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."
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 4th Quarter of 2020, web sites of the above advertisers were visited by home care and hospice executives and staff 4319 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
Conference: Successful Home Health Transformation
Hosted Dixon Healthcare Solutions, Inc.
Date: December 5-6
Location: Bally's, Las Vegas
Time: 7:00 am - 4:00 pm
Speakers: Richard K. Dixon, Cheryl Peltekis, RN, Meaghan McCormick, Esq., Donna Floyd, RN, BSN, J'non Griffin, RN, MHA, HCS-D, BCCH-C, COS-C, WCC; Annette Lee, RN, MS, HCS-D, COS-C; Cory Mertz, managing partner for a leading healthcare M&A firm.Approved for up to 10 hours of Continuing Nursing Education by Corexcel, an accredited provider by the American Nurses Credentialing Center's Commission on Accreditation.
WEBINAR: Key Documentation Issues for 2020 & the Future
A 90-Minute Lunch & Learn Audio Conference by Elizabeth E. Hogue, Esq. Health Care Attorney
Date: March 18
Time: 1:00 - 2:30 EDT
Encore date: March 25; On-demand recording available
Information and Registration
Documentation remains a key requirement for home care providers as the consequences for inadequate documentation become more severe.
- What can home health agencies do to avoid denials by ZPICs, RACs, etc., for lack of homebound status and reasonable and necessary care?
- What kind of documentation must home health agencies, hospices, private duty agencies and HME companies maintain regarding gifts to referral sources and payments to physicians who make referrals to them?
- How can providers avoid an increase in enforcement action in this area?
- What kinds of documentation problems are private duty agencies facing with regard to recoupments from state Medicaid Programs?
- What dangers do electronic medical records cause for all types of home health providers?
- Is it true that if it wasn't documented, it wasn't done?
Gather your staff members to emphasize effective documentation yet again. Real examples of cases involving problematic documentation will be presented. Questions and case examples are welcome, and extensive handouts will be provided for use by staff members.
Recordings Available: Pandemic Recovery - Rebuild Stronger Than Ever
Texas Association for Home Care and Hospice
Two days of keynote and breakout presentations for home health and hospice providers.
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
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 ESTAttendees 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: 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: Return to Work under COVID-19
Presented by: Healthcare Synergy
Featuring: David Mauzey, SVP & General Manager, HealthPointe SolutionsDate: January 14
Time: 11:00 - 11:30 PST
The COVID pandemic has evolved, initial processes in place ensure a safe work force environments but need to evolve to stay effective and efficient. Home health has an extra layer of scrutiny given the population may be at a higher risk. This webinar will focus on how an organization can evolve to keep their workforce and patients safe. HealthPointe Solutions has a full inventory of new and advanced recommendations that help implement and maintain site safety. This includes step-by-step guidance that include medical testing administration strategies, patient/employee monitoring, training/education and program auditing.
Objectives:
David Mauzey has over 25 years' experience in healthcare, helping bring operational efficiency solutions to both providers and payers. Within HealthPointe Solutions, he is responsible for operations and was a part of the team that developed HealthPointe Solutions’ COVID response solutions. Prior to joining HealthPointe Solutions, David served as VP and GM of Optum's Network Payment Innovation, where he focused on alternative payment programs, including bundle d payments and population-centric, value-based programs.
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: 5 Key Elements of a Successful Home Health Remote Patient Monitoring Program
Presented by: Amity Healthcare Group
Featuring: Irina Gorovaya, owner and president of Amity Healthcare Group; Erin Vallier, AlayaCare Account Executive; Kaila Raimondo, AlayaCare Solution Engineer
Date: Wednesday, January 27
Time: 2:00 pm EST
Information and Registration
Agenda:
Explore key factors and solutions necessary for successful deployment of patient remote monitoring program in home health.
The discussion will include policies and procedures, documentation, staff education, and telehealth equipment and solutions.
FREE WEBINAR: Rubber Meets the Road with the No-Pay RAP
Sponsored by: KanTime & BlackTree Consulting
Featuring: Nick Seabrook, Managing Principal and Founder, BlackTree; Kim Spence, RN, Director, KanTime Customer Success; Greg Lotz, Director, KanTime Marketing & Sales Technology
Date: February 4
Time: 2:00 ESTAGENDA:
Re-visit regulatory changes and how they have impacted agencies. Plus, tips and tricks to stay ahead of the curve.
Virtual Conference: Winter Leadership Summit
Presented by: National Association for Home Care and Hospice
Date: February 23, 2021
Homecare 100 *
Presented by: Lincoln Healthcare Leadership
Date: June 27-30, 2021
Venue: JW Marriott Marco Island Beach Resort, FL
https://www.homecare100.com/
*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
Date(s)
Hotel or Conference Center, City, State
URL
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Home Care Technology Report is published by Rowan Consulting Associations, Inc., Colorado Springs, CO. All rights reserved. Request reprint permission by writing to editor@homecaretechreport.com.
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