Volume 4, Number 44 — September  9, 2015



Dear Healthcare at Home Colleague,

Once again, an important story came across my desk after this week's articles were wrapped up and posted. I'll summarize it here but promise to look into it more closely and report back before the end of the month. According to a bevy of experts, Windows 10 has serious HIPAA issues. Microsoft is pushing it on us hard by offering it as a free upgrade but the decision to accept their offer is one you should make only after your security coordinator has done a full study.

For example, one feature turned on by default captures your keystrokes — and your voice commands if you use "Cortana," the voice-activated personal assistant — and stores them so it can learn your patterns and habits and save you keystrokes later. Microsoft says the data is de-identified but there are many unanswered questions. Is it stripped of identifiable data before they store it on their servers? Do they strip it while on their servers? Who sees it before it is stripped? Is it encrypted while in transit? 

Answers to these questions are not available. Microsoft partners and consultants refer questions to Redmond, and Redmond, as everyone knows, does not talk to the public, leaving HIPAA covered entities a little nervous, to say the least. We will publish sets of instructions about how to turn off all of W10's dangerous features but you need to be aware that it will cost you a couple of hours per PC to implement them all. I spoke with one CIO who has already made the decision to ride out Windows 7 and 8 until Microsoft sunsets them and ends support, which could easily be three to four years from now. We will try to dig up more answers for you.

In this week's news: We have news items for both Private Duty and Medicare providers this week, a balance we intend to continue in order to be of service to all our readers.

  • First, do not miss our product review of a new system for improving care to Alzheimer's patients. Dozens of Private Duty agencies are already using it, and reporting significant patient satisfaction improvements.
  • Next, just in case you have some lingering questions about how and when to convert to ICD-10, we offer a guest article by the content manager for "Senior Planning" in Phoenix, Arizona. He translates the CMS instruction into simple English.
  • Lastly, and most importantly for Medicare providers, CMS makes a major announcement. Have you ever appealed a payment denial from your MAC to the next level? Has the QIC overturned the MAC's denial but immediately continued to deny your payment for a completely different reason? It happens a lot. If it has happened to you, be sure to read our lead story this week, "CMS End Long-Standing Abusive Practice." We like to be able to bring good news once in a while.

If you plan to attend the Ohio Council for Home Care & Hospice next week in Columbus, be sure to look me up, either at my Wednesday morning presentation or in exhibit hall booth #102.

Also, the American Telemedicine Association fall meeting is coming up next week. Click on their ad at the right for details. If you cannot be in DC next week, you can attend the ATA meeting right at your desk. Click here to register for their live online streaming service. And click here for information about submitting a proposal to tell your home telehealth story at the ATA Annual Meeting next spring in Austin, Texas. I am certain that many of you have telehealth success stories to tell. If you believe in what you are doing, this is THE place to tell your story.

Have a great week. Keep making a difference!

Editor signature
Tim Rowan



CMS Ends Long-Standing Abusive Practice
Have you read Medline Matters SE1521? If you send claims to a Medicare Administrative Contractor, you need to read it, and then celebrate it. CMS has clamped down on QICs that engage in a questionable practice that used to negatively impact your cash flow. We print the entire notice here, with some interpretation to put it into context.


ICD-9 Shift to ICD-10—What you should Already be Doing
Guest author Max Gottlieb breaks down and rebuilds the somewhat confusing language that the CMS used in their manual regarding dual coding for the period straddling October 1.

HCTR Product Review: Dementia Care Improves with "AlzBetter"
Every attempt to improve care for Alzheimer's patients should be applauded. This is one that wins applause not only for its attempt but for its impressive outcomes among healthcare's most difficult patient group.

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



























During the 2nd Quarter of 2017, web sites of the above advertisers were visited by home care and hospice executives and staff 2300 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

Last Week's Most-Read Stories:
Pediatric Services Of America And Related Entities To Pay $6.88 Million To Resolve False Claims Act Allegations
When the government overpays you, do not wait for them to ask for the money. This August 4 news release describes the first time a healthcare provider has been fined for not voluntarily returning federal overpayments. This might be a good time to check your own books.
 
Should We Be Worried About Our Field?
In what is sure to become a historic manifesto, 40-year home care veteran Dr. Bob Fazzi calls all of us to redefine our role in the US healthcare system. More than a naming exercise, this landmark declaration is a call to action...and a warning of what is to come if we remain passive.

As of this date, approximately 18,843,000 Baby Boomers have become Medicare eligible.



Notable Upcoming Conferences Free Webinars

2015 Annual Conference and Trade Show *

Ohio Council for Home Care and Hospice
September 15-16
Hyatt Regency
Columbus
Conference Registration Site


SANS Network Security 2015GIAC Approved Training for Security Professionals
September 12-21,
Las Vegas
sans.org/netsec



Maryland-National Capital Homecare Association

Annual Meeting
September 17
Waterfront Pier 5 Hotel
Baltimore
http://mncha.org/Annual-Meeting-2015


ICD-10 TrainingTexas Association for Home Care & Hospice
September 22-23
Sheraton Dallas Hotel
Dallas
tahch.org


Community Care Conference
Executive Leadership Forum
Two Conferences in one from the Texas Association for Home Care and Hospice
October 15
Bastrop, TX
http://www.tahch.org/TAHCH/Education_Central/Community_Care_Summit/CCConference.aspx
http://www.tahch.org/TAHCH/Education_Central/Executive_Leadership_Forum/Executive-Leadership-Intro.aspx


NAHC 2015 Annual Meeting*National Association of Home Care and Hospice
October 28-30
Gaylord Opryland Hotel and Conference Center
Nashville


Connected Health Symposium: The Internet of Healthy Things — Integrating Connected Health Into Real World Care DeliveryPartners HealthCare
October 28-30
Seaport Hotel and World Trade Center
Boston
Details and Registration (Registration closes 10/25)


Technology Symposium & Vendor Showcase *Ohio Council for Home Care and Hospice
November 17
Columbus
Details and Registration


AgeTech Expo *Aging 2.0
November 19-20
San Francisco
Details and Registration


Home Care Sales & Marketing Society Executive Strategic Summit * Home Care Sales and Marketing Society
January 28-29
Holiday Inn Orlando – Downtown Disney
Lake Buena Vista
More information

Leading Change Together
Illinois HomeCare & Hospice Council Annual Meeting and Exposition
March 9-10
Lombard
Information and Registration


ITS' A Whole New Ballgame: 2017 Annual ConferenceMichigan Home Care & Hospice Association

May 3-5
Grand Traverse Resort
Acme, MI
Information and Registration


ICD-10 Coding Conference
Texas Association for Home Care & Hospice

Featuring Lisa Selman-Holman
September 13-14
Westin Galleria
Houston

Receive up to 11 clock or contact hours.

http://tahch.org/tahchorg/education/icd10


By the Numbers: ICD-10 Coding Conference
Texas Association for Home Care & Hospice
September 13-14
Westin Galleria Hotel
Houston


Information and registration



By the Numbers: ICD-10 Coding Conference

Texas Association for Home Care & Hospice
September 13-14
Westin Galleria Hotel
Houston

Information and registration


Public Policy Leadership Conference
Visiting Nurse Associations of America

Wednesday, September 14 at 8:00 AM through Thursday, September 15 at 3:00 PM
Washington Court Hotel
Washington, DC

More information and registration

 


HURRICANE Home Care Marketing Boot Camp 2.0 *
October 5-7
Embassy Suites Philadelphia Airport
http://homecaremarketing.net/hurricanebootcamp/

Home Care Sales and Marketing Society *
6th Annual Conference

Learn tactics and techniques for gaining more patients and clients. This year, two breakout tracks: "Field Sales Tactics" and "Internal Operational Excellence: Intake, Admissions and Inquiry."

October 6-7
Bally's Hotel and Casino
Las Vegas
Click here for more information


Annual Meeting *
National Association for Home Care and Hospice

October 23-25
Gaylord Palms Resort and Convention Center
Orlando

Information and Registration


Pre-Claim Revue Implementation
Palmetto GBA and CGS Tours Texas in Partnership with TAHC&H

Multiple Locations:
October 11 – McAllen
October 13 – San Antonio
November 16 – Houston
November 17 – Dallas
Details for each conference


The Journey Forward
South Carolina Home Care & Hospice Association Annual Conference
December 5-6
Hyatt Place + Hyatt House | Historic District
Charleston
www.schchaconferences.com

Pre-Claim Revue Seminars
Presented by QIRT
Seminars and webinars will be offered in the pilot states in advance of each state's pre-claim start date.

  • Florida seminars in September (PCR roll out date:October 1, 2016)
  • Texas seminars in November (PCR roll out date: December 1, 2016
  • Michigan and Massachusetts seminars in December (PCR roll out date: January 1, 2017)

QIRT.com


The 6th Annual Medicare Compliance Cruise *

Presented by Pearson & Bernard, PSC

January 15-22
Departs from Ft. Lauderdale
Information and registration


2017 Northeast Home Health Leadership Summit

Sponsoring Associations:

  • Connecticut Association for Healthcare at Home
  • Home Care and Hospice Alliance of Maine
  • Home Care Alliance of Massachusetts
  • Home Care Association of New Hampshire
  • Home Care and Hospice Association of New Jersey
  • Home Care Association of New York State
  • New York State Association of Health Care Providers
  • Rhode Island Partnership for Home Care
  • VNAs of Vermont

January 17-19, 2017
Colonnade Hotel
Boston

Information and Registration


OASIS-C2: The Next Steps

Texas Association for Home Care & Hospice
Presented by Lisa Selman-Holman
January 19, 2017
Westin Riverwalk Hotel

San Antonio 
Details and registration


Homecare 100 *February 4-7
Ritz-Carlton
Amelia Island, FL
Registration is full. To be added to the waiting list, contact Miriam Adams at madams@lincolnhc.com

National Leadership Conference *
Sponsored by:
Visiting Nurse Associations of America

Alliance for Home Health Quality and Innovation

April 19-21

Hilton San Diego Bayfront
https://www.homebasedcareevents.com/

Omaha System International ConferenceA Key to Practice, Documentation and Information Management
April 20-22, 2017
Eagan, MN
Bi-annual conference offers opportunities to gain knowledge about using electronic health records across diverse settings, exchanging health information, and enabling data sharing among practice, education, and research. For additional information about the conference, the call for poster abstracts and award nominations, and to register, visit www.omahasystem.org/conferences.html.
Email abstracts to lchoromanski@gillettechildrens.com

ATA Annual Meeting

American Telemedicine Association
April 23-25
Orange County Convention Center
Orlando

http://www.ata2017.org


Community Care Conference

Texas Association for Home Care & Hospice
May 9
Omni Austin Hotel Southpark

Details and registration


Pediatric Home Care Conference

Texas Association for Home Care & Hospice
May 9
Omni Austin Hotel Southpark

Details and registration


New England Home Care & Hospice Conference & Trade ShowMay 16-18
Radisson Hotel
Manchester, NH
Brochure and Registration

Annual Conference *Home Care Association of Colorado
May 17-19
Keystone Resort & Conference Center
Keystone, CO
http://www.homecareofcolorado.org


Technologies and Tactics Transforming Long-term Care Conference: Igniting Innovation and Best Practices Across the Long-term and Post-acute Care Continuum
Sponsored by TCBI and Telehealth and Medicine Today
June 30
Washington, DC
Information and registration

2017 Annual Conference and Trade Show *
Home Care Association of FloridaJuly 23-27
Renaissance Orlando at Sea World
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

Hospice Financial and Administrative Management Conference
Presented by The Health Group
November 6-7
Caribe Hilton
San Juan, Puerto Rico
Registration: conference@healthgroup.com
 

*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

2017 Regulatory Updates, Including Home Health Conditions of Participation

Free Webinar Hosted by DeVero Software and Relias Learning
Featured Speakers: Michael Tidd, Healthcare Synergy; Robert Love, DeVero
Tuesday, March 21
2:00 pm EDT / 11:00 am PDT

Register Here


A New Approach for Home Health Face-to-Face:
Updated Info, Updated Insights

Sponsored by Kinnser Software
Featuring Arlene Maxim, RN
Thursday, April 20
1:00 pm EDT

Learn:

  • What CMS requires for "adequate documentation" under Face-to-Face
  • How to handle inadequate progress notes provided by the physician/in-patient facility
  • Exactly what to include on your checklist of items for the physician's packet

Free: Register here



How to be the TOP DOG Sales Rep
Sponsored by PlaymakerCRM
Featuring Cheryl Peltekis, RN
December 14
2:00 EST
Register here


Grow Your Census with Online Marketing Tools

Sponsored by Shoshana Technologies

October 20
http://rosemarksystem.com



Clinician Recruitment, Retention & Satisfaction: Does Technology Help or Hinder?

Sponsored by Brightree and Elevating Home
Featuring: Karri Harpole, RN, BSN, Brightree; Tarrah Lowry-Schreiner, President & CEO, Sangre de Cristo Hospice & Palliative Care; Wendy Cofran, CIO, Century Health Systems, Inc.; Melissa Polly, MBA, Brightree Product Marketing (moderator)

Wednesday, July 26
1:00 pm EDT

Learn:

  • Best practices related to the use of technology and the best way to engage clinicians in a model that provides the most value the organization, including recruitment, retention and satisfaction; 
  • From colleagues, how to get the most value from the use of technology from clinical documentation and nurse satisfaction to operational efficiencies; and,
  • How changes in the post-acute environment, from regulatory drivers to value-based care, drive effective utilization of technology.

Register



    Navigating the Final Rule for Medicare PPS for CY 2017
    Sponsored by PPS Plus
    Tuesday, November 15, 1:00 - 2:30 pm CST
    Featuring Dave Macke, CHFP, FHFMA
    Director of Reimbursement Services, VonLehman & Company
    FREE

    Register here


    Nursing Reference Center Plus Overview
    Sponsored by VNAA
    Date: Every Thursday through December 8
    Time: 1:30 PM Eastern
    Nurses use Nursing Reference Center Plus to get answers to questions, access care plans, watch video demonstrations, strengthen nursing skills, earn continuing education credits, access drug information and patient education.
    Register and attend


    Why your claims are being denied:  Performing a self-assessment of your ZPIC, Pre-Claims, and VBP liabilities

    Featuring Michael McGowan, CEO, OperaCare
    Tuesday, January 17
    2:00 p.m. EST
    Cost:  $79
    Register


    2017 What You Need to Know about Electronic Visit Verification

    EVV offers many benefits to agencies and care providers, and choosing the right solution can lead to improved operating efficiency, caregiver communication, quality of care, and client satisfaction.

    Wednesday, March 15
    11:00 am MST - 12:15 pm MST

    Register Here



    Navigating Alternative Payment Models

    Presented by Mark Sharp and Raymond Belles of BKD
    Tuesday, March 28
    2:00 p.m. EDT
    Cost: $79
    Registration

     


    Under Pressure — OASIS Service Utilization Review

    Presented by Michael McGowan of OperaCare
    Thursday, April 6
    12:00 p.m. EDT
    Cost: $49
    Registration



    What You Need To Know About Electronic Visit Verification
    Presented by Darby Anderson, CDO, Addus HomeCare Corporation
    Sponsored by CellTrak
    Wednesday, April 12
    1:00 p.m. EDT
    Cost:  Complimentary
    Registration link
     


    Understanding the Effect Functional Scoring Has on Your Agency
    Presented by Chad Whitefield, PTA, Managing Partner of Advance Rehabilitation Management Group
    Thursday, April 13
    2:00 p.m. EST
    Cost:  $99
    Registration link 


    Navigating Pre-Claim Review

    The controversial Pre-Claim Review Demonstration has been delayed in FL and paused in IL. So what's next? We'll cover what we've learned, what you should be doing now, and what home health care agencies can expect next.

    Sponsored by Forcura
    Featuring: Nick Seabrook, BlackTree Healthcare Consulting; Craig Mandeville, Forcura; Kim Gaffey, MSN, RN, Gaffey Home Nursing & Hospice
    Thursday, April 13
    2:00 pm EDT

    Registration Link


    Hospice vs. Palliative Care: What's the Difference?

    Presented by Curaport

    Featuring Katie Wehri, CHPC, Healthcare Provider Solutions
    Thursday, August 17
    2:00 p.m. EDT
    Cost: $49 per attendee
    Registration


    QAPI Overview

    Presented by Diane Link, BlackTree Healthcare Consulting
    Tuesday, May 23rd
    2:00 p.m. EST
    Cost:  $99
    Registration


    Home Health Conditions of Participation Series 1: Overview and Patient Rights

    Presented by Curaport

    Featuring Sharon Litwin, RN, BSHS, MHA
    Thursday, August 10
    2:00 p.m. EDT 
    Cost: $39 
    Registration



     

    The Current Homecare Market: an M&A Perspective

    Presented by Curaport

    Featuring Rich Tinsley, CEO, Stoneridge Partners
    Friday, July 14
    12:00 p.m. EDT 
    Cost: $39 
    Registration



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