Volume 9, Number 46 May  20, 2020

Dear Healthcare at Home Colleague,

Telehealth vendors are reporting that they are inundated with your calls, asking how quickly they can get set up on your services. If there is a silver lining to this dark cloud under which we are living as COVID-19 deaths in the U.S. approach the 100,000 mark, it is that home health, home care, and hospice are finally taking a serious look at remote patient monitoring. Will it continue after the pandemic settles down? We have heard that many people hope it will.

We take a look at one of those people in this week's edition. NAHC President Bill Dombi has written a letter to CMS Administrator Seema Verma outlining the value -- to payers, providers, and patients alike -- of indefinitely continuing the loosened regulations put in place to help providers cope with the pandemic. Find the NAHC letter in "NAHC Urges Permanent Flexibilities under Medicare for Use of Technology in Hospice Care Delivery."

Continuing to explore home care's newfound appreciation of telehealth, we introduce our newest sponsor this week with a must-read article. In "Private Duty Agencies Improve Care with Patient Engagement Technology", you will meet two Northern California home care agency owners who may inspire you to think outside the box like they do. One a standalone agency and the other a franchise, the two owners each deployed a patient engagement system from Independa. It is a patient reminder and communication system, but they have done so much more with it, to the benefit of their patients and their bottom line. Even the founder and CEO was impressed with their innovations, especially how it is helping them care for patients and clients during California's strict shutdown.

We interviewed another agency owner this week, this time a Medicare agency. Small and independent, it is the kind of agency many of us have been predicting cannot survive the twin storms of PDGM and COVID-19. Yet, somehow, they are thriving, winning recognition for their high patient outcomes and satisfaction scores and climbing to the top of national Google searches. Hear their remarkable story in "Colorado Company Coping with COVID."

Vendor News

Announcements from Homecare Homebase and Casamba lead our survey of technology vendor news this week. Catch up on news of a data analysis product for hospice providers in our report on MUSE Healthcare. In the aftermath of last November's disastrous ransomware attack, some changes are coming to Casamba. Catch up with their new CEO in this week's Vendor Watch column.

Worth the trip (to the computer in your kitchen)

More and more associations, consultants, and tech vendors are converting their meetings to virtual events. We have been invited to participate in some of them and will use this space to keep you informed about these educational opportunities. Upcoming webinars will take us on virtual trips to Utah, New York, Tampa, and Tennessee. Always remember to scroll down to the bottom of this page for our complete list of upcoming events.

Have a healthy week. Keep making a difference!


Editor signature
Tim Rowan

Private Duty Agencies Improve Care with Patient Engagement Technology
Remote patient monitoring is not what it used to be. These two innovative private duty agency owners went beyond even what the telehealth company imagined.

NAHC Urges Permanent Flexibilities under Medicare for Use of Technology in Hospice Care Delivery
Read Bill Dombi's letter to Seema Verma, asking emergency telehealth measures to become permanent.

CMS News: OASIS-E Delayed
— OASIS-E Delayed Indefinitely
— HQRP Quarterly Update for 1Q 2020 Available
— REMINDER: CMS COVID-19 Lessons from the Front Lines, Friday, May 22nd, 12:30 - 2:00 PM Eastern

Colorado Company Coping with COVID
Small Colorado agency defies the odds and thrives during the pandemic. The agency founder told us how they are doing it.

MUSE Healthcare Launches Predictive Hospice Tool with Homecare Homebase
Data analytics said to help hospices foresee patient transitions.

Vendor Watch
— Casamba Promotes Billie Nutter to Chief Executive Officer

During the 3rd Quarter of 2020, web sites of the above advertisers were visited by home care and hospice executives and staff 3691 times.

To inquire about placing your message here, contact:


As of this date, approximately 37,708,000 Baby Boomers have become Medicare eligible.


Last Week's Most-Read Stories:

Trella Health COVID-19 Business Professional Tools
COVID-19 has shifted the paradigm, not only for clinicians but for home health and hospice sales executives as well. One data analytics vendor is providing new ways to work.

Citus Health Debuts in Post-Acute Care With Multi-Function App
New, all-in-one patient communications application brings patients, families, physicians, and home health and hospice nurses into the conversation.

Upcoming Events

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


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.

Virtual Conference: NAHC Financial Managers Annual Meeting

July 27-30


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
1:00 pm EDT


Virtual Conference: Southwest Homecare and Hospice

A collaborative online conference by the home care associations of:

Date: November 18-19

Information and Registration

Experience recognized experts and thought leaders as they share their insights, actionable strategies, and relevant tools and resources.

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 EST

Attendees 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: CY2021 Home Health Final PPS Rule

Presented by: HealthRev Partners

Featuring: John Reisinger, CPA

Date: November 19
Time: 2:00 EST


CMS released the Final Home Health Prospective Payment System Rule for CY2021, which will impact all Medicare-certified home health agencies. In this webinar, John Reisinger, CPA, will discuss the various updates and the projected impact on home health, all the way down to the agency level. He’ll review: – Significant issues and changes in the final rule – Home health payment rates – Telehealth provisions for home health – Requirements for home health infusion therapy suppliers – Preparation tips for upcoming changes

For more than 20 years, John Reisinger, CPA, Principal of Innovative Financial Solutions, has been an industry leader in education about the CMS rule-making process. His diverse background includes Medicare auditor, home health financial executive, and he currently serves as a highly in-demand home health and hospice consultant and turnaround specialist.

FREE WEBINAR: RAP Changes in 2021 – Learn and Prepare!

Sponsored by: HealthCare Synergy

Featuring: Mike Deck, Synergy EMR Project Manager

Date: Thursday, November 19
11:00 am PST / 2:00 pm EST

Information and Registration



CMS continues to drive new rules for home health care, and January 1, 2021 brings a change that will directly effect both your intake process and budgets.




FREE WEBINAR: Why it is All About Cash-Flow in 2021

Sponsored by: KanTime

Featuring: Kristi Bajer, RN, COSC VP clinical Operations @OperaCare, LLC; Michael McGowan, Founder, President @OperaCare,LLC

Date: November 24
Time: 1:00 EST; 10:00 PST



  1. Quick overview of the final rule and Review Choice Demonstration (RCD) We will review everything your agency needs to know about the final rule and RCD
  2. Deep dive into the RAP in 2021 History and future of the RAP What you need and don’t need to file a RAP in 2021 How does the RAP penalty work? What if the RAP is late? Exceptional circumstances, Cancelled RAPs and low utilization patients How to ensure HIPPS codes for RAP and final match
  3. Home health cash flow in 2021 Why flying blind financially is not an option for successful agencies How RAP timing is crucial for financial management Why controlling compliance and utilization is necessary for your agency’s health How to use your OASIS as your Medicare Pre-authorization
  4. Learn how OperaCare Clients submit their RAPs in 4-24 hours by utilizing "Live Interactive QA."


The 2020 Annual Conference of the South Carolina Home Care & Hospice Association

Virtual Conference: December 9-10
This year's conference will be presented online

Information and Registration

Keynote Speakers:

*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
Hotel or Conference Center, City, State

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.