Volume 8, Number 43 February  13, 2019




Dear Healthcare at Home Colleague,

Happy Valentine's Day! I want to start with a clarification. As our understanding of next year's Medicare payment rules evolves, we gather input from a wide variety of consultants and attorneys. Their understanding is evolving as well. Last issue, we reported that every home health payment episode would be billed under the rules in place on the day of discharge, meaning episodes starting as early as December 2 would fall under PDGM rules. We apparently misinterpreted that paragraph in the rule.

At a recent CMS webinar, officials made it clear that the episode's starting date, not end date, will determine whether it should be billed under 2019 or 2020 rules. For example, an admission on December 31, 2019 will be a 60-day episode, billed under the HHRG reimbursement system.

Something for everyone

Providers of both Home Health and Home Care services will want to be sure to catch guest author James Cohen's deep dive into Artificial Intelligence in home care. Starting with the research that early technology adopters most often experience better business outcomes, he recommends all of  healthcare pay attention to AI. It has the potential to supplement human decision-making for the benefit of patients.

For Medicare Home Health

We continue to unpack what we learned from the experts at last month's Home Care 100 gathering. We'll start with their advice regarding next year's PDGM reimbursement system for Medicare providers and, in our next issue, explore what they said about post-acute care providers of all types building partnerships with health systems, physician groups, and investors. Find PDGM recommendations from the CEOs of VNSNY, AccentCare, and Kindred in "Experts Offer PDGM Advice at Home Care 100."

These were two of the strongest messages at that January Scottsdale conference, sponsored by Lincoln Health. Start now to prepare for PDGM in January and build partnerships with other healthcare providers. This second piece of advice leads back to technology, specifically interoperability. It is not a buzzword but a necessity. You will not build partnerships with large health systems if your EMR cannot exchange data with them. Look at both our Vendor Watch column and CMS News column for developments in interoperability.

IMHO

I thought about letting this slide but decided it might be important. We get reports that show how many times each news article we post is opened by readers. Looking back, I see that we have posted ten articles – some news, some analysis – about the coming PDGM payment system since last July. Checking our reports, I also see that these articles have been read by only a handful of people.

Frankly, I am worried about you.

Of course, I know we are not your only source of information. Nevertheless, you have opened other news items between five and ten times as often as our PDGM articles. This makes me suspect you think it is too early to think about PDGM. It is not.

This new payment system will bring big changes; Medicare home health agencies will not be able to start preparations after their summer vacations and be ready by 1/1/20. Predictions are that many of you will struggle to survive even if you do prepare and that hundreds, if not thousands, of agencies will go under. Your EMR vendor will help, and we are interviewing them to let you know what their plans are, but you cannot rely exclusively on your software to rescue you. Notice that NAHC, with BKD, Simione, and HPS, began a 12-city PDGM seminar tour already in January, delivering a clear message that you need to start now. PDGM will require improvements in clinical documentation, operational timeliness, and enhanced coding skills. Training, not software, is your path to those goals.

If you would like to catch up, we would like to help. On this publication's web site, homecaretechreport.com, we provide an article search tool. Enter PDGM in the search field and it will pull up all ten of the PDGM articles I mentioned. Happy reading!

Have a great week. Keep making a difference!

Editor signature
Tim Rowan



Experts Offer PDGM Advice at Home Care 100
At last month's Home Care 100 conference, CEOs from our largest home health organizations delivered stark, severe warnings to their peers about the folly of waiting too long to start PDGM preparations.

Early Adopters Thrive with Artificial Intelligence in Home Care
Artificial Intelligence is the buzzword at this year's HIMSS meeting...and every other healthcare IT meeting in the country. What does it mean for post-acute care? Guest author James Cohen has some ideas that may change the way you think about AI.

CMS News
Promoting Interoperability Programs: IPPS Final Rule Fact Sheet and Hospitals Submit Attestation Data by February 28

Vendor Watch
— QliqSOFT has announced the release of a new, patient-facing chronic care management solution that allows for the easy sharing and monitoring of data between patients and their care team members.
— Kno2 feted at HIMSS for interoperability innovation.
— Wellsky selected for Commonweal membership



During the 2nd Quarter of 2020, web sites of the above advertisers were visited by home care and hospice executives and staff 4523 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

As of this date, approximately 32,626,000 Baby Boomers have become Medicare eligible.

 

Last Week's Most-Read Stories:

PDGM - How Well You Utilize Your EMR is About to be Tested!
It is imperative as an agency that your EMR vendor's PDGM plans be reviewed alongside your present system utilization and internal processes. Have you asked your EMR vendor about their plans?

Does Your Behavior Really Need Modification?
CMS believes a 6.42% pay rate reduction will inspire all nurses to develop more accurate OASIS assessments.




Upcoming Events

National Healthcare CNO/CMO/Informatics Summit

Presented by Marcus Evans Events

Date: March 18-19, 2019
Location: The Langham Huntington, Pasadena, Los Angeles, CA

The Healthcare Summits are the premium forums bringing senior level medical executives and solution providers together. The one-on-one business meetings provide access to senior medical executives within the largest healthcare organizations across the United States. A thorough selection process ensures a qualified audience, which grants unparalleled business and networking opportunities in a luxurious and stimulating environment.
Information and registration

 


2019 Omaha System International Conference: A Key to Practice, Documentation, and Information Management

Date: April 3-5, 2019
Location: Eagan, Minnesota
Fees: Pre-Conference (1 day): $165
Conference (2 days): $335
Pre-conference and Conference (all 3 days): $500

Registration and Information
The Omaha System International Conference is held every two years as a venue for those in practice, education, research, and software development to exchange experiences. There is something for everyone involved with the Omaha System, from beginners to experts to everyone in between. Joyce Sensmeier, HIMSS is the keynote speaker, and The University of Texas at Austin School of Nursing is the school host. The 2019 PDF flier includes location and registration information, speaker/planner list, agenda, exhibitors, and more.

National Healthcare CXO Summit

Presented by Marcus Evans Events


Date: May 19-21
Location: Eau Palm Beach Resort

Keynote Presenters: Susan Blumenthal, past US Assistant Surgeon General; Nicholas Webb, Healthcare Futurist

Registration Information

The National Healthcare CXO Summit is the premium forum bringing senior level healthcare executives and solution providers together. As an invitation-only event, taking place behind closed doors, the Summit offers an intimate environment for a focused discussion of key new drivers shaping the healthcare industry.


WEBINAR: 5 Crucial Ways to Prepare for PDGM

Sponsored by: HealthCare Synergy

Featuring: Michael Tidd, LVN, COS-C, COS-D
Dates: November 13
Time:
10:00 am PST / 1:00 am EST

Information and Registration

Agencies are rapidly trying to prepare for the PDGM payment model. We will show you the most crucial ways an agency can prepare for the internal changes needed for PDGM. While most agencies are focusing on how to instruct clinicians on the change, PDGM has the most impact on office functions. Attend and gain insight on the things the agency needs to be doing now to prepare for January 1, 2020.

Objectives:
1. Learn agency level changes that can be implemented to be successful in 2020
2. Understand how to approach budgeting and finances under PDGM
3. What do your clinicians really need to know to ensure the agencies continued success

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.


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:

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.

Information and Registration

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: PDGM Preparation: Operational Strategies

Sponsored by Kornetti & Krafft Health Care Solutions & MedBridge

Date: December 5
Time: 1:00 pm EST

Information and Registration

Knowing that resources are tight as PDGM approaches, Kornetti & Krafft is offering a free overview of OASIS D1 to ensure that changes to this critical data collection instrument do not get lost in the shuffle.

What is Included:

 


Homecare 100 *January 19-22
JW Marriott Miami Turnberry Resort
Miami, FL

https://www.homecare100.com/

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.

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.

Purchase Recordings

 


Free Webinar: Home Care Marketing Best Practices for Medicaid Agencies

Presented by: Ankota

Featuring: Steve "The Hurricane" Weiss

Date: June 18
Time: 12:00 EDT
Fee: Free

Register

Here are a few biographical fun-facts about Steve:


Virtual Conference: Virtual Summit on Health System Recovery from the COVID-19 Pandemic 

The Nation’s Health System Leaders Engage in a Real-Time Dialogue on Pandemic Recovery and the Future of Health Care in America

Sponsored by: Global Health Care, LLC

Featuring:

Date: June 22-25

The Nation’s Health System Leaders Engage in a Real-Time Dialogue on Pandemic Recovery and the Future of Health Care in America

All health care providers offering full-time, hands-on services to COVID patients click here to register at no cost.

All others register here by June 5 for $200 discount


Virtual Conference: ATA Annual Meeting

American Telemedicine Association

Date: June 22-26

Information and Registration


Free Webinar: What Your Plumber Knows That You Don't: 21 Dangers of Ignoring Online Marketing

Presented by: Savii

Featuring: Tim Rowan, MA and Roger McManus, MBA

Date: June 24
Time: 2:00 - 3:00 EDT

Local businesses used to be able to stand out from the crowd with TV and Yellow Pages ads. Those days are gone. Today, savvy marketers leverage the power of the Internet to make the case that they are the best choice among a throng of competitors. Many home care agencies, however, have not yet learned this lesson. They either ignore this critical tool because they do not understand it, or mistakenly assume that their mostly older clients are not attuned to using the Internet.?Preview: it is their adult child who picks a home care agency for them, not the elderly persons themselves.

Information and registration


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: COVID-19 Forum: How Coronavirus is Reshaping Home Health and Hospice Financial Operations *

Sponsored by: HealthRev Partners

Moderator: Tim Rowan
Panelists:
Bobby Robertson, Chip Carroll, Holly Miller, John Reisinger, Rachel Bracken (details below)

Date: July 9
Time:
2:00 pm EDT

Register here for all three webinars in this series

Not only is the home care industry under tremendous clinical pressure, but you are also likely feeling a financial squeeze. Because of this, forward-thinking agency leaders are exploring new strategies and opportunities to remain solvent. In this webinar, our panelists will chat about ways to achieve financial success when so many are struggling. They will discuss:
Panelists:
Bobby Robertson | President & Founder, Missouri Home Hospice
Chip Carroll | Director of Strategy & Business Development, Playmaker Health
Holly Miller Chief Revenue Officer, Playmaker Health
John Reisinger | Principal, Innovative Financial Solutions for Home Health
Rachel Bracken | Vice President of Services, HealthRev Partners
Moderated by Tim Rowan | Editor, Healthcare at Home: The Rowan Report

Part III: "Agency Leadership and Operations" is set for July 23.

Virtual Conference: NAHC Financial Managers Annual Meeting

July 27-30

Register


Conference: Leading Age Leadership Conference

Hosted by: VNAA, Elevating Home, and Leading Age

In light of the President’s national emergency declaration to address the coronavirus pandemic, LeadingAge is postponing the 2020 Leadership Summit originally scheduled April 20-22 to August 10-12, 2020 at the Omni Shoreham Hotel in Washington, DC.

We understand that the possibility or reality of COVID-19 means all-hands-on-deck at our member communities and travel bans for our Business Partners, with a singular focus on the health and welfare of residents, clients, staff, and families.

LeadingAge will continue to assist with information and resources to help you respond to COVID-19. You’ll find a clearinghouse of resources—updated daily—at leadingage.org/coronavirus-resources.

If you registered for the conference, you will be sent an email with information on your registration and hotel reservation.

Information and Registration

With the Leadership Summit, LeadingAge has designed an event for forward-thinking leaders to connect, engage in dialogue, and deepen their knowledge about the future—how we can shape it, and the paths to get there together.

 


*The Rowan Report will see you there.

Navigating the Hospice Cost Report

Sponsored by: ElevatingHOME

Date: February 19, 2019
Time: 12:00pm EST
Fee: FREE

Register Now

CMS has stated that 66% of the cost reports previously filed should not have been accepted and will now be subject to more strenuous requirements. The cost reports will be used by CMS to recalibrate and adjust the hospice daily payment rates.

Join Elevating Home for this webinar as Tom Boyd, Vice President of Reimbursable Services with Simione Healthcare Consultants discusses what is new and help participants identify and understand the requirements for the completion of the Medicare Hospice cost report.



 

The Hospice Cost Report: A Requirement & A Management Tool

Presented by: Tom Boyd, MBA, CFE, CHFP, Vice President of Reimbursable Services, Simione Healthcare Consultants

Date: February 14
Time: 2:00 - 3:00 EST
Fee: FREE

Register now

Join Simione Healthcare Consultants for an overview of hospice cost reporting and ways to make sense of all the required information to support timely, accurate and affordable filing. A Simione cost report is backed by our longstanding experience with reimbursement and government reporting. Discover the difference and get the bigger picture on your hospice finances!



Interoperability for Service Providers through CMS’s EMDI Initiative

Presented by: ElevatingHOME and VNAA

Featuring: Pallavi Talekar, Project Manager, Scope Infotech, Inc.; Ray Wilkerson, Sr. Business Analyst, Scope Infotech, Inc.; Nandini Ganguly, Business Analyst, Scope Infotech, Inc.; Kishan Patel Business Analyst, Scope Infotech, Inc.; Briana Barnes, Project Coordinator, Scope Infotech, Inc.

Date: Tuesday, July 30
Time:
12:00 pm EDT
Fee:
Free to ElevatingHome, VNAA, and Alliance for Home Health Quality Improvement members

Registration

Representatives from the EMDI Initiative team will discuss interoperability using health IT standards, including Fast Healthcare Interoperability Resources (FHIR). Participants will learn about pilot opportunities with CMS to enhance provider workflow using three critical use cases. Participants will:


Learning Series Webinar: Million Hearts®2022 & Related Medicare-Covered Preventive Services 
CMS National Training Program

Date: February 14, 2019
Time: 1:00 - 2:30 EST
Fee: FREE

Register now

This webinar provides an overview of:

 



Security Risk Assessment Tool Overview and User Feedback Session

Presented by: CMS

Date: Wednesday July 17

Time: 1:00 pm EDT

Fee: Free

ONC and the HHS Office for Civil Rights are holding a training session and overview of the Security Risk Assessment (SRA) Tool. The tool is designed to assist small to medium providers in conducting an internal security risk assessment. This assessment will aid providers with their security risk analysis as required by the HIPAA Security Rule and the CMS EHR Incentive program. Following the webinar, participants will have the opportunity to ask questions and provide feedback.
 
Register


PDGM’s Behavioral Adjustments - What You Need to Know Now

Sponsored by eSolutions

Featuring: Karri Wright, Sr. Director, Product Management at Homecare Homebase

Date: Thursday, August 29
Time: 2:00 pm CDT
Fee: Free

REGISTER NOW

The webinar covers:



A QUALITY JOB: Clinical Management & Care Coordination Under PDGM

Hosted by VNAA
Sponsored by MatrixCare/Brightree
Presented by Simione Healthcare Consultants

Featuring: Laura Wilson, RN, BSN, Sr. Manager, Simione Healthcare Consultants
Date: Wednesday, September 11
Time: 12:00 pm EDT

Free Registration

PDGM is so much more than a billing change! Home health agencies preparing for payment reform need to look closely at clinical operations to make accommodations that will uphold quality, including care alternatives that add value to the equation. In this webinar, we’ll share insights based on the findings of gap analyses to help your organization make a successful transition under the new requirements. Recommended Attendees: Clinical Managers, Intake Staff, Coders / QA, Finance & Billing personnel Hosted by VNAA, sponsored by MatrixCare/Brightree, presented by Simione Healthcare Consultants



Hospice compliance 2019: confronting a surprising new survey focus
Sponsored by: Wellsky
Featuring: Robert Markette, esq.
Date: March 14
Time: Noon CDT
Fee: None
Hospice providers today are confronting a new and unexpected survey focus. Hospice surveyors are increasingly focused on issues relating to hospice administration. This administrative focus includes topics such as your hospice’s corporate structure, the relationship between your hospice’s parent office and its multiple locations, and the role and job title of your administrator. Hospice providers who have been successfully operating for years are suddenly finding themselves hit with condition level citations. How will your hospice team adapt to the major survey focus of 2019? Join renowned hospice attorney Robert W. Markette of Hall, Render, Killian, Heath & Lyman, P.C. for an exclusive webinar that will prepare you and your team for the major survey focus of 2019.

Information and registration

Attend and learn:
Why a poorly drafted organizational chart can be a significant problem for your hospice
What hospice surveyors are looking for in the relationship between your hospice’s parent office and its multiple locations
Why calling your administrator something other than “administrator” could be a survey issue



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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