Volume 6, Number 45 August  23, 2017



Dear Healthcare at Home Colleague,

We continue our examination of the 21st Century CURES Act and its provision that every state must mandate and Electronic Visit Verification system for non-medical providers by January, 2019 and for all others by January, 2023. This week, we use a system developed by one of the EVV vendors, HCTR advertiser Sandata, to score each of the four models states might select. We score them on a five-point scale across five distinct criteria. We include a description of the first state to implement our preferred model, Florida.

The reason we are doing this is to provide you with ammunition when you speak to your own state officials. The experience of 18 states that mandated EVV before they had to is fairly convincing that one model is far superior to the others. As we go forward with this series, we will keep track of announcements from as many states as we can. For this effort, we rely heavily on your assistance. If you hear of a meeting or a request for input, such as the one we are publishing this week from Pennsylvania, please forward it to us at editor@homecaretechreport.com.

In other news: We are providing you with news of recent Medicare fraud arrests, convictions, and sentencing. This is important for two reasons. When one of the bad actors who impugn our industry's reputation is stopped, there is one less nasty competitor for you to lose sleep over and there is one more warning that Federal agencies are watching. While it may be true that the 5-agency fraud task force known as H.E.A.T. focuses on multi-million dollar schemes by clear criminals, that does not mean you do not need to be vigilant. Everyday watchdogs such as your own MAC and other Medicare contractors such as ZPICs and RACs are not interested in parsing differences between criminal intent and sloppy clinical practices. Perhaps news of a 75-year prison sentence will help you keep your staff on its toes.

In our Vendor Watch column, we are giving our friends at Kinnser some space to tell you about the signing of a contract with perhaps the largest client in their history. Is this a sign of things to come, now that they have a new owner in Mediware?

Note on using HCTR better: It is a good idea to remind you from time to time about the depth of services these pages hold, beyond our weekly articles. For example, when you scroll to the bottom of this email, you will come across a list of conferences and webinars we think are worth your attention. However, did you know that we update that list almost every day, not just when a new issue is released? To find our daily updates, go to the HCTR home page (http://homecaretechreport.com) and click on "Other Services." There, you will find not only a continually updated list of events and webinars but the complete range of services from Rowan Consulting Associates, our publisher.

Speaking of special events: We told you last week about the "High Performance Masters" sales training that has been launched by Melanie Stover and Cheryl Peltekis of HomeCareSales, and how you can order the program through us to get a special, 3-payment arrangement. Well, they have sweetened the pot for HCTR readers. Order the program here through us and they will throw in a $297 Fast Track Orientation video series. In this training program you will learn/receive:

• Medicare Overview
• Medicaid Overview
• Industry Terminology
• Regulatory Requirements
• Qualifying Criteria
• Coverage Criteria
• Homebound
• How we get “paid”
• Referral/Intake Process
• Ride-Along Tool
• Automobile Setup (Mobile Office)
• Orientation/Training Guide PDF for your personal file

Have a great week. Keep making a difference!

 

Editor signature
Tim Rowan



New NAHC President Launches Top to Bottom Reorganization
The National Association for Home Care and Hospice announced last week that its board of directors has appointed Bill Dombi as Interim President. Immediately curious about how long an "interim" is and what might be in store for the association after the untimely passing of its 35-year and only president, we called Bill and were graciously given some time during what must have been an extremely busy week for him. He explained the reorganization project dubbed "NAHC 2.0."

Which EVV Model is Right for Your State?
In part 2 of our series about the pros and cons of four models states can use to implement Electronic Visit Verification, Sandata CEO Tom Underwood explains the scoring system every state Medicaid executive should learn.

Closing the Book on Dr. Jacques Roy; Judge Issues "Essentially A Life Sentence"
Five years after his arrest, one of the most notorious home health Medicare frauds in history has been sentenced to 35 years.

Feds Make Their Point; Houston HHA Owner Sentenced to 75 Years
While Dr. Jacques Roy was beginning to serve his 35-year sentence for defrauding Medicare of $375 million in Dallas, a home health agency owner in Houston was also found guilty of Medicare fraud and received a 75-year sentence for stealing a paltry $13 million.

Kinnser Inks Sizeable Deal with National HealthCare Corporation
NHC is the nation's oldest publicly traded long-term health care company.

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



















During the 2nd Quarter of 2018, web sites of the above advertisers were visited by home care and hospice executives and staff 2335 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

Last Week's Most-Read Stories:
Four EVV Models States Might Choose; Three Lead to Disaster
According to Sandata CEO Tom Underwood, there are four models that states might use to implement Electronic Visit Verification, which is mandated by the 21st Century CURES Act. Based on experience in early-adopting states, he declares that three of them lead to failure.
 
Veteran Sales Consultants Create "Transformational Event"
Three years from now, if you are not having high level conversations with referral sources about outcomes, you are not going to see the same sales results you are used to.

As of this date, approximately 26,697,000 Baby Boomers have become Medicare eligible.



Notable Upcoming Conferences Free Webinars

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


HomeCareCon: Unleash Your Inner Super Hero

Home Care Association of Florida Annual Conference 2018

July 29-Aug. 1
Renaissance Orlando at Sea World

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)


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


*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

Patients' Right to Freedom of Choice of Providers: How to Avoid Lawsuits

 

Presented by Elizabeth Hogue, Esq.

 

Thursday, June 14 (Encore Date: 6/21)
Recording available 24/7 On Demand; option to purchase CD & handouts.
1:00 - 2:30 pm EDT

 

Register here

 

Conflict between hospitals and home health agencies, private duty agencies, hospices and HME companies that receive referrals from hospitals may be intensifying regarding patients' right to freedom of choice. Hospitals say that they comply with all requirements while some post-acute providers maintain the exact opposite. Now post-acute providers are suing hospitals for violations.
  • What exactly are hospitals supposed to do?
  • What do post-acute providers say are common violations?
  • What is an example of a recent lawsuit filed against hospitals for violations?
  • What can hospital discharge planners/case managers do to avoid these types of lawsuits?
  • How can providers help ensure that patients' rights are honored instead of filing court cases against hospitals?
Participate in this teleconference to learn the answers to all of these questions! Extensive handouts will be provided that will also serve as a resource when questions come up in the future.


FY2019 Hospice Proposed Rule: What You Need to Know

Sponsored by HEALTHCAREfirst
Featuring:
Deanna Loftus, Director of Regulatory Compliance, HEALTHCAREfirst

Date: Tuesday, June 5
Time: 2:00 pm EDT

Free Registration

On April 27, 2018, CMS issued a proposed rule that would update FY2019 Medicare wage index and payment rates for Medicare hospice agencies. The proposed rule includes changes to the hospice payment rates, updates to the Hospice Quality Reporting Program (HQRP), and more. Ms. Loftus will review the latest information regarding proposed changes and how they may affect you.


Are You Marketing to the Wrong Person?
A Different Way to Get Home Health Referrals

Presented by Healthcare Synergy
Featuring: Melinda Rodriguez, PT, DPT, MSCS, LSVT
Date: Wednesday, March 7
Time: 10:00 a.m. PST; 1:00 p.m. EST

In this Webinar, you will:
  • Learn another way to market inpatient facilities other than discharge planners, case managers or social workers.
  • Discuss the role of Home Health in the challenging healthcare environment – Short Term Home health.
  • Describe the Continuum of Care Concept in the post acute care network
  • Identify strategies to reduce risk of acute care readmission.
  • Discuss options for discharge disposition for potential skilled nursing facility candidates to decrease SNF discharge rate for inpatient rehab units.

Register



How to Attract and Retain Health System Relationships

Presented by Netsmart
Ongoing
Free
Watch now

 


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


Chronic Disease Education: Becoming the Partner of Choice

Presented by Curaport
Featuring:
Ginny Kenyon, RN, MN

Date: Tuesday, July 17
Time: 2:00 p.m. EDT

Fee: $79 (per attendee)
Information & Registration

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


Clinical Impact of OASIS-D

Presented by HEALTHCAREfirst

Featuring:

Deanna Loftus, HEALTHCAREfirst Director of Regulatory Compliance
Mary St. Pierre, RN, BSN, MGA, Regulatory Consultant

Tuesday, May 1
2:00 pm EDT

Free Registration

In March 2018, CMS released the draft of the latest version of the OASIS data set, OASIS-D. Modifications are being made to OASIS in order to comply with the IMPACT Act, to reduce data collection burden, and to improve formatting throughout the document. CMS is seeking approval from the Office of Management and Budget for a January 1, 2019 implementation date. Topics:

  • Addition of six new standardized items
  • The removal of 28 OASIS questions that will no longer be assessed.
  • Modification to M1311 to support a new standardized pressure ulcer measure.
  • Addition of responses to M1028, M1311, M2102 and removal of responses to M2310.
  • Review of additional changes to OASIS

 



Understanding Social Determinants to Improve Health Care

Presented by Curaport

Featuring: Christina A. Nuqui, M.S.W., of Home Healthcare Solutions, LLC

Date: Thursday, July 12
Time: 2:00 p.m. EDT
Fee: $79 (per attendee)

Information and registration

This education session is pending approval for one (1) contact hour of Continuing Education for Social Work from the National Association of Social Workers.

Addressing the Social Determinants of health will be the most important factor of health care reform. This webinar will discuss what Social Determinants are, and how they can help you better understand your patient. In addition, we will discuss how Social Determinants affect access to health services, Re-Hospitalizations, & Individual Behaviors.



Managed Care Insights and Strategies for Post-Acute Partners

Presented by: Netsmart/DeVero
Wednesday, July 11
2:00 p.m. Eastern
Registration

According to a recent MedPAC report, enrollment in managed care programs grew 8% from 2016 to 2017, accounting for nearly 32% of all Medicare beneficiaries, with enrollment projected to grow even higher in 2018. With the rapid growth in managed care plans, the organizations managing these contracts are looking to narrow their network of post-acute providers, creating smaller networks of high-value preferred partners.

To help post-acute providers develop effective managed care strategies, we invited Stacey Youcis, senior vice president of service lines and population health at Lancaster General Health to discuss what they look for in an ideal post-acute partner. AJ Peterson, vice president of interoperability at Netsmart, will join the conversation to discuss technology strategies post-acute providers should consider when positioning to their managed care partners.

Key Takeaways:

  • Insights from a managed care organization
    • Current state of managed care programs
    • Ideal characteristics of a post-acute partner
    • Future of managed care programs
  • Strategies to participate in managed care
    • Understanding risk
    • Technology solutions to facilitate participation
    • Integrating into the broader ecosystem of care


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

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.