremarketing.net/hurricanebootcamp/

Home Care Sales and Marketing Society *
6th Annual Conference

Learn tactics and techniques for gaining more patients and clients. This year, two breakout tracks: "Field Sales Tactics" and "Internal Operational Excellence: Intake, Admissions and Inquiry."

October 6-7
Bally's Hotel and Casino
Las Vegas
Click here for more information


Annual Meeting *
National Association for Home Care and Hospice

October 23-25
Gaylord Palms Resort and Convention Center
Orlando

Information and Registration


Pre-Claim Revue Implementation
Palmetto GBA and CGS Tours Texas in Partnership with TAHC&H

Multiple Locations:
October 11 – McAllen
October 13 – San Antonio
November 16 – Houston
November 17 – Dallas
Details for each conference


The Journey Forward
South Carolina Home Care & Hospice Association Annual Conference
December 5-6
Hyatt Place + Hyatt House | Historic District
Charleston
www.schchaconferences.com

The 6th Annual Medicare Compliance Cruise *

Presented by Pearson & Bernard, PSC

January 15-22
Departs from Ft. Lauderdale
Information and registration


2017 Northeast Home Health Leadership Summit

Sponsoring Associations:

  • Connecticut Association for Healthcare at Home
  • Home Care and Hospice Alliance of Maine
  • Home Care Alliance of Massachusetts
  • Home Care Association of New Hampshire
  • Home Care and Hospice Association of New Jersey
  • Home Care Association of New York State
  • New York State Association of Health Care Providers
  • Rhode Island Partnership for Home Care
  • VNAs of Vermont

January 17-19, 2017
Colonnade Hotel
Boston

Information and Registration


OASIS-C2: The Next Steps

Texas Association for Home Care & Hospice
Presented by Lisa Selman-Holman
January 19, 2017
Westin Riverwalk Hotel

San Antonio 
Details and registration


Homecare 100 *February 4-7
Ritz-Carlton
Amelia Island, FL
Registration is full. To be added to the waiting list, contact Miriam Adams at madams@lincolnhc.com

National Leadership Conference *
Sponsored by:
Visiting Nurse Associations of America

Alliance for Home Health Quality and Innovation

April 19-21

Hilton San Diego Bayfront
https://www.homebasedcareevents.com/

Omaha System International ConferenceA Key to Practice, Documentation and Information Management
April 20-22, 2017
Eagan, MN
Bi-annual conference offers opportunities to gain knowledge about using electronic health records across diverse settings, exchanging health information, and enabling data sharing among practice, education, and research. For additional information about the conference, the call for poster abstracts and award nominations, and to register, visit www.omahasystem.org/conferences.html.
Email abstracts to lchoromanski@gillettechildrens.com

ATA Annual Meeting

American Telemedicine Association
April 23-25
Orange County Convention Center
Orlando

http://www.ata2017.org


Pediatric Home Care Conference

Texas Association for Home Care & Hospice
May 9
Omni Austin Hotel Southpark

Details and registration


New England Home Care & Hospice Conference & Trade ShowMay 16-18
Radisson Hotel
Manchester, NH
Brochure and Registration

Annual Conference *Home Care Association of Colorado
May 17-19
Keystone Resort & Conference Center
Keystone, CO
http://www.homecareofcolorado.org


Home Health Emergency Preparedness CoP Requirements:
Getting Your Agency Ready

Featuring Mary St. Pierre, RN, BSN, MGA
Free, sponsored by HEALTHCAREfirstSeptember 13

1:00 pm Central Time
Omni Austin Hotel Southpark

Details and registration

http://www.healthcarefirst.com/webinars/

  • Overview of the emergency preparedness requirement
  • What surveyors will be looking for
  • Steps home health agencies should take to prepare

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


*HCTR 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

Final Modifications to the Quality of Patient Care Star Rating Algorithm Call

Presented by HealthcarefirstHosted by CMS
Wednesday, October 3
2:00 pm EDT / 11:00 am PDT
Free

Register Here

During this call, learn about planned modifications to the Home Health Quality of Patient Care star ratings, including:

  • Removal of the Drug Education on All Medications Provided to Patient/Caregiver during All Episodes of Care measure
  • Addition of the Improvement in Management of Oral Medications measure.

CMS presents the rationale, timing, and impact of this change. A question and answer session follows the presentation.



 

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.


How to be the TOP DOG Sales Rep
Sponsored by PlaymakerCRM
Featuring Cheryl Peltekis, RN
December 14
2:00 EST
Register here


Grow Your Census with Online Marketing Tools

Sponsored by Shoshana Technologies

October 20
http://rosemarksystem.com



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




Navigating the Final Rule for Medicare PPS for CY 2017
Sponsored by PPS Plus
Tuesday, November 15, 1:00 - 2:30 pm CST
Featuring Dave Macke, CHFP, FHFMA
Director of Reimbursement Services, VonLehman & Company
FREE

Register here


P2P Forum: Strategies to Improve Your Referral, Intake, and Order Processes

Presented by HealthcareFirst
Hosted by CMS

Date: September 13
Time: 2:00 pm EDT
Fee: None

Information and registration

If your home health or hospice agency spends a large amount of time processing documentation associated with referrals, intake, and orders, delaying turnaround times and billing, you will not want to miss this Forum. Kim Gaffey, MSN, RN, owner of Gaffey Home Nursing & Hospice, will share how her agency has significantly improved accuracy, compliance, and turnaround time while reducing time spent managing documentation with HEALTHCAREfirst and Forcura. They are now receiving orders within 24-48 hours and are billing RAPs within 7 days of the start of care, improving their cash flow and profit margins too! Join us to learn how you can experience results like these in this 30-minute open forum. 



Why your claims are being denied:  Performing a self-assessment of your ZPIC, Pre-Claims, and VBP liabilities

Featuring Michael McGowan, CEO, OperaCare
Tuesday, January 17
2:00 p.m. EST
Cost:  $79
Register


2017 What You Need to Know about Electronic Visit Verification

EVV offers many benefits to agencies and care providers, and choosing the right solution can lead to improved operating efficiency, caregiver communication, quality of care, and client satisfaction.

Wednesday, March 15
11:00 am MST - 12:15 pm MST

Register Here



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


Under Pressure — OASIS Service Utilization Review

Presented by Michael McGowan of OperaCare
Thursday, April 6
12:00 p.m. EDT
Cost: $49
Registration



What You Need To Know About Electronic Visit Verification
Presented by Darby Anderson, CDO, Addus HomeCare Corporation
Sponsored by CellTrak
Wednesday, April 12
1:00 p.m. EDT
Cost:  Complimentary
Registration link
 


Understanding the Effect Functional Scoring Has on Your Agency
Presented by Chad Whitefield, PTA, Managing Partner of Advance Rehabilitation Management Group
Thursday, April 13
2:00 p.m. EST
Cost:  $99
Registration link 


Increase Referrals, not Overhead- Streamlining the Intake Experience

A streamlined, efficient intake process creates a better patient experience and improves referral relationships. During this webinar, industry experts will share their quick tips and best practices for improving your intake process and managing your organization's revenue cycle.

Sponsored by Forcura
Featuring: Craig Mandeville, Founder & CEO of Forcura Jessica Stover, Senior Manager of Blacktree Healthcare Consulting
Tuesday, Oct 3
2:00 pm EDT

Registration


QAPI Overview

Presented by Diane Link, BlackTree Healthcare Consulting
Tuesday, May 23rd
2:00 p.m. EST
Cost:  $99
Registration


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.



The Penalty Box Compliance Series Part 8: The IMPACT Act

Presented by Curaport
Featuring Kristi Bajer, RN, MSN

Wednesday, May 23
1:00 p.m. EDT
$39

Information and registration

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



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

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