If you’re not on this list, you won’t be on the UHPCO/UAHC brochure.       

PSSST!  Tonight (MONDAY, APRIL 8) the membership lists go to the Autumn Leaves publishers. All CURRENT MEMBERS will be listed on the back cover. The brochure will go to >20,000 seniors in Utah.

You asked. We listened. The updated UHPCO membership list on UHPCO’s website shows which Utah counties each member agency and company serves. Check out your listing. 

 

 

Events

Online Volunteer Training

Upcoming Webinars:

4.11: Hospice Audit Success Stories – Preparing for Government Audits & Latest Trends

4.18 Conditions of Participation Series: Infection Control & QAPI

4.25 Post-Acute Care: Preferred Provider Networks Offering Value-Based Care

Register Today for the Upcoming Provider Enrollment Ask-the-Contractor Teleconference (ACT)!

RCTCLEARN Webinar Announcement

6.7 VitalTalk Mastering Tough Conversations

News

ASPR TRACIE Express: April 2019 Updates

NAHC Bulletin 3-29

TruPharmacy News Today

Medicare Credit Balance Quarterly Reminder

Hospice PEPPER Available

Hospice FAQs: Robert Markette answers your questions about hospice compliance

The Importance of Patient and Family Centered Care – CHAP’s 2019 Hospice Accreditation Standards

Latest from CMS: MLN Connects for 4-4-2019

Medicare Advantage Plans May Provide Additional Supplemental Benefits in 2020

The Utah Hospital Association shares its Disaster Preparedness Resources Web Page

Utah Medicaid Newsletter April 2019 MIB

Interest Items

Industry News Articles


Events

Online Volunteer Training

Train all new volunteers for one annual fee.
No seat limits, no added costs, no worries.

Upcoming Webinars:

4.11 at 1-2:30 P.M.: Hospice Audit Success Stories – Preparing for Government Audits & Latest Trends

Do you understand the latest government audit and contractor trends?  This webinar will provide insight into Unified Program Integrity Contractors (UPICs) and how they relate to Zone Program Integrity Contractors (ZPICs) and Medicaid Integrity Contractors (MICs).  These trends include the “2 in 1” audits initiated by UPICs and recent tactics, including serial record requests, probe audits, “secret” patient interviews, and auto-denied claims.  Learn how to prepare for and recognize these trends during an audit. From the 10 questions every staff person should know, to testing your organization’s record production capabilities, this program will empower you to prepare for and defend against government audits. Attendance certificate provided to self-report CE credit.

4.18 Conditions of Participation Series: Infection Control & QAPI

Having an agency-wide quality improvement program has always been important, but now with a Condition on QAPI (Quality Assessment/Performance Improvement), it is mandatory for agencies to comply.  Infection control is a very important and vulnerable area for home health agencies.  The integration in the QAPI program will be addressed.  Compliance often comes down to understanding what needs to be done and how.  Having a great quality program will lessen agency problems, maintain compliance, and lead to success!  Examples of audit tools and quality indicators will be provided. Attendance certificate provided to self-report CE credits

4.25 Post-Acute Care: Preferred Provider Networks Offering Value-Based Care:

Does your strategic growth plan position your agency as a partner in preferred provider networks?  Does your agency have the knowledge and capabilities to offer “value-based care”?  An aging population, shifting reimbursement models, increases in chronic disease states, and new care delivery models that extend beyond hospitals to post-acute-care providers are demanding the implementation of preferred provider networks.  Simultaneously, value-based care and new payment models incentivize both acute- and post-acute-care providers to focus on greater coordination of care that emphasizes quality, cost effectiveness, and patient experience.  This webinar will explain the benefits and requirements of value-based care providers.  Learn the steps, data requirements, and other considerations to become and remain a preferred provider in a network that offers value-based care.  One- and two-sided risk payment models and how to prepare your agency for participation in alternative payment models will also be addressed. Attendance certificate provided to self-report CE credits.

Register Today for the Upcoming Provider Enrollment Ask-the-Contractor Teleconference (ACT)!

Via CMS: “Please mark your calendars and plan to participate and hear the latest Provider Enrollment updates and get your questions answered.

Provider Enrollment Updates and Open Forum for Providers ACT

April 23, 2019
1:00 p.m. – 2:00 p.m. MST

Please submit questions specific to provider enrollment prior to the event to have them answered in this open forum for other providers to listen and learn.  Please send enrollment related questions to the J15_HHH_education@cgsadmin.com mailbox by the close of business on April 12, 2019.”

RCTCLEARN Webinar Announcement

Via RCTCLEARN: “Please join us for our webinar on Wednesday, April 17th, 2019 at 9:00 a.m. MST

RCTCLEARN.NET will again be hosting webinars for agencies or training coordinators new to RCTCLEARN.NET and/or new to the My CEU tool for tracking course completions.  The webinars provide an excellent opportunity to learn about the new features on the system as well as discuss ideas on how to introduce or re-introduce the programs.   While designed for new users, they may also be beneficial for existing agencies and training coordinators as well.  Webinars typically last around 15 minutes or a little longer depending on user questions.

Participants can sign-up at http://www.rctclearn.net/webinar.  Before the event, participants will receive connection information via email.

If you have any questions or would like to schedule a customized session, please contact:

Dennis Kronebusch, RCTCLEARN Information Technology Specialist
Toll Free: 1-877-396-6261
dennis.kronebusch@rctc.edu”

VitalTalk Mastering Tough Conversations

Dear Colleagues,

It is my pleasure to invite you and your colleagues to a unique, hands-on, intensive course “VitalTalk – Mastering Tough Conversations” that gives you the tools to discuss goals of care with your patients who have serious illness. 

This course teaches communication skills for goals of care conversations through intensive small group work with simulated patients, facilitated by local VitalTalk faculty. Cases are drawn from a range of diagnoses and settings. Practicing clinicians and from all specialties and disciplines who care for seriously ill patients are encouraged to attend, as are postgraduate trainees in the health professions.

Shaida Talebreza, MD, AGSF, FAAHPM, HMDC
Associate Professor, Division of Geriatrics, University of Utah School of Medicine
Geriatric Palliative Care Specialist, Home Based Primary Care (HBPC), George E. Wahlen Salt Lake City Veterans Affairs Medical Center shaida.talebreza@hsc.utah.edu

6.7 at 8:00 AM – 4:30 PM, Little America Hotel, 500 S Main St, SLC UT

Register at: https://bit.ly/2TZloKu

News

ASPR TRACIE Express: April 2019 Updates

HHS’s April 2019 Updates focus on the following:

Natural Disasters, Chemical Hazards, Healthcare Facility Evacuation/Sheltering, and Responder Safety and Health Topic Collections;

Health and Social Services Recovery Lessons Learned from the 2016 Louisiana Flooding;

Issue 6 of The Exchange (Evacuating Healthcare Facilities);

When Hospitals Become Islands; and

After the Flood: Mold-Specific Resources

Read the whole released updates here…

NAHC Bulletin 3-29

Calvin McDaniels has released his latest NAHC Bulletin. Below is a sneak peak at some of his high points. To read the full bulletin, download it here…

NAHC – Virtual Advocacy Day – Not able to make it to the March on Washington? Join in the effort virtually! We have our top priorities summarized and pre-drafted letters queued up for you to send to your Senators and Representatives. Full details here, with factsheets. NAHC Legislative Action Center here.

Home Health – CMS Transmittals – CMS released two transmittals on March 22nd that update CMS manuals to reflect changes made by the CY2019 Home Health Final Rule to the updated plan of care requirements and the elimination of the requirement that the physician estimate the length of home health services at recertification.  Transmittal 870updates the Program Integrity Manual, Chapter 6 to reflect that the physician does not need to estimate the length of home health services on recertifications.  Transmittal 258 updates the Benefit Policy Manual, Chapter 7 to reflect the same and to reflect the requirements of the updated plan of care that were outlined in the Final Rule for 2019.  The changes are effective for recertifications made on or after January 1, 2019. Full story here.

Home Health – CMS Clarifies Oversight of New Home Health Agencies – CMS recently announced that newly enrolled HHAs are subject to a period of provisional enhanced oversight, which places the agency on a RAP suppression for a period of time between 30 days to one year. Yet in a follow-up MLN Matter article CMS provided little additional information regarding the implementation of this initiative. NAHC has received clarification on several key elements related to the enhanced oversight of new HHAs. Learn about those clarifications here.

Home Care – Medicaid Extensions – On Monday the House of Representatives approved legislation extending the Medicaid Money Follows the Person (MFP) program, and financial protections for spouses of Medicaid Home and Community Based Services recipients. Previously Congress approved a three month extension through the end of March with hopes of coming to a deal on a permanent fix. That deal has not been reached yet. The current extension runs through September, the end of the fiscal year. The Senate has yet to act on this bill, but is expected to.”

TruPharmacy News Today

Hospice Pharmacy Solutions’ has released its latest newsletter. Below is a sneak peak at the heading articles. To read the full articles, visit their website here…

Canna-must or Canna-bust? Understanding the endocannabinoid system and the mechanism of action of cannabis shines a light on the potential benefits and harms associated with the use of cannabis and its isolates. Within these plants are hundreds of chemical compounds responsible for producing various effects on the body. Especially when it is used intelligently with a full understanding of the plant’s kinetics, cannabis could provide a viable option to alleviate many of the symptoms hospice patients endure.

Congress: To Better Understand Value-Based Care, Look to Hospice Introduced by the Institute for Healthcare Improvement a decade ago, the “Triple Aim” is an approach that focuses on three critical areas of care:  improving the patient experience (via increased quality and satisfaction), strengthening population health, and reducing costs to the health care system.

5 Ways Supportive (Palliative) Care Can Help at Diagnosis  Seeing healthcare professionals who focus on symptom management and supportive care improves outcomes and is critical for a patient’s quality of life. The Pancreatic Cancer Action Network (PanCAN) strongly recommends that symptom management and supportive care should be provided early in a patient’s diagnosis as well as during and after treatment.

Medicare Credit Balance Quarterly Reminder

Via CMS: “As a reminder, the Medicare Credit Balance Report for the quarter ending March 31, 2019 is due in our office postmarked by April 30, 2019Read more…”

Hospice PEPPER Available

Via PEPPER: “The Q4FY18 release of the Hospice Program for Evaluating Payment Patterns Electronic Report (PEPPER) with statistics through September 2018 is now available for download through the PEPPER Resources Portal. To obtain your Hospice’s PEPPER, the Chief Executive Officer, President, Administrator, Compliance Officer, or Quality Assurance/Performance Improvement Officer of your organization should:

Review the Secure PEPPER Access Guide.

Review the instructions and obtain the information required to authenticate access. Note: A new validation code will be required. A patient control number (UB04 form locator 03a) or medical record number (UB04 form locator 03b) from a claim for a traditional Medicare FFS beneficiary with a claim “from” or “through” date between July 1 – Sept. 30, 2018, will be required.

Visit the PEPPER Resources Portal.

Complete all the fields.

Download your PEPPER.

The Hospice PEPPER will be available to download for approximately two years.”
A webinar is scheduled for Thursday, May 16, 2019, at 3 p.m. EDT to review the new PEPPER. For more information visit the Hospice Training and Resources page.
About PEPPER
PEPPER is an educational tool that summarizes provider-specific data statistics for Medicare services that may be at risk for improper payments. Providers can use the data to support internal auditing and monitoring activities. Visit the Hospice Training and Resources page at https://pepper.cbrpepper.org/ to access updated resources for using PEPPER, including recorded web-based training sessions, a sample Hospice PEPPER and the current Hospice PEPPER User’s Guide. PEPPER is developed under contract with the Centers for Medicare & Medicaid Services (CMS) by RELI Group, along with its partners TMF Health Quality Institute and CGS.
Do you have questions or comments about PEPPER or need help obtaining your report? Visit our Help Desk to request assistance with PEPPER. Provide your feedback or suggestions regarding PEPPER through our feedback form.

Hospice FAQs: Robert Markette answers your questions about hospice compliance

From WellSky, A UHPCO member: “Hospice providers today are confronting a new and unexpected survey focus. Hospice surveyors are increasingly focused on issues relating to hospice administration. This administrative focus includes topics such as your hospice’s corporate structure, the relationship between your hospice’s parent office and its multiple locations, and the role and job title of your administrator. Hospice providers who have been successfully operating for years are suddenly finding themselves hit with condition level citations. How will your hospice team adapt to the major survey focus of 2019? Hospice professionals must understand the regulatory basis of this new survey focus and learn what surveyors are looking for.  Hospice administration was the topic of a recent 60-minute webinar presented by Robert W. Markette, Jr., CHC, HCS-CHospice compliance 2019: confronting a surprising new survey focus — now available to watch on demand. Now Mr. Markette answers some of the most popular questions asked during the webinar in this new FAQ document. Get answers to these questions and many more:

What special survey issues arise when hospices are part of larger healthcare systems?

How often must the hospice’s governing body meet?

What are the qualities of a good, survey-ready organizational chart?

Does a hospice administrator have to be local?”

DOWNLOAD NOW Frequently Asked Questions from the Webinar: Hospice compliance 2019: confronting a surprising new survey focus

The Importance of Patient and Family Centered Care – CHAP’s 2019 Hospice Accreditation Standards

Via CHAP: “CHAP, the Community Health Accreditation Partner, is proud to announce the publication of the 2019 revised Hospice Care standards, now also approved by the Centers for Medicare & Medicaid (CMS).

According to CHAP President and CEO Barbara McCann, the CHAP 2019 hospice standards underscore the importance of the quality of care that hospice patients and their families receive.
“Patients and families often learn about hospice care at a point of crisis. These standards re-emphasize what they should expect, as well as demonstrate an accredited hospice’s public accountability for delivering quality care”, said McCann.
Effective October 1, 2019, the revised hospice standards are presented in a new format with clear statements of performance expectations, applicable federal hospice regulations, and how care is evaluated – including home visits to patients and families.
“The revised standards provide a CEO and Clinical Leadership with valuable insight as to what is happening each day-namely patient/family care, outcomes, and compliance risk with federal and state regulation”, offered Maureen Spivack, Chair of the CHAP Board of Directors. “In the fast pace of health care today, this is what is needed by investors, governing body members, as well as management and clinical leadership.”
The 2019 Hospice Standards can be found on the CHAP website by clicking here. CHAP also offers palliative care certification for those hospices with a palliative care program. For more information please go to: https://chapinc.org/palliative-certification/
CHAP is an independent, nonprofit organization offering accreditation for hospice, home health, private duty, home infusion nursing, pharmacy, HME, and certification for palliative care programs. Since 1965 CHAP has been a trusted partner in defining, evaluating, and advancing quality care at home and in the community.”

Latest from CMS: MLN Connects for 4-4-2019

Read the latest from CMS in the new MLN Connects Newsletter here…

Medicare Advantage Plans May Provide Additional Supplemental Benefits in 2020

From Elizabeth E. Hogue, Esq: “The following article is about additional supplemental benefits for chronically ill patients that Medicare Advantage (MA) Plans will be able to provide beginning in 2020.” Read her full article here…

The Utah Hospital Association shares its Disaster Preparedness Resources Web Page

Here is a link to the Utah Hospital Association shares its Disaster Preparedness Resources web page.

Utah Medicaid Newsletter April 2019 MIB

Read the April Newsletter here…

Interest Items

Industry News Articles

Shared via the Carolinas Center’s News of Note 4-2-2019

Early Hospice Admission Could Save Medicare $2.3 Billion  Hospice News

Hospice units for soothing end-of-life care are themselves dying off  Pittsburgh Post-Gazette

New Guidance for CMS Rules on Hospice, Home-Based Services  Hospice News

Doctors need to do better at talking to families about critically ill patients  Reuters Health

How common are advanced care planning conversations with hospitalized, older patients?  EurekAlert!

Author addresses moral distress in nursing in new book  Nurse.com

Shared via Ellen Almond’s Home Health Media Clips 4-3-2019

HHS Inspector General Resigns After 14 Years  Inside Health Policy

Trump Says GOP `Blew It’ on Health Care and Must Run on New Plan   Bloomberg BNA

Trump Steps Back On Health Care; Dems Push Reversal Of DOJ Stance  Inside Health Policy

Shared via the Carolinas Center’s News of Note 4-3-2019

C-TAC CMO Brad Stuart, MD, Co-Authors New Article on Finding Life on the Other Side of Despair  B-TAC The Blog to Transform Advanced Care

Program Spotlight: Reducing Hospital Readmissions Through Palliative Care  CAPC

New Research Indicates Pediatric Palliative Care Patients Benefit From Massage  Massage Magazine

Special Report: What happens when a state expands Medicaid?  By Rose Hoban  North Carolina Health News

CMS, states face difficult choices on Medicaid expansion, work requirements  Modern Healthcare

Utah’s partial Medicaid expansion cleared by CMS, sidestepping voters  Healthcare Dive

VA to share patient data with private providers under new accreditation  Modern Healthcare 

Better Communication Skills Can Save Lives  TD Magazine

Make Your Wishes Known  CancerToday Magazine

Earlier, More Thorough Conversations Eases Distress in Advanced-Stage Patients  Oncology Nursing News

7 ways employers can support employee caregivers  Employee Benefit News

Growth in telehealth use outpaces urgent care centers, retail clinics  Healthcare Dive

Shared via Ellen Almond’s Home Health Media Clips 4-4-2019

Fair Scheduling Trend Could Spell Trouble for At-Home Care Providers  Home Health Care News

E&C Passes Revised CREATES, Pay-For-Delay Bills After Striking Bipartisan Deal  Inside Health Policy

Conservative Group Crafting Trump ACA Replacement For 2020 Campaign  Inside Health Policy

Medicaid Home and Community-Based Services Enrollment and Spending  Kaiser Family Foundation