Volume 8, Number 40 — September  25, 2019




Dear Healthcare at Home Colleague,

It is working! I passed along to you NAHC President Bill Dombi's urgent request to contact your Senators and Congresspeople about the bills to shut down PDGM's 8.01% behavioral adjustment and it looks like you are doing it. Bill told me both Senate Bill 433 and House Bill 2573 are gaining co-sponsors and moving steadily toward an eventual vote. This is not a time to congratulate ourselves, however. Call your representative and Senators today. That 8% rate reduction, based on what they assume you might do in the future, is going to hurt if it takes effect simultaneously with PDGM. You have a chance to stop it but you have to get on the phone. Do it now. Details are in "Last Week's Most-Read Articles" section below.

Note to tech vendors

We are in the final stages of updating our free service, The Home Care Technology Buyer's Guide, and we need to hear from you. Home care, home health, and hospice agencies that are in the market use The Guide to identify the most appropriate software companies to receive their RFPs. It is a great way for them to save time and effort and for you to get warm leads while avoiding wasting time with phone calls from people shopping for something you do not offer. However, it only works if every vendor we know of is included in our list, so we include them all.

Here is how it works:

  • If we hear from you, we will describe your products and services in The Guide the way you would like them to appear, complete with your logo, contact information, and link to your web site.
  • There is a minimal annual subscription fee but, if you would rather not participate, we will describe your products and services as best we can from what we already know about you.
  • Guide users indicate their software requirements and The Guide matches them with your features and functions.
  • Users are presented with a short list of products and can either send a message to the ones that match or opt to have the automated email generator do it for them.
  • We have engaged Viking Post Acute Healthcare Consulting, LLC to help get this done. Contact Darren Horrigan at darrenviking@gmail.com or 513-444-3361.

In this week's news

A San Francisco home health CEO is facing jail time and huge fines after getting caught paying for referrals. In addition to a summary of the story, we have a comment about this problem in one of our occasional opinion pieces. What instigated the piece is that we have been hearing that far too many referring physicians extort "pay-to-play" referral fees but that calling the fraud hotline can be a frustrating, disappointing experience. In our piece, titled "Why Do You Put Up With This?" we invite your feedback. Please take a look and maybe we can work together to effect change.

Staff writer Darcey Trescone, RN, BSN, spent some time with Wellsky CEO Bill Miller recently. She explored his expertise on Artificial Intelligence, Big Data, Interoperability, the Social Determinants of Health, and a number of other topics. Whether you are a Medicare or Personal Care provider, don't miss her excellent story on emerging technologies, "National Health IT Week Perspectives."

We also have two CMS announcements important to hospice providers. See the headlines below to read up on HIS, CAHPS, and HQRP reports.

Worth the trip

It was a pleasure to meet so many subscribers and readers at this week's HCAOA Annual Leadership Conference. I look forward to seeing as many of you as possible at the NAHC Annual Meeting next month in Seattle. In the meantime, though, remember that our sponsor Axxess has begun its series of PDGM seminars. To see if one of the nine cities on their tour is convenient for you, scroll down to our "Upcoming Events" column or refer to our September 4 article, "PDGM Action and Strategy Seminars Kicking Off!"

Have a great week. Keep making a difference.

 

Editor signature
Tim Rowan



National Health IT Week Perspectives from WellSky CEO
The focus of National Health IT Week is "Supporting Healthy Communities," driving transformation of our health and wellness ecosystem to promote better health outcomes and health equity. Wellsky CEO Bill Miller shares perspectives on the quickly changing landscape of technology in the post-acute care space.

Why Do You Put Up With This?
To report Medicare fraud or abuse, call 800-HHS-TIPS (1-800-447-8477) or send up to 10 pages describing the incident to HHSTips@oig.hhs.gov.

Home Health CEO Arrested in $115 Million Fraud Scheme
If the crime is large enough, count on HHS and FBI to swoop in.

Hospice Provider Preview Reports Now Available
Providers have 30-days to review their HIS and CAHPS® results (September 11, 2019 through October 11, 2019) prior to the November 2019 Hospice Compare site refresh, during which this data will be publicly displayed.

Important Updates on the Hospice Quality Reporting Program (HQRP)
On September 18, 2019 CORMAC sent an outreach communication via email with the Hospice Quality Reporting Program (HQRP) Update. The communication summarized the reporting requirements for HIS and CAHPS and encourages providers to be mindful of dates and data submitted.

 
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During the 3rd Quarter of 2019, web sites of the above advertisers were visited by home care and hospice executives and staff 2767 times.

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Last Week's Most-Read Stories:
Senate Bill 433 and House Bill 2573 - Call Washington Today!
Senate Bill 433 and House Bill 2573 are legislation important to all home health providers. It is desperately important that every DC lawmaker hears from the industry. Copyright on this article is waived. Share it widely.
 
Top National Healthcare Experts Appear at First Annual "Sage" Conference
Several top geriatricians and home care researchers shared a month's worth of wisdom in one day.

As of this date, approximately 35,090,000 Baby Boomers have become Medicare eligible.



Notable Upcoming Conferences Free Webinars

WEBINAR: 5 Crucial Ways to Prepare for PDGM

Sponsored by: HealthCare Synergy

Featuring: Michael Tidd, LVN, COS-C, COS-D
Dates: November 13
Time:
10:00 am PST / 1:00 am EST

Information and Registration

Agencies are rapidly trying to prepare for the PDGM payment model. We will show you the most crucial ways an agency can prepare for the internal changes needed for PDGM. While most agencies are focusing on how to instruct clinicians on the change, PDGM has the most impact on office functions. Attend and gain insight on the things the agency needs to be doing now to prepare for January 1, 2020.

Objectives:
1. Learn agency level changes that can be implemented to be successful in 2020
2. Understand how to approach budgeting and finances under PDGM
3. What do your clinicians really need to know to ensure the agencies continued success

Michael Tidd has over 19 years of experience in the Home Care Industry and is a frequent speaker at HealthCare Synergy Workshops and Webinars. He is a Software Developer, LVN and Certified in ICD-9/10 Coding and OASIS (COS-C, HCS-D). As the Clinical Manager for HealthCare Synergy, he directs the Outsourced Management Services, assists in directing the development of the Healthcare Assistant Web Edition, oversees the Clinical Documentation Auditing provided to clients and directs the Clinical Form Development for the Healthcare Assistant Web Edition. Michael continues to educate agencies in the ongoing regulations that CMS produces, the proper application of the Medicare Conditions of Participation and completing timely, accurate and defendable clinical documentation to survive in the current Medicare Reimbursement Model.


Free Webinar: Your path to 99 - An Actionable Webinar on Achieving 99% Claims Reimbursement

Presented by: Complia Health

Date: November 13, 2019

Time: 1:30 PM EST

Reserve Your Webinar Seat

Billing is complex. Improving your billing and claims filing process doesn't have to be.

Getting on the path to a 99% claims acceptance rate can be simple, but the key is in understanding, and then overcoming, the common pitfalls that create problems for home health care agencies in the first place.

Join industry expert Scott Brashears to learn how to better identify potential problems in your agency processes and get the insights into solving for more accurate and timely filings that will put your agency on the path to 99.



Webinar: Post-Acute Care Quality Reporting Programs

Presented by: CMS

Date: Thursday, November 14

Time: 2:00 - 3:00 pm EST

Fee: Free

Description: The Centers for Medicare & Medicaid Services (CMS) will be hosting a webinar for Medicare-certified hospice providers to provide an overview on Hospital Quality Reporting Program (HQRP) requirements.

During this webinar, CMS subject matter experts will provide information on the following topics:

  • Hospice Item Set (HIS) reporting requirements;
  • HQRP compliance cycle;
  • How to achieve hospice compliance;
  • CAHPs survey requirements; and
  • How to switch CAHPS survey research vendors.

CMS will answer questions at the end of the webinar as time permits.

Register

Conference: Two Sales Training Boot Camps: Home Health and Hospice & Palliative Care

Presented by Healthcare Strategica, LLC

Featuring: Michael Ferris
Location: Westin Lake Las Vegas Resort

Bootcamp 1: PDGM Home Health Sales
Date: November 12-13

Bootcamp 2: Hospice & Palliative Care Sales
Date: November 14-15


Register with code "HCTR" for $100 off.

Michael Ferris brings 20+ years of experience to your sales team!

Home Health Sales Training Bootcamp

The Home Health Sales Training Bootcamp has an extensive training related to Success Under PDGM.  We will cover what the Sales Professionals need to know about PDGM and more importantly what the referral partners need to know!  How to have those conversations to drive more referrals and avoid the pitfalls experienced by hospices when "failure to thrive" was no longer an acceptable primary diagnosis to qualify for hospice services.

Hospice Sales Training Bootcamp

The Hospice and Palliative Care Sales Training Bootcamp is new and improved with the best of class sales training for hospice with the addition of How to Conduct Family / Patient Meetings for Maximum Success and How to Sell Palliative Care.  Send your Hospice Sales Representatives to us and we will send them back to you ready to drive significant incremental growth in quality admissions.

Each Sales Professional Will Receive:

  • Class Workbook
  • Laminated Field Cards
  • Copy of Definitive Guide to Home Health Sales: Achieve Superstar Success - PDGM Success Edition ($79 value)
  • One on one coaching
  • 90-day sales campaign planning tool
  • Lunch each day

Conference: Successful Home Health Transformation

Hosted Dixon Healthcare Solutions, Inc.

Date: December 5-6
Location
: Bally's, Las Vegas
Time: 7:00 am - 4:00 pm
Speakers: Richard K. Dixon, Cheryl Peltekis, RN, Meaghan McCormick, Esq., Donna Floyd, RN, BSN, J'non Griffin, RN, MHA, HCS-D, BCCH-C, COS-C, WCC; Annette Lee, RN, MS, HCS-D, COS-C; Cory Mertz, managing partner for a leading healthcare M&A firm.

Information and Registration

Approved for up to 10 hours of Continuing Nursing Education by Corexcel, an accredited provider by the American Nurses Credentialing Center's Commission on Accreditation.

 


Conference: Successful Hospice Transformation

Hosted Dixon Healthcare Solutions, Inc.

Date: December 5-6
Location
: Bally's, Las Vegas
Time: 7:00 am - 4:00 pm
Speakers: Richard K. Dixon, Cheryl Peltekis, RN, Meaghan McCormick, Esq., Donna Floyd, RN, BSN, Annette Lee, RN, MS, HCS-D, COS-C; Cory Mertz, managing partner for a leading healthcare M&A firm.

Information and Registration

Approved for up to 10 hours of Continuing Nursing Education by Corexcel, an accredited provider by the American Nurses Credentialing Center's Commission on Accreditation.

 


Seminars: PDGM Success Seminars hosted by Axxess *
Sponsored by: BKD, Aegis Therapies, HealthCare ConsultLink, Home Health Care News, Gateway Home Health Coding and Consulting, Worldview, Connected Home Living, Laengrich Healthcare Partners and Swift Medical

Dates and Locations (open to all Home Care providers):
  • Dallas, TX Tuesday, September 24
  • Houston, TX Thursday, September 26
  • Boston, MA Tuesday, November 5
  • Fort Lauderdale, FL Thursday, November 14
  • Chicago, IL Tuesday, October 22
  • Columbus, OH Thursday, November 12
  • Las Vegas, NV Friday, October 4
  • McAllen, TX Tuesday, December 3
  • San Antonio, TX Thursday, December 5
Information and Registration (early bird discount code: Axxess2020)
The one-day seminars will focus on the following learning objectives:
  • The PDGM impact numbers that matter most, along with operational strategies to ensure proper reimbursement                   
  • Specific actions to take for each PDGM risk factor, including coding, non-groupable diagnoses, LUPA avoidance and management, chronic care management, and therapy management
  • How to drive growth for your organization through institutional referral strategies and the use of specialty programs, including wound care and complex nursing
Including specifics such as:
  • How to get the most important OASIS information you need in five minutes
  • Implementing maintenance therapy programs and telemonitoring
  • Setting up visit schedules that prevent avoidable LUPAs 
  • How each component of PDGM builds the case weight 
  • Restructuring intake processes to obtain necessary billing information

WEBINAR: Manage Intake Orders with WellSky + Forcura

Date: December 5
Time: 1:00 pm - 2:00 pm EST

Information and registration

Jonathan Fluhart, Intrepid USA VP of Technology & Process Excellence and Windy Adams, Forcura Director of Strategic Partnerships, will share how the WellSky and Forcura workflow solution is enabling Intrepid USA to:

  • Go 100% paperless by digitizing all faxes and eliminating manual document scanning
  • Streamline intake documentation by driving referrals, authorizations and labs to one centralized location
  • Instantly reconcile signed orders and notifications that documents are ready for approval and billing

 

WEBINAR: PDGM Preparation: Operational Strategies

Sponsored by Kornetti & Krafft Health Care Solutions & MedBridge

Date: December 5
Time: 1:00 pm EST

Information and Registration

Knowing that resources are tight as PDGM approaches, Kornetti & Krafft is offering a free overview of OASIS D1 to ensure that changes to this critical data collection instrument do not get lost in the shuffle.

What is Included:

  • Highlight key differences between OASIS D and D1
  • Make an informed decision about the use of "=" as a response
  • As an outsourced OASIS/Coding company, the most commonly seen OASIS errors and proven strategies for success will be included.

 


Seminar: "COM-CARE-CON" First Annual Technology Deep Dive

Sponsored by: Ohio Council for Home Care & Hospice

Date:
December 12
Time: 9:00 am - 5:00 pm
Location: Crown Plaza North, Columbus

Information and Registration
Com-Care-Con is a one-day conference that will highlight new technologies in the Home Care and Hospice Industries with speakers, exhibitors, and demonstrations of new technologies.

Speakers:

Tim Rowan - Keynote
Healthcare Advisory Network discussing Telehealth
Medline discussing AI in Wound Care
Complia discussing Alternative EVV

FREE WEBINAR: Quarterly Home Health Topics Discussion: The Truth about PDGM Reimbursement

Sponsored by: Healthcare Synergy

Date: December 18

Presented by: Michael Tidd, LVN, COS-C, COS-D

Information and Registration


Conference: The 17th Annual World Health Care Congress

17 Years of Empowering and Connecting Leaders in Health Care Transformation

Date: March 29-April 1, 2020
Location
: Washington, DC

Information and Registration

It’s never too soon to begin planning your experience at the 2020 World Health Care Congress. View the agenda snapshot and gain access to 100+ sessions across 15+ learning tracks:

  • Payer Transformation
  • Member Engagement and Retention
  • Provider Transformation
  • Care Delivery Integration
  • Medicaid & Health Policy
  • Behavioral Health - NEW IN 2020!
  • SDoH Business Strategy
  • SDoH Tech
  • Pop Health Analytics
  • AI & ML Applications - NEW IN 2020!
  • Innovation & Investments
  • Front Line Leadership
  • Women Leaders in Health Care
  • Self-Insurance Strategy
  • Worksite Clinics
  • Direct Contracting
  • Workplace Mental Health
  • Benefits Adviser Leadership
  • Medical Travel


*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

Webinar hosts, send your announcements to: Conferences@RowanResources.com

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