Volume 8, Number 43 December  18, 2019



Dear Healthcare at Home Colleague,

According to cyber security writer Jonathan Greig, writing for Tech Republic, the ransomware attack against Casamba's home health and hospice servers and data cloud does not merit a place among the ten worst cyber attacks of the decade. (https://static.cbsileads.com/direct/whitepapers/10_most_important_cyberattacks_r1.pdf) We will continue to keep an eye on their clients anyway, until they, their attorneys, and government regulators watching the situation tell us everything is back to normal. Here on day 35, they say performance is getting better and almost all modules are restored.

Everyone is talking about cyber security these days

In addition to the Greig article, which we do not have permission to print but which can be found with the link above, we have two news items from government sources this week. One is from CMS about hospice. The other, regarding cyber security tips, will be relevant to everyone.

"HHS Issues Cyber-Security Guidance for Affected HHAs and Hospices" offers guidance for all healthcare providers about how to protect themselves and their patients from cyber attacks. A failure to respond according to HIPAA and Justice Department reporting rules could destroy a business. If the financial penalties and lawsuits do not bankrupt an agency, the damage to its reputation will. I know it's Christmas week and the middle of Hanukkah, but if you have time to read just one article, this is the one you want.

In this week's vendor news: Honor announced another landmark partnership, this time with one of the best-known private duty agency owners. We spoke with Lucy Andrews, PhD, about her reasons for aligning At Your Service Home Care with the San Francisco technology and staffing company. A highly respected home care veteran, and a former NAHC board member, Lucy's walk-through of her decision process will get private duty home care owners thinking.

AlayaCare sent us a big announcement as well. They have just signed Lifematters, one of the largest home care providers in DC, Virginia, and Maryland.

A year, and a decade, to remember

On a personal note, this is the time of year to look back with gratitude for all the people who make this free service possible. If you are one of our sponsors, you have dealt with Kristin. She works tirelessly to take a lot of responsibility off my shoulders so I am more free to focus on research and writing. Staff writers Darcey Trescone and Audrey Kinsella make sure I never miss an important breaking news story. They find experts and conduct interviews to bring you clear explorations of information you might otherwise have to seek out on your own. If you have signed up to have your company and products featured in my revised Home Care Technology Buyer's Guide, you have worked with Darren Horrigan, a huge help to all of us this whole year.

And all of us, Kristin, Darcey, Audrey, Darren, and I, want to wish every one of you, subscriber and sponsor, a blessed holiday season. Whether you will be celebrating Christmas, Hanukkah, Kwanzaa, or the winter solstice, may you be held within the love of family — with no political conversations at the dinner table — and ring in a prosperous 2020. We do this for you but we couldn't do this without you. Thank you all and God bless us every one.

Tim

Editor signature
Tim Rowan



HHS Issues Cyber-Security Guidance for Affected HHAs and Hospices
There may be some emergency payments available for those who still cannot submit claims following the recent ransomware attack against a home health and hospice EMR software vendor. Surprisingly few agencies have submitted claims to date.

CMS Issues Important Hospice Quality Reporting Program Updates
Everything hospices need to know about HOPE, HIS, and HQRP.

Dr. Lucy Andrews Discusses Her Decision to Join Honor
Former CAHSAH president and NAHC board member tackles staffing shortage crisis by accepting partnership.

Lifematters Selects AlayaCare
Lifematters is one of the largest employer-based home care providers in the DC area.



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 36,014,000 Baby Boomers have become Medicare eligible.

 

Last Week's Most-Read Stories:

HHS OIG Discovers Billions in Fraudulent Medicare Payments
No, it is not Miami-Dade, Houston, or Los Angeles home health agencies this time, but Medicare Advantage Organizations, for-profit insurance companies, that have been caught billing for services never performed.

What Can Providers Give Patients for the Holidays?
There is a lot of talk these days about the relationship between social determinants and health. A key social determinant is, undoubtedly, access to a sufficient amount of nutritious food. What are the current rules about giving food to patients during the holidays?




Upcoming Events

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 Registration

Home 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 Course

2 - 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

Register


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

Information and Registration

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

Information and Registration

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, AlayaCare

Date: Wednesday, January 27
Time:
1:00 EST

Information and Registration

Agenda
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 Manager

Date: Thursday, February 4
Time: 11:00 - 11:30 PST

Register

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 EST

Information and Registration

Join 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

Register

2021, in many ways, is a continuation of challenges from 2020 and more! During this webinar, experts from companies with solutions for talent/retention and compliance issues, along with the continued challenges that COVID-19 has presented to our industry, will cover rules, regulations, and programs you need to stay on top of so your company can thrive amidst the pandemic.

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 Orleans

Sadly, 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

Information and Registration


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

Information and Registration


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?


*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

 

Contact 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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