Volume 10, Number 33 June  16, 2021

Dear Healthcare at Home Colleague,

CMS news tops our reporting this week, though there is plenty in this issue for home care and hospice as well.

In the fall of 2019, a new rule was finalized to control Medicare fraud -- not just in post acute care, but throughout the system. To date, CMS has not decided how to implement this 21-month old rule. We interviewed two home care attorneys and a veteran Medicare appeals consultant to figure out what is going on, and to help you understand what you should be doing about it right now in anticipation of some future implementation plan.

Here is why it matters so much: if one person got in Medicare trouble in the last six years at one HHA, and if you hire that person at your HHA, you will be denied Medicare re-enrollment upon your next application. Be sure to read from our experts by clicking below on "Contaminated 'Affiliations' Predicted to Shutter Hundreds of HHAs."





How old will you be in 2060? How old will your children be? Staff writer Darcey Trescone starts an excellent survey on future technologies to manage the exploding elderly population with the finding that the number of Americans needing post-acute care is expected to jump from 8 million today to 27 million by 2060. Her analysis in "Automation Will Be Critical in the Future of Post-Acute Care," is a must-read for all healthcare providers.

More CMS (Bad) News: Every time a case goes to a court questioning who should hold the money during a lengthy payment denial or recoupment appeal, the most recent court disagrees with the last one. Home Health attorney Elizabeth Hogue reports for us on the latest disappointing decision. This time, however, the fault may lie with the HHA. Read her analysis, "Learning From the Mistakes of Others May Save Millions," and see how the way they worded their court challenge led to the judge deciding to let CMS hold onto their money until the end of the lengthy appeal process. When your turn comes, and it will, you may be able to avoid that mistake.



Other Industry News:

Quick reminder: Did you know we have not thrown away a single news article since we went electronic in 2005? Use our key word search feature on our home page to do your research into our industry's colorful history. You can enter one, two, or three key words and we will search using a Boolean "and." Read about past acquisitions such as Hearst and Homecare Homebase or Netsmart and McKesson. Recall our introductions of new tech companies, some thriving today, some forgotten. Many of our readers use it to help with their orientation of new employees and executives. Some just because they are in a nostalgic mood. Enjoy!



Worth the Trip

How refreshing it is to be able to use the word "trip" and not mean walking from the kitchen to my home office. We are going to publish one more edition next week, June 23, and then take a break to travel to Marco Island, Florida for Homecare 100. We hope to see you there, but if we don't, we will tell you what we are learning day to day via live video reports on our Facebook page. Bookmark our page and check in from time to time June 26-30 to see we found big news to report. There may still be time to register to attend. Click the Homecare 100 banner ad at the top of this page.

We will also be attending both upcoming NAHC meetings. Look for us in Chicago, August 1-3 for Financial Managers, and in New Orleans, October 3-5, for their Annual Meeting and Expo.

We are also making plans to introduce our friends at Milimatch to our Home Care friends at the HCAOA Annual Leadership Conference in Orlando, September 26-27. You have seen us write about their patented technology. In fact, you made our January article about Milimatch our "most-read" news item for 12 weeks in a row. You will be equally amazed when you see it in person.

Have a great week. Keep making a difference!

Editor signature
Tim Rowan

Contaminated "Affiliations" Predicted to Shutter Hundreds of HHAs
CMS has not decided how to implement 21-month old final rule, but still predicts it may shut down 2,600 Medicare providers.

Automation Will Be Critical in the Future of Post-Acute Care
The number of Americans needing post-acute care is expected to jump from 8 million today to 27 million by 2060. Technologies created today to accommodate the nurse and caregiver shortage will be the ones used by us...and probably on the next generation as well.

Learning From the Mistakes of Others May Save Millions
Court says sometimes the occasional HHA must suffer hardship, or fail, because Medicare rules are complex. A badly worded appeal sank this HHA's chances.

Humana Acquires Another Home Care Provider
One Homecare Solutions, known as "onehome," serves eight states from its Miramar, Florida headquarters.

ATA Applauds Telemental Healthcare Access Act
Statement approves act that repeals problematic, in-person requirement for Tele-mental health services.

AlayaCare Turns Focus to Caregiver Retention
Employee churn and the pandemic are primary pain points for home care providers.

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:


As of this date, approximately 42,020,000 Baby Boomers have become Medicare eligible.


Last Week's Most-Read Stories:

Homecare Homebase and Corridor Announce Exclusive Partnership
Homecare Homebase℠ and Corridor announce exclusive partnership to provide coding and documentation review services to HCHB customers.

Porter Research Study Finds Patients and Families Prefer Providers Who Communicate
How do you communicate with patients and families? 96 percent of patients and family caregivers say they would choose one Home Health provider over another based on ability to respond in real time.

Upcoming Events

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?

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.



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."


*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

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