Volume 8, Number 43 — October 9, 2019
Dear Healthcare at Home Colleague,
(I am testing a new layout this week. Let us know what you think of it.)
Just as we thought the next chapter in our PDGM series of interviews with experts would be our lead article in this week's issue, WellSky called us Tuesday to let us know they had just that morning signed a deal to acquire ClearCare. We spoke with CEO Bill Miller to get the full story. His comments appear within the press release that was sent out Tuesday.
In our ongoing effort to help Medicare home health providers prepare for a new payment system, we continue our series of PDGM interviews with people we consider to offer the best advice. This week, two CEOs who have been involved with improving clinical documentation and coding for most of their careers. Select Data's Ed Buckley, himself a former HHA owner, and OperaCare's Michael McGowan, a former OASIS coordinator for CMS Region 9, offer a rare positive take on PDGM as well as specific preparatory tactics you should be deploying right now.
Tip: To find all previous articles in this series, use the SEARCH engine on The Rowan Report web site. Enter PDGM in the search field.
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Loyal reader and consultant John Reisinger, of Innovative Financial Solutions for Home Health, alerted us to an appeals court decision that involved one hospice provider but will reverberate throughout Medicare. MACs, ZPICs, UPICs, and RACs have been barred from turning a simple payment denial into a False Claims Act accusation. Read the details about this major court decision in "Court Sides With Medicare Providers Against CMS Auditors."
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It may still only be about physicians using telemedicine, but a new presidential executive order instructs CMS to find ways to use technology, especially remote technologies, to promote more use of Medicare Advantage and reduce costs. See "Executive Order Promotes Telehealth and MA."
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It goes without saying, I look forward to seeing you in Seattle next week at the NAHC 2019 Conference & Expo. I'll be in Booth #301 in the exhibit hall. As you explore, be sure to seek out the sponsors that make this free service possible. Maybe even thank them for their support. Here is where you will find them in the exhibit hall:
Have a great week. Keep making a difference!
BREAKING NEWS: WellSky to Acquire Clearcare
As strong demographic and cost trends drive greater demand for personal care, newest addition facilitates WellSky's long-term strategy of helping providers better manage healthcare costs.
Coding and OASIS Experts Deliver Severe PDGM Forecasts
In this episode of our ongoing PDGM series, we spoke with three experts this week. They have intimate knowledge of claims data, OASIS and other clinical documentation errors, and coding rule changes.
Court Sides With Medicare Providers Against CMS Auditors
CMS auditors can no longer file a False Claims Act indictment just because their doctor disagrees with yours.
Executive Order Promotes Telehealth and MA
Physicians still at the center of proposed telehealth expansion, though CMS is encouraged to find system-wide cost-saving innovations.
Axxess to Share Positive PDGM Perspective at NAHC Conference
Software company's staff will be featured in five NAHC education presentations.
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During the 2nd Quarter of 2021, web sites of the above advertisers were visited by home care and hospice executives and staff 5944 times. To inquire about placing your message here, contact: Kristin@rowanresources.com As of this date, approximately 35,244,000 Baby Boomers have become Medicare eligible. |
Last Week's Most-Read Stories:
Eight Facebook "Nevers"
Vendor Watch
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Webinar: Post-Acute Care Quality Reporting Programs
Presented by: CMS
Date: Thursday, November 14
Time: 2:00 - 3:00 pm EST
Fee: Free
Description: The Centers for Medicare & Medicaid Services (CMS) will be hosting a webinar for Medicare-certified hospice providers to provide an overview on Hospital Quality Reporting Program (HQRP) requirements.
During this webinar, CMS subject matter experts will provide information on the following topics:
- Hospice Item Set (HIS) reporting requirements;
- HQRP compliance cycle;
- How to achieve hospice compliance;
- CAHPs survey requirements; and
- How to switch CAHPS survey research vendors.
CMS will answer questions at the end of the webinar as time permits.
Register
WEBINAR: Documentation: How to Fight Auditors
A 90-minute Lunch & Learn Audio Conference by Elizabeth E. Hogue, Esq. Health Care Attorney
Date: May 5
Time: 1:00 - 2:30 EDT
Encore date: May 12; On-demand recording available 24/7
Information and RegistrationHome health agencies and hospices are plagued by audits! The United Program Integrity Contractors (UPICs) are hard at work. RAC auditors are now back on the job, too. Plus, there are ADRs, scrutiny from the OIG, and more! What should providers do to avoid being in the crosshairs or to get out of the line of fire?
The answer, of course, is documentation. For home health agencies, auditors regard whether patients are homebound and whether care provided was reasonable and necessary as “low-hanging fruit.” Hospices are likely to face denials related to whether patients are terminally ill.
Home health agencies should continuously document regarding homebound status. Hospices must focus documentation on whether patients continued to be eligible for the hospice benefit. Both types of providers should “tell the story” of patients’ conditions so that care is clearly reasonable and necessary.
If providers are targeted by auditors, they should carefully review and make additions and changes consistent with applicable standards before submitting records.
Attend this presentation to learn exactly how to document to minimize denials.
Webinar Series: Sales Training, Home Health and Hospice
Presented by: Healthcare Strategica, LLC
Featuring: Michael Ferris
1 - 8-week Hospice & Palliative Care Sales Training Course2 - 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.
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
Time: 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
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
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, AlayaCareDate: Wednesday, January 27
Time: 1:00 EST
Information and RegistrationAgenda
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: 6 New COVID-19 ICD-10 Codes to Learn Webinar
Presented by: Healthcare Synergy
Featuring: Michael Tidd, HealthCare Synergy Clinical ManagerDate: Thursday, February 4
Time: 11:00 - 11:30 PST
COVID-19 has resulted in multiple waivers along with changes to programs and treatments to patients. April 1 had an unexpected release of a new diagnosis code for the COVID-19 disease. October 1 had additional diagnosis codes for agencies to learn and use. January 1, 2021 brings six additional diagnosis codes that CMS released the week of Thanksgiving. These will not be listed in your existing diagnosis coding manuals until a new manual is released later in August.
Objectives:
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.
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 ESTJoin 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
experts from companies with solutions for talent/retention and compliance issues, along with the continued challenges that COVID-19 has presented to our industry,
Homecare 100 *
Presented by: Lincoln Healthcare Leadership
Date: June 27-30, 2021
Venue: JW Marriott Marco Island Beach Resort, FL
Registration Information
NAHC Financial Managers 2021 Conference and Expo *
Presented by: National Association of Home Care and Hospice
Date: August 1-3
Venue: Sheraton Grand Chicago
Information and Registration
2021 Home Care and Hospice Conference and Expo *
National Association for Home Care and Hospice
Date: October 3-5
Venue: New OrleansSadly, this conference has had to be postponed, due to the hurricane in New Orleans and COVID situation in Louisiana.
SCHCHA 2021 Annual Conference
Presented by: South Carolina Home Care & Hospice Association
Date: October 25-26
Location: Sonesta Resort, Hilton Head Island, SC
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
Employee Owned 2021 — "Adapt / Innovate / Lead"
Presented by: The ESOP Foundation: International Employee Ownership Center
DATE: November 10-12
VENUE: Caesars Palace, Las Vegas
"Employee Owned 2021," a hybrid ESOP Conference, is built to help you adapt to the ever-changing business landscape. The pandemic, government regulations, supply chain issues, the list of obstacles to optimally running your ESOP goes on and on. We are here to help. Through insightful speakers, innovative ideas, the latest industry updates, technical content you can trust, and a focus on current events, Employee Owned 2021 will prepare you and your ESOP to march confidently into 2022.
More Information
Who Should Attend?
- CEO/CFO/C-Suite
- Department Heads & Supervisors
- HR Staff
- Trustees
- Board Members
- Employee Owners
- Professionals
- Anyone new to ESOPs
*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.
Agenda:
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
- How Home Care Thrives in the Post-COVID World (with Steve "the Hurricane" Weiss)
- ADDED THIS WEEK: "Finishing 2021 STRONG!" Wednesday, September 15, 3-4pm EST.
Register HereContact 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
Date(s)
Hotel or Conference Center, City, State
URL
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