Volume 9, Number 50 January  29, 2020




Dear Healthcare at Home Colleague,

Like many of you, we thought Tom and Jennifer Maxwell formed their consulting firm, Maxwell Healthcare Associates, exclusively to help Medicare home health agencies implement EMR software and help them learn to use it effectively. For this reason, we would not be surprised if an eyebrow or two were raised -- as ours were -- by this week's big announcement that MHA will start helping the personal care clients of software company Savii. This expansion into private duty is quite a hard right turn for the former Homecare Homebase executive and his partner. Perhaps it explains why Jennifer told me at Homecare 100 that they are looking to hire dozens more consultants. We wish them the best; it's a partnership between good folks. Read their joint announcement below in "Savii Partners with Maxwell Healthcare Associates."


CMS News

Both private duty and medical providers will take away some ideas from the processes put in place by some of our largest HHAs to cope with CMS's new payment system, PDGM. The innovations are operational, collaborative, and enriched by data analysis. They might benefit every healthcare provider. We listened to several of the executives who implemented them at the Homecare 100 gathering and spoke to one of them in depth. Scroll down and click on "Bayada Huddles to Confront PDGM."

When a CMS contractor accuses you of fraud, waste, or abuse, you have the right to appeal the determination. During the lengthy appeal process, is it legal to force you to return the full contested amount to the government, assuming you will lose the appeal two or three years later? Or should you be allowed to hold and use the funds until your case is adjudicated by the Administrative Law Judge? This question has been presented to court after court in recent years. The problem is that every other decision reverses the previous one. Guest author and home care attorney Elizabeth Hogue tells us about the most recent court decision. Click on "Recoupments of Alleged Overpayments Before ALJ Hearings," below. Reminder: to read about the previous cases on this topic Elizabeth has tracked for us, go to our home page at http://homecaretechreport.com, find the "Search" tool, and type "Hogue" into the search field.


Review Choice Demonstration is underway in Texas, set for a March 2 deadline. North Carolina and Florida are next. We have links to the CMS FAQ pages in "Review Choice: Not to Decide is to Decide."

I hope you find this week's coverage useful. To learn more about all of the services we offer, go to RowanResources.com.

Have a great week. Keep making a difference!

 

Editor signature
Tim Rowan



Bayada Huddles to Confront PDGM
The home health provider's clinical procedure adjustments helped patients so much, they kept them in place even after PDGM was delayed a year.

Update on Recoupments of Alleged Overpayments Before ALJ Hearings
The legal pendulum has swung back in favor of Medicare healthcare providers. A Texas court called the HHS argument "so ludicrous as to be specious."

Review Choice: Not to Decide is to Decide
The choice selection period for Texas HHAs began on January 15 and will end on February 13. Review Choice begins on March 2. North Carolina and Florida are next.

Savii Partners with Maxwell Healthcare Associates
Minneapolis-based consulting firm will provide Private Duty implementation and training services



During the 2nd Quarter of 2021, web sites of the above advertisers were visited by home care and hospice executives and staff 5944 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

As of this date, approximately 36,476,000 Baby Boomers have become Medicare eligible.

 

Last Week's Most-Read Stories:

The Forgotten Home Care Team: Marketing
It is the role of leadership to ensure marketing does not get lost in the regulatory compliance shuffle, and that clear direction and tools are available to your liaisons, that will drive your business forward in 2020.

PDGM is Here, Now What?
Guest author Cheryl Peltekis, RN, weighs in with specific strategies for home health owners hearing all the fears that PDGM will destroy cash flow and put 1/3 of agencies out of business.


Upcoming Events

WEBINAR: Documentation: How to Fight Auditors

A 90-minute Lunch & Learn Audio Conference by Elizabeth E. Hogue, Esq. Health Care Attorney

Date: May 5
Time:
1:00 - 2:30 EDT

Encore date:
May 12; On-demand recording available 24/7

Information and Registration

Home health agencies and hospices are plagued by audits! The United Program Integrity Contractors (UPICs) are hard at work. RAC auditors are now back on the job, too. Plus, there are ADRs, scrutiny from the OIG, and more! What should providers do to avoid being in the crosshairs or to get out of the line of fire?

The answer, of course, is documentation. For home health agencies, auditors regard whether patients are homebound and whether care provided was reasonable and necessary as “low-hanging fruit.” Hospices are likely to face denials related to whether patients are terminally ill. 

Home health agencies should continuously document regarding homebound status. Hospices must focus documentation on whether patients continued to be eligible for the hospice benefit. Both types of providers should “tell the story” of patients’ conditions so that care is clearly reasonable and necessary. 

If providers are targeted by auditors, they should carefully review and make additions and changes consistent with applicable standards before submitting records.

Attend this presentation to learn exactly how to document to minimize denials.

Webinar Series: Sales Training, Home Health and Hospice

Presented by: Healthcare Strategica, LLC

Featuring: Michael Ferris

1 - 8-week Hospice & Palliative Care Sales Training Course

2 - 8-week Home Health Sales Training

Rowan Report subscribers: Register with this link to receive $100 discount.

We have taken our best of class industry specific sales training bootcamps and are offering them via Webinar to enable you to continue to train your sales team in today's world of limited travel and social distancing.

The Hospice and Palliative Care course will be offered live every Tuesday starting May 19 through July 7, 2020.

The Home Health course will be offered live every Tuesday starting May 21 through July 9, 2020.

Each class will have participation exercises, homework assignments, quizzes and question and answer opportunities.

Each participant will receive their own course materials and individual coaching and feedback. At the conclusion of the course each student will receive a certificate of completion, an invitation to join the exclusive Sales Mastery Group* and opportunity to join the 52-week Sales Training Excellence Course.*

* Only available to Sales Professionals that have successfully completed the 8-week Sales Training Course – additional fees may apply.

Each session will be offered on-demand and if unable to attend the live webinar, you will be able to view the recording and participate in exercises, questions, coaching and quizzes. If you start after the first webinar date, you will be provided with access to those classes missed so that you can get caught up or you may elect to attend via the recorded sessions.


FREE WEBINAR: How Technology Enhances Home Care in an Increasingly Remote World *

Sponsored by: Care Connect

Moderator: Tim Rowan

Panelists: Mike Gelman, President COO, CareConnect; Jim Rolla, SVP, VNSYNY Partners in Care; Steve Pellito, SVP, Provider Sales, Sandata

Date: November 12
Time:
1:00 pm EDT

Register


FREE WEBINAR: Cybersecurity in Healthcare: Assess Threats & Reduce Your Risk

Presented by: Netsmart

Featuring: Randy Pargman, Binary Defense senior director of threat hunting and counterintelligence; Sharon Hicks, MBA, MSW, OPEN MINDS senior associate; and Mike Murray, Netsmart director of Plexus Technologies,

Date: December 9

Time: 1:00 EST

Information and Registration

Healthcare organizations are often at risk of cyberattacks due to a lack of dedicated IT and reliance on traditional reactive approaches. To learn how to protect your data, register now to join Randy Pargman, as they map the risk landscape and provide guidance for safeguarding your organization.

Key takeaways:

• Cyber threats in healthcare
• Impacts of a data breach
• Best practices for securing your data


 

FREE WEBINAR: Can you collect Cash faster?

Sponsored by: Savii

Date: Tuesday, January 12

Time: 2:00 pm EST

Information and Registration

With small margins in home care it has prompted the question, “Can we collect cash faster?” And what would this do for an agency? One thing we know is margins are small and have become more challenging than ever to for agencies to profit. This doesn’t mean it impossible for agencies to survive; it means a focus on collecting cash faster will be ever so important.


Agency leaders will first need to develop a timeline cadence of when to address claims based on when they were submitted for payment. In addition it will be pertinent to understand their own agency metrics such as DSO (Daily Sales Outstanding) and how they compare to industry standards.

On this webinar you will walk away with how to develop a timeline and your own DSO dashboard for benchmarking. All of these topics will weave into  strategic steps to take toward collecting cash flow faster.

FREE WEBINAR: The Rise of Hospital at Home: A Roundtable Discussion

Sponsored by: AlayaCare

Featuring: Dr. Bruce Leff, Hospital at Home Pioneer & Professor, John Hopkins School of Medicine; Adrian Schauer, Founder and CEO
AlayaCare; Joel Theisen, Founder and CEO, Lifesprk; Brady Murphy, VP Sales & Marketing, AlayaCare

Date: Wednesday, January 27
Time:
1:00 EST

Information and Registration

Agenda
Across the U.S., the Acute Hospital Care at Home initiative from CMS is taking off amid the pandemic with at least 80 approved participants to date. As hospital-at-home models become more popular and more beneficial to both patients and health care organizations, those that have recognized the perks of home-based care prior to the COVID-19 crisis may have the upper hand.

Join us on Wednesday, Jan 27th at 1:00 pm EST for a roundtable discussion with industry experts such as Dr. Bruce Leff, Hospital at Home Pioneer and Professor at John Hopkins School of Medicine who deserves his reputation as a founding father of this virtual hospital concept, to learn about the hospital-at-home model and its impact on the home care industry.



FREE WEBINAR: 6 New COVID-19 ICD-10 Codes to Learn Webinar

Presented by: Healthcare Synergy
Featuring:
Michael Tidd, HealthCare Synergy Clinical Manager

Date: Thursday, February 4
Time: 11:00 - 11:30 PST

Register

COVID-19 has resulted in multiple waivers along with changes to programs and treatments to patients.  April 1 had an unexpected release of a new diagnosis code for the COVID-19 disease.  October 1 had additional diagnosis codes for agencies to learn and use.  January 1, 2021 brings six additional diagnosis codes that CMS released the week of Thanksgiving.  These will not be listed in your existing diagnosis coding manuals until a new manual is released later in August. 
Objectives:
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: Practical Application of Information Blocking and Interoperability Rules for Post-Acute Care Providers

Sponsored by: Complia Health and Kno2

Date: February 18
Time: 1:00 EST

Information and Registration

Join healthcare technology experts Alan Swenson, VP of Interoperability at Kno2, and Melissa Turner, Director of Integration at Complia Health, on Thursday, February 18th at 1pm Eastern to learn about information blocking and what it means for your post-acute care organization today and looking ahead to the future. 


FREE WEBINAR: Tech Titans Join Forces to Tackle Post Acute Care Challenges

Sponsored by: KanTime

Featuring: Terra Vicario (Moderator) CMO, Viventium; Malka Trump, Director of Compliance, Viventium; Kristen Duell, EVP, KanTime; Kim Spence, RN, Customer Success Division Leader, KanTime; James Cohen, CEO & Co-Founder, Nevvon

Date: Thursday, April 22

Time: 11:00 am PDT, 2:00 pm EDT

Register

2021, in many ways, is a continuation of challenges from 2020 and more! During this webinar, experts from companies with solutions for talent/retention and compliance issues, along with the continued challenges that COVID-19 has presented to our industry, will cover rules, regulations, and programs you need to stay on top of so your company can thrive amidst the pandemic.

Homecare 100 *

Presented by: Lincoln Healthcare Leadership

Date: June 27-30, 2021
Venue: JW Marriott Marco Island Beach Resort, FL

Registration Information


NAHC Financial Managers 2021 Conference and Expo *

Presented by: National Association of Home Care and Hospice

Date: August 1-3

Venue: Sheraton Grand Chicago

Information and Registration

2021 Home Care and Hospice Conference and Expo *

National Association for Home Care and Hospice

Date: October 3-5
Venue: New Orleans

Sadly, this conference has had to be postponed, due to the hurricane in New Orleans and COVID situation in Louisiana.


SCHCHA 2021 Annual Conference

Presented by: South Carolina Home Care & Hospice Association

Date: October 25-26

Location: Sonesta Resort, Hilton Head Island, SC

Information and Registration


AHHC 2021 Leadership Conference

Presented by: Association for Home & Hospice Care of North Carolina

Date: November 8-9

Location: Holiday Inn Resort, Wrightsville Beach, NC

Information and Registration


Employee Owned 2021 — "Adapt / Innovate / Lead"

Presented by: The ESOP Foundation: International Employee Ownership Center

DATE: November 10-12
VENUE: Caesars Palace, Las Vegas

"Employee Owned 2021," a hybrid ESOP Conference, is built to help you adapt to the ever-changing business landscape. The pandemic, government regulations, supply chain issues, the list of obstacles to optimally running your ESOP goes on and on. We are here to help. Through insightful speakers, innovative ideas, the latest industry updates, technical content you can trust, and a focus on current events, Employee Owned 2021 will prepare you and your ESOP to march confidently into 2022.

More Information

Who Should Attend?


*The Rowan Report will see you there.

FREE WEBINAR: New, Science-Based Methodology Reduces Cost of Recruitment and Retention

Presented by: The Rowan Report

Featuring: Eric Becker, CEO, MiliMatch

Date: Thursday, March 18

Time: 3:00 pm EST; Noon PST

Recorded version available.

 

Agenda:

Every time a home care agency hires and trains a new caregiver, it invests about $4,500, which is wasted if that new hire does not work out, often before working a first shift. MiliMatch CEO Eric Becker will explain the company's patented product/service, based on the science of Applied Cognitive Linguistics, which has been proven to help home care agencies avoid those costly bad hires.


FREE WEBINARS: "Best of Home Care Heroes" Series 

Sponsored by: Ankota

Featuring: Steve "The Hurricane" Weiss, Ophelia Cole, Barbara Gaines, Cheryl Hammons, others

Dates: Ongoing

 

Contact Ankota directly about two special offers: a free trial of a staffed, live-chat solution for your website, and a discount to Steve Weiss' "Mililonaire Bootcamp."

 



Your state or national association meeting or webinar 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



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