A Message from MatrixCare’s President and CEO…
As we begin the first few days of 2019, I want to share some highlights from last year, as well as my hopes and intentions for the year ahead.
2018 was an exceptionally successful year for MatrixCare, culminating in our exciting new relationship with ResMed, a world-leading connected health company. However, the foundation for that success was laid several years ago. Back in 2012, as we were looking at our country’s healthcare crisis and the impending “Silver Tsunami,” it became clear that the only sustainable healthcare model would be one that focused on results—that is, fee for value vs. fee for service.
Mid-year was also the point when a lot of regionally based, fully integrated LTPAC providers embraced MatrixCare’s strategy of creating one platform for active care management and organizations like PruittHealth, NHC, Pegasus Senior Living, and Signature HealthCARE chose us as the technology provider to help them navigate this shift to value-based care. Meanwhile, others started looking more closely at their current vendor’s strategy around enterprise-level analytics, clinical decision support, and care coordination to see what they might be missing. As this due diligence continues, we expect to bring many of these same organizations onboard in 2019.
One of the highlights of 2018 for me, as a leader in this industry, was our first Executive Directions conference in Naples, Florida, in late November. This invitation-only event gave C-suite executives a chance to learn about creating a culture of performance in their organizations. A number of industry leaders shared their predictions for the next couple of years, with one of the most memorable comments coming from a CEO who remarked on the consolidation trend he’s been witnessing—and benefitting from—as an operator of facilities in the western US. This executive compared what’s happening in long-term, post-acute care to the regionalization of hospital networks over the last decade and stressed to his fellow CEOs that LTPAC would be experiencing the same thing over the next three to five years.
We believe that MatrixCare customers are in a better position than their peers to ride out these changes successfully. In fact, recent data shows that MatrixCare customers are 5x more likely to be on the winning side of a change in control. This is something that many of our customers have experienced firsthand and is one of the reasons they value MatrixCare as their technology partner.
MatrixCare’s recent acquisition by ResMed makes us even more optimistic for the coming year. Its ownership of Brightree—a leader in the Home Health and Hospice space which nicely complements MatrixCare’s strong private duty solution—means that we can now offer our customers a complete A to Z solution for the entire spectrum of out-of-hospital care. To learn more about our plans to help providers succeed under PDPM, please plan to attend our annual Directions User Conference in Nashville, April 24-26.
I always enjoy speaking with our customers and other providers to learn more about their challenges in this dynamic industry. MatrixCare can’t be successful unless our customers are successful—and when that success results in better care for America’s seniors, everybody wins!
Wishing you a happy and successful 2019!
An Interview with ResMed’s President of SaaS Business
As part of MatrixCare’s acquisition by ResMed, a leader in cloud-connected medical devices and out-of-hospital software-as-a-service (SaaS) business solutions, we invited the president of ResMed’s SaaS business, Raj Sodhi, to explain the company’s strategy and MatrixCare’s role in that.
Check out our latest post on the MatrixCare blog, to learn what he had to say.
Preview the Sessions Offered at Directions 2019!
MatrixCare Directions, the industry’s ONE premier networking and user conference for providers across the spectrum of out-of-hospital care, is committed to making your user conference experience successful. With two and a half days’ worth of engaging general sessions, multiple themes and tracks, and one-on-one time in the Genius Lab or the Partner Pavilion, you’ll increase your knowledge of our products and gain many ideas and tips that you can bring back to your organization.
Our sessions will help you optimize your use of MatrixCare to:
- Improve financial performance through:
- reduced DSO and time to cash
- improved reimbursement
- elimination of rehospitalization penalties
- better management of managed care plans
- Improve clinical outcomes through:
- improved star ratings
- improved QMs/Qis
- successful aging in place
- Improve census through:
- better relationships and more strategic engagement with referral sources
- better community outreach and marketing
- Mitigate the risk of staff turnover through:
- improved productivity
- more satisfied, engaged staff
Get a sneak peek at many of the sessions that will be offered. Access the Full Agenda for a preview of sessions that will be available. Make sure to check back periodically as additional sessions will be added.
Interested in learning more about Directions 2019? Visit the Conference Summary page for more details.
Ready to reserve your spot? Register Today!
MatrixCare 2019 R1 Coming Soon
MatrixCare is pleased to announce the release of 2019 R1 for Skilled Nursing and CareAssist users. A Red Alert will be posted to your environment indicating the day and time your organization is scheduled for upgrade.
To learn about the new features in 2019 R1, log in to our Client Portal (WEB ID login required) to access the Preview Release Notes. A final version of the release notes will be made available upon upgrade.
In addition, we recommend that you attend an upcoming Release Webinar to learn more about the features and help you prepare for the upcoming changes. A recording of the First Look webinar is also available for your review.
Improve Referral Management: Increase Efficiency of Clinical Liaisons
When Clinical Liaisons have to come back to the office to complete their tasks, you lose valuable time working with your referrals. There must be a better way!
Join MatrixCare Product Manager, Bradley Lawton to learn about tools that can increase the effectiveness and efficiency of your clinical liaisons.
Reserve your spot for this valuable session on Wednesday, January 30 at 2:00 PM CST!
Questions? Contact your MatrixCare account representative for more information.
MatrixCare Analytics Enter 2019 with Momentum and Ambitious Plans to Help Your Organization “Move as One”
Since their debut in 2017, MyAnalytics and MyData have become established products that span the MatrixCare portfolio in all key areas—but continual improvement and expansion into new product areas remains our focus. This greater insight into your organization is critical as the industry continues to move toward value-based care. Here is a summary of what we have at the start of 2019 for users of MatrixCare and our modernized platform:
- Descriptive Analytics – to explain what happened and when
- g., Census rose over the last few months across two facilities
- g., Falls increased at two facilities for two consecutive months
- Diagnostic Analytics – to analyze “root cause” of a trend
- g., Revenue rose because of Medicare Advantage
- g., Readmissions rose at one facility on Saturday evenings
- Data Access – database views across important tables
- This enables customer IT teams and partners to extend beyond source system standard reporting
- Coverage across all major products and MatrixCare’s modernized solution
- SNF, SL, LPC, Home Care, SigmaCare by MatrixCare, and Enterprise Financials
Taking each product area to the next level requires a balancing act between resources and project scope to adequately satisfy our diverse stakeholders. Here are the major ideas being considered for 2019:
- Deeper Diagnostic Analytics across MatrixCare for Skilled Nursing
- ICD-10 codes (primary admitting) for the Census to facilitate robust population management in support of the patient-driven payment model (PDPM)
- Additional Clinical Event details to enhance root cause analysis (time of day, by unit) and trending
- Expanded length of stay (LOS) metrics to analyze variances in outcomes by long stay versus short stay and uncover issues (g., average LOS for falls; average ED visit post admission)
- Incorporate activities of daily living (ADL) results to support the analysis of functional status trends
- Antibiotic stewardship across the population
- Expanded Analytics and Data Access in other areas
- Senior Living Incidents and Assessments (clinical data)
- Life Plan Communities Readmissions and Financial AR
- Home Care Payroll, Revenue, and Profit Margin
- SigmaCare by MatrixCare EHR Census
- Intake Management
- Predictive Analytics (machine learning) across the population
- Bring the ongoing Falls Risk assessment work into Analytics across the population vs. Point-of-Care notifications within the EHR
- Big Data platform that further expands and improves Data Access
- New technology platform being built to increase performance and capability
- Regulatory and more
- PDPM-driven analysis to help customers prepare for the impact of this major industry change
- Cost-of-Care analysis
Each of these areas will require focus and discipline to deliver, and timelines may evolve as we further define our priorities. However, we understand the VALUE of these items to our customers and look forward to communicating again as these important enhancements become available within the MatrixCare ecosystem.
If you would like to learn more about MyAnalytics or MyData, please contact your MatrixCare account representative.
MatrixCare is Modernizing Dining Software Communication
Providing an appropriate diet to a resident is key to support health and wellness in your dining program. A Diet Order is an important part of the medical nutrition therapy given at any care facility. When residents eat well, they maintain their health, improving outcomes. Driving an accurate Diet Order between care teams can be the key to this success for facilities in maintaining nutritional balance. Communication of the Diet Order must be clear and accurate to meet the nutritional needs of the resident. As the industry continues to evolve in the electronic health realm, both nursing and dietary teams may need to modernize to support appropriate diet order transmittal.
Computerized Food and Nutrition software systems used by dietetic professionals providing meals to residents typically work independently from an electronic health record system. The communication from the medical record to dietary departments has historically been a paper-driven process forcing manual Diet Order entry into the kitchen software. A Dietary system that can accept an interface with an electronic health record is groundbreaking in the LTPAC industry. The process requires structured parameters of the entry of the order in the medical record by nursing team members. The identification of each parameter of a Diet Order including Therapeutic type, Fluid Consistency, and Food Consistency is an example of this structured diet order. This eliminates risk for items being provided not honoring physician order. Dining software serving the LTPAC industry has struggled to be able to accurately acknowledge the transmittal of Diet Orders until now. When choosing your dietary software, question the availability of this functionality. MealTracker has systematically forged the bridge with MatrixCare Medical Record systems to offer true Diet Order interface.
An individual Diet Order must be specific (including combination restrictions such as low salt, low fat) to identify the nutritional needs to be met. MealTracker honors that one complete structured Diet Order at any given time for the treatment for a disease or clinical condition, eliminate, decrease or increase certain food, or provide mechanically altered consistencies when indicated. The functionality of MealTracker supports the custom order library at each facility so these nutritional needs can be met. In practice, one given complete Diet Order is permissible in the medical record and MealTracker supports just that for continuity of care. The groundbreaking interface available between MatrixCare systems alone eliminates manual data entry on the dietary side in conjunction with our goal to provide efficient continuity of care and support the unified medical record for each resident.
A claim of Diet Order interfaces between medical record system and dietary software programs should be clearly vetted when choosing both your EMR and Nutrition software. Poor attempts to send diet orders from nursing to dietary, even owned by the same company, simply display the order in the program (like a message) to compare and force the user to manually process into the dietary software. Additionally, there may be a fee for this simple message transmittal. This does NOT support the one order, one medical record continuum of care integration like MatrixCare has!
Unlike other systems, diet order transmittals are included in and only available between MatrixCare systems and MealTracker.
To learn more about MealTracker, contact your MatrixCare account representative.
“A Therapeutic diet or combination of such provides nutrition intervention based on nutrition assessment that addresses an identified disease, clinical condition, or nutrition diagnosis by providing the specific nutritional requirements.”
- MDS 3.0 RAI Manual, Chapter 3, Section K: Swallowing/ Nutritional Status http://www.cms.gov/Medicare/QualityInitiatives-Patient-AssessmentInstruments/NursingHomeQualityInits/MDS30RA IManual.html.
“Therapeutic diet” refers to a diet ordered by a health care practitioner as part of the treatment for a disease or clinical condition, to eliminate, decrease, or increase certain substances in the diet (e.g., sodium or potassium), or to provide mechanically altered food when indicated.
Developing a Successful Facility Action Plan for PDPM & ICD-10-CM
The Patient-Driven Payment Model (PDPM) has been finalized and will replace the Resource Utilization Groups, Version IV (RUG-IV) model on October 1, 2019. PDPM is designed to promote value-based care by shifting incentives from the volume of services to a value-based payment that focuses on the patient’s condition and care needs.
Join MatrixCare Senior Implementation Consultant, Tracey Beattie, RHIT, CCS-P, AHIMA Approved ICD-10-CM Training Ambassador, to learn how documentation will play a critical role in accurate ICD-10-CM code assignment to meet the requirements of PDPM. This is the first webinar in a series of upcoming PDPM/ ICD-10-CM educational webinars.
During this session we will discuss:
- An overview of the requirements of PDPM
- The impact of ICD-10-CM codes on reimbursement
- The importance of clinical documentation supporting ICD-10-CM codes
- Strategies for developing a successful facility action plan for PDPM & ICD-10-CM
Register today for this important webinar on February 12 at 1:00 PM CST!
Leading to Thrive in 2019… Tips, Tools, and Best Practices
2018 is over, and you’re left with Value-Based Purchasing, Patient-Driven Payment Model (PDPM), and all the changes that support those initiatives. It’s a wonder you’re still standing. We’re here to help you go beyond surviving 2019, so you and your teams THRIVE with tips, tools and best practices from neuroscience for leaders in long-term and post-acute care (LTPAC).
Join Kevin Whitehurst, SVP of Skilled Nursing Solutions at MatrixCare and Senior Care Leadership expert, Mary Ellen Sanajko of Conduit Coaching for a complimentary thought-leadership teleforum.
During this 60-minute session we’ll discuss the points below plus field your specific questions:
- What are the three indispensable habits neuroscience tells us will help you not only survive but THRIVE as a leader in LTPAC in 2019?
- With all the changes and regulations, is burnout inevitable for leaders in LTPAC? Is there room for compassionate leadership when there’s so much to do or when you need to discipline staff?
- How does compassionate leadership help you create resilient teams?
Don’t miss this informative session on Wednesday, January 30 at 11:00 AM CST!
We will send a recording to all registrants, so go ahead and sign up even if you can’t join us live!
Upcoming Live Adoption Webinars
MatrixCare offers complimentary monthly training webinars to ensure clients are optimizing their use of the software. A variety of topics are covered, including recent release updates and regulatory items.
Thursday, February 28 1:00-1:30 PM CST
Join us for an Instructor-led session to learn about the dynamic improvements made to the Collections module so that you can improve your collection efforts. We will also walk you through using the new features of this module and provide a better understanding of how you can use this module more effectively to increase your productivity. This session is most well suited for those who are currently utilizing the Collections module and would like to see how their workflow can be improved with our latest features.
Visit our Client Portal (WEB ID required) to register for this session.
Updates to Facility Matrix Report
CMS has published an updated form and instructions for the Facility Matrix report. MatrixCare will be making changes to Facility Matrix reporting in the system to address the changes.
- New instructions
- Column 5: Pressure Ulcer(s) (any stage): Resident(s) who have a pressure ulcer at any stage, including suspected deep tissue injury (mark the highest stage: I, II, III, IV, U for unstageable, S for sDTI) and whether the pressure ulcer is facility acquired (FA).
- Report headers updated
- Column 5: New – Pressure Ulcer(s) (highest stage I, II, III, IV, U, S), Facility Acquired (FA)
- Column 8: New – Tube Feeding: Enteral (E) or Parenteral (P)
Download the updated Matrix for Providers.
Draft version of 2019 MDS Item Sets Now Available
CMS has posted a new DRAFT version of the 2019 MDS item sets (v1.17.0). This version is scheduled to become effective October 1, 2019. There are a large number of changes that are outlined for what is coming.
- First look at the Interim Payment (IPA) and Optional State Assessment (OSA) forms.
- The only response values for A0310B are:
- Not PPS Assessment (None of the above)
- The OSA form has added a new question: A0300B- Assessment type. Responses include:
- Start of therapy assessment.
- End of therapy assessment
- Both Start and End of therapy assessment
- Change of therapy assessment
- Other payment assessment
- Question I0020, answer value 14, Other Medical Condition has been deleted and the associated diagnosis code I0020A has also been deleted, replaced by I0020B.
Visit CMS website to download MDS 3.0 Item Sets v1.17.0 (DRAFT) for October 1, 2019 Release.
2019A Physician Fee Schedule Update
On December 20th, 2018 CMS updated the files used to calculate Physician Fee schedule rates effective January 1, 2019. The changes made include correcting carrier codes & localities that begin with zero that were previously omitted and also adding 4 additional rate updates.
The 2019A Full file in the Physician Fee Schedule Tool was updated for you in MatrixCare on 1.17.2019 to include these changes.
If a provider has a carrier code OR locality code that begins with a zero for EITHER value, you should re-run the PFS update tool immediately to ensure your 2019 rates are correct.
- Example Carrier Code: 08102
- Example Locality: 00
Upcoming Payer Conversion for Nevada Medicaid
Change Healthcare Notice
We have been informed that Nevada Medicaid, the Division of Health Care Financing and Policy (DHCFP), will be implementing a new, modernized Medicaid Management Information System (MMIS) on February 1, 2019.
This change impacts the following payer being utilized in MatrixCare Claims Management for electronic claims.
Payer Name: Nevada Medicaid
Claim CPIDs: 7495, 2907
Remit LOB: D31
RTE Payer ID: CAIDNV
Payer-assigned Payer ID: NVM FHSC FA
Providers sending claims to this payer should be aware of the following:
Transition Schedule and Dark Days:
- Thursday, January 24, 2019
- Our Change Healthcare clearinghouse will submit claims at 11:00 a.m. CT for final processing in the current system.
- Claims must be received at our Change Healthcare clearinghouse by 9:00 a.m. CT to meet the cutoff time.
- Claims that do not meet the cutoff time will be held at our Change Healthcare clearinghouse until 2/1/2019.
- Friday, January 25, 2019, through Thursday, January 31, 2019
- The payer’s system will be unavailable for claims submission. Claims submitted during this time frame will be held by our Change Healthcare clearinghouse.
- Friday, February 1, 2019
- New Medicaid Management Information System (MMIS) will be available.
- Our Change Healthcare clearinghouse will submit held claims at 11 a.m. CT to the new Medicaid Management Information System (MMIS).
You will see some differences in the payer reports you are receiving. Nevada Medicaid will no longer return the 277 report.
The edit in Claims Management that previously required the Referring provider & NPI on the NV Medicaid claims has been updated to now require the Attending provider & NPI. The 2014 requirement by NV Medicaid to report only the Referring Provider has been reverted and now, like most payers, require the Attending Provider & NPI. No changes to the setup in MatrixCare are required for this update.
None at this time; however, providers should be aware of the transition dates listed above.
We look forward to seeing you at the upcoming events. Be sure to stop by our booth and learn more about all the MatrixCare solutions available to you.
- LeadingAge MN | February 6 – 7, 2019
- NCAL Board Dinner/Breakfast | February 7 – 8, 2019
- HIMSS19 Global Conference & Exhibition | February 11 – 15, 2019
- 2019 NIC Spring Conference: Investing in Seniors Housing and Healthcare Collaboration | February 20 – 22, 2019
- NASL 2019 Winter Legislative and Regulatory Conference | February 25 – 27, 2019