Volume 9, Number 46 October  7, 2020

Dear Healthcare at Home Colleague,

We work hard to balance our news and analysis to meet the needs of all our readers, who range from personal care providers to Medicare home health and hospice. This week, however, news coming out of CMS dominates and we must focus on two critical issues: Medicare rule changes coming next January 1 and the strange failure of many HHAs to adapt to the changes introduced last January 1. But first...

...a couple of exceptions for Private Duty providers

This week's list of free webinars is especially suited to the interests of non-medical home care providers. First, I invite you to join me this Thursday, October 8, for "The Family Caregiver Speaks Up." At 2:00 EDT, I will be moderating a discussion with the founder and CEO of Citus Health, Melissa Kozak, who recently released a research study about the importance of communications to family members of patients under your care. It seems that keeping families in the loop is a major factor in their decision about which provider to choose. Scroll down for more details and please join me Thursday.

An equally timely webinar provided by Savii Care will feature James Cohen discussing infection control, a topic on everyone's mind these days. Scroll down to read the details of "Preparation for a New Normal." James is the CEO of Nevvon, a leading online education system for personal care providers and home health aides.

Got Competition?

Every little addition to your online visibility can help your phone ring more often with that coveted inquiry from the far away adult child. "I found you online and my mom may need your services." Online marketing consultant Roger McManus returns this week with 12 Tips in 120 Seconds that you can do yourself at no expense other than your time. Read "Optimize Your 'Google My Business' Listing."



Attention HHAs

CMS issued an update that changes the oddly named "No-Pay RAP" that will enter your world in January. Medicare reimbursement consultant John Reisinger sorts through the new procrastination penalties and outlines ways to avoid them. Click on "Penalty Announced for Delayed No-Pay RAP Submission."



We had a great conversation this week with industry veteran Bill Creach, whose company Careficient has just acquired IGEA software from Complia Health. In a bulletin Monday, we reported that Complia Health is pivoting to turn all its resources on its ContinuLink and Suncoast EMR systems and was happy to find a home for IGEA with a solid company. Read "Careficient CEO Discusses IGEA Acquisition" below.



Worth the Trip

After a brief hiatus, the six-state Southwest Homecare & Hospice Conference is back. Under the leadership of the Homecare and Hospice Association of Utah, "Home: Where Our Heart Is" will be presented online, featuring experts from Arizona, Colorado, New Mexico, Oklahoma, and Louisiana. The Utah association has the information you need on its web site.

Editor signature
Tim Rowan

Stop Nibbling At The Edges! Part 1
PDGM requires operational changes to clinical care planning and treatment protocols, not merely coding and billing adjustments. Home Health consultant Arnie Cisneros, PT, begins a 4-part series that will show HHAs how to build a Value-Based Operational Platform and explains how Medicare will pay you for it.

Penalty Announced for Delayed No-Pay RAP Submission
If the phrase "no-pay request for anticipated payment" makes no sense to you, you are not alone. CPA and Medicare reimbursement consultant John Reisinger sorts out the latest CMS update.

Careficient CEO Discusses IGEA Acquisition
Following Monday's announcement, we spoke with Careficient CEO Bill Creach.

Six States to Collaborate on Virtual Conference
Attend "Home: Where Our Heart Is" from your desk.

Optimize Your Google My Business Listing
12 ideas in 120 seconds to draw attention to your private duty agency.

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 39,248,000 Baby Boomers have become Medicare eligible.


Last Week's Most-Read Stories:

PRF Reporting Requirements and Potential Audits
CMS has changed the rules after the game began. If you took emergency COVID funds, learn these new reporting rules and deadlines.

Medicaid News: New Funding Released for SNF-to-Home Transitions
CMS Announces New Federal Funding for 33 States to Support Transitioning Individuals from Nursing Homes to the Community. "Our goal must always be to keep our loved ones in their own homes and communities for as long as possible." —Seema Verma

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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