Volume 9, Number 46 July  22, 2020

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Dear Healthcare at Home Colleague,

Have you taken our survey yet? Many subscribers have taken the two minutes to answer our four questions and the results so far are enlightening. We want to know if working at home has worked out for you well enough that you are considering keeping it going after the pandemic subsides. Surprisingly, many early responders are saying yes, they might keep some staff at home indefinitely. Your input will help so much to make the results relevant. Please click here and invest two minutes of your time to advance knowledge for all of us.

FREE WEBINAR, EPISODE 3: Join me tomorrow for part 3 of the educational series sponsored by HealthRev Partners, titled "How Coronavirus is Reshaping the Future of Home Health and Hospice." In the third and final episode, agency owners, consultants, and a Revenue Cycle Management advisor will discuss "Agency Leadership and Operations." I am honored to moderate a prestigious panel including Bill Simione, Michael Greenlee, Thomas Rocas, Kevin Kelly, and Georgia Hockenjos. Thursday at 2:00 EDT. Register here.


Home health sales: Speaking of adapting to COVID-19, staff writer Darcey Trescone dons her sales and marketing consultant hat and offers detailed suggestions that have worked for her clients. If you have anyone on your sales team who does not already subscribe, forward "Overcoming Sales Challenges During the COVID Pandemic" to them.

Home care marketing: Online marketing consultant Roger McManus continues his series helping home care agencies deal with competition. If your most urgent need is to achieve visibility in a crowded field, pay attention to his advice in "Dramatic Shifts in Online Visibility Impact Home Care Agencies."

Hospice during COVID: If you agree with me that hospice nurses are candidates for sainthood, what would you call a nurse who teaches and counsels hospice nurses? Longtime hospice nurse, agency owner, and author Barbara Karnes, RN, published brilliant advice for her colleagues frustrated by the inability to see their hospice patients in person and gave us permission to share her article with you. That was not enough for us. We called Barbara and captured enough of her wisdom to merit a second article of its own. Every hospice worker needs to hear her recommendations for ways to care for the dying and their families, even when they will not permit you entry to their homes. Barbara's article is "How to Say Goodbye When You Are Not There." Our interview with her is titled "Expert Advises Hospices How to Adapt to Social Distancing."

Home Health Regulations: CMS seems to be growing weary of the pandemic too. Administrator Seema Verma has announced that Medicare audits and the Review Choice Demonstration will both pick up again on August 3. Providers in demonstration states will only have from August 3rd to the 17th to make their choice among three demonstration formats.

Lots of news this week but something for everyone. Pick one or two that are relevant to your world. And remember, we need and appreciate your feedback. Write to us with your comments at editor@homecaretechreport.com.


Our July 29 issue will bring a major announcement about a new, free service coming your way from Rowan Consulting Associates, the publishers of this newsletter. Hint: not just free but could save you a lot of money. Watch your inbox!


Have a healthy week. Keep making a difference!

Editor signature
Tim Rowan

CMS News: Audits to Resume August 3
In response to concerns from providers and association representatives, CMS published a Q&A page about its plans to return to pre-pandemic regulations and routines.

How to Say Goodbye When You Are Not There
People today are dying alone. What can anyone say to their loved ones that might help? Award-winning hospice authority Barbara Karnes, RN, has some suggestions.

Expert Advises Hospices How to Adapt to Social Distancing
If you have been separated from someone who is dying, or if you work with families in that situation during our disastrous pandemic, take a moment to get to know Barbara Karnes, RN, one of our nation's most-respected hospice consultants.

Overcoming Sales Challenges During the COVID Pandemic
It is time to rethink sales and be more strategic in our approach to sales and marketing during this era of forced social distancing. Donning her sales consultant hat, Darcey Trescone shares strategies that have worked for her clients.

Dramatic Shifts in Online Visibility Impact Home Care Agencies
Over the last 24 months some significant changes in consumer behavior with regard to online consumer research. This particularly impacts home care where the industry is years behind in using this free resource of business.

Vendor Watch: New COVID-19 Tool
— Evolution Health partners with Dina to automate employee wellness checks amid coronavirus

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 38,401,000 Baby Boomers have become Medicare eligible.


Last Week's Most-Read Stories:

Let Your Customers Write Your Advertising
You read reviews before choosing a hotel or restaurant. What makes you think people do not read your reviews before calling you? Do you know how to leverage that social media era human trait?

Vendor Watch: Swift Medical Integrates Digital Wound Care Solution with Homecare Homebase
Product integration said to enable high-quality, cost efficient care.

Upcoming Events

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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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.

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