Volume 8, Number 43 — November 6, 2019
Dear Healthcare at Home Colleague,
On a week where the big news is about CMS publishing its final PDGM rule, we nevertheless found two stories that will resonate with non-medical home care providers. I also want to point out that there are a number of workshops and webinars coming up, most of them about PDGM. Scroll down to the bottom of this page to read the list.
If your field staff uses smart phones to record patient information, visits, and shifts, do you have company policies about apps they can and cannot download onto their phones? The incidents of malware infestation are increasing, especially in Android phones. We have specific instructions from a security expert. Follow his 4-step plan and you will decrease the chance of some offshore hacker gaining access to your network through one of your employees' phones. Scroll down and click on "Four Ways to Avoid Malware on Android Phones."
Dr. Bill Thomas, a gerontologist, spent four years traveling the country, interviewing elderly people. We heard him speak a few weeks ago and tried to remember as much as we could from his presentation. He is not only an inspiration, but he delivered insights into what elders think about healthcare, loneliness, who should decide where they live, and a dozen more topics. Meet Dr. Thomas in "Gerontologist Offers New Insights Into Aging."
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On Friday, CMS will release its final rule for the 2020 home health payment system in the Federal Register. Looking at a draft copy, the only surprise we saw is the change in the percentage rate reduction for CMS's so-called "behavioral adjustment." It was reduced from 8.01% to 4.36%. We asked NAHC president Bill Dombi to weigh in on the change and juxtaposed his comment with the CMS response to the many comments it received from the public on the controversial move. Scroll down and click on "PDGM Final Rule Released, With One Surprise."
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Preparing for any payment system change creates stress. A change as big as PDGM creates more than its share. Many home health agencies respond to the message that they must improve productivity and efficiency by saying, "We've already been doing that. How can we economize more?" We called a guest writer to help answer that question. Michael McGowan is a former CMS OASIS coordinator and the developer of an OASIS assessment system that has been getting nurses home at 5:00 with no paperwork, no charting to do. He describes his system in "Will Your Care Planning System Carry You Through PDGM?"
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As you read this, I'll be on my way to Albuquerque. I hope to see friends and readers from the New Mexico Association for Home & Hospice Care. I have the privilege of moderating a panel discussion of experts on the subject of interoperability. We will focus on the advantages of joining a Healthcare Information Exchange. Next week, I will be in Las Vegas, talking about my system of improving a company's online visibility. We have a major software upgrade to demonstrate at the Private Duty Conference conducted by Decision Health.
Have a great week. Keep making a difference!
PDGM Final Rule Released, With One Surprise
NAHC wins 50% reduction of behavior adjustment rate. CMS does not back down on belief in its underlying rationale.
Gerontologist Offers New Insights Into Aging
After a four-year sabbatical, during which he interviewed older people in hundreds of U.S. cities, gerontologist Dr. Bill Thomas came home with an entirely new perspective on aging and what older people really want. His findings will change your outlook on caring.
Four Ways to Avoid Malware on Android Phones
Downloading the wrong app can install malware on your phone. From there it can get into your company's servers. Here are protective steps you should take.
Will Your Care Planning System Carry You Through PDGM?
A former CMS OASIS coordinator reflects on the impact PDGM will have on HHAs that do not adapt. He ends with one powerful way to create the necessary system efficiencies.
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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 35,552,000 Baby Boomers have become Medicare eligible. |
Last Week's Most-Read Stories:
Nurse Tackles Nursing Shortage with Free App
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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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