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 1st Quarter of 2018, web sites of the above advertisers were visited by home care and hospice executives and staff 2597 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


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

Juggling the New CoPs and Other Applicable Laws

Sponsored by Kinnser Software
Featuring Robert W. Markette, Jr., Esq., CHC, of Hall, Render, Killian, Heath & Lyman, P.C.
Thursday, January 25
1:00 - 2:00 pm EDT

Attend to Learn:

  • Why "legal representative" is a concept you should already be familiar with
  • What compliance with the nondiscrimination provision of the Affordable Care Act may mean for the new CoPs
  • Why you must be more aware of harassment issues and prepared to take action
  • How harassment issues affect your discharge policies

Free: Register here



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


Dementia, Alzheimer's, and Mental Health Aide Education

Presented by Curaport
Featuring:
J'non Griffin, RN, MHA, WCC, President, Home Healthcare Solutions, LLC

Date: Tuesday, May 15
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

 



ADR Education: Prevention & Response

Presented by Curaport

Featuring: Diane Link, RN, MHA

Date: Thursday, May 17
Time: 2:00 p.m. EDT
Fee: $79 (per attendee)

Information and registration

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


What Does Behavioral Health Have to do With Home Health Outcomes?

Presented by: Netsmart/DeVero
Featuring: Katherine J. Vanderhorst ,RN-BC,BSN and Dr. Amy Craven

Thursday, February 22
2:00 p.m. Eastern
Learn why integrating behavioral health with chronic care management can improve star ratings.

Many home health patients have co-existing Chronic Behavioral Health problems that are not dealt with. If not addressed, problems like anxiety and depression leave patients unable to self-manage diabetes, congestive heart failure, CHF, COPD and other serious medical conditions. This presentation will show why recognizing and managing behavioral health diagnoses and can have a positive outcome on your agency’s STAR ratings. Presented by Katherine J. Vanderhorst ,RN-BC,BSN and Dr. Amy Craven.

Registration



The Penalty Box Compliance Series Part 6: Audit-Proof Your Visit Notes

Presented by Curaport
Featuring Kristi Bajer, RN, MSN

Wednesday, March 21
1:00 p.m. EDT
$39

Information and registration

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


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.