HCCI Introduces Regional Pilot Program
to Expand Home-Based Primary Care
Florida House Call Project Launches with Call for Applications
In keeping with its mission of making home-based primary care (HBPC) the national standard for treating the nation’s aging, frail, and medically complex patient population, HCCI is launching The Florida House Call Project , with support from the RRF Foundation for Aging . The first program of its kind in HCCI history, the pilot program will ultimately serve as a model for future national research aimed at strengthening the field and practice of home-centered care.
Among HCCI’s objectives for the program are to expand the national footprint of home-centered care and grow the workforce of trained, qualified house call providers, with this phase, specifically in Florida. As part of the initiative, HCCI will identify providers and operations professionals in Florida-based practices to serve as Home-Centered Care Champions who will receive training designed to prepare them to spread awareness of HBPC within their communities.
Home-Centered Care Champions will serve a 15-month term, during which they will facilitate local education of other providers, practice/operations staff, and the public, using HCCI resources, tools, and curriculum. HCCI will use learnings from this first cohort to evaluate the program model and fine-tune it for potential launching in other markets around the country.
Click here to get more information about the project.
Special Note for Florida HBPC Providers and Practices: If you are passionate about teaching others and raising awareness of the value of home-based care, please fill out and submit this application by August 15, 2020 .
NEW! HCCI Conversations with…
Focuses on Health Systems Adding HBPC,
Value-Based Contracts and More
In this new episode , Rebecca Ramsay, CEO of Housecall Providers , part of CareOregon , and Julie Sacks, Chief Operating Officer, HCCI, discuss managing the COVID-19 pandemic, how health care systems can view HBPC as helping ensure a continuum of care, the importance of value-based contracts and more. You’ll also hear why Rebecca and Julie love house calls. Watch the full video here or view the 2-3-minute highlight “Conversation Starters” clips from the video here .
Dr. Thomas Cornwell to Guest on
World Congress Webinar
Dr. Thomas Cornwell, Executive Chairman of HCCI and Senior Medical Director of Village Medical at Home, will guest on a World Congress webinar on July 28, 2020, from 1 pm to 2 pm Central Time, entitled, The Future of Primary Care: How Providers Can Adapt to Changing Patient Demands, Gain Flexibility, and Develop Economic Stability . The webinar will provide insight on the direction of primary care after COVID-19, the clinical and economic benefits of the technology and infrastructure that are now available to deliver care, and firsthand experiences, lessons learned, and recommendations from clinicians, among other topics. Click here to learn more and register.
Education Update

October 22, 2020
AAHCM Virtual Preconference Presented by HCCI
Followed By Annual Meeting

Register now for Daily Dilemmas in Home-Based Primary Care (HBPC), the virtual American Academy of Home Care Medicine Preconference presented by HCCI on October 22 prior to this year’s AAHCM Annual Meeting (October 23-24). The preconference will explore and address daily dilemmas faced when caring for complex patients in the home as well as challenges related to HBPC practice operations, productivity, and reimbursement. Discover solutions to the everyday challenges of this patient population and leave with tips and tools you can immediately put into action in your practice. To learn more about the Preconference agenda and the full meeting, and to register, click here.

HCCI Online Courses

Special Offer: Available at no charge through September 30, 2020
Telehealth in Home-Based Primary Care
Utilization of telehealth (e.g., video visits, remote patient monitoring) has increased significantly during the COVID-19 pandemic. Take advantage of this special offer from HCCI, and enroll in Telehealth in Home-Based Primary Care (0.25 credit ) , at no charge through September 30, 2020 , This online course has been updated to include the most recent guidance on coding, documentation, and reimbursement – as announced by CMS in response to the current crisis.
Upcoming Live Virtual Workshops

November 19-20, 2020
Essential Elements of Home-Based Primary Care™  Workshop

Designed for learners considering, or relatively new to, offering home-based primary care (HBPC) services for patients with complex medical conditions. For details or to register,  click here .* Enrollment fee is regularly $625.  Early Bird Discount:  Register by August 31 and save $100.
December 3-4, 2020
Advanced Applications of Home-Based Primary Care™ Workshop
Designed for experienced home-based primary care (HBPC) providers and practice staff. For details or to register,  click here .* Enrollment fee is regularly $625.  Early Bird Discount:  Register by August 31 and save $100.
Special Offer: For details about the  Virtual Boot Camp in Home-Based Primary Care that includes both workshops above at a discounted price of $899, click here .

*New users of the HCCI Learning Hub will be asked to complete a one-time only registration prior to signing up for courses.
Upcoming HCCIntelligence Webinars
Wednesday, July 15, 4 pm-5 pm (Central Time)
Intersection of Faith and Community Organizing in Advanced Illness Care During COVID-19

Presented in collaboration with our partners at Coalition to Transform Advanced Care (C-TAC)

  • Discuss the role of faith leaders in supporting those in their communities affected by serious illness.
  • Explore how faith leaders can engage with parishioners affected by serious illness.
  • Share strategies with community organizations they can use to engage with faith communities.

Wednesday, August 19, 4 pm-5 pm (Central Time)
Integrating Occupational Therapy into Home-Based Primary Care

Presented in collaboration with Midwestern University Department of Occupational Therapy and Johns Hopkins School of Nursing

  • Discuss occupational therapy’s role in home-based primary care.
  • Relate how occupational therapy addresses the Geriatric 5Ms areas of care and quality metrics.
  • Identify a home-based model of care such as Community Aging in Place – Advancing Better Living for Elders (CAPABLE) that provides evidence for positive outcomes using occupational therapy services.
HCCIntelligence  Webinar Replay Available
In June, HCCI hosted an HCCIntelligence™ webinar entitled,  Strategies for Growing Provider & Patient Referrals for Your Practice . Click here  to view the archived recording, presentation slides, Q&A and supplemental handouts in the HCCI Learning Hub.
*New users of the HCCI Learning Hub will be asked to complete a one-time only registration prior to signing up for webinars/replays.
New HCCIntelligence Resources
Available at No Cost
Access HCCI’s reopening guide for HBPC practices and other new resources in the  HCCIntelligence™ Resource Center through the following links:

*New users of the HCCI Learning Hub will be asked to complete a one-time only registration prior to signing up for resources.
Practice Management Tip of the Month:
Medical Necessity Documentation 101
The medical necessity of a service is the overarching criterion for payment in addition to the individual requirements of a CPT (Current Procedural Terminology) code. Documentation of medical necessity should do the following:
  • Identify a specific medical reason or focus for the visit (e.g., worsening or new symptoms)
  • Document the rationale for ordering tests or referrals
  • Describe how the patient/caregiver has managed chronic conditions from the previous visit to present or explain acute symptoms; status of three chronic conditions may be used for History of Present Illness (HPI) credit
  • Include within the assessment and plan the provider’s clinical impression, condition status, and treatment plan for each diagnosis assessed that day
  • Summarize the patient’s health (e.g., improved, worsening, not responding as expected) and document services performed, treatments recommended, medication management, education/counseling, and goals of care conversations
  • Represent the patient complexity, overall patient risk level, and any aggregating factors or psychosocial challenges
  • Document initiation of, or changes in, treatment
  • Include patient and nursing instructions, therapies, and medications
Evaluation and Management (E/M) Documentation Requirements
  • Chief Complaint (CC) and HPI
  • Past, Family, and/or Social History (PFSH)
  • Review of Systems (ROS)
  • Exam
  • Medical Decision-Making and Complexity
  • Detailed Assessment and Plan describing the work and treatment decisions
Check out HCCI’s other education related to coding, billing and documentation here .
HCCIntelligence™ is for educational and informational purposes only and should not be relied upon as medical advice.
HCCI education and training initiatives including HCCIntelligence™
are funded in part by a grant from The John A. Hartford Foundation .
Home Centered Care Institute
This email is an advertisement for the Home Centered Care Institute (HCCI). HCCI is passionately committed to its vision of
transforming our nation’s healthcare system by creating universal access to best practice house calls programs,
to ensure that chronically ill, medically complex patients have access to high-quality care in their homes.
Connect with HCCI