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.

 
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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:

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


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

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


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


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

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
Houston
tahch.org

*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
Agenda:
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:
Connecticut
Maine
Massachusetts
New Hampshire
Rhode Island
Vermont


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
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


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



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


    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



    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



    How to Attract and Retain Health System Relationships

    Presented by Netsmart
    Ongoing
    Free
    Watch now

     


    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 


    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


    QAPI Overview

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


    Transitional Care Management - What is Your Practice Missing?

    Presented by Curaport
    Featuring: Kimberly Kicklighter, MSN, RN,
    Director of Nursing & Quality, Successful Health & Wellness Solutions

    Thursday, February 22
    2:00 p.m. Eastern

    Fee: $39

    Information & Registration

     



    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



    Social Worker Documentation: The Route to Quality Assessments

    Presented by Curaport

    Featuring Christina A. Nuqui, M.S.W., Home Healthcare Solutions, LLC
    Tuesday, February 20
    2:00 p.m.EST
    $99
    Click here to register

    (approved for 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



    Prevention of Diabetes Related Lower Extremity Amputation

    Presented by Curaport

    Featuring Myra Varnado, BS, RN, CWON, CFCN, Director of Clinical Services, Corstrata
    Thursday, February 8
    2:00 p.m. EST
    $49

    Click here to register

    (approvedfor one (1) contact hour of Continuing Education for Nursing)

     



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