Volume 6, Number 45 August  9, 2017




Dear Healthcare at Home Colleague,

Our last issue was being finalized just as the news of Val's passing came out so I made the decision not to clutter my comments last week with routine industry news. That means we are playing catch-up this week. I am certain at least one or two of the headlines below will be of interest in your particular Healthcare at Home arena. If you missed our July 26 issue, we have posted my comments on our web site.

Mandatory EVV. The 21st Century CURES Act is going to have an impact on your operations in 2019 if you provide non-medical services, 2023 if you are exclusively a Medicare provider. It is going to take us that long to fully explore the response to the Electronic Visit Verification mandate because the law permits each state to comply in its own way. We are calling this week's installment our "Intro" because we do not know yet whether it is the first article of five or of twenty-five. Either way, we plan to keep track of developments in as many states as we can.

Will you help us? We will be looking for reader input to keep us on top of developments in all 50 states. When you see your legislators or Medicaid officers moving in a certain direction, write to us at editor@homecaretechreport.com. We will spread the word. While waiting for states to make their first moves, we are conducting interviews with EVV providers and multi-state home care companies with experience in some of the 18 states that have already mandated EVV. The first thing we have learned is that there are several ways to do it wrong. We want to help the other 32 avoid the mistakes early adopters have made. We will tell you about that next week.

Reimbursable telehealth. Audrey Kinsella, our telehealth specialist, discovered a new state law that might open the door to reimbursement for the remote patient monitoring services you provide. She even got the governor of Vermont to talk with her about it. The insights of such a progressive leader of a progressive state just may a framework for you to bring to your own state legislators. It is good to meet a politician who is up on the details of a healthcare issue that is important to us.

Guest writer Elizabeth Hogue has done an excellent analysis of the heretofore unrecognized relationship between fraud and abuse and patient choice of in-home care providers. She has once again graciously given us permission to reprint her essay. Speaking of Ms. Hogue, you may want to put her upcoming webinar on your calendar. "How to Get More Referrals from Physicians Without Breaking the Law" will be offered on August 17 at 1:00 to 2:30 EDT. Click here for details.

Are timely physician signatures a problem? Check out our case study of Alabama home health provider St. Vincent's. By switching from fax machines to a physician portal, they saved hundreds of thousands of dollars.

Worth the trip. I am off to the airport again. I hope to see as many HCTR readers as possible at the Texas Association annual meeting in The Woodlands near Houston this week.

Have a great week. Keep making a difference!

 

 

Editor signature
Tim Rowan



21st Century CURES Act and Mandatory EVV - Intro
This is the first in a series of articles examining the Electronic Visit Verification mandate that will take effect in 2019.

DOJ Explains How Fraud and Abuse Violate Patients' Right to Freedom of Choice
According to a leading home healthcare attorney, fraud is not merely a monetary offense.

In Vermont, Telemedicine Will Soon Be Delivered — and Paid For — Where Patients Are
Telehealth reporter Audrey Kinsella caught up with Vermont Governor Phil Scott, who explained why he wrote and pushed through his state legislature a bill that will open the door to reimbursement for in-home telehealth services.

What Are Physician Signatures Costing You?
Alabama case study shows savings realized by switching from fax to electronic physician documents.

HEALTHCAREfirst Updates User Interface
News release says enhancements designed to improve user experience through a more functional, user-friendly design. We took a tour to see if the new UI measures up to its marketing.

 
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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:
Home Health Included in Latest Medicare Fraud Arrests
This year's Medicare fraud takedown netted 412 arrests from Miami to Los Angeles to Brooklyn. Home health was a small part but not absent from the joint DoJ and HHS effort mostly aimed at stopping physicians from over-prescribing pain medications.
 
Hold Your Head High -- Those ACOs and Healthcare Systems Need You as A Partner
In a panel discussion aptly titled "Exceptional Partnering with Health Systems," post acute executives declared that it is strategy as much as 5-star ratings that wins preferred partnerships.

As of this date, approximately 26,543,000 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

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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.