Volume 9, Number 46 June  3, 2020

Dear Healthcare at Home Colleague,

Well, this week it is unsafe to leave my house for two reasons instead of one. That has provided the time to dig more deeply into the news, and there is a lot of it, so let's get right to it.

This week's top headline is Netsmart's acquisition of QIRT. Read our interview with Netsmart VP Kevin Scalia and McBee President Mike Dordick. QIRT will bring its 130 employees into the McBee consulting division, which Netsmart acquired one year ago. Founder Laura Page-Greifinger, BSN, MPA, will remain in a consultative role.

CMS regularly updates its temporary rules to accommodate the needs of Medicare providers until the pandemic emergency is over. We were curious about home health not being specifically mentioned in the most recent update to telehealth usage regulations so we asked them. Their response is as revealing as it is confusing. Read "Hundreds of Rules Eased Until Emergency Ends" in our "CMS News" column, below.

News for all: Home Care, HHA, Hospice

Speaking of telehealth, have you noticed that people in your circles, whether co-workers or family members, are more stressed, maybe even more panicky, after months of staying safer at home? Talking with a professional can help, but many are reluctant to go out to get to a therapist's office. We think of video visits as a tool to be used with the elderly infirm, but staff writer Darcey Trescone this week tracked down the founder of a telementalhealth company who has seen a marked uptick in requests for consultations. Read Darcey's interview with Coletta Dorado, Founder & CEO of AZZLY, Inc. below in "COVID-19 Pandemic Drives Need for More Mental Health Services, and Software to Support It."

If cost has been your obstacle to implementing a Customer Relationship Management software tool, you will want to read our product review of "Isoratec CRM." Newly released to the U.S. post-acute care market, this tool offers most of the features of the top-tier systems but at a lower price point. Click below on "CRM for Everyone."

Everyone who works on a computer has learned to remain alert for phishing emails. It has never been easy to identify them but it is much harder now. There are many times more attempts than there used to be, and the hackers trying to steal personal information are getting better at it. The latest technique is to spoof the World Health Organization. Read our report, "STOP! Is That Email REALLY From the W.H.O.?," to protect your workers from this new attack identified by "Abnormal Security."

Lastly, check out our Vendor Watch column for a report on a free tool from eSolutions to help providers transition to the use of Medicare Beneficiary Identifiers.

Worth the Trip (to your computer screen)

We told you last week about the NAHC Financial Managers Conference going virtual. They are not the only ones. Scroll down toward the bottom of this page to see some interesting education opportunities coming to your laptop.

Have a healthy week. Keep making a difference!

Editor signature
Tim Rowan

Netsmart Acquires QIRT
We spoke with Netsmart's Kevin Scalia and McBee's Mike Dordick to learn how the New York-based coding and consulting service will operate within McBee, acquired in May, 2019.

CMS News: Hundreds of Rules Eased Until Emergency Ends
Temporary home health telehealth regulations for COVID-19 look a lot like pre-COVID regulations. "You can use it all you want, but we're not going to pay for it."

STOP! Is That Email REALLY From the W.H.O.?
The pandemic has lowered the natural suspicion level of many people. Phishing scams are taking advantage. Warn your staff and co-workers to be vigilant before clicking.

Product Review: COVID-19 Pandemic Drives Need for More Mental Health Services, and Software to Support It
The economic, political, physical, and social impacts of the COVID-19 pandemic have only exacerbated the needs of an already underserved portion of the post-acute care market. Many mental health providers are still managing internally on mostly paper processes, the idea that telemedicine or automation would be a priority was not something many providers budgeted or planned.

Product Review: CRM for Everyone
Startup software company, founded by home care veteran, believes CRM should be feature-filled but affordable.

eSolutions Provides Free MBI Lookup Tool for Healthcare Providers
In response to COVID-19's overwhelming burden on healthcare providers, eSolutions offers clients a tool to ensure easier MBI transition, timely reimbursement.

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 37,862,000 Baby Boomers have become Medicare eligible.


Last Week's Most-Read Stories:

Coronavirus Considerations for Home Care Agencies
Honor gave us permission to reproduce their advice to their partners, private duty home care agencies.

CMS Explains Details of OASIS-E Delay
CMS explains how it will determine the new start date for OASIS-E.

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

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