Volume 10, Number 41 July  14, 2021

Dear Healthcare at Home Colleague,

Excitement is growing and more and more of your compatriots are signing up to participate in the HRSA Grant awarded to the National Minority Health Association. In addition to the news you already know, that payments will be made to patient, worker, and agency for every COVID vaccination shot arranged by a participating home care or home health agency, there is a new development this week. The NMHA has contracted with online training company Nevvon to deploy their online COVID-19 training program, on their own Learning Management System, to provide educational resources and materials for agencies and home care workers participating in the grant payments.

The NMHA won the grant by proposing to build a network they are calling "Trusted Messages from Trusted Messengers." If your agency joins that network of trusted messengers, it will earn a payment for every shot, (not every patient: e.g. Pfizer and Moderna, two shots, two payments; J&J, one shot, one payment) and your in-home workers who help a patient or client get vaccinated get their own separate payments per shot, not a share of your payment. Refer to our June 23 article for details. Or contact NMHA directly for more information. info@thenmha.org



Homecare 100 Technology Showcase

We saw some innovative, sometimes inspiring, demonstrations at this year's gathering. In our lead news item this week, we offer brief summaries of five of them, featuring the one that impressed us the most, caregiver training with virtual reality technology. The company founder cited astounding measurements of improvements in care after a clinician or caregiver experiences virtually the patient experience. We include summaries of demonstrations by companies providing telehealth, interoperability, wound care technologies, and software to identify Social Determinants of Health.


A Word About Those Medicare Contractors Who Criticize HHA Security Measures

Staff writer Darcey Trescone reports on an OIG finding that MACs were guilty of 99 security deficiencies in 2020. The report said that was a 21 percent improvement over 2019.



Vaccine Requirement Legal?

The controversy over employers requiring their workers be COVID vaccinated before returning to work went to court. Guest writer and home care attorney Elizabeth Hogue examines that court case for us.

Scroll down to click on all these news stories, and our Vendor Watch column, with news about telehealth company Biofourmis and an acquisition by Hireology. Under CMS News, we profile new HHS Medicaid Director Daniel Tsai.

And don't forget to try our Search feature when you get to the full stories on our site. Enter one, two, or three key words and find everything we have published on that topic since 2005. Be sure also to click on the graphics of our sponsors to show your appreciation for their underwriting our efforts and keeping this service free to subscribers.



Have a great week. Stay healthy, get vaccinated, and keep making a difference!

Editor signature
Tim Rowan

Virtual Reality Proves Effective for Training
The technology showcase at last month's Homecare 100 gathering gave the stage to some exciting new tools, starting with VR-based caregiver training that claims remarkable improvements in care.

MACs: Security Deficiencies in Eight of the Nine Control Areas Tested
21 percent fewer deficiencies bring the seven Medicare Administrative Contractors down to only 99 systemic flaws. Many were identified in 2019 and still present this year.

Court Dismisses Challenge to COVID-19 Vaccination Mandate
Home care attorney Elizabeth Hogue analyzes the court decision concerning employer-mandated COVID vaccinations.

CMS Announces Director of Center for Medicaid and CHIP Services
Daniel Tsai was Massachusetts' Assistant Secretary for MassHealth and Medicaid Director.

Vendor Watch
— Longtime Hillrom executive joins Biofourmis as Chief Commercial Officer
— Hireology acquires employee referral platform Employus

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:


As of this date, approximately 42,328,000 Baby Boomers have become Medicare eligible.


Last Week's Most-Read Stories:

CMS Releases 2022 Home Health Payment Rule
2022 payments to HHAs will begin the move from fee-for-service to value-based pay. NAHC offers its reflections.

Major Themes Announced for Healthcare at Home 2021 Best Practices and Future Insights Study
Click here to add your voice to the latest State of the Industry study, sponsored by national and state associations. Participants will be given access to the results

Upcoming Events

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


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.

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
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.

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


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.

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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