Volume 9, Number 50 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 2021, web sites of the above advertisers were visited by home care and hospice executives and staff 6532 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


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
1:00 EST

Information and Registration

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: 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


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

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.

FREE WEBINAR: Vaccine Hesitancy: How Training Can Help

Presented by: Nevvon, Flex For Checks, & Dr. Ian Smith

Date: Monday, October 11

Time: 10:00 AM Pacific; 1:00 PM Eastern 

Information and Registration


Who should attend? Caregiver agencies looking for creative ways to alleviate vaccine hesitancy and get more workers and patients protected from the COVID-19 virus.

Learn how training caregivers on vaccines can ensure better compliance, reduce hesitancy and lead to better outcomes. We will share first-hand experience of how the Flex For Checks program has been leading the way in vaccinating caregivers through an amazing and potentially lucrative incentive program.

FREE WEBINAR: Targeted Probe & Educate: Where Do You Stand?

Presented by: Healthcare Synergy
Michael Tidd, COS-C, HCS-D, HealthCare Synergy Clinical Manager

Date: Wednesday, November 3
Time: 11:00 am PDT / 2:00 pm EDT


Targeted Probe and Educate is a CMS initiative to seek a better understanding of agencies practices in order to protect the Medicare funds. Agencies self-identify themselves and request reviews by their actions and the data they provide to CMS. Are you aware of the signals you might be sending and how to protect yourself?
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.

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

FREE WEBINAR: Admit more Patients & Stop Nursing Burnout!

Presented by: OperaCare

Date: November 10

Time: 1:00 pm EST; 10:00 PST

Information and Registration

The nursing shortage is getting much worse and will most likely impact your business if it has not already.
During this event we will demonstrate how to complete an entire OASIS in approx. 60 minutes or less. This includes ICD-10 coding, entry and revision of medication’s, all the OASIS items, and Quality Assurance while the nurse is with the patient in the home.

The result: Eliminating 100% of after-hours documentation, increasing clinical productivity, and reducing your labor costs.

The Benefit: The ability to significantly increase your recruitment and retention efforts by providing your clinicians with a sane and humane work life balance.

Important Final Rule Discoveries Every Agency Needs to Know: Examining HH PPS for CY2022

Presented by: HealthRevPartners

Featuring: John Reisinger, CPA

DATE: November 18

TIME: 2:00 - 3:00 EST

VENUE: Online


Register Here

One of the major changes in CMS’ final rule for the Home Health Prospective Payment System announced is this — ???2022 will be a "pre-implementation year for the HHVBP, which was originally scheduled to begin in January.

Learn exactly what you need to do in 2022 for HHVBP.

Additionally, we will cover these final rule changes and more:

And, do you know how much your Medicare revenues are projected to change?

There will be a 3.2% increase ($570 million) in home health spending for CY2022.


*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.



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
Hotel or Conference Center, City, State

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