CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME

Volume 28, Issue 11NOVEMBER 2012

CAHSAH Partners with RCFEs

Gov. Brown Calls for a Special Session

P.9: SPECIAL FEATURE

SingleSource Offers Effective

Survival Tips

CAHSAH Bulletin

CAHSAH is collaborating with the California Assisted Living Association (CALA) to clarify the regulations and responsibilities for home health, hospice and RCFEs and resolve misconceptions and conflicts. RCFEs have a vested interest in their residents’ ability to receive services and agencies to provide those services. The questions and answers below reflect the initial discussions with CALA. Additional information will be available as CAHSAH and CALA continue to collaborate to ensure that residents receive the appropriate and timely services that they need.

Questions and Answers

Q: Can RCFEs receive copies of employee back ground check results?

A: No, privacy laws prevent agencies from sharing background check information.

Agencies that are required by California regulations to complete background checks prior to the start of employment should ensure that RCFEs are aware of that regulation and that all of your employees have clearances.

The RCFE exemption for third party contractors

from background checks does not extend to contractors that are providing assistance with activities of daily living. RCFEs can

require aides that are not Certified Nursing Assistants or Certified Home Health Aides to have background checks completed or they may accept a copy of the background check from the private duty aide, but not the agency.

Q: What services can be provided in an RCFE?

A: Any service that is not part of the resident’s RCFE care plan can be provided by an

agency. The family should know what the RCFE is providing. For example, if the resident’s care plan stipulates that the RCFE is providing two showers per week, then additional showers could be provided by an agency but would not replace the two provided by the RCFE.

Governor Brown has called a special session for the California Legislature that will start in January and operate concurrently with

the regular session in order to address Affordable Care Act (ACA) implementation issues. The special session will consider new rules regarding the ACA that were recently released by the Federal Health and Human Services Agency (HHS) after President Obama’s re-election.

California lawmakers will apply the new rules to finalize the statute required for California to implement the ACA. The use of a special session expedites the legislative process and ensures necessary statutes are in place for the exchange, individual mandates, and ensures state agencies have the authority to implement the provisions.

Beginning in 2014, exchanges will serve primarily individuals buying insurance on their own and small businesses with up to 100 employees. California has already created the Exchange which has been named “California Covered;” however, it is not fully operational as of now, but will manage the insurance market place, information technology, a service center, marketing and ACA outreach efforts. Specific legislation for California Covered is expected in the special session.

CAHSAH will monitor the special session and advise members of any special session legislation which has a direct impact on employers and employees. For more information, please contact CAHSAH’s Director of Policy at jgabales@cahsah.org

The CAHSAH Bulletin is brought to you by

McKesson Corporation.

Learn more by going towww.mckesson.com

IN THIS ISSUE

P.10: CERTIFICATE PROGRAMS –

REVAMP!

P.4: New Laws Effective in 2013

W W W. A X X E S S W E B . C O M | 8 7 7 . 4 8 0 . 9 1 4 0

axxessconsultaxxess axxess-consult

M O R E A G E N C I E S A R ECHOOSING AXXESSTHAN ANY OTHER HOME HEALTH SOFTWARE

Increase Revenue

Improve Compliance

Decrease Costs

Improve Collaboration

WEB-BASEDWORK FROM ANYWHERE

C O M P L E T E H O M E C A R E M A N A G E M E N T S O F T W A R E

3CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME

Chair’s Message Denise Altomare

Ethics in Home Care

Ethics in home care. We talk a lot these days about ethics and ethical behavior. What is ethical and what is not under a myriad of situations and circumstances. Webster’s

describes ethics as the “…standards of conduct and moral judgment.” That is a reasonable and learned definition. But when it comes to what is really ethical, I think we can all agree with the words of former United States Supreme Court Justice Potter Stewart that when it comes to ethics, “we know it when we see it.”

It has been said that the basic standard of ethical behavior may have been diluted over the past few decades. Many believe that the ethics to which our parents and society in general held itself up through the middle part of the last century changed somehow as a result of the excesses of the ‘60’s through the “greed is good” era of the ‘80’s and beyond. Whether that’s the case or not, ethics are and will remain extraordinarily important in all aspects of the world in which we live.

As home care expands and becomes a more and more important part of the health care infrastructure, the ethical benchmark we establish for our industry becomes extremely critical. CAHSAH has a Code of Ethics that provides home care agencies and the general public with a clear illustration of the extraordinarily high standards to which our association holds its members. Our association’s Code of Ethics serves as a framework for ethical conduct in all aspects of home care and the way we operate our businesses and provide care to patients and clients across the continuum of services provided in the home.

The standards set forth in this important document outline the guidelines for ethical and professional conduct by CAHSAH members whether it involves the relationship between member agencies and clients or between individual caregivers and those they serve.

In order to protect the integrity of our industry and our association, violations of the Code of Ethics are taken very seriously. Conduct found to be in violation of this important document is considered carefully by CAHSAH’s leadership and can result in suspension or expulsion from membership as appropriate.

Home care is by definition a very intimate relationship. We are asked to enter people’s homes to care for their often frail, compromised and vulnerable loved ones. Being invited into someone’s home is a great privilege. But being invited in to help care for that person’s personal and health care needs or that of a loved one is truly an honor.

Home care is a unique and special industry. Within our commitment to this industry, we have the ultimate responsibility to ensure that the care provided is not only of the highest quality possible, but provided in a manner demonstrating the highest standards of professional conduct and ethical behavior.

Respectfully,

Denise AltomareCAHSAH Board Chair

4CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME

POLICY UPDATE

CAHSAH Tracked Bills: New Laws Effective 2013

New Laws in 2013, continued on page 5

As the dust settles on the closure of the 2011-2012 legislative session, we reflect on the hundreds of bills signed

into law. During this past legislative session, CAHSAH tracked 191 bills of which twelve had priority positions with new laws that take effect in 2013. Below is a brief description of the new laws impacting home care. Questions regarding these bills or their implementation may be directed to CAHSAH’s Legislative Specialist at madorno@cahsah.org

SB 135 (Hernandez D) Hospice facilities. (Chaptered: 9/27/2012) CAHSAH Position: Support Creates a new health facility licensing category for hospice, requires the department to develop regulations governing licensure of hospice facilities and imposes specified requirements on these facilities.

AB 40 (Yamada D) Elder and dependent adult abuse: reporting. (Chaptered: 9/27/2012) CAHSAH Position: Support Requires mandated reporters to submit written reports to the local ombudsman, the corresponding licensing agency, and the local law enforcement agency within 2 hours of the reporter observing, obtaining knowledge of, or suspecting the physical abuse that results in serious bodily injury. When the suspected abuse does not result in serious bodily injury, a mandated reporter may report by telephone and in writing within 24 hours of the reporter observing, obtaining knowledge of, or suspecting physical abuse.

AB 1744 (Lowenthal, Bonnie D) Employee compensation: itemized statements. (Chaptered: 9/30/2012) CAHSAH Position: Oppose Revises the required information that is provided on wage statements, effective July 1, 2013, and modifies the information that must be provided to new employees at the time of hire.

AB 1844 (Campos D) Employer use of social media. (Chaptered: 9/27/2012) CAHSAH

Position: Support Clarifies employers’ rights and obligations with regard to personal social media in the workplace since current law is ambiguous. Employers are prohibited from requiring or requesting an employee or applicant for employment to disclose a username or password for the purpose of accessing personal social media, to access personal social media in the presence

of the employer, or to divulge any personal social media. Also, prohibits an employer from discharging, disciplining, threatening to discharge or discipline, or otherwise retaliating against an employee or applicant for not complying with a request or demand by the employer that violates these provisions.

AB 1845 (Solorio D) Unemployment compensation

benefits: overpayment assessments: termination: income tax withholding. (Chaptered: 9/29/2012) CAHSAH Position: Oppose Beginning on or after October 22, 2013, if the Employment Development Department (EDD) determines that an unemployment insurance overpayment was made because the employer, or an agent of the employer, was at fault for failing to respond timely or adequately to requests made by EDD for information relating to the unemployment claim, the reserve account will not be relieved of the overpayment charges.

AB 1904 (Block D) Professions and vocations: military spouses: expedited licensure. (Chaptered: 9/20/2012) CAHSAH Position: Support Enables California National Guard or United States Armed Forces personnel returning from active duty to reinstate their expired vocational license without examination or penalty if the license expired during active duty. In addition, requires the respective board within the California Department of Consumer Affairs to expedite the licensure process for an applicant who holds a license in the same profession or vocation in another jurisdiction and is

www.corridorgroup.com | 866-263-3795

The Corridor Group, Inc. (TCG) has provided business advice and solutions to over 2,000 clients in its more than 20 years of operation. Our services bring clarity and perspective to complex home care and hospice challenges.

Contact us to learn how we can provide leadership, vision and focus to achieve masterful results.

Big picture perspective. Masterful results.

married to, or in a legal union with, an active duty member of the Armed Forces of the United States who is assigned to a duty station in California.

AB 2149 (Butler D) Elder and dependent adult abuse: settlement: gag order. (Chaptered: 9/27/2012) CAHSAH Position: Oppose Beginning January 1, 2013 settlements for civil actions regarding physical abuse, neglect, or financial abuse of an elder or dependent adult shall not include any provision that prohibits the ability for the crime to be investigated by local state or licensing authorities.

AB 2674 (Swanson D) Employment records: right to inspect. (Chaptered: 9/30/2012) CAHSAH Position: Oppose Increases the penalties for employers who fail to comply with specified provisions of an employee’s right to inspect their personnel files. Provides that an employer shall not be required to comply with more than 50 requests to inspect and receive a copy of personnel records filed by a representative or representatives of current or former employees in one calendar month. Specifies that the term “copy” includes a duplicate of the itemized statement provided to an employee or a computer-generated record that accurately shows all of the information that is currently required by law.

SB 728 (Negrete McLeod D) Medi-Cal: durable medical equipment reimbursement. (Chaptered: 9/22/2012) CAHSAH Position: Support Revises a provision related to the maximum allowable reimbursement rate for durable medical equipment (DME) in the Medi-Cal program for DME with no specified maximum allowable rate by allowing the manufacturer’s suggested retail price (MSRP) to be documented by a catalog showing the price on or prior to the date of service, instead of the MSRP on June 1, 2006.

SB 1047 (Alquist D) Emergency services: seniors. (Chaptered: 9/27/2012) CAHSAH Position: Support The Silver Alert System will be activated by the California Highway Patrol when a person 65 or older, under certain circumstances, such as imminent danger of serious bodily injury or death, are met and information is available that could assist in the safe recovery of that person.

SB 1255 (Wright D) Employee compensation: itemized statements. (Chaptered: 9/30/2012) CAHSAH Position: Oppose Provides a statutory definition of suffering an injury for purposes of employees recovering damages relative to itemized wage statement requirements.

SB 1532 (Pavley D) Business filings. (Chaptered: 9/23/2012) CAHSAH Position: Support Requires business entities, such as limited liability companies, limited liability partnerships and corporations to include their mailing address, if it is different than their physical address, when they file documents with the Secretary of State.

New Law, continued from page 4

WNU HeadlinesNOVEMBER 5

WebEx Training for Hospice Quality Reporting

Hospice Mandatory Quality Reporting Program requirements begin in January of 2013 and will affect FY 2014 payment determination. Hospices have two types of measures that must be submitted, quality and pain. The Structural QAPI measures include three quality indicators which must be submitted by January 1, 2013 and the NQF #0209 pain measure must be reported by April 1, 2013. The data collection period for both types of reporting measures is Oct 1 through Dec 31, 2012. Click here for the full article.

NOVEMBER 12

Final Deadline for Required HIPAA 5010 Compliance

The California Department of Health Care Services (DHCS) has identified December 31, 2012, as the final date that providers can submit Medi-Cal claims in the ASC X12N 4010A1 and NCPDP 5.1/1.1 formats. Effective on or after January 1, 2013, all 4010/4010A1, NCPDP 5.1 or 1.1 batch transactions submitted will be rejected due to HIPAA non-compliance and will not be processed or paid. Click here for the full article.

NOVEMBER 19

CMS Implements System Adjustments for Correcting Erroneous PEP Claims

The Centers for Medicare and Medicaid Services (CMS) has issued Transmittal 2583 (CR 7865) instructing its contractors to revise Medicare systems to ensure that payment episode adjustments for overlapping home health care episodes are not incorrectly applied through adjustments that restore full payment when the fully denied demand bill is processed. The change request is effective April 1, 2013. Click here for the full article.

NOVEMBER 26

Final CMS Hospice Quality Reporting Program

The Affordable Care Act requires hospices to submit quality data as specified by the Centers for Medicare & Medicaid Services (CMS) or be subject to a 2 percent payment reduction. The National Quality Forum (NQF) is the current contractor responsible for collecting the data for CMS from hospice agencies. Hospices are required to report the NQF endorsed quality measures online. The 2013 quality measures address patient pain and hospice structural measures. The pain measure, NQF#209, reports the percentage of patients who report being uncomfortable because of pain on the initial assessment and who report that pain was brought to a comfortable level within 48 hours. Click here for the full article.

6CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME

Answering your legislative & compliance questions

Ask Mary

CAHSAH Bulletin Published by CAHSAH and supported by

Heffernan Insurance Brokers.

Dean ChaliosPresident

California Association for Health Services at Home

3780 Rosin Court, Suite 190 Sacramento, CA 95834Telephone: (916) 641-5795 Fax: (916) 641-5881

www.cahsah.org

For advertising, please contact: Ranesh Maharaj, Editor

CAHSAH does not necessarily endorse any of the products, services or meetings advertised in the Bulletin. CAHSAH also does not endorse the

opinions, products or services of guest authors in the Bulletin.

Question: Can you provide the regulations that allow an LVN to do intravenous therapy?

Answer: The regulations are under Title 16, Section 2542.1. Intravenous Therapy. The Board will consider a licensed

vocational nurse as competent to start and superimpose intravenous fluids via primary or secondary infusion lines who has completed one of the following:

(a) A course in intravenous therapy approved by the Board, as defined in Section 2542.3.

(b) Submitted certification, satisfactory to the Board, by one of the persons specified in Section 2542.4, that the licensee has been instructed in the subject areas specified in Section 2542.3 and that the licensee has the knowledge, skills and abilities to safely practice venipuncture. For further limitations, see Business and Professions Code section 2860.5.

Question: When there is a reduction of care for a Medicare beneficiary how do we fill out the Home Health Advanced

Beneficiary Notice?

Answer: From CMS transmittal #2362 which specifies: “Reductions involve any decrease in an aspect of care (such

as frequency, amount, or level of care) provided by the HHA and/or care that is part of the POC. When care that is listed on the POC or provided by the HHA is reduced, the beneficiary must receive the HHABN (with the Option Box 2 or Option Box 3 format) listing the items/services being reduced and the reason for the reduction, regardless of who is responsible for paying for that service. If a reduction occurs because the HHA decides to stop providing the service for administrative reasons Option Box 2 is used on the HHABN. If the reduction is based on a physician’s order, Option Box 3 is used on the HHABN. When there is a reduction in services that is not part of the home health benefit or is not part of the POC, an HHABN is not required.”

7CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME

This update was authored

by Jordan Lindsey,

director of policy for California

Association for Health Services

at Home.

MEMBERSHIP UPDATEMember Spotlight

CAHSAH LOGO R E M I N D E RThere is a new member logo available for your use. The following link contains

information and a quick and easy process for obtaining the logo. http://www.cahsah.org/?p=memberlog

Our Concierge participants take care of the ‘behind the scenes’ work – welcoming new members and helping them get connected. Special thanks this month goes to:

Cindy Hatton, Hospice of the East Bay

Tim Colling, A Servant’s Heart Care Solutions

Sharon Fredrichs, St. Joseph Health Systems

Elaine Flores, Medical Home Care Professionals

Monica Bush, Addus Healthcare, Inc.

Jarrod DePriest, Maxim Companion Services

And a big thank you to our newest CAHSAH sponsor -- SingleSource, a national employment screening company, will be sponsoring the WNU; they are also CAHSAH’s group purchasing company, offering our members support and guidance in the recruiting, retention and success of good employees by providing responsible and appropriate investigative services.

CAHSAH Welcomes

New Members!Please help us extend a warm welcome to

those new members who have recently joined

CAHSAH between October 23, 2012

and November 19, 2012.

ProvidersAging Dignity Homecare, Redwood City, CA

Rest Assured Nursing Inc., Marina Del Rey, CA

AffiliatesCardiocom LLC, Chanhassen, MN

Marietta Tom, San Diego, CA

EXHIBITORS!The 2013 CAHSAH Expo will be

here before you know it.

May 1-2, 2013Monterey, CA

The prospectus, outlining all the details, was emailed in early

November

Monterey is a premier destination, you will want to consider registering early to ensure a spot. Use the interactive floorplan to select your booth, then

register online.

It’s easy and convenient.

Taking Telehealth to the Next LevelPatient education and behavior change

When enrolling heart failure patients on telehealth, one of the key factors to success is integrating patient education. There is evidence of the tie between poor knowledge and non-adherence on

clinical outcomes. Studies have shown that the level of health literacy is a stronger predictor of health than age, income, employment status, education level or race1. Non-adherence to diet and medications can lead to:2

A negative effect on clinical status•

An increase in ED visits and hospitalizations•

Unnecessary changes in treatment•

Decreased quality-of-life•

When creating new patient education, success will come from education focused on building confidence in your patients. We know patients avoid tasks when their confidence is low and engage in tasks when their confidence is high. One way you can boost confidence with your patients is by demonstrating through multimedia (video, etc.) the desired behavior using a character or example patient who is going through the same

1Report on the Council of Scientific Affairs, Ad Hoc Committee on Health Literacy for the Council on Scientific Affairs, American Medical Association, JAMA, Feb 10, 1999.2Hunt SA. The 2001 Guidelines for the Evaluation and Management of Heart Failure) Heart Association Task Force on Practice Guidelines (Writing Committee to Update Heart Failure in the Adult: A Report of the American College of Cardiology/American ACC/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic. J. Am. Coll. Cardiol. 2005;46;1-82.

8CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME

struggles and challenges as your patients. The example patient will go through ups and downs, but ultimately will start to make daily positive changes to his diet, medication compliance, etc. This will give your patients the boost they need to make changes to their own lifestyle.

Patients who have increased confidence in their ability to make a change in their lifestyle will be better able to self-manage their disease. Education based on behavior change combined with daily telemonitoring will help to increase patient self-care and also improve outcomes!

If you have any questions, please call Philips Telehealth Solutions at (800) 422-0768 or visit www.philips.com/telehealth.

AD 3.75x5 PTS-Reform_d3.indd 1 10/19/12 12:00 PM

Brought to you by Philips, a CAHSAH Group Purchasing program.

9 CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME

SingleSource Offers Effective Survival Tips for Home Health Care Industry

Donald J. Dymer, president and chief executive officer of SingleSource background screening company, calls on home health care agencies not to cut corners on background screening which could place

millions of housebound elderly and disabled at risk for abuse, neglect and fraud or worse.

Dymer offers important advice to agencies large and small to succeed in this highly competitive and challenged industry. First: Recognize and accept the fact that you are in a very competitive yet lucrative

marketplace. Business is business, and there is only one reason to be in business – profit. The success of the business will depend hugely on the business name – it’s reputation.

How you hire your first or 100th employee lays the foundation for your success or failure. How you continue to monitor and review those employees will determine your future success and reputation. Remember it’s all about people – employees and clients.

The nurse or companion is your most valuable asset. Yet, don’t underestimate the importance of your in-house administrators. That person or persons who will handle billing, insurance claims and follow-up is the vital link. Problems here can cause not just embarrassment or inconvenience, but in the worst case scenario can place your agency in direct conflict with important compliance matters caused by clerical errors, or worse, a deliberate act of fraud.

Hiring mistakes can destroy your home health care agency in an instant. You need a clear, well defined background checking policy that complies with state and federal regulations, and since many states requirements for background checks are weak, assistance should be sought from a professional background screening company with experience in your industry as to what else should be done.Determine who will hold the primary responsibility for interviewing and ensuring that the credentials and licenses have been verified for all applicants – no exceptions!

Whether you have been in the home health care business for years or just starting, Dymer urges you to ask yourself these important questions:

Are your hiring practices standardized for all levels of •employees and do you have a written screening policy?

Do you understand how Federal EEOC and FCRA •laws and rules, and your local state rules affect your organization?

Are you current with new laws and changes? Right now, •could you explain what changes will take place in 2013 affecting your industry?

When is the last time you looked at your insurance •policies? Are all of your employees compliant?

Do you survey your clients to understand why they use •you instead of the competition? If you lose a client do you conduct an interview to find out why?

Do you seek a testimonial from your clients?•

Do you have a crisis management program in place? •If you receive a complaint about a caregiver, is there a written policy in place that lays out the immediate steps to take and the follow up that is needed?

Is your home health care agency safe from allegations of substandard care, neglect or worse, elder abuse? The National Association for Home Care and Hospice reports that home health care providers log on nearly 5 billion miles each year caring for nearly 12 million elderly and disabled. When is the last time you ran a motor vehicle check on your existing staff? How sure are you that you don’t have someone with a suspended driving license behind the wheel serving your clients?

Dymer emphasizes, “Providing home health care is a business, serious business. Technology will never replace people in your industry. Qualified home health care providers whose credentials include integrity and character, backed by verified references, licenses and training, are the backbone to this growing industry.”

Original article published in PRWeb (November 2012).Sources: U.S. Census Bureau; Caring Magazine, October 2012;

Aging Trends by Anthony Cirillo

800-713-3412

www.SingleSourceServices.com

10CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME

EDUCATION UPDATE2013 Certificate Programs Revamp!

In 1996, CAHSAH and TCG partnered in developing the nation’s first administrator certificate programs. These programs evolved into three distinct offerings geared

toward managers, administrators, and senior level executives working in home care and hospice organizations. Each year the programs are updated, but in 2013 we are making drastic changes to keep pace with changes in health

care delivery, reimbursement, compliance and strategy. If you are interested in becoming certified and credentialed, these are perfect programs to help you through the examination.

The invigorating changes you will see in 2013 will mirror some of those you are making: consolidation of some program content, new speakers, and electronic information and tools so you don’t have to lug home a 300 page manual. As you budget for 2013, please plan for each of your managers and senior level executives to attend. And, if you have a rising star, plan to send that person as well. It is a great opportunity to learn, engage, and meet colleagues facing the same changes, challenges and successes as you are!

The programs in 2013 will be held on the following dates and locations:

Home Care Manager Certificate ProgramHospice Manager Certificate Program

March 6-8, 2013Catamaran Resort Hotel & Spa (San Diego, CA)

Who Should Attend: This is the most basic program and is geared toward current supervisors and managers; and rising stars that have the potential to become a supervisor or manager. The content of this program is geared toward the entry level individual, and reviews the basics of regulatory compliance, human resource management, coaching, and fundamentals of operating a home health, hospice, or private duty agency.

Home Care Administrator Certificate ProgramHospice Administrator Certificate Program

July 23-25, 2013Caesars Palace (Las Vegas, NV)

September 10-12, 2013 Holiday Inn Dedham (Dedham, MA)

Who Should Attend: This is an intermediate level program for managers, senior executives and rising stars who have a minimum of three years’

experience as home care or hospice managers. This is a mini-business school on the latest in strategic positioning, and compliance, and fundamentals of reimbursement, developing budgets, and legal issues related to operating and growing home health, hospice, or private duty agencies.

Home Care Executive Certificate ProgramHospice Executive Certificate Program

September 10-12, 2013Holiday Inn Dedham (Dedham, MA)

Who Should Attend: This is the most advanced program and the most tactical and strategic in nature. This program is not for entry level staff; it does not cover the fundamentals but challenges attendees to think broadly about the organization, business, and success factors required to thrive in the future. It is tactical and strategic in all aspects for senior level executives in the industry for more than five years.

Click here for more information or to register!

OASIS-C WRAP UP

T hanks to all who attended the CAHSAH sponsored Blueprint for OASIS Accuracy Workshop and COS-C exam held in Sacramento

and Ontario presented by OASIS Answers, Inc. This high intensity course provided the latest CMS guidance related to OASIS data collection, resources to support defendable OASIS scoring practices and an arena to ask and obtain answers to OASIS related questions. Participants were able to practice their new found knowledge with application scenarios, strengthen their data collection skills and use of resources. It was great to see the excitement in the room as participants successfully answered the application scenarios. Participants agreed that their increased knowledge of OASIS data collection guidance will support their agency with greater accuracy in reimbursement, outcomes and compliance. If you are interested in staying up to date with the most current CMS OASIS guidance, consider signing up for the next Blueprint for OASIS Workshop in the spring of 2013. We look forward to seeing you there!

Dates and Locations

April 1-2, 2013 – Sacramento, CAApril 3-4, 2013 – Ontario, CA

Gold Sponsor: Axxess

Sponsored by: Kinnser Software

December 4, 2012 - Sacramento, CA t December 6, 2012 - Ontario, CA

CAHSAH BOOKSTORE

Start Up Agency Toolkits for Everyone! All the information you need in starting up your agency

Home Health Toolkit Includes:

Start Up Conference: Home Health Agency From Vision to Reality On-Demand Webinar & Manual

Title 22 Side by Side Comparison Manual

Introduction to the Home Health Agency Resource Binder

Medicare Conditions of Participation & Interpretive Guidelines Manual

Revving Up Referrals for Home Health Agencies Guide

Marketing 101, 201 & 301 On-Demand Webinars

CAHSAH Membership* *Depending on 1st year or 2nd year of business. Valid for first year of membership.

Home Care Toolkit Includes:

Start Up Conference: Private Duty From Vision to Reality On-Demand Webinar & Manual

California Wage & Hour Law for Home Care Aide Organization Manual

Introduction to the Home Care Aide Organization Business Manual

Revving Up Referrals for Private Duty Agencies Guide

Marketing 101, 201 & 301 On-Demand Webinars

CAHSAH Membership* *Depending on 1st year or 2nd year of business. Valid for first year of membership.

Hospice Toolkit Includes:

Start Up Conference: Hospice From Vision to Reality On-Demand Webinar & Manual

Introduction to the Hospice Agency Resource Manual

Hospice Matrix Manual Revving Up Referrals for

Hospice Agencies Guide Marketing 101, 201 & 301

On-Demand Webinars Hospice Medicare

Conditions of Participation & Interpretive Guidelines Manual

CAHSAH Membership* *Depending on 1st year or 2nd year of business. Valid for first year of membership.

$1200 For start up agencies in their 1st year of business

$1400 For start up agencies in their 2nd year of business

Call (916) 641-5795 ext. 113 or visit www.cahsah.org to order these essential resources!

11CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME

Call (916) 641-5795 ext. 113 or visit www.cahsah.org to order these essential resources!

Executive Certificate Programs Wrap Up

T he Home Care Executive Certificate Program and the Hospice Executive

Certificate Program, held in Las Vegas September 11 – 13, were a re-sounding success. It was truly an advanced group with nearly all senior executives with five or more years of experience, and several with more than 20 years!

The group heard from dynamic speakers who had advanced discussions on strategy, competition, legal and financial issues. In today’s health care market, the small group case studies also provided additional small group discussion time to delve deeper into critical questions and help create thoughtful leadership within their organizations. From developing your agency’s value proposition to addressing bundling and accountable care organizations, the time flew by and left the participants excited to attend or to send their managers to the next program!

In 2013, we will be offering the following certificate programs:

Manager Certificate Programs

March 6-8, 2013 – San Diego, CA

Administrator Certificate Programs

July 22-25, 2013 – Las Vegas, NV

September 10-12, 2013 – Boston, MA

Executive Certificate Programs

September 10-12, 2013 – Boston, MA

Click here for more information or to register

Attend the upcoming workshop on Additional Development Requests to gain a better understanding on the medical review process. Learn

more about the Progressive Correction Action process and how these items may affect your reimbursements. The program begins with a general overview then breaks up into two breakouts for home health and hospice. Upon conclusion of the hospice breakout session, you will be able to:

Identify top denial reasons for medically •reviewed Hospice Medicare claims

Develop an understanding of how •

documentation plays a key role in supporting terminal prognosis

Locate and gain understanding of when •it is appropriate to use an Advance Beneficiary Notice (ABN)

Upon conclusion of the home health breakout session, you will be able to:

Understand and identify top denial •reasons for Home Health claims

Understand the documentation needed •to support the medical necessity of therapy and nursing services

Identify errors in Home Health Advance •Beneficiary Notices (ABN)

For more information or to sign up for this program, click here.

12CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME

McKesson Home Care Business Solutions

Not only do we have the medical supplies you need, we have technology solutions that can help save you time and money.

Get Connected. We offer:- McKesson DirectSM: ELIMINATE DOUBLE KEYING!- Third Party Payor Supplies- Clinician Trunk Bin Program- Web-based Formulary Utilization &

Cost Management Tools

To learn more, please contact McKesson Medical-Surgical today at 888.822.8111 or visit HHAsolutions.mckesson.com

California Association for Health Services at Home 2013 EDUCATION CALENDAR

Date Program

Location January 2013

8

Teleconference: H.E.A.R.T Hospice Aide: Part 7 - What Competencies are Necessary for the Hospice Aide 10

Teleconference: Home Care/Hospice Aide: Part 7 - The Aide's Role in the Aging Process

30

Webinar: Rehab Happenings(Monthly Forum for Home Health Rehab Professionals)

February 2013 11-12

The Art of ICD-9 Coding Workshop (Basic and Intermediate)

Ontario, CA

14-15

The Art of ICD-9 Coding Workshop (Basic and Intermediate)

Sacramento, CA 14

Teleconference: Home Care/Hospice Aide: Part 8 - The Aide's Role in HIPAA

14

Teleconference: H.E.A.R.T Hospice Aide: Part 8 - HIPAA for the Hospice Aide 26

PPS Billing for Home Health Workshop

Sacramento, CA

28

PPS Billing for Home Health Workshop

Ontario, CA 27

Webinar: Rehab Happenings(Monthly Forum for Home Health Rehab Professionals)

March 2013

6-8

Home Care Manager Certificate Program (Exam: March 9)

San Diego, CA 6-8

Hospice Manager Certificate Program (Exam: March 9)

San Diego, CA

12

Teleconference: H.E.A.R.T Hospice Aide: Part 9 - Caring for Patients with Cancer 14

Teleconference: Home Care/Hospice Aide: Part 9 - The Aide's Role in Understanding the Body's Basic Requirements

26

Hospice: Billing Medicare in 2013

Sacramento, CA 27

Webinar: Rehab Happenings(Monthly Forum for Home Health Rehab Professionals)

28

Hospice: Billing Medicare in 2013

Ontario, CA

April 2013 1-2

Blueprint for OASIS Accuracy Workshop

Sacramento, CA

3-4

Blueprint for OASIS Accuracy Workshop

Ontario, CA 9

Teleconference: H.E.A.R.T Hospice Aide: Part 10 - Finding the Right Words for the Dying Patient

11

Teleconference: Home Care/Hospice Aide: Part 10 - The Aide's Role in Understanding Substance Abuse 24

Webinar: Rehab Happenings(Monthly Forum for Home Health Rehab Professionals)

30-May 2

Annual Conference

Monterey, CA