Volume 10, Number 44 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 1st Quarter of 2022, web sites of the above advertisers were visited by home care and hospice executives and staff 5167 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

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: Targeted Probe & Educate: Where Do You Stand?

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

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


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?
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: 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


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 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."


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.

2022 Rocky Mountain Home Care, Home Health & Hospice Conference *Presented by: Home Care Association of Colorado

Dates: May 5-6
Venue: Keystone Resort & Conference Center, Keystone, CO

Information and Registration

FREE WEBINAR: Combat the Great Resignation and Reduce Employee Turnover by 40%

Presented by: National Minority Health Association

Date: Tuesday, May 24

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

Information and Registration


As organizations plan for the future, they must cultivate a happier, healthier workforce. Most CEOs, CFOs, HR professionals, and other business leaders are eager to know the true impact of financial wellness. We are gathering to discuss and explore how prioritizing employee financial wellness can help increase caregiver retention and productivity at no cost to your businesses.


Gulf Coast Regional Conference & Exposition

Presented by: Home Care Associations of Louisiana, Mississippi, and Alabama

Date: July 18-20

Venue: Grand Hotel Marriott Resort

Location: Point Clear, Alabama

Information and Registration

2022 NAHC Financial Management Conference & Exposition

Date: July 24-25
Venue: Caesar's Palace, Las Vegas

Information and Registration

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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