Volume 4, Number 44 — August  12, 2015



Dear Healthcare at Home Colleague,

I spent some time reading the final rule regarding the changes coming in 2016 to Medicare hospice payments. Well, OK, I read the CMS summary. The 221-page original document was a little daunting. But I did call on an experienced hospice nurse and administrator to help me understand it. I hope my interview with her is helpful to you.

This nurse happens to be currently working with Medalogix, a tech company that we have reported on before but never in great detail. Intrigued by her description of how early adopters of this company's data analytics engine have benefited, I sought out additional interviews with one of those customers and then with her CEO. I think you will find these interviews informative as well. This is not just another home care software application, though it can be integrated with your EMR. It is unique in its construction and in its mission. The article is titled, "Data Analysis Tool Identifies Home Care Patients Ready for Hospice." Don't miss it.

In other news this week: The activities and practices of insurance companies are important to most of you so we try to keep an eye on them from time to time. What do you think the consequences will be of the announced and/or rumored mergers and acquisitions that seem to be imminent for Aetna, Anthem, Humana, UnitedHealthCare, and Cigna? Larger bureaucracies for you to contract with? Certainly. Layoffs in Louisville and Hartford and other places? Guaranteed. Lower premiums for your patients and employees and higher payments for your services? We'll see. But more on that next week.

This week, our focus is on Medicare Advantage (because we only wanted to scare you a little before we have to scare you a lot). Did you know that it has become a common practice to send physicians into homes of Medicare Advantage enrollees to assess their health level? Since this practice started, MA profits have skyrocketed while the quality and amount of care provided has remained the same. How, you ask? Check out the guest article by Fred Schulte of the Center for Public Integrity, titled "Medicare Advantage Plans Pad Charges on Home Visits, Whistleblower Says," in which he describes the suit by a former insurance employee and the disappointing story behind it.

Lastly, two more important stories. Guest author Roger McManus offers number six of his eight-part series on Reputation Management. This one helps you understand better how to -- and how not to -- interact with Yelp and other online review services. And we interview Dr. Andrey Ostrovsky, the creative genius behind Care at Hand, a product we have long been high on but which has been in test mode for a while, but which will now benefit from a substantial investor boost. Keep an eye on this one. It will have a major impact on hospital readmissions.

Have a great week. Keep making a difference!

Editor signature
Tim Rowan



The Mind of Yelp: A Business Owner’s Dilemma
In part six of his series, guest author Roger McManus delves deeper into the right and wrong ways to leverage the leading online review service and explains how dangerous it is to ignore it.

Advanced Analytics Mitigate Negative Side of New Hospice Payment System
The 2016 final rule establishing a new hospice payment system is now law. We asked a 20-year hospice veteran nurse exactly what it means to providers.

Data Analysis Tool Identifies Home Care Patients Ready for Hospice
Great Lakes Caring in Michigan has slashed its number of 7-day hospice stays and increased overall revenue by letting data analytics advise when a patient should transition from home healthcare to hospice.

Medicare Advantage Plans Pad Charges on Home Visits, Whistleblower Says
MedPAC complains that "case-mix-creep" has raised average Home Health PPS payments by $200 per episode. Look what happens when insurance company MDs do in-home assessments!

Half Million Dollar Investment Will Help Tech Startup Further Reduce Hospital Readmissions
Investor was excited by Care at Hand's unique mobile app that enables non-clinical caregivers to turn patient observations into medical alerts, helping home care providers strategically target resources.

 
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During the 4th Quarter of 2018, web sites of the above advertisers were visited by home care and hospice executives and staff 2106 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

Last Week's Most-Read Stories:
Procura and ContinuLink Achieve SSAE Certification, Release DDE and Eligibility Services
In two separate recent announcements, The Procura Group and its family of software companies that include Procura, ContinuLink, Igea, and Progresa, took a step toward the front of the line in the competitive world of healthcare at home software.
 
Vendor Watch: ClearCare Lands Comfort Keepers®
Just before press time, San Francisco-based private duty software developer ClearCare announced that it has signed a contract to provide software to Comfort Keepers®, an international in-home care franchise network with more than 700 worldwide locations. The partnership provides access to ClearCare’s home care technology platform across Comfort Keepers’ U.S. locations.

As of this date, approximately 18,535,000 Baby Boomers have become Medicare eligible.



Notable Upcoming Conferences Free Webinars

Blueprint for OASISMichigan Association for Home Care
Workshop for field data collectors, their supervisors and those preparing for the COS-C Exam
September 2-3
homecaremi.org




2015 Annual Conference and Trade Show *

Ohio Council for Home Care and Hospice
September 15-16
Hyatt Regency
Columbus
Conference Registration Site


SANS Network Security 2015GIAC Approved Training for Security Professionals
September 12-21,
Las Vegas
sans.org/netsec



Maryland-National Capital Homecare Association

Annual Meeting
September 17
Waterfront Pier 5 Hotel
Baltimore
http://mncha.org/Annual-Meeting-2015


Community Care Conference
Executive Leadership Forum
Two Conferences in one from the Texas Association for Home Care and Hospice
October 15
Bastrop, TX
http://www.tahch.org/TAHCH/Education_Central/Community_Care_Summit/CCConference.aspx
http://www.tahch.org/TAHCH/Education_Central/Executive_Leadership_Forum/Executive-Leadership-Intro.aspx


Connected Health Symposium: The Internet of Healthy Things — Integrating Connected Health Into Real World Care DeliveryPartners HealthCare
October 28-30
Seaport Hotel and World Trade Center
Boston
Details and Registration (Registration closes 10/25)


Technology Symposium & Vendor Showcase *Ohio Council for Home Care and Hospice
November 17
Columbus
Details and Registration


AgeTech Expo *Aging 2.0
November 19-20
San Francisco
Details and Registration


Home Care Sales & Marketing Society Executive Strategic Summit * Home Care Sales and Marketing Society
January 28-29
Holiday Inn Orlando – Downtown Disney
Lake Buena Vista
More information

Leading Change Together
Illinois HomeCare & Hospice Council Annual Meeting and Exposition
March 9-10
Lombard
Information and Registration


ITS' A Whole New Ballgame: 2017 Annual ConferenceMichigan Home Care & Hospice Association

May 3-5
Grand Traverse Resort
Acme, MI
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


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

 


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

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


NAHC 2019 Annual Meeting*National Association of Home Care and Hospice

October 7-9
Gaylord Texan
Grapevine, TX
Information and registration

The 8th Annual Medicare Compliance Cruise *

Presented by Pearson & Bernard, PSC

January 12-19, 2019
Departs from Ft. Lauderdale

Information and registration


17th Annual Northeast Home Health Leadership Summit: Playing to Win!

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

Date: January 22-24, 2019
Location: Colonnade Hotel, Boston

Information and Registration

In addition to the pre-conference and full Summit program, There will be a bonus Home Care & Hospice Special Medical Directors Meeting that coincides with the conference on January 23 from 8:30 to 10 a.m. Details.


PDGM National Summit in the Rockies *

Home Care Association of Colorado & NAHC


Date:
February 13, 2019
Location:
Hyatt Regency Aurora/Denver Conference Center
Fee Schedule:

Early bird – ends 11:59 p.m. MST Friday, January 11
Member $249, Non-Member $449

Regular Price  - ends 11:59 p.m. MST Sunday, February 10
Member $299, Non-Member $499 

Onsite – February 13 
Member $349, Non-Member $549

*Member rates apply to members of: Home Care Association of Colorado, National Association of Home Care & Hospice and participating state home care associations. 

Register now!

The Home Care Association of Colorado and the National Association of Home Care, together with state home-care associations in the region, will host a one-day conference Feb. 13 on the Centers for Medicare & Medicaid Services' Patient Directed Groupings Model. PDGM's adoption will bring significant change to home health care. This one-day regional conference on PDGM allows providers to hear from national experts on the new model, with significant time allocated to Q&A. Click here to view the schedule.



Information for Providers and Exhibitors


National 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 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

Immediate and urgent need for Interim Director of Billing (outside of Chicago). They can be based anywhere. We would fly them in on Monday and home on Fridays. They would be compensated well, including travel pay. All expenses are covered. We have someone in there as an interim and she can't be there the weeks of 9/14 and 9/21. We had part time coverage arranged for those weeks, but the client insists on full time.

It is community based services only –no Medicare- mostly Medicaid waiver for non-skilled services. Large Department of 20 FTEs. McKesson is the IT system. This interim position is to provide stability for two weeks while our person is out.

If you are interested in this opportunity or would know of someone please contact:

Lucy LaDart
President of Recruiting
Healthcare Concepts, Inc.
Office: 800.442.4346 x 2
Email: lucy@healthcareconcepts.com

or

Andres Flores
Executive Researcher
Healthcare Concepts, Inc.
Office: 800.442.4346 x 3
Email: andres@healthcareconcepts.com



Home Health Regulatory Update: Final Rule CY2019/CY2020 Payment & Policy Changes

Hosted by Healthcarefirst

Date:
Tuesday, December 11
Time: 2:00 pm EST
Audience: Home Health Agencies
Fee:
Free


Register Here

Please join HEALTHCAREfirst for a discussion of the final rule and how it may impact your agency. Topics include:
  • Payment rates, rural changes/FIPS
  • Elimination of the recertification estimate
  • HHVBP/HHQRP updates
  • Patient Driven Groupings Model (PDGM) including OASIS-D2 and no RAP payment for newly certified agencies
  • Patient monitoring and home infusion therapy updates


 

The 2019 Home Health Final Rule: Preparing for change
Your PDGM Questions Answered

Presented by WellSky

Featuring: Executive Management Consultant Sharon S. Harder and Home Health Clinical Expert Jill Dyer, BSN, RN, HCS-D, HCS-O
Date: Download on demand
Fee: FREE

Download now

Get answers to questions about the 2019 final rule and PDGM:

  • How to calculate case-mix
  • How to qualify for a rural rate
  • What does the term "budget neutral" mean
  • How will your agency be reimbursed for therapy under PDGM
  • How will LUPAs be calculated under PDGM


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


Hospitalization Performance Improvement Projects (PIPs)

Presented by HealthcareFirst
Hosted by ElevatingHOME & HHQI

Date: December 12
Time: 1:00 pm EST
Free

Information and registration

In this webinar, ElevatingHOME and HHQI will explore how to develop hospitalization avoidance Performance Improvement Project (PIP) for your Quality Assurance & Performance Improvement (QAPI) program. This will include data collection, goals, interventions, rapid-cycle testing, spread, and sustainment. They will review several key strategies to reduce avoidable hospitalizations and emergent visits.



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



Dementia Webinar Series

Presented by Home Care Association of America

Featuring: Dr. Deborah Bier, PhD

Date: Thursday, January 17
Time: 1:00 pm EST
Fee: None

Register
Dr. Bier will discuss how to create dementia behavior handling success within home care. In addition, this presentation will include ten “secrets” few in home care understand about dementia and behavior handling. Part 2 of the series is set for January 24.


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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