Volume 9, Number 46 October  28, 2020

Dear Healthcare at Home Colleague,

Many of you know I was raised in Southern California. Forgive me if it shows that I am writing you late at night. I was busy watching the Dodgers win the World Series for the first time since 1988. Now to the news...

Honor is on the move again. In this week's Vendor Watch column, we report on their next round of financing, an impressive $140 million.

Guest author and friend of the Rowan Report and highly respected home health financial advisor Dave Macke sent us his detailed analysis of the new Medicare cost report form. Every Medicare provider will want to print it out and use it as a guide. Click below on "New CMS Medicare Cost Report Form for HHAs."



Of interest to all:
Every healthcare provider watched closely to the nomination and approval of Supreme Court Justice Amy Coney Barrett, with one eye toward November 10, when the court is scheduled to take up the case to revisit the Affordable Care Act. Texas and other Republican-led states sued the federal government, arguing that since the mandate was no longer tied to a specific tax penalty, the ACA had lost its legal underpinning. They also argued that because the individual mandate was intertwined with a multitude of other provisions, the entire law should fall, including protections for people with pre-existing conditions. The new justice is a self-described "originalist," but what exactly does that mean with regard to 21st century health insurance? We turned to our favorite expert, former insurance company executive Wendell Potter, to answer that question. Click below on "Putting the Upcoming ACA Supreme Court Case in Perspective."


When that proverbial adult daughter uses Google to find the highest-rated home care agency in your area for her mother, will she find you? When was the last time you checked your star rating, your reviews, your online reputation? Are you clear on the difference between Google Global and Google Local? Get a tune-up with online marketing consultant Roger McManus' new primer, "Why Google's Local Search is Key for Home Care Agencies."

Checking in with vendor news, we report on Sandata winning the EVV contract in North Carolina. 



Worth the Trip

Please mark your calendars and join me when I moderate a webinar for our sponsor Care Connect on November 12. "How Technology Enhances Home Care in an Increasingly Remote World" will begin at 1:00 EST and go about an hour. Scroll down to the Conferences section for the details. Also in that section you will find a link to this year's Southwest Hospice and Homecare Conference & Exhibition in November and South Carolina's virtual conference in December.

Have a great week. Keep making a difference!

Editor signature
Tim Rowan

New CMS Medicare Cost Report Form for HHAs
Everything you need to know about the new HHA Medicare Cost Report, from one of our industry's most respected financial advisors.

Putting the Upcoming ACA Supreme Court Case in Perspective
Even a judicial originalist cannot find a precedent for a business that did not exist when the Constitution was written.

Why Google's Local Search is Key for Home Care Agencies
The importance of a home care agency's online reputation cannot be overestimated. But how do agency leaders assess their reputation and how do they polish it up?

Sandata Wins North Carolina EVV Contract
NC agreement with Sandata will permit providers to use their current EVV vendor.

Vendor Watch
— Honor secures $140 Million Series D investment
— Dr. Eric A. Coleman Joins CareCentrix Strategic Advisory Board

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 39,479,000 Baby Boomers have become Medicare eligible.


Last Week's Most-Read Stories:

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.

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.

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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