Volume 8, Number 43 November  6, 2019



Dear Healthcare at Home Colleague,

On a week where the big news is about CMS publishing its final PDGM rule, we nevertheless found two stories that will resonate with non-medical home care providers. I also want to point out that there are a number of workshops and webinars coming up, most of them about PDGM. Scroll down to the bottom of this page to read the list.

For Home Care

If your field staff uses smart phones to record patient information, visits, and shifts, do you have company policies about apps they can and cannot download onto their phones? The incidents of malware infestation are increasing, especially in Android phones. We have specific instructions from a security expert. Follow his 4-step plan and you will decrease the chance of some offshore hacker gaining access to your network through one of your employees' phones. Scroll down and click on "Four Ways to Avoid Malware on Android Phones."

Dr. Bill Thomas, a gerontologist, spent four years traveling the country, interviewing elderly people. We heard him speak a few weeks ago and tried to remember as much as we could from his presentation. He is not only an inspiration, but he delivered insights into what elders think about healthcare, loneliness, who should decide where they live, and a dozen more topics. Meet Dr. Thomas in "Gerontologist Offers New Insights Into Aging."

 

 

For Home Health

On Friday, CMS will release its final rule for the 2020 home health payment system in the Federal Register. Looking at a draft copy, the only surprise we saw is the change in the percentage rate reduction for CMS's so-called "behavioral adjustment." It was reduced from 8.01% to 4.36%. We asked NAHC president Bill Dombi to weigh in on the change and juxtaposed his comment with the CMS response to the many comments it received from the public on the controversial move. Scroll down and click on "PDGM Final Rule Released, With One Surprise."

 

 

Preparing for any payment system change creates stress. A change as big as PDGM creates more than its share. Many home health agencies respond to the message that they must improve productivity and efficiency by saying, "We've already been doing that. How can we economize more?" We called a guest writer to help answer that question. Michael McGowan is a former CMS OASIS coordinator and the developer of an OASIS assessment system that has been getting nurses home at 5:00 with no paperwork, no charting to do. He describes his system in "Will Your Care Planning System Carry You Through PDGM?"

 

 

Worth the Trip

As you read this, I'll be on my way to Albuquerque. I hope to see friends and readers from the New Mexico Association for Home & Hospice Care. I have the privilege of moderating a panel discussion of experts on the subject of interoperability. We will focus on the advantages of joining a Healthcare Information Exchange. Next week, I will be in Las Vegas, talking about my system of improving a company's online visibility. We have a major software upgrade to demonstrate at the Private Duty Conference conducted by Decision Health.

Have a great week. Keep making a difference!

Editor signature
Tim Rowan



PDGM Final Rule Released, With One Surprise
NAHC wins 50% reduction of behavior adjustment rate. CMS does not back down on belief in its underlying rationale.

Gerontologist Offers New Insights Into Aging
After a four-year sabbatical, during which he interviewed older people in hundreds of U.S. cities, gerontologist Dr. Bill Thomas came home with an entirely new perspective on aging and what older people really want. His findings will change your outlook on caring.

Four Ways to Avoid Malware on Android Phones
Downloading the wrong app can install malware on your phone. From there it can get into your company's servers. Here are protective steps you should take.

Will Your Care Planning System Carry You Through PDGM?
A former CMS OASIS coordinator reflects on the impact PDGM will have on HHAs that do not adapt. He ends with one powerful way to create the necessary system efficiencies.



During the 1st Quarter of 2021, web sites of the above advertisers were visited by home care and hospice executives and staff 10965 times.

To inquire about placing your message here, contact:

Kristin@rowanresources.com

As of this date, approximately 35,552,000 Baby Boomers have become Medicare eligible.

 

Last Week's Most-Read Stories:

Nurse Tackles Nursing Shortage with Free App
Startup plans to go nationwide with online community of nurses.

Technology is Changing How We Practice Nursing
The ability to compile data from multiple sources and utilize algorithms to present content, such as potential risks and potential disease trajectory, enhances the role of the nurse and care team.




Upcoming Events

Webinar: Post-Acute Care Quality Reporting Programs

Presented by: CMS

Date: Thursday, November 14

Time: 2:00 - 3:00 pm EST

Fee: Free

Description: The Centers for Medicare & Medicaid Services (CMS) will be hosting a webinar for Medicare-certified hospice providers to provide an overview on Hospital Quality Reporting Program (HQRP) requirements.

During this webinar, CMS subject matter experts will provide information on the following topics:

CMS will answer questions at the end of the webinar as time permits.

Register

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. 


Virtual Conference: Winter Leadership Summit

Presented by: National Association for Home Care and Hospice

Date: February 23, 2021

Register


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.


Honoring Healthcare Heroes

Michigan Home Care & Hospice Association Annual Conference

Date: May 12-14
Venue: Virtual Event and Trade Show

There is something for every service line in home care as well as sessions for many of the disciplines in your organization.  Stay up to date on the current regulatory, legal, employment, and leadership topics that will help your organization succeed in the coming year. 
 
Invest in your future and the future of many of your co-workers.  MHHA has made this conference affordable by offering the 1st person to come at full price and additional people to attend at $70 if you are a MHHA member. 
 
Use this link to register on-line or download the registration form.  We look forward to your participation!

Registration

 



Sprinting Toward Brighter Days

Homecare & Hospice Association of Utah Annual Conference - LIVE AND IN PERSON!

Date: May 18-19

Location: Salt Lake Community College, Sandy, UT

Information and Registration

Interested sponsors/exhibitors: hover over the "Partners" tab on the website menu and select "Sponsorship/Exhibitor Opportunities" or email info@hhau.org for more information.

 


Homecare 100 *

Presented by: Lincoln Healthcare Leadership

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

Registration Information


*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



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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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