Volume 9, Number 50 September  2, 2020

Dear Healthcare at Home Colleague,

I am coming off an information high this week after attending "SAGE," the 2nd annual education event, virtual this year, put on by Honor. As last year, I expected it might be a 6-hour sales pitch for private duty home care agencies to join their system, but it was not that at all. We will summarize some of the excellent messages from the leading healthcare providers and analysts Honor brought together in upcoming issues. For this week, we offer four top experts of our own.

HIPAA in the News

When NGS issued its August 6 warning about a DC-area HIPAA consultant fraudulently representing itself as an official source of government risk assessment services, we shared it with you and thought that was the end of it. Not so fast, one legitimate HIPAA consultant told us. The problem of minimally trained, or even shady, operators defrauding healthcare providers is far more serious than one DC operation. If you are considering hiring help with your annual risk assessment, be sure to read Roger Shindell's tips on how to separate the wheat from the chaff in "OCR HIPAA Postcard Scam Warning Reveals Far Deeper Danger."



COVID Increases Need for Tech Solutions

Many of you know Linda Scott, RN. Now the owner of her own consulting agency for both home care and home health providers, Scott Solutions, the experienced agency executive, CHAP officer, and university professor is this week's first-time guest author. She sent us a powerful, timely essay explaining why the COVID pandemic increases the need for healthcare providers to deploy technology. Do not stop with practice management or EMR software, or even telehealth and patient/family engagement tools, she says. With more people working from home and more patients choosing home over institutional living, technology is more necessary than ever, and there are many more tools than these basic ones, Linda says. See "Rapid Technology Evolution Drives the In-House Skills Needed."

The MACs are Back

Our next two experts helped us interpret the return of claims auditing. Here's the problem, say John Reisinger, CPA, and Arnie Cisneros, PT: audits ceased because of the pandemic right as HHAs were sending claims for their first PDGM episodes. Now it is August and no PDGM claims have been audited, other than automated computer edits. Therefore, no corrective warnings have been sent, no useful education has been offered, and your errors and misinterpretations have gone unnoticed. So, instead of one month of mistakes, many HHAs could be facing the repercussions of eight. At the same time, your MAC is way behind reaping the profits that come from denying claims and referring questionable practices to ZPICs and RACs. In other words, watch out!



Large Hospice Makes Large Decision

In this week's Vendor Watch column, read our interview with execs from Haven Hospice in North Florida. They were forced to implement a new EMR when their software provider closed its post-acute division. In a rare but admirable step, they turned over the software selection decision to field and office staff. As many in that situation have done, they selected Netsmart's myUnity® system.



Home Care Buyer's Guide Gaining Momentum

You have seen our announcements. Now we are pleased to report that hundreds of you have begun to use our FREE online service that matches you with the tech vendors and consultants that best meet your needs. We have also been signing up more and more vendors as well. While The Guide will appropriately match you to every technology resource and consultant we have ever heard of, the following companies have signed on to a premium listing, which means you can read their company history and detailed product descriptions before asking The Guide to send an automatic RFI to them. Try out The Guide today.

MEDsys Software Solutions
AxisCare Home Care Software         
Champ SoftwareHomecare Homebase
Delta Health TechnologiesMatrixCare (Brightree, HealthcareFirst)         


Have a great, safe, healthy week. Keep making a difference!

Editor signature
Tim Rowan

OCR HIPAA Postcard Scam Warning Reveals Far Deeper Danger
One shady HIPAA consulting firm sent out one postcard representing itself as something it is not. Ordinarily a news footnote, this event evoked a response from CMS and a warning from guest author and HIPAA consultant Roger Shindell that the post card is merely the tip of the iceberg.

Rapid Technology Evolution Drives the In-House Skills Needed
Beyond working to build a user community that is savvy of technology and possesses the adaptive attributes needed, companies will likely require some level of highly technical knowledge and skills in-house.

Audits Return After COVID Delay; Watch MACs & ZPICs Rush to Catch Up
There have been no claims reviews since PDGM started, thanks to COVID-19, until now. Do not think this is good news for HHAs.

Florida Hospice Selects Netsmart
Haven Hospice serves 18 Florida counties. Entire staff was empowered to make the software selection decision.

During the 4th Quarter of 2020, web sites of the above advertisers were visited by home care and hospice executives and staff 4319 times.

To inquire about placing your message here, contact:


As of this date, approximately 38,863,000 Baby Boomers have become Medicare eligible.


Last Week's Most-Read Stories:

Vendor Watch
— HHAeXchange Wins New Jersey Aggregator Contract
— Amada Senior Care Franchise Network Selects AxisCare for Scheduling Software

New COVID Evidence Changes the Way Healthcare is Delivered
Scientists finally understand the difference between aerosols and droplets. In-home caregivers need to understand as well.

Upcoming Events

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


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: Cybersecurity in Healthcare: Assess Threats & Reduce Your Risk

Presented by: Netsmart

Featuring: Randy Pargman, Binary Defense senior director of threat hunting and counterintelligence; Sharon Hicks, MBA, MSW, OPEN MINDS senior associate; and Mike Murray, Netsmart director of Plexus Technologies,

Date: December 9

Time: 1:00 EST

Information and Registration

Healthcare organizations are often at risk of cyberattacks due to a lack of dedicated IT and reliance on traditional reactive approaches. To learn how to protect your data, register now to join Randy Pargman, as they map the risk landscape and provide guidance for safeguarding your organization.

Key takeaways:

• Cyber threats in healthcare
• Impacts of a data breach
• Best practices for securing your data


FREE WEBINAR: Can you collect Cash faster?

Sponsored by: Savii

Date: Tuesday, January 12

Time: 2:00 pm EST

Information and Registration

With small margins in home care it has prompted the question, “Can we collect cash faster?” And what would this do for an agency? One thing we know is margins are small and have become more challenging than ever to for agencies to profit. This doesn’t mean it impossible for agencies to survive; it means a focus on collecting cash faster will be ever so important.

Agency leaders will first need to develop a timeline cadence of when to address claims based on when they were submitted for payment. In addition it will be pertinent to understand their own agency metrics such as DSO (Daily Sales Outstanding) and how they compare to industry standards.

On this webinar you will walk away with how to develop a timeline and your own DSO dashboard for benchmarking. All of these topics will weave into  strategic steps to take toward collecting cash flow faster.

FREE WEBINAR: Return to Work under COVID-19

Presented by: Healthcare Synergy
David Mauzey, SVP & General Manager, HealthPointe Solutions

Date: January 14
Time: 11:00 - 11:30 PST


The COVID pandemic has evolved, initial processes in place ensure a safe work force environments but need to evolve to stay effective and efficient. Home health has an extra layer of scrutiny given the population may be at a higher risk. This webinar will focus on how an organization can evolve to keep their workforce and patients safe. HealthPointe Solutions has a full inventory of new and advanced recommendations that help implement and maintain site safety. This includes step-by-step guidance that include medical testing administration strategies, patient/employee monitoring, training/education and program auditing.
David Mauzey has over 25 years' experience in healthcare, helping bring operational efficiency solutions to both providers and payers. Within HealthPointe Solutions, he is responsible for operations and was a part of the team that developed HealthPointe Solutions’ COVID response solutions. Prior to joining HealthPointe Solutions, David served as VP and GM of Optum's Network Payment Innovation, where he focused on alternative payment programs, including bundle d payments and population-centric, value-based programs.

FREE WEBINAR: The Rise of Hospital at Home: A Roundtable Discussion

Sponsored by: AlayaCare

Featuring: Dr. Bruce Leff, Hospital at Home Pioneer & Professor, John Hopkins School of Medicine; Adrian Schauer, Founder and CEO
AlayaCare; Joel Theisen, Founder and CEO, Lifesprk; Brady Murphy, VP Sales & Marketing, AlayaCare

Date: Wednesday, January 27
1:00 EST

Information and Registration

Across the U.S., the Acute Hospital Care at Home initiative from CMS is taking off amid the pandemic with at least 80 approved participants to date. As hospital-at-home models become more popular and more beneficial to both patients and health care organizations, those that have recognized the perks of home-based care prior to the COVID-19 crisis may have the upper hand.

Join us on Wednesday, Jan 27th at 1:00 pm EST for a roundtable discussion with industry experts such as Dr. Bruce Leff, Hospital at Home Pioneer and Professor at John Hopkins School of Medicine who deserves his reputation as a founding father of this virtual hospital concept, to learn about the hospital-at-home model and its impact on the home care industry.

FREE WEBINAR: 5 Key Elements of a Successful Home Health Remote Patient Monitoring Program

Presented by: Amity Healthcare Group

Featuring: Irina Gorovaya, owner and president of Amity Healthcare Group; Erin Vallier, AlayaCare Account Executive; Kaila Raimondo, AlayaCare Solution Engineer

Date: Wednesday, January 27

Time: 2:00 pm EST

Information and Registration



Explore key factors and solutions necessary for successful deployment of patient remote monitoring program in home health.

The discussion will include policies and procedures, documentation, staff education, and telehealth equipment and solutions.

FREE WEBINAR: Rubber Meets the Road with the No-Pay RAP

Sponsored by: KanTime & BlackTree Consulting

Featuring: Nick Seabrook, Managing Principal and Founder, BlackTree; Kim Spence, RN, Director, KanTime Customer Success; Greg Lotz, Director, KanTime Marketing & Sales Technology

Date: February 4
Time: 2:00 EST



Re-visit regulatory changes and how they have impacted agencies. Plus, tips and tricks to stay ahead of the curve.

Virtual Conference: Winter Leadership Summit

Presented by: National Association for Home Care and Hospice

Date: February 23, 2021


Homecare 100 *

Presented by: Lincoln Healthcare Leadership

Date: June 27-30, 2021
Venue: JW Marriott Marco Island Beach Resort, FL


*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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