Volume 9, Number 50 January  8, 2020



Dear Healthcare at Home Colleague,

Our first issue of our 22nd year reminds us of our last issues of our first year. In 1999, nearly every Home Care Tech Report issue included at least one article that tried to answer the question, "What is this Home Health PPS thing? What is OASIS? And how are we going to survive?" As our Medicare-oriented readers woke up to PDGM's 30-day episodes last week, the feeling of déjà vu was palpable, at least for those of us who have been around a while. As in 2000, the sun came up, people continued to need care, and nurses and therapists learned to complete an OASIS assessment (eventually).

To Private Duty Providers

Never fear. Though this issue, and possibly the next few, need to be devoted to PDGM, we will not ignore you. Be sure to scroll down to this week's headlines. You will be fascinated by a story we found reported by Axios about the surplus of investment capital searching for healthcare startups, and by the announcement from HIPAA-secure texting company QliqSOFT regarding the release of a new patient-engagement tool.

PDGM Revenue Recognition

No sooner does a new Medicare payment system kick in than a controversy arises. What is the proper way to recognize revenue when payment episodes are 30 days and care episodes are 60 days? NAHC is having high-level discussions about it within its Financial Managers committee. Financial consultants such as BKD are working on it too. We have two articles that at least begin to lay out the early questions. Scroll down and click on the headlines to read both. Then, let us know how your agency has decided to handle it. Or, maybe still deciding. Send your comments and opinions to editor@homecaretechreport.com.


We have more to give

By this time next week, the publishers of this newsletter, Rowan Consulting Associates, will announce another free service to the caring, compassionate people who serve the elderly, infirm, and dying. You did it for my parents and I am always looking for ways to express my appreciation. The Online Home Care Buyer's Guide has been updated and redesigned and is just about ready for prime-time. You will be able to create a free account, describe the software, telehealth, EVV, OASIS support, supplies dealers, or type of consultant you need and The Online Guide will automatically provide you an objective, unfiltered list of vendors and consultants who have told us they match those needs. Some vendors have paid a small fee for the privilege of having more detail about their company and products available to you, but all known vendors will at least have their names listed. You'll never find 50+ EMR software companies by flipping through the pages of a magazine but we have leveraged 26 years of experience to find them all. And no magazine can automatically send a request for information to them like The Online Guide can. Watch this space later this month for details.

Tech companies, if we have somehow missed you about how to submit your company and product profiles, contact us as soon as possible.

Have a great week. Keep making a difference in 2020!

Editor signature
Tim Rowan



Differing Views on Revenue Recognition Under PDGM
Revenue recognition guidance varies under PDGM among CPAs and consultants. It is logical that, with the change to 30-day payments, we should re-evaluate how we recognize revenue from now on.

Libman Education White Paper: Four Principles to Help RCM Coding Teams Succeed
Clinical documentation and coding are often cited as one of the areas of greatest revenue cycle opportunity.

Investing? Consider Health Care
If you bought an equal amount of shares of every health care company that went public last year and then sold before the calendar flipped, you would have gotten a 47% return on your money.

Vendor Watch
— QliqSOFT releases patient engagement tool using patient's smart phone.



During the 2nd Quarter of 2021, web sites of the above advertisers were visited by home care and hospice executives and staff 5944 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

As of this date, approximately 36,245,000 Baby Boomers have become Medicare eligible.

 

Last Week's Most-Read Stories:

AlayaCare Acquires Procura and ANZ from Complia Health
Procura executive and support teams to remain intact under former competitor.

Dr. Lucy Andrews Discusses Her Decision to Join Honor
Former CAHSAH president and NAHC board member tackles staffing shortage crisis by accepting partnership.


Upcoming Events

WEBINAR: Documentation: How to Fight Auditors

A 90-minute Lunch & Learn Audio Conference by Elizabeth E. Hogue, Esq. Health Care Attorney

Date: May 5
Time:
1:00 - 2:30 EDT

Encore date:
May 12; On-demand recording available 24/7

Information and Registration

Home health agencies and hospices are plagued by audits! The United Program Integrity Contractors (UPICs) are hard at work. RAC auditors are now back on the job, too. Plus, there are ADRs, scrutiny from the OIG, and more! What should providers do to avoid being in the crosshairs or to get out of the line of fire?

The answer, of course, is documentation. For home health agencies, auditors regard whether patients are homebound and whether care provided was reasonable and necessary as “low-hanging fruit.” Hospices are likely to face denials related to whether patients are terminally ill. 

Home health agencies should continuously document regarding homebound status. Hospices must focus documentation on whether patients continued to be eligible for the hospice benefit. Both types of providers should “tell the story” of patients’ conditions so that care is clearly reasonable and necessary. 

If providers are targeted by auditors, they should carefully review and make additions and changes consistent with applicable standards before submitting records.

Attend this presentation to learn exactly how to document to minimize denials.

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.


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
Time:
1:00 pm EDT

Register


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: 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
Time:
1:00 EST

Information and Registration

Agenda
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: 6 New COVID-19 ICD-10 Codes to Learn Webinar

Presented by: Healthcare Synergy
Featuring:
Michael Tidd, HealthCare Synergy Clinical Manager

Date: Thursday, February 4
Time: 11:00 - 11:30 PST

Register

COVID-19 has resulted in multiple waivers along with changes to programs and treatments to patients.  April 1 had an unexpected release of a new diagnosis code for the COVID-19 disease.  October 1 had additional diagnosis codes for agencies to learn and use.  January 1, 2021 brings six additional diagnosis codes that CMS released the week of Thanksgiving.  These will not be listed in your existing diagnosis coding manuals until a new manual is released later in August. 
Objectives:
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: Practical Application of Information Blocking and Interoperability Rules for Post-Acute Care Providers

Sponsored by: Complia Health and Kno2

Date: February 18
Time: 1:00 EST

Information and Registration

Join healthcare technology experts Alan Swenson, VP of Interoperability at Kno2, and Melissa Turner, Director of Integration at Complia Health, on Thursday, February 18th at 1pm Eastern to learn about information blocking and what it means for your post-acute care organization today and looking ahead to the future. 


FREE WEBINARS: Virtual Seminar Series 

"Building the Bridge to Hospice" and "How to Increase Referrals"

Sponsored by: WellSky

Featuring: Cindy Campbell, Jody Holmes-Dion, Bob Parker, Melanie Stover

Dates: March 2, 16, 30; April 6
Time: 1:00 - 2:30 EST

Register for one or both webinars

Building the bridge to hospice: Leveraging connections between home health, palliative, and hospice care
Presented by consultants Cindy Campbell and Jody Holmes-Dion of WellSky and Bob Parker of Intrepid USA
CE credit offered – approved for up to 1.25 contact hours
Tuesday, March 2 | Tuesday, March 30

Turn up the volume! How to increase referrals in a value-driven market
Presented by Cindy Campbell and sales and marketing expert Melanie Stover of Home Care Sales
Tuesday, March 16 | Tuesday, April 6


FREE WEBINAR: Tech Titans Join Forces to Tackle Post Acute Care Challenges

Sponsored by: KanTime

Featuring: Terra Vicario (Moderator) CMO, Viventium; Malka Trump, Director of Compliance, Viventium; Kristen Duell, EVP, KanTime; Kim Spence, RN, Customer Success Division Leader, KanTime; James Cohen, CEO & Co-Founder, Nevvon

Date: Thursday, April 22

Time: 11:00 am PDT, 2:00 pm EDT

Register

2021, in many ways, is a continuation of challenges from 2020 and more! During this webinar, experts from companies with solutions for talent/retention and compliance issues, along with the continued challenges that COVID-19 has presented to our industry, will cover rules, regulations, and programs you need to stay on top of so your company can thrive amidst the pandemic.

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 soon.

 

Agenda:

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.


Homecare 100 *

Presented by: Lincoln Healthcare Leadership

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

Registration Information


Brave New World: HomeCareCon 32nd Annual Conference & Trade Show

Presented by: Home Care Association of Florida

Date: July 20-23

Venue: Hilton Orlando Buena Vista Palace

Information and Registration


NAHC Financial Managers 2021 Conference and Expo *

Presented by: National Association of Home Care and Hospice

Date: August 1-3

Venue: Sheraton Grand Chicago

Information and Registration

Annual Leadership Conference *

Presented by: Home Care Association of America

Date: September 26-27

Location: Hilton Orlando Hotel

Information and Registration

This event is your opportunity to learn about current issues, trends, and strategies that will help your organization thrive. ?Throughout the conference, the industry’s leading vendors will be exhibiting their latest efforts to support home care providers across the country. Take this great opportunity to learn the newest competitive strategies, discover cutting-edge technologies and network with key innovators across the home care industry—all in one location.

 


2021 Home Care and Hospice Conference and Expo *

National Association for Home Care and Hospice

Date: October 3-5
Venue: New Orleans

Information and Registration available soon at nahc.org


*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
Date(s)
Hotel or Conference Center, City, State
URL



Did you receive this issue as a forward from a colleague? Would you like to have your own free subscription? Click here.

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.

HCTR is free to subscribers and supported by its generous advertisers. To inquire about presenting your message to our 12,000 subscribers, write to Kristin in our ad sales department, Kristin@RowanResources.com.