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 2018, web sites of the above advertisers were visited by home care and hospice executives and staff 2335 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


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

 


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


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

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


NAHC Financial Managers Meeting

July 15-17
Austin, TX
Information and Registration


Leading in a Changing World

Texas Association for Home Care & Hospice 49th Annual Meeting
August 8-9
Moody Gardens Hotel & Spa
Embassy Suites Frisco Hotel & Convention Center
Frisco

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)


Medicare and Managed Care Reimbursement Necessities

Presented by HealthCare Synergy, Inc. and Illinois Homecare & Hospice Council

Featuring: Melinda Gaboury, COS-C
Date: Wednesday, September 5
Time: 8:30 am CDT
Location: Northern Illinois University

This is an In-person Workshop and Live Webinar

Information and Registration

(HealthCare Synergy clients, call for a special discount: 714-229-8700; ext 118 for Rangsey Ouk or ext. 137 for Edleen English.)

To maximize your reimbursement, you need to be well informed. Melinda Gaboury of Healthcare Provider Solutions, and a trusted consultant for HealthCare Synergy, will help you stay on top of constantly changing regulatory requirements so you can get paid.


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

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


Patients' Right to Freedom of Choice of Providers: How to Avoid Lawsuits

 

Presented by Elizabeth Hogue, Esq.

 

Thursday, June 14 (Encore Date: 6/21)
Recording available 24/7 On Demand; option to purchase CD & handouts.
1:00 - 2:30 pm EDT

 

Register here

 

Conflict between hospitals and home health agencies, private duty agencies, hospices and HME companies that receive referrals from hospitals may be intensifying regarding patients' right to freedom of choice. Hospitals say that they comply with all requirements while some post-acute providers maintain the exact opposite. Now post-acute providers are suing hospitals for violations.
  • What exactly are hospitals supposed to do?
  • What do post-acute providers say are common violations?
  • What is an example of a recent lawsuit filed against hospitals for violations?
  • What can hospital discharge planners/case managers do to avoid these types of lawsuits?
  • How can providers help ensure that patients' rights are honored instead of filing court cases against hospitals?
Participate in this teleconference to learn the answers to all of these questions! Extensive handouts will be provided that will also serve as a resource when questions come up in the future.


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



Bridging the Gap Between Acute and Home Care with PICO Single-Use NPWT

Sponsored by: ElevatingHOME

Featuring:
Ravi K. Bashyal, MD, Director of Outpatient Hip and Knee Replacement Surgery, Northshore University Health System
Kristi Huebner, RN, MSN, CWS, Professional Education Manager, Smith & Nephew

Date: Friday, August 10
Time: 1:00 pm EDT

Registration

This webinar will provide participants with insight into how PICO Single Use NPWT may benefit wound care patients in the home care setting. Additionally there will be a discussion about prophylactic use on incisions for prevention of readmission to the acute care setting. Participants will gain insight into appropriate utilization of PICO NPWT in the home care setting and how participation in this program may improve patient outcomes.



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


Three-Part Webinar Series by Relias Learning

August 8: A Journey to Achieving Quality Care
Presenter: Diane Geis, EVP and Chief Personnel Officer, Altercare of Ohio, Inc. and TSG Resources, Inc.
Register

August 15: Best Practices in Dementia Care for A Competitive Edge
Presenter:
Teepa Snow, MS, OTR/L, FAOTA, Positive Approach, LLC
Register: Facility Professional
Register: In-Home Professional

August 28: Developing Managers as Leaders: Top Down is Dead. Lead From the Middle!
Presenters:
Jan Wilson, M.Ed., SPHR, SHRM-SPC, Director, Learning and Design Outcomes, Relias
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


Secrets to a Positive Home Health Survey Experience

Presented by Curaport
Featuring:
Heather Calhoun, RN, BSN, COS-C, HSC-D, Home Health Solutions, LLC

Date: Tuesday, August 28
Time: 2:00 p.m. EDT

Fee: $99 (per attendee)

Information & Registration

Your Home Health Agency will be surveyed soon. Even if that is 9 months away – that will be here before you know it! With all the changes that are constant in the world of Home Health, one thing that does not change is the importance of preparing well for a surveyor to walk through your door. How to prepare for and perform well in your next Survey should not be a secret.

Heather Calhoun of HHS will be leading this education session on uncovering the secrets to preparing your Agency to excel in your next survey. Learning objectives for this webinar are:

  1. Describe 3 ways that an agency can be survey ready
  2. Develop processes in the agency that will ensure success during a survey
  3. List 2 things to avoid during a survey
  4. Discuss educational opportunities within the agency in preparation for the survey
*This education session is approved for one (1) contact hour of Continuing Education for Nursing.

*Curaport, LLC is an approved provider of Continuing Education by the California Board of Registered Nursing. All states accept this certification for their licensing requirements. No refund shall be given, except for any change in date or time of the webinar. In such case, a full refund shall be given to the registrant upon their request.

 



Home Health Proposed Rule: CY2019/2020 Payment & Policy Changes

Presented by HEALTHCAREfirst

Featuring:

Deanna Loftus, HEALTHCAREfirst Director of Regulatory Compliance
Liz Silva, HEALTHCAREfirst Director of Home Health & Hospice
Mary St. Pierre, RN, BSN, MGA, Home Health Regulatory Expert

Wednesday, August 8
2:00 pm EDT

Free Registration

On July 2nd, CMS issued a proposed rule outlining changes for CY2019 and CY2020. Join HEALTHCAREfirst for a two-part webinar series where we will break down the proposed changes and discuss what it may mean for home health agencies. In session one, we discussed the proposed changes for CY2019, including a review of the 2.1% payment increase, home health value-based purchasing refinements, updates to the HH QRP requirements, and changes to the rural add-on structure. In session two, we will cover the proposed changes for CY2020, including implementation of the Patient Driven Groupings Model (PDGM) and changes to OASIS. You won’t want to miss this webinar series to learn more about the possible overhaul of the home health prospective payment system and CMS's continuing shift towards value-based care.

 



Understanding Social Determinants to Improve Health Care

Presented by Curaport

Featuring: Christina A. Nuqui, M.S.W., of Home Healthcare Solutions, LLC

Date: Thursday, July 12
Time: 2:00 p.m. EDT
Fee: $79 (per attendee)

Information and registration

This education session is pending approval for one (1) contact hour of Continuing Education for Social Work from the National Association of Social Workers.

Addressing the Social Determinants of health will be the most important factor of health care reform. This webinar will discuss what Social Determinants are, and how they can help you better understand your patient. In addition, we will discuss how Social Determinants affect access to health services, Re-Hospitalizations, & Individual Behaviors.



Introduction to the CMS Electronic Medical Documentation Interoperability (EMDI) Program

Presented by: ElevatingHome
Featuring:

  • Pallavi Talekar, Project Manager, Scope Infotech, Inc.
  • Ray Wilkerson, Sr. Business Analyst, Scope Infotech, Inc.
  • Nandini Ganguly, Business Analyst, Scope Infotech, Inc.
  • Briana Barnes, Project Coordinator, Scope Infotech, Inc.
Date: Wednesday, August 8
Time: 1:00 p.m. EDT

Registration

 

Participants will gain understanding of the CMS-driven Electronic Medical Documentation Interoperability program, focused on reducing provider burden by engaging health care providers and stakeholders in pilots that establish secure communication to share medical documentation by aligning with nationally recognized interoperable standards. This event is designed for providers and vendors who are willing to enhance their workflows and communication to achieve efficiency by reducing time and cost.

In this session participants will learn about interoperability and shift in the health care IT landscape, EMDI pilot program details, EMDI pilot program benefits, and how to partner with the EMDI to achieve interoperability.



The Penalty Box Compliance Series Part 8: The IMPACT Act

Presented by Curaport
Featuring Kristi Bajer, RN, MSN

Wednesday, May 23
1:00 p.m. EDT
$39

Information and registration

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



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

Did you receive this issue as a forward from a colleague? Would you like to have your own free subscription? Click here.

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.