Home Care Software has partnered with PPS Pl+s Software to provide the industry leading OASIS analysis software. PPS Pl+s is integrated with CareSmart AMS allowing agencies to utilize both tools effieciently.
Home Health Edition has the most comprehensive OASIS analysis in the industry, picking up on thousands of errors and inconsistencies affecting agencies’ overall success. The quick and thorough analysis scans OASIS data. Home Health Edition is equipped with numerous clinical and financial reports to help you successfully manage your agency.
One of the strongest assest to partnering with PPS Plus is their passionate commitment to education. PPS Plus Software offers online and on-site education for nurses, coders and other home health professionals. With PPS Plus, you can always expect quality education, affordable tuition, excellent instructors and the most up-to-date topics related to home health care.
First-rate home health education is never more than a click away! Whether you want to become more proficient in ICD-9 coding or the OASIS, we can help you do it. Agencies with an active Home Health Edition account or subscription to our ICD-9 coding and OASIS review services receive a customer discount.
An example is this OASIS Tip of the Month from May.
OASIS Tip of the Month - May 2012
If you would like more information about PPS Plus for your CareSmart AMS software, contact a CareSmart Consultant today.
Copyright © 2011 Home Care Software Solutions. All rights reserved.
Sertifi Offers Tips to Improve Home Health Industry
Sertifi, an electronic signature software provider, proposes four ways electronic signatures can benefit the home health industry.
Home Care Software has partnered with Sertifi to provide an electronic signature option for home health and hospice agencies. If you would like more information on Sertifi, contact your CareSmart Software consultant.
Four problems continue to plague home health agencies when it comes to excessive documentation requirements.
Sertifi, a leading electronic signature provider, is spreading the word at health care conferences about its time-saving, hard copy document-reducing options for several required documents, including CMS Form 485 and face-to-face certifications, which are two forms that slow a home health agency’s ability to be paid quickly by Medicare and Medicaid.
Form 485 is generated by home health billing systems and requires a physician signature before Medicare/Medicaid will pay for provided services. Face-to-face forms require physicians to certify encounters with patients before home care services are considered valid and payable.
Electronic signature solutions like Sertifi help resolve the paperwork setbacks. Below are four ways electronic signatures can benefit home health care agencies:
1. Expedite document processing - orders sent by fax or courier tend to experience lag in turnaround time. Sertifi’s electronic signature software tracks documents and enables users to know where they are in the signature process. They also can send reminders for documents that haven’t been signed. Resolving this paperwork process electronically also saves time otherwise spent sending items via the postal service, courier or fax machine.
2. Dedicate more time to patients - time often is spent chasing paper-based documents instead of clinicians and nurses spending time on patient-focused activities. When health care professionals eliminate the paperwork burden, they are able to provide better care to their patients.
3. Eliminate worker headache - physicians frequently are frustrated by having to sign yet another document and sometimes believe the home health agency (not Medicare/Medicaid) creates this extra work. Job satisfaction results in higher worker retention rates. Not to mention, future referrals to the home health care agency could increase.
4. Reduce Costs - manually collecting signatures on documents such as these is thought to cost $10-$12 per document. Costs are reduced to about $3 per document by implementing an esignature solution such as Sertifi, says Hamilton Temple, director of sales for the electronic signature software company.
“Signing documents electronically is convenient and eliminates the loss of paperwork,” Temple says. “By making it a simple process that is hassle-free, it’s no longer inconvenient from a physician's standpoint.”
About Sertifi
Based in Chicago, Sertifi provides leading esignature and Web contracting solutions that enable organizations to close agreements up to 30 percent faster. Sertifi is the industry’s most trusted esign provider and has processed millions of electronic signature documents.
Looking for software solutions for your home health agency?
Check out CareSmart AMS.
Copyright © 2011 Home Care Software Solutions. All rights reserved.

HIPAA regulations make home health care agencies responsible for the privacy of their patients’ health information. Max.md enables user-friendly, efficient, and secure communications that improve patient outcomes.
Home Care Software has partnered with max.md to provide a secure communications tool that agencies can you from within CareSmart AMS software or directly from their computers, laptops, iPads, and iPhones.
Home Healthcare Agency Benefits
- Satisfies 100% of HIPAA / HITECH Security Standards
- Reduces administrative workload
- No confusing software- can be installed in minutes!
- Affordable…costs only pennies per user, per day!
- Meets NHIN Direct and FTC Privacy Standards
Some more information from our friends at max.md:
The .mdEmail® national health information network conforms to 100% of the HIPAA, HITECH, NHIN Direct Project and FTC Policy by Design Technical, Security and Policy standards.
Watch Video

max.md utilizes "cloud technology" and a unique (patent pending) infrastructure which allows all .mdEmail® subscribers to conduct peer to peer, physician to patient and business to business electronic communication within a secure global healthcare exchange.
Cloud computing solutions offer increased capacity or capabilities at a fraction of the cost of new hardware or software applications. As a result, users increase office productivity within your existing IT environment or legacy systems, saving time and money. That translates to no work flow disruptions or retraining.
Our tools can be quickly and seamlessly integrated into familiar email clients like Outlook or Thunderbird or Apple Mail; or into other back office applications like Electronic Health Records, Practice Management Systems or HIE configurations. Whether you are a Single Doctor Practice with a laptop and little IT expertise, or a large healthcare organization with its own IT Staff and email server, mdEmail® can transform your office in a matter of hours.
The daily communication challenges of healthcare are time consuming and expensive. Data warehouses and other systems with no ability to communicate "beyond the Firewall", or move sensitive information across the web, are the legacy standard. MaxMD has created the first multi-level secure messaging platform to connect the health care industry, whether communicating in or out of network.
Through .mdEmail® and other .md tools, physicians, nurses, labs, hospitals and "Business Associates" can mobilize information (ePHI) through a secure, direct pipeline to improve office productivity. This results in hard dollar saving and less reliance on outdated means of communicating. No more Phone tag, faxing or scanning. The ultimate result is a paperless work environment and the ability to provide better care.
Whether operating within network or beyond the .md domain, .mdEmail® users can securely transmit any document containing
- ePHI
- CCRs
- Forms
- lab results
- pre-visit or post-visit care instructions
and can be shared in a completely protected manner. With .mdEmail® as a solution, you or your office staff can access your secure communication capability from any computer, tablet or smartphone, at anytime.
Interested in purchasing .mdEmail or other max.md tools for your home health organization? Contact Home Care Software today!
Looking for software solutions for your home health agency?
Check out CareSmart AMS.
Copyright © 2011 Home Care Software Solutions. All rights reserved.
Looking to increase your knowlege of privacy issues related to HIPAA.
HCAF is offering the
following webinar addressing these issues.
Privacy Issues in Home Health
April 12, 2012, at 1:00-2:00 pm Eastern Time
Purpose: Update on the status of current regulations and expectations for privacy under HIPAA and HITECH. This session will focus on recent changes and the practical problems created by electronic medical records and communications. Participants will review and discuss current hot spots, regulatory issues and items that are focused on by regulations. Additional topics will include employee training and practical solutions to problems that occur including social media concerns, facebook and portable devices.
Register now to reserve your spot!
https://m360.homecarefla.org/event.aspx?eventID=47655
Speaker:
JO ELLEN WHITNEY is a senior shareholder of the Davis law firm, having obtained her degrees (B.A., magna cum laude, and J.D.) from Duke University in Durham, North Carolina. Jo practices primarily in the areas of labor and employment law, healthcare law, privacy, and fair housing.
In the area of labor and employment, Jo assists businesses with policy and contract development, human resources planning, disciplinary and termination issues as well as regulatory compliance and litigation matters.
Jo works extensively in the field of health law, privacy and confidentiality issues. Jo is the author of multiple editions of Iowa Guide to Medical Records and is a regular speaker on issues relating to long-term care, the provision of medical services, medical practitioners and privacy. Jo has worked and medical staffing, credentialing and privileging matters, as well as consent and risk analysis in the health care area.
Jo works with clients regarding fair housing compliance in the construction, rental and sale phases of housing, apartments and condominiums.
CEUs are not offered.
Webinar Registration Rates
HCAF Member Rates $65
HCAF Prospective Member Rates $115
Thank you for supporting HCAF education!
Copyright © 2011 Home Care Software Solutions. All rights reserved.
Copyright © 2011 Home Care Software Solutions. All rights reserved.

From CMS this morning.
Medicare Fee-For-Service (FFS) Policy Regarding 90 Day Discretionary Enforcement Period for Non-Compliant HIPAA Covered Entities
CMS announced on Thu Nov 17, that it would not initiate enforcement action with respect to any HIPAA covered entity that is non-compliant with the ASC X12 Version 5010 (Version 5010), NCPDP Telecom D.0 (NCPDP D.0), and NCPDP Medicaid Subrogation 3.0 (NCPDP 3.0) standards until 90 days after the Sun Jan 1, 2012 compliance date. Notwithstanding CMS’ discretionary application of its enforcement authority, the compliance date for use of these new standards remains Sun Jan 1, 2012.
The announcement can be found at http://www.CMS.gov/ICD10/02b_Latest_News.asp.
What The 90 Day Enforcement Discretionary Period Means For Medicare Fee-For-Service:
Medicare FFS has experienced significant increases in 5010 production transactions during the last few months. However, there are many submitters that have tested but not taken the step to move into production for 5010 and D.0. In addition, there are many submitters that have not yet initiated testing with their Medicare Administrative Contractor (MAC). Therefore, to ensure that progress continues to be made, Medicare FFS is planning to take the following steps for submitters and receivers of Medicare Part B and Durable Medical Equipment (DME) transactions. Submitters and receivers of Medicare Part A transactions will follow the same action plan starting 30 days after Part B and DME:
- In December 2011, submitters/receivers that have tested and been approved for 5010/D.0 will be notified that they have 30 days to cutover to the 5010/D.0 versions.
- Submitters/receivers that have not yet tested will be notified in December 2011 that they must submit their transition plan and timeline to their MAC in 30 days.
- MACs will notify the submitters/receivers; submitters/receivers have the responsibility to notify the providers they service.
For more information on ASCX12Version 5010, NCPDP D.0, and NCPDP 3.0; please visit www.CMS.gov/Versions5010andD0.
It’s a Busy Time of Year. Make each office visit an opportunity to talk with your patients about the importance of getting the seasonal flu vaccination and a one-time pneumococcal vaccination. Remember, Medicare pays for these vaccinations for all beneficiaries with no co-pay or deductible. The seasonal flu and invasive pneumococcal disease kill thousands of people in the United States each year, most of them 65 years of age and older. The Centers for Disease Control and Prevention (CDC) also recommends that healthcare workers and caregivers be vaccinated against the seasonal flu. Protect your patients. Protect your family. Protect yourself. Get the Flu Vaccine—Not the Flu.
Remember – The flu vaccine plus its administration are covered Part B benefits. CMS has posted the 2011-2012 seasonal flu vaccine payment limits at http://www.CMS.gov/McrPartBDrugAvgSalesPrice/10_VaccinesPricing.asp. Note that the flu vaccine is NOT a Part D-covered drug.
For more information on coverage and billing of the flu vaccine and its administration, as well as related educational provider resources, visit http://www.CMS.gov/MLNProducts/35_PreventiveServices.asp and http://www.cms.gov/immunizations.
Note: If you have problems accessing any hyperlink in this message, please copy and paste the URL into your Internet browser.
If you know someone who would like to subscribe to a Medicare Fee-For-Service (FFS) provider listserv, go to (http://www.cms.gov/prospmedicarefeesvcpmtgen/downloads/Provider_Listservs.pdf).
If you would like to unsubscribe from a specific provider listserv, please go to (https://list.nih.gov/cgi-bin/wa.exe?INDEX) to unsubscribe or to leave the appropriate listserv.
Please DO NOT respond to this email. This email is a service of CMS and routed through an electronic mail server to communicate Medicare policy and operational changes and/or updates. Responses to this email are not routed to CMS personnel. Inquiries may be sent by going to (http://www.cms.gov/ContactCMS). Thank you.

Copyright © 2011 Home Care Software Solutions. All rights reserved.

This month’s CMS Home Health, Hospice, & DME Open Door Forum is scheduled for
Wednesday, November 2, 2011
2:00 PM Eastern Time (ET).
Please log on at least 15 minutes prior to the forum start time.
Chair- Lori Anderson, Co Chair – Nancy O’Connor, Conference Leaders: Michael Bussacca, & Gregory Price.
**This Agenda is Subject to Change**
• Extension of Mandatory Use Date for ABN
• HHPPS CY 2012 Rule Update
• Grouper Update
• HHCAHPS Update
• Hospice CR 7478
• Therapy Clarification
• Hospice Quality Update
---------------------------------------------------------------------
Open Door Participation Instructions:
This call will be Conference Call Only.
To participate by phone:
Dial: 1-800-837-1935 & Reference Conference ID: 93914101.
Persons participating by phone do not need to RSVP. TTY Communications Relay Services are available for the Hearing Impaired. For TTY services dial 7-1-1 or 1-800-855-2880. A Relay Communications Assistant will help.
Encore: 1-855-859-2056; Conference ID: 93914101.
Encore is an audio recording of this call that can be accessed by dialing 1-855-859-2056 and entering the Conference ID beginning 4 hours after the call has ended. The recording expires after 3 business days.
For ODF schedule updates, E-Mailing List registration and Frequently Asked Questions, visit our website at http://www.cms.gov/OpenDoorForums/.
Copyright © 2011 Home Care Software Solutions. All rights reserved.

The International Statistical Classification of Diseases and Related Health Problems, 10th Revision (known as "ICD-10") is a medical classification list for the coding of diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases, as maintained by the World Health Organization.
For all medical providers who bill Medicare, including home health and hospice agencies, the compliance and effective date for ICD-10 codes is October 1, 2013. The ICD-9-CM Coordination and Maintenance Committee will implement a partial freeze of the ICD-9-CM and ICD-10 (ICD-10-CM and ICD-10-PCS) codes prior to the implementation of ICD-10 on October 1, 2013.
Provider ICD-10 Code update Timeline
• Provide awareness training to staff (1 month)
• Determine business and technical implementation strategy (1 month)
• Identify budget for implementation and implementation lead (3 months)
• Perform an impact assessment and identify potential changes to existing work flow and business processes (6 months) Collect information on current use of ICD-9 and a list of staff members who need ICD-10 resources and training. Staff training will most likely involve billing and other financial personnel, coding staff, clinicians, management, and IT staff if applicable
• Evaluate the effect of ICD-10 on other planned or on-going projects (e.g., Version 5010 transition, EHR adoption and Meaningful Use)
• Develop an implementation plan, including a memo/letter communicating the new system changes to staff (3 months)
• Estimate and secure budget (2 months) Ask IT support to identify costs associated with implementation such as software and software license costs, hardware procurement
• Include staff training costs
• Contact systems vendors, clearinghouses, and/or billing services to assess their readiness for ICD-10 and evaluate current contracts (2 months) Determine if systems vendors and/or clearinghouses/billing services will support changes to systems, a timeline and costs for implementation changes, and identify when testing will occur
• Determine anticipated testing time and schedule (when they will start, how long they will need, and what will be needed for testing)
• If vendor(s) provide solution, then engage immediately
• Begin internal system design and development, if not started already
CMS has provided printable timelines for small providers and large providers.
Begin the discussions now on how your home health agency will meet the transition requirements.
Copyright © 2011 Home Care Software Solutions. All rights reserved.
Find news, insight and resources your growing home health agency can use.
Home Health / Post Acute Care
Senior Boom Creates A Demand For Home Health Workers
WASHINGTON, D.C. - At her home health care agency here, Venus Ray quizzes 65 job applicants assembled before her: Can they cook? Do they know the right way to wash their hands? Can they safely transfer patients into wheelchairs? If they give wrong answers, speak English poorly or — God forbid — forget to turn off their cell phones, she asks them to leave. More from Kaiser Health News. . .
Viewpoint: CLASS Long-Term Care Insurance Is Dead, But What Comes Next?
To the surprise of absolutely nobody, the Obama administration today walked away from the CLASS -- Community Living Assistance Services and Supports -- Act, the landmark long-term care insurance program included in the 2010 health reform law. But while CLASS may have disappeared, the challenge of financing the long-term care needs of 20 million Americans over the next few decades has not. More from Kaiser Health News . . .
Compliance
Guidelines for Initiating the HHCAHPS Survey More Than 21 Days After the Close of the Sample Month
Home Health Care CAHPS (HHCAHPS) Survey protocols require that HHCAHPS Survey vendors initiate the survey—that is, begin data collection activities—within 21 days after the close of a sample month. The rationale for this protocol is that sample patients will be better able to recall and accurately report their experiences with home health care if the survey is administered as soon as possible after the care is received.
The Centers for Medicare & Medicaid Services (CMS) is issuing the following guidance to HHCAHPS Survey vendors and home health agencies (HHAs) regarding initiating the HHCAHPS Survey more than 21 days after the sample month ends. More . . .
10 security problems you might not realize you have
IT administrators are often so busy just trying to keep up with the obvious security threats that many more problems fly under the radar. Here are 10 security risks you may have in your organization that you are not aware of. More from Tech Republic...
Management
Three Rules for Entrepreneurs During Uncertainty
by Ndubuisi Ekekwe
The Mexican economy was in ruins in 1982. Oil prices had fallen, the peso was devalued, interest rates were high, and some banks were nationalized. Yet a young entrepreneur saw opportunities and invested heavily during that downturn. He acquired clusters of companies, across industries, from foreign and native investors, who were fleeing the collapsing nation. His father had told him that nations never go bust forever. Good times always return. More from HBR Blog Network . . .
Four Motivation Mistakes Most Leaders Make
Irrationality is a basic part of being human. A classic example is buying something we would never otherwise have spent money on — and will never use — simply because it's a great deal. So when it comes to motivating employees to change, it should be no surprise that leaders who rely on rationality typically spend time and energy on the wrong things, send messages that miss the mark, and create frustrating unintended consequences.
More from HBR Blog Network . . .
Copyright © 2011 Home Care Software Solutions. All rights reserved.
In the home health and hospice agency, just as in the broader medical community, it is important for all employees and contract workers to be aware of what the HIPAA regulations and policies are, how and why the organization needs to become compliant and what the potential penalties and fines are for non-compliance.
Management should assign a person or persons to act as a liaison among business and IT management, employees, HR and the legal department. It is very important to get all departments on the same page in terms of compliance and verifying that every department is doing its part to establish a HIPAA-compliant environment.
Clearly identified to all employees what constitutes sensitive information, how it should be protected and who is allowed to access that information. How can your home health agency do this? Document, document, document. The policies and procedures you create will give your agency specific guidelines as to how you interpret the HIPPA rules. This will ultimately avoid a future incident in which an employee claims that he or she was unaware.
If you are an agency with limited resources, AHCA and LTCC has provided editable HIPAA Policy and Procedures in word format that you can adjust to your home health or hospice agency's needs.

Your agency can also purchase HIPAA policy toolkits from a variety of online vendors. What ever source you use to document your policy and procedures, it is only as effective as how completely it is communicated to your management team, employees, and contract workers.
Access to sensitive materials should be restricted to those who absolutely need it during their daily activities and access should be monitored frequently and updated as needed. Update access controls to avoid giving the wrong people expansive privileges and don’t forget… remove access for staff members no longer in your employ.
System monitoring is also a part of system and data access as well as a HIPAA requirement. Be diligent with monitoring efforts to ensure that only those staff are accessing information. System monitoring software with extensive logging capabilities should be implemented and examined on a regular basis to help spot potential problems and take the proper action before a breach occurs.
Written by Steve MannHIPAA OfficerHome Care Software Solutions, INC.Copyright © 2011 Home Care Software Solutions. All rights reserved.