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 4th Quarter of 2020, web sites of the above advertisers were visited by home care and hospice executives and staff 4319 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: Key Documentation Issues for 2020 & the Future

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

Date: March 18
Time:
1:00 - 2:30 EDT

Encore date:
March 25; On-demand recording available


Information and Registration

Documentation remains a key requirement for home care providers as the consequences for inadequate documentation become more severe.

Gather your staff members to emphasize effective documentation yet again. Real examples of cases involving problematic documentation will be presented. Questions and case examples are welcome, and extensive handouts will be provided for use by staff members.

Recordings Available: Pandemic Recovery - Rebuild Stronger Than Ever

Texas Association for Home Care and Hospice

Two days of keynote and breakout presentations for home health and hospice providers.

Purchase Recordings

 


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


The 2021 Home Health Final Rule 

Insights to position your agency for success

Sponsored by: WellSky

Featuring: Sharon Harder, president, C3 Advisors; Jill Dyer, BSN, RN, HCS-D, HCS-O, president, JID Consulting and Coding, LLC

Date: November 18
Time: 1:00 - 2:00 EST

Attendees will learn:

  • How to prepare for and implement the operational changes imposed by the final rule, including submission of no-pay RAPs within five calendar days of the start of care and changes to the types of non-physician practitioners who can order home health services
  • The impact of CMS’s decision to retain the PDGM behavioral adjustment
  • The status of proposed legislation aimed to allow home health agencies to bill for telehealth services during public health emergencies and how this change would affect care planning and delivery

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: Return to Work under COVID-19

Presented by: Healthcare Synergy
Featuring:
David Mauzey, SVP & General Manager, HealthPointe Solutions

Date: January 14
Time: 11:00 - 11:30 PST

Register

The COVID pandemic has evolved, initial processes in place ensure a safe work force environments but need to evolve to stay effective and efficient. Home health has an extra layer of scrutiny given the population may be at a higher risk. This webinar will focus on how an organization can evolve to keep their workforce and patients safe. HealthPointe Solutions has a full inventory of new and advanced recommendations that help implement and maintain site safety. This includes step-by-step guidance that include medical testing administration strategies, patient/employee monitoring, training/education and program auditing.
Objectives:
David Mauzey has over 25 years' experience in healthcare, helping bring operational efficiency solutions to both providers and payers. Within HealthPointe Solutions, he is responsible for operations and was a part of the team that developed HealthPointe Solutions’ COVID response solutions. Prior to joining HealthPointe Solutions, David served as VP and GM of Optum's Network Payment Innovation, where he focused on alternative payment programs, including bundle d payments and population-centric, value-based programs.

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: 5 Key Elements of a Successful Home Health Remote Patient Monitoring Program

Presented by: Amity Healthcare Group

Featuring: Irina Gorovaya, owner and president of Amity Healthcare Group; Erin Vallier, AlayaCare Account Executive; Kaila Raimondo, AlayaCare Solution Engineer

Date: Wednesday, January 27

Time: 2:00 pm EST

Information and Registration

 

Agenda:

Explore key factors and solutions necessary for successful deployment of patient remote monitoring program in home health.

The discussion will include policies and procedures, documentation, staff education, and telehealth equipment and solutions.


FREE WEBINAR: Rubber Meets the Road with the No-Pay RAP

Sponsored by: KanTime & BlackTree Consulting

Featuring: Nick Seabrook, Managing Principal and Founder, BlackTree; Kim Spence, RN, Director, KanTime Customer Success; Greg Lotz, Director, KanTime Marketing & Sales Technology

Date: February 4
Time: 2:00 EST

Register

AGENDA:

Re-visit regulatory changes and how they have impacted agencies. Plus, tips and tricks to stay ahead of the curve.


Virtual Conference: Winter Leadership Summit

Presented by: National Association for Home Care and Hospice

Date: February 23, 2021

Register


Homecare 100 *

Presented by: Lincoln Healthcare Leadership

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

https://www.homecare100.com/


*The Rowan Report will see you there.


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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