Volume 9, Number 46 October  21, 2020

Dear Healthcare at Home Colleague,

In the news this week, many in-home care providers will be impacted by two acquisition announcements. Click below on both "Netsmart Acquires Tellus" and "Sandata Acquires Interactive Financial Solutions" to see if the news about the acquisitions by two familiar post-acute software companies of an EVV and aggregator company and an Intellectual & Developmental Disabilities software vendor, respectively, might reach your doorstep.

With the EVV mandate expanding to include Home Health providers in a little over two years, these acquisitions, and the one from HHAeXchange last week, will affect everyone.

Home Health

With PDGM nearing its first birthday, it is surprising to hear how many HHAs continue to use PPS-era operational practices. Guest author Arnie Cisneros, who presents Part 2 of his 4-part series on how to profit from PDGM this week, told us that he has guided some of his clients from a subsistence, or even a negative, profit margin to profitability by applying new clinical procedures that are both adapted to the present reimbursement model and mindful of our inevitable transition from volume to value. If PDGM seems to be stealing your revenue, be sure to click below on "Stop Nibbling at The Edges! Part 2."



In our Vendor Watch column, we feature an interview with Medalogix Chief Clinical Officer Cyndi Rizzitello about the release of that company's newest product, which is designed to give a data analysis booth to the same problem Arnie's article addresses.

If you have to submit a Medicare cost report, and especially if you operate multiple offices, a new service from CMS might make your life easier. We explain what it is and how you can take advantage of it in "Medicare Part A Cost Report: Learn How to Bulk e-File." In that same article, we give you the details about an October 29 CMS training webinar on the same subject.



In one of our rare editorial comments, I am asking for your feedback this week on my gut reaction to a CMS document that hit my email inbox and may also have reached yours on Monday. I've been observing a change in CMS language and choice of phrasing for the past several months in its news releases. Monday's was a measure beyond in my opinion. What do you think? Click on "CMS Document Appears to Improperly Promote One Candidate Over the Other."



Worth the Trip

Do not forget that a major, six-state association conference is coming up on November18-19. The Southwest Home Care & Hospice conference is the product of the associations from Arizona, Colorado, Louisiana, New Mexico, Oklahoma, and Utah, and the Arizona Hospice and Palliative Care Organization. Scroll down for the details. Or click here: hhau.org/event-3956737. This conference will be aimed at the need of medical and non-medical providers in these six states but I would bet, if you asked nicely, they would let you register from the other 44.

I will also be moderating an expert panel in another free webinar on November 12 for Care Connect. Scroll to the top of this page and click on their banner ad for the details about "How Technology Enhances Homecare in an Increasingly Remote World." You will be impressed with a lineup that includes Jim Rolla, SVP, VNSYNY Partners in Care.

Have a great week. Keep making a difference!

Editor signature
Tim Rowan

Stop Nibbling at The Edges! Part 2
In part 2 of his 4-part series, guest author Arnie Cisneros, PT, asserts that outcomes necessary to meet PDGM goals can only come from serious operational changes. "Business as usual" is not an option.

Medicare Part A Cost Report: Learn How to Bulk e-File
There are multiple benefits to utilizing the e-Filing technology available for providers including immediate confirmation of receipt and tracking purposes for cost reports.

CMS Document Appears to Improperly Promote One Candidate Over the Other
On October 19, CMS released a news announcement that contained no news, but multiple statements praising the President and criticizing his predecessor.

Netsmart Acquires Tellus
Under the 21st Century Cures Act, states are required to use EVV for personal care services by January 1, 2021, and for certified home health care services by January 1, 2023. The Netsmart acquisition of Tellus is timely.

Sandata Acquires Interactive Financial Solutions, Inc.
Doing business as "Solana," IFSI is a technology company dedicated to helping human services industry organizations who serve recipients with Intellectual or Developmental Disabilities.

Vendor Watch: News from Homecare Homebase and Medalogix
— Homecare Homebase signs "Hospice & Palliative Care Charlotte Region," a not-for-profit serving North and South Carolina.
— Medalogix Introduces 4th Data Analysis Product

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 39,402,000 Baby Boomers have become Medicare eligible.


Last Week's Most-Read Stories:

U.S. Supreme Court Hears HHA Extrapolation of Overpayment Case
HHA pursues $12.5 million extrapolation case for 10 years, all the way to the Supreme Court. Did they win?

MatrixCare Pointing to Home Healthcare's Future
MatrixCare president Navin Gupta explains the company's efforts to meet new patient demand and help slow the spread of COVID-19, including finding PPE and distributing it to customers.

Upcoming Events

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
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 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: CY2021 Home Health Final PPS Rule

Presented by: HealthRev Partners

Featuring: John Reisinger, CPA

Date: November 19
Time: 2:00 EST


CMS released the Final Home Health Prospective Payment System Rule for CY2021, which will impact all Medicare-certified home health agencies. In this webinar, John Reisinger, CPA, will discuss the various updates and the projected impact on home health, all the way down to the agency level. He’ll review: – Significant issues and changes in the final rule – Home health payment rates – Telehealth provisions for home health – Requirements for home health infusion therapy suppliers – Preparation tips for upcoming changes

For more than 20 years, John Reisinger, CPA, Principal of Innovative Financial Solutions, has been an industry leader in education about the CMS rule-making process. His diverse background includes Medicare auditor, home health financial executive, and he currently serves as a highly in-demand home health and hospice consultant and turnaround specialist.

FREE WEBINAR: RAP Changes in 2021 – Learn and Prepare!

Sponsored by: HealthCare Synergy

Featuring: Mike Deck, Synergy EMR Project Manager

Date: Thursday, November 19
11:00 am PST / 2:00 pm EST

Information and Registration



CMS continues to drive new rules for home health care, and January 1, 2021 brings a change that will directly effect both your intake process and budgets.




FREE WEBINAR: Why it is All About Cash-Flow in 2021

Sponsored by: KanTime

Featuring: Kristi Bajer, RN, COSC VP clinical Operations @OperaCare, LLC; Michael McGowan, Founder, President @OperaCare,LLC

Date: November 24
Time: 1:00 EST; 10:00 PST



  1. Quick overview of the final rule and Review Choice Demonstration (RCD) We will review everything your agency needs to know about the final rule and RCD
  2. Deep dive into the RAP in 2021 History and future of the RAP What you need and don’t need to file a RAP in 2021 How does the RAP penalty work? What if the RAP is late? Exceptional circumstances, Cancelled RAPs and low utilization patients How to ensure HIPPS codes for RAP and final match
  3. Home health cash flow in 2021 Why flying blind financially is not an option for successful agencies How RAP timing is crucial for financial management Why controlling compliance and utilization is necessary for your agency’s health How to use your OASIS as your Medicare Pre-authorization
  4. Learn how OperaCare Clients submit their RAPs in 4-24 hours by utilizing "Live Interactive QA."


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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