Volume 9, Number 50 April  22, 2020




Dear Healthcare at Home Colleague,

I am pleased to introduce you to Bill Englebrecht, this week's guest in our ongoing podcast series. Simply click on the "Listen" button above and spend 10 minutes with a 33-year home health agency owner who has decided to run for a Congressional seat in Florida District 3. After years of accompanying his state's home care association, HCAF, to Washington to educate members of Congress on the importance of home health and home care to the entire U.S. healthcare system, and feeling like he was spinning his wheels, Bill saw his representative was retiring and leaving an empty seat. I'll let him tell the rest of the story in the podcast about why he is jumping in with both feet, and to make his own appeal for your assistance.

From Florida, we head west to some exciting announcements in California. The state's effort to open up more doors for the use of telehealth systems during the pandemic coincides with a major telehealth acquisition announcement. Read our interview with Greg McCarthy, owner of private duty home care agency TheraCare in the Silicon Valley, and his spinoff EMR company, Tri-Cura, which was just acquired by remote patient monitoring firm, People Power Company.

Darcey Trescone continues her series on business planning for those who may be receiving CMS advanced payments or emergency PPP loans. The pandemic is going to bring new costs along with potential revenue losses so pay attention to the advice she brings from experts at BKD in "Business Planning Considerations and Advanced Payment Options", below.

So much has been written lately about the massive increase in the use of Zoom, and the way it has attracted hackers, we decided to explore the literature and pull together a summary report from cyber-security experts. Click on "Rethink Using Zoom for Healthcare Meetings." We included some alternative communication systems for your consideration.

Tech vendors continue to let us know what they are doing for you during this pandemic crisis. We gathered some of their announcements into this week's Vendor Watch column but a couple of others need a deeper dive and got separate headlines. Read about a new COVID-19 product in "'KanTime for Self Direction' Launched." And you must not miss our report on a new coalition of vendors, consultants, legal advisors, and others to help you care for wound patients even though you might be seeing them in person less often. Members include Netsmart, AlayaCare, and Axxess, plus AmeriWound, a telehealth company that specialize in wound care, AMT, a wound care supplies distribution company, and Swift Medical, a Canadian digital wound management and telehealth company.

Worth the trip (to the computer in your kitchen)

Our friends at MatrixCare are offering a free webinar, "Labor Law and CARES Act Impact During COVID-19 and Beyond." Thursday, April 30 at 2:00 EDT. They describe it this way. "This home-based care specific webinar will provide an in-depth legal analysis of the latest legislative changes and the impact they have on the home health, hospice and private duty industries. During this webinar, Angelo Spinola will provide a substantive update on FFCRA, CARES Act, the 'Unemployment Dilemma,' and the stimulus package and its implications on the home care industry. In addition to these topics, we will host a Q&A session at the end, as well as provide practical next steps throughout our webinar that attendees can implement to help them navigate this pandemic." Register here.

Savii also has an excellent monthly webinar series. This report comes out a day too late for their latest one, "Marketing During a Lockout," but if you contact them, they will send you the materials. It was a good one, featuring Steve "The Hurricane" Weiss. I'll try to announce the May webinar earlier.

Have a healthy week. Keep making a difference!

Editor signature
Tim Rowan



Acquisition Opens Door to AI-Driven Telehealth System
California's People Power Company was already a busy remote patient monitoring provider before the COVID pandemic hit. Now, with a University grant and the acquisition of home care EMR vendor Tri-Cura, it is preparing to meet the burgeoning demand.

Business Planning Considerations and Advanced Payment Options
CMS's advanced/accelerated payment option can be a business saver but put business considerations on the front burner for planning cash flow and debt repayment.

Rethink Using Zoom for Healthcare Meetings
Your Zoom account information may have been sold. You have alternatives.

"KanTime for Self Direction" Launched
KanTime's Healthcare Software has introduced its newest product - KanTime for Self Direction - which addresses the unique needs of consumer directed services providers.

TeleWound Coalition Formed to Help Homebound Patients
Providers, consultants, physicians and home health and home care technology companies are cooperating. More members may join.

Vendor Watch: More COVID-19 Technologies Emerge for Clinicians
— Smartphone app detects vital signs, touch free
— Home care software firm releases screening tool
— VNA of Omaha cares for hospice patients, new moms, from afar



During the 3rd Quarter of 2021, web sites of the above advertisers were visited by home care and hospice executives and staff 6532 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

As of this date, approximately 37,400,000 Baby Boomers have become Medicare eligible.

 

Last Week's Most-Read Stories:

HHS Offers CARES Act Relief Fund Detail
Providers will be paid via ACH account information on file with UnitedHealth Group or the CMS.

Cash is King!
The current COVID-19 crisis is fluid and changing from day to day. Everything in our environment is evolving along with it. Understanding the impact on cash and what your business plan considerations are going to be to increase your cash on hand during this time is critical.


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: 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


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.


FREE WEBINAR: Vaccine Hesitancy: How Training Can Help

Presented by: Nevvon, Flex For Checks, & Dr. Ian Smith

Date: Monday, October 11

Time: 10:00 AM Pacific; 1:00 PM Eastern 

Information and Registration

Featuring:

Who should attend? Caregiver agencies looking for creative ways to alleviate vaccine hesitancy and get more workers and patients protected from the COVID-19 virus.

Agenda:
Learn how training caregivers on vaccines can ensure better compliance, reduce hesitancy and lead to better outcomes. We will share first-hand experience of how the Flex For Checks program has been leading the way in vaccinating caregivers through an amazing and potentially lucrative incentive program.


FREE WEBINAR: Targeted Probe & Educate: Where Do You Stand?

Presented by: Healthcare Synergy
Featuring:
Michael Tidd, COS-C, HCS-D, HealthCare Synergy Clinical Manager

Date: Wednesday, November 3
Time: 11:00 am PDT / 2:00 pm EDT

Register

Overview:
Targeted Probe and Educate is a CMS initiative to seek a better understanding of agencies practices in order to protect the Medicare funds. Agencies self-identify themselves and request reviews by their actions and the data they provide to CMS. Are you aware of the signals you might be sending and how to protect yourself?
Objectives:
Speaker:
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.

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


FREE WEBINAR: Admit more Patients & Stop Nursing Burnout!

Presented by: OperaCare

Date: November 10

Time: 1:00 pm EST; 10:00 PST

Information and Registration

The nursing shortage is getting much worse and will most likely impact your business if it has not already.
During this event we will demonstrate how to complete an entire OASIS in approx. 60 minutes or less. This includes ICD-10 coding, entry and revision of medication’s, all the OASIS items, and Quality Assurance while the nurse is with the patient in the home.

The result: Eliminating 100% of after-hours documentation, increasing clinical productivity, and reducing your labor costs.

The Benefit: The ability to significantly increase your recruitment and retention efforts by providing your clinicians with a sane and humane work life balance.


Important Final Rule Discoveries Every Agency Needs to Know: Examining HH PPS for CY2022

Presented by: HealthRevPartners

Featuring: John Reisinger, CPA

DATE: November 18

TIME: 2:00 - 3:00 EST

VENUE: Online

FEE: NONE

Register Here

One of the major changes in CMS’ final rule for the Home Health Prospective Payment System announced is this — ???2022 will be a "pre-implementation year for the HHVBP, which was originally scheduled to begin in January.

Learn exactly what you need to do in 2022 for HHVBP.

Additionally, we will cover these final rule changes and more:

And, do you know how much your Medicare revenues are projected to change?

There will be a 3.2% increase ($570 million) in home health spending for CY2022.

 


*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



Did you receive this issue as a forward from a colleague? Would you like to have your own free subscription? Click here.

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.

HCTR is free to subscribers and supported by its generous advertisers. To inquire about presenting your message to our 12,000 subscribers, write to Kristin in our ad sales department, Kristin@RowanResources.com.