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.

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

During the 4th Quarter of 2017, web sites of the above advertisers were visited by home care and hospice executives and staff 2855 times.

To inquire about placing your message here, contact:


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


  • Overview of the emergency preparedness requirement
  • What surveyors will be looking for
  • Steps home health agencies should take to prepare

Our Home Care Landscape: Big Challenges, Bigger Opportunities *
Annual Meeting of the Home Care Association of America
October 8-11
Austin, TX
Information and registration

AHHC 2017 Leadership ConferenceAssociation for Home & Hospice Care of North Carolina
October 9-10
Holiday Inn Resort
Wrightsville Beach

Click here to register

HCSSA Administrator Program
Texas Association for Home Care & Hospice
November 13-15
Westin Galleria

*HCTR will see you there.
CONNECTED HEALTH: Remote Patient Monitoring and Telehealth Summit

6th Annual Care Coordination and Technology Congress

January 24-26
Renaissance Atlanta Waverly Hotel & Convention Center
Designing successful bundles without collaboration between inpatient and post-acute (PAC) providers inhibits the cost-savings opportunities that make bundled payment a valuable model for hospitals and health systems. Designing care management incentives and solutions for complex patients requires integration across hospitals, home care, and the extended continuum of provider organizations.
Register for in-person or online participation

2018 National Leadership Conference
ElevatingHOME Annual Meeting
March 7-9
Grand Hyatt
Washington DC
Information and registration

New England Home Care and Hospice 2018 Conference
Presented by Home Care Associations of:
New Hampshire
Rhode Island

April 25-27
Cliff House Maine Hotel
Cape Neddick

Information and Registration

Your state or national association meeting not listed? Send the details to Conferences@RowanResources.com using this format:

Conference Title
Sponsoring Association
Hotel or Conference Center, City, State

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

Creating A Successful Preceptor Program in Home Health Care

Sponsored by Elevating Home
Michael Ward RN, BSN, Division Director; BAYADA Pediatrics; Margit Moran, RN, BA, Director of Pediatric Clinical Education at BAYADA

Thursday, March 29
1:00 - 2:00 pm EDT

Information and registration

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.


How to Attract and Retain Health System Relationships

Presented by Netsmart
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


Compliance Program Basics

Presented by Curaport
Featuring: Stephanie Koehn, RMA, CPC, CPPM, CPCO

Tuesday, March 20
2:00 p.m. EDT

Fee (per attendee): $49
Information & Registration

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

The Hospice Cost Report
Prepare Your Way With Expert Advice from Maureen Laskowski

Presented by Healthcare Synergy

Monday, March 12
10:00 a.m. PDT; 1:00 p.m. EDT

Click here to register

Home Health Aide Skills and Documentation

Presented by Curaport

Featuring: J'non Griffin, RN, MHA, WCC, Owner & President, Home Healthcare Solutions, LLC
Thursday, March 22
2:00 p.m. EDT
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.


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

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.