Volume 9, Number 44 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 3rd Quarter of 2020, web sites of the above advertisers were visited by home care and hospice executives and staff 3691 times.

To inquire about placing your message here, contact:


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
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


Virtual Conference: Virtual Summit on Health System Recovery from the COVID-19 Pandemic 

The Nation’s Health System Leaders Engage in a Real-Time Dialogue on Pandemic Recovery and the Future of Health Care in America

Sponsored by: Global Health Care, LLC


Date: June 22-25

The Nation’s Health System Leaders Engage in a Real-Time Dialogue on Pandemic Recovery and the Future of Health Care in America

All health care providers offering full-time, hands-on services to COVID patients click here to register at no cost.

All others register here by June 5 for $200 discount

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.

Virtual Conference: NAHC Financial Managers Annual Meeting

July 27-30


Free Webinar: Carpe Diem: Now is the Ideal Time to Excavate Your Brand Genius

A complimentary webinar & roundtable discussion for executive business leaders

Featuring: Mary Maloney

Date: September 11
Time: 12:00 - 12:45 EDT

Now more than ever we need leaders ready to own a new world narrative - those who are brave enough to strategically position and message their voice in the marketplace from a deeper perspective of purpose that connects directly to what lights them up (their brand genius).

Many leaders confess that they have forgotten their greatness or feel lost in a sea of sameness, amongst a fiercely competitive set. They say they struggle with what words will resonate or feel “salesy” when asked, “What do you do?”

Thanks to the pace of technology, we have less than seconds to connect, therefore, it’s no longer all about what you do for a living and the quantifiable goals you achieved;  it’s much more about what you stand for, the legacy you want to leave and building trust expeditiously with your tribe.

 If 82% of people make buying decisions based on emotion (Capgemini), what emotive messages are you sending?

This webinar will start you on your journey to deliberately make your personal brand come alive.


Free Webinar: Preparation For A New Normal — Infection Control

Presented by: Savii

Featuring: James Cohen, CEO, Nevvon

Date: October 20
Time: 1:00 EDT


This webinar is catered to home care agency owners, HR, operations, nursing and marketers.

You will learn:

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

Sponsored by: Care Connect

Moderator:Panelists: Tim Rowan

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

Date: November 12
1:00 pm EDT


Virtual Conference: Southwest Homecare and Hospice

A collaborative online conference by the home care associations of:

Date: November 18-19

Information and Registration

Experience recognized experts and thought leaders as they share their insights, actionable strategies, and relevant tools and resources.


The 2020 Annual Conference of the South Carolina Home Care & Hospice Association

Virtual Conference: December 9-10
This year's conference will be presented online

Information and Registration

Keynote Speakers:

*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
Hotel or Conference Center, City, State

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