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.

 
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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:
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


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


The 8th Annual Medicare Compliance Cruise *

Presented by Pearson & Bernard, PSC

January 12-19, 2019
Departs from Ft. Lauderdale

Information and registration


*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

QAPI 101

Presented by HealthcarefirstHosted by ElevatingHOME & HHQI
Date: Wednesday, November 14
Time: 1:00 pm EST
Free
Audience: Home Health Agencies
Register Here


ElevatingHOME and HHQI will review the 5 Standards that are required to be included into an agency’s QAPI program. They will discuss possible activities, tools, and resources for each standard, as well as infection prevention and patient safety.



 

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.


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




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.



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


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


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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