TX HCSSA ADMIN: ANNUAL CE


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What to Expect from a Texas OIG Investigation

[3292] What to Expect from a Texas OIG investigation
Overview of the major steps in a provider investigation. TAHC&H CONFERENCE RECORDING: This program was presented on 08/29/2019 at the Texas Association of Home Care & Hospice 50th Annual Meeting in Grapevine. It is one of 17 presentations captured and produced for online access. Subscribers receive 24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page. Presentation Info: Presentation Date: August 29, 2019 TAHC&H Event: TAHC&H Annual Meeting | Grapevine Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.5 Clock Hr(s) Continuing Education for Nurses 1.5 Contact Hr(s) This program awards CNE until 08.29.2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151 HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][3]basic principles of management in a licensed health-related setting §97.260[a][6]risk assessment and management §97.260[a][7]financial management Program Description: The Texas Office of Inspector General (OIG) presenter presents and discusses the role of provider investigations within the broader mission of the OIG and also gives an overview of the major steps in a provider investigation as well as the provider’s role in each step. Includes potential outcomes of a provider investigation and examples of past investigations specific to cases involving pediatric care and home health care. Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change their practice by identifying the provider’s role in each step of an Office of Inspector General investigation of fraud, waste, and abuse in the Medicaid program. TAHC&H Faculty/Presenter: Glynn Bell, Manager - Provider Field Investigations, Dallas & Fort Worth Texas Health & Human Services Commission - OIG About the Presenter:
Glynn Bell is the Manager of Provider Field Investigations for the Texas Health & Human Services Commission - Office of Inspector General (OIG), Medicaid Program Integrity Division in the Dallas-Fort Worth area and has been with the OIG since February of 2018. Glynn has over 19 years of investigative experience in the private insurance sector, handling large scale, organized fraud/major medical fraud cases. Glynn is a Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI) and Certified Forensic Interviewer (CFI). [3292] What to Expect from a Texas OIG investigation

Speaker
Bell, Glynn
Model
3292

$45.00

1.5 Hrs
Value-Based Purchasing – Where Does Your Home Health / Hospice Fit Into Delivery System Reform

[W3242] Value-Based Purchasing – Where Does Your Home Health and / or Hospice Fit Into Delivery System Reform
How your home health agency and hospice can take advantage of VPB initiatives and avoid being left out in the cold. TAHC&H WEBINAR: This webinar was presented on 07/10/2019. Subscribers receive 24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page. Presentation Info: Presentation Date: July 10, 2019 TAHC&H Event: TAHC&H Monthly Webinars Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hrs Continuing Education for Nurses 1.0 Contact Hr(s) This program awards CNE until 07/10/2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151 HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][5]quality improvement §97.260[a][7]financial management Program Description: Medicare is moving rapidly from fee for service payments to payment based on quality. Through such mechanisms as ACOs, penalties on hospital re-admissions, other value-based purchasing initiatives and pilot projects initiated through the Center for Medicare and Medicaid Innovations, the program is placing payment incentives for care that is based on quality and not quantity. Many state Medicaid programs and private insurers are following suit. Michael Cook and Heidi Kocher will discuss how your home health agency and hospice can take advantage of these initiatives and avoid being left out in the cold. This webinar is 60 minutes and includes a Q & A session that follows. Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change or enhance their practice by implementing clinical data collection processes to measure patient progress and outcomes. TAHC&H Faculty/Presenters: Michael Cook, JD and Heidi Kocher, JD | Liles Parker Attorneys & Counselors at Law About the Presenter:
Michael H. Cook is a Partner and Co-chair of the Health Care Group at the law firm of Liles Parker, PLLC. Michael has more than 40 years of experience as a health care attorney in the regulatory, reimbursement, business, and policy areas. He has lectured and published frequently on topics of interest to health care providers and has served on a number of industry and government task forces and commissions. Michael has presented on the Comprehensive Joint Replacement Program Initiative to the National Association of Home Care and Hospice and the Kentucky Association of Health Care Facilities, and the TAHC&H, and on CJR/Bundled Payment Impact on Post -Acute Providers -- Navigating Alternative Payment Systems for the American Health Lawyers Association, sits on the Board of the Virginia Department of Medical Assistance Services (Medicaid), and served on a health care work group on delivery system reform for the campaign of Secretary Clinton for President. About the Presenter:
Heidi Kocher is a partner with Liles Parker and has over 20 years of experience in health care legal and compliance related issues, including serving as a compliance director, chief privacy officer and interim chief compliance officer at a medical device manufacturer. In addition, she has represented and advised physician groups, home health agencies, DME companies, pharmacies, non-profit organizations, and licensed individuals. Her experience includes implementing the various requirements and aspects of a Corporate Integrity Agreement, responding to and defending audits from Medicare, Medicaid and private insurers up through the ALJ level, guiding clients through voluntary self-disclosures and seeking advisory opinions from the OIG. She also has significant reimbursement experience, addressing coverage policy issues, challenging denials, recoupments, and loss of billing privileges, obtaining HCPCS codes, and other reimbursement related issues. [W3242] Value-Based Purchasing – Where Does Your Home Health and / or Hospice Fit Into Delivery System Reform Subscribers to this webinar receive 24/7 on-demand access for one (1) month. When subscribing to this webinar along with other programs totaling 12 hours or more, the access period increases to six (6) months.

Speaker
Liles Parker Attorneys
Model
W3242

$30.00

1.0 Hr
Understanding Emergency Preparedness Business Continuity Plan Requirements

[3309] Understanding Emergency Preparedness Business Continuity Plan Requirements
This presentation identifies the key elements of a business continuity plan. TAHC&H CONFERENCE RECORDING: This program was presented on 11/12/2019 at the Texas Association of Home Care & Hospice Administrator Program Conference in Houston. It is one of 20 presentations captured and produced for online access. Subscribers receive 24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page. Presentation Info: Presentation Date: November 12, 2019 TAHC&H Event: TAHC&H Administrator Program | Houston Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hr(s) Continuing Education for Nurses 1.0 Contact Hr(s) This program awards CNE until 11.12.2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151 HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.259[d][6]emergency preparedness planning and implementation §558.260[a][3]basic principles of management in a licensed health-related setting Program Description: This presentation identifies the key elements of a business continuity plan. You will be able to discuss the various types of business continuity plans that may be used for compliance with emergency preparedness requirements. You will be able to discuss strategies for how to identify operations essential to a home care agency and write or update their current plan as applicable to the services provided and implement the plan in the event of a disaster. Program Learning Outcome: Participants will actively engage in the activity and indicate an intent to change their practice by developing business continuity plans that ensure ongoing services to their patients in the event of a disaster. TAHC&H Faculty/Presenters: Beverly Sepulveda, BSN, RN, MBA, SynerImages Healthcare Consulting, LLC About the Presenters:
Beverly Sepulveda is the founder, CEO, and Principle consultant for SynerImages Healthcare Consulting, a national healthcare and regulatory consulting firm in operation for over 23 years. She holds a Master's in Business Administration and a Bachelor of Science in Nursing. Her nursing specialization is in quality assurance and accreditation compliance. Ms. Sepulveda's consulting expertise covers a broad array of areas including Home Health Agencies, Therapy clinics, ORFs, CORFs, Hospitals and the MCO industry. Her company specializes in start-up healthcare business seeking state and federal licensure, cloud-based policies and procedures, on-going regulatory compliance services and insurance contracting assistance. Prior to her working for SynerImages, Ms. Sepulveda was the Executive Director for PCA Health plans of Texas [later purchased by Humana] and held senior management positions with Aetna, CIGNA, and MetLife insurance companies. Her medical experience was at St. David's Hospital, Bellaire Hospital, Critical Care of America Home Health, North American Medical Management and Princeton Medical Management services. SynerImages is a Texas-based healthcare consulting firm with offices in Houston and South Texas. In addition to offering home health startup and compliance services, her firm also facilitates other business needs such coordinating medical equipment inspections, application management services, educational conferences/webinars and other business operations assistance. [3309] Understanding Emergency Preparedness Business Continuity Plan Requirements

Speaker
Sepulveda, Beverly
Model
3309

$30.00

1.0 Hr
Understanding & Implementing the Comprehensive Assessment, CoPs, & Care Coordination...

[3282] Taking the Bull by the Horns: Understanding and Implementing the Comprehensive Assessment, CoPs, and Care Coordination in Effective Care Management
An in-depth understanding of Medicare’s definition of the four “C’s” along with how they build upon each other... TAHC&H CONFERENCE RECORDING: This program was presented on 08/28/2019 at the Texas Association of Home Care & Hospice 50th Annual Meeting in Grapevine. It is one of 17 presentations captured and produced for online access. Subscribers receive 24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page. Presentation Info: Presentation Date: August 28, 2019 TAHC&H Event: TAHC&H Annual Meeting | Grapevine Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.5 Clock Hr(s) Continuing Education for Nurses 1.5 Contact Hr(s) This program awards CNE until 08.28.2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151 HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][3]basic principles of management in a licensed health-related setting §97.260[a][6]risk assessment and management §97.260[a][7]financial management Program Description: Prior to Jan. 13, 2018, many of the things we “kinda” did okay, such as care coordination, comprehensive assessment and plan of care management, became mandatory measures under the new Conditions of Participation. And agencies have struggled! Surveyors continue to site quality of care, care coordination and care planning collectively as one of the top two deficiencies for agencies across the board. By having an in depth understanding of Medicare’s definition of the four “C’s” along with how they build upon each other will lead to more streamlined processes, develop effective care coordination practices and provide better, more patient-centered plans of care thereby helping to “survey proof” your agencies. Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change their practice by developing effective care coordination practices in line with the updated home health conditions of participation to contribute to improved patient outcomes. TAHC&H Faculty/Presenter: Apryl Swafford RN, BSN, COS-C, HCS-D, HCS-H, Home Health Solutions, LLC About the Presenter:
Apryl Swafford began her nursing career in 1993, obtaining a BSN from Jacksonville State University in Jacksonville, Alabama. Her first few years were spent learning nursing, trial by fire style, in a 16 bed ICU unit. She transitioned into home health in late 1997 working PRN and weekends while learning her way and has spent the majority of the years since working home health in some capacity. She has worked as a field clinician/case manager, clinical manager and leader of a cardiopulmonary specialty program. During her tenure at the last two positions, she was responsible for chart audits, OASIS review and coding plus management of a team of nurses, therapist and home health aides. Apryl is certified as an OASIS Specialist - Clinical (COS-C), and is a credential holder of the Homecare Coding Specialist (HCS-D) for both ICD-9 and ICD-10. During her free time, she enjoys her family (there’s a lot to enjoy with 4 children and 9 grandchildren), working on the family’s small farm and running. [3282] Taking the Bull by the Horns: Understanding and Implementing the Comprehensive Assessment, CoPs, and Care Coordination in Effective Care Management

Speaker
Swafford, Apryl
Model
3282

$45.00

1.5 Hrs
Understand the OIG & its Communication, Relationships, & Actions in the Hospice Industry

[3320] Removing the Fear: Understanding the Office of Inspector General (OIG) & its Communication, Relationships, & Actions in the Hospice Industry
This presentation helps ensure your hospice agency is operating within CMS guidelines and away from the OIG spotlight. LIVE CONFERENCE RECORDING TAHC&H CONFERENCE RECORDING: This program was presented on 11/13/2019 at the Texas Association of Home Care & Hospice Administrator Program Conference in Houston. It is one of 20 presentations captured and produced for online access. Subscribers receive 24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page. Presentation Info: Presentation Date: November 13, 2019 TAHC&H Event: TAHC&H Administrator Program | Houston Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 2.0 Clock Hr(s) Continuing Education for Nurses 2.0 Contact Hr(s) This program awards CNE until 11.13.2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151 HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][3]basic principles of management in a licensed health-related setting §558.260[a][6]risk assessment and management Program Description: Understanding is the first step to ensuring that your hospice agency is operating within the guidelines set out by CMS and moving away from the OIG spotlight. You will learn about the relationship between the OIG and CMS and other federal agencies, communication practices of the OIG, where to find the most current information regarding the OIG Hospice workplan and how to lead their teams to strengthen their compliance programs. Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change or enhance their practice by identifying areas to strengthen in their agency’s compliance programs to ensure that they are operating within the guidelines set out by CMS. TAHC&H Faculty/Presenters: Zaundra Ellis, Hospice Product Director, Axxess About the Presenters:
Zaundra Ellis Zaundra Ellis is the Hospice Product Manager for Axxess. She leverages her many years of expertise in the hospice industry to create a software that is easy to use and allows clients to be clinically, administratively and financially compliant. Prior to joining Axxess, Zaundra served as the Executive Director and Regional Director for Kindred Hospice and Heart to Heart Hospice agencies across Texas. In this role she oversaw an inpatient hospice facility, created and implemented a companywide QAPI program for an organization that served more than 2,500 patients, and used her experience to create operations that improved compliance and maximized reimbursements. Zaundra is an active member of the Texas Association of Home Care and Hospice and has served on multiple committees including the Education, Hospice and Medicare/Medicaid committees. [3320] Removing the Fear: Understanding the Office of Inspector General (OIG) & its Communication, Relationships, & Actions in the Hospice Industry

Speaker
Ellis, Zaundra
Model
3320

$60.00

2.0 Hrs
TULIP Training: Texas Unified License Information Portal

[W3246] TULIP Training: Texas Unified License Information Portal
Information on the new system and how to gain access and where to find additional resources. TAHC&H WEBINAR: This webinar was presented on 09/25/2019 and is now available for on-demand access. Presentation Info: Presentation Date: September 25, 2019 TAHC&H Event: TAHC&H Monthly Webinars Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hr CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations. HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities 97.260 [a] other topics related to the duties of an administrator Program Description: TULIP is the new web-based licensure system for the Health and Humans Services Commission. The Texas Unified Licensure Information Portal is designed for licensed long-term care providers. The system is designed to be more efficient, including electronic payments and instant access to licensure information. This presentation will provide information on the new system and how to gain access and where to find additional resources. Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change their practice by utilizing the Texas Unified Licensure Portal (TULIP) to improve efficiencies in submitting long-term care licensure applications, making electronic payments, and accessing status of licensure information. TAHC&H Faculty/Presenters: Stephanie Allred, PhD, Director of LTCR Licensing and Credentialing, HHSC Regulatory Services & Trent Banks, Manager, Provider Licensure and Certification, HHSC Regulatory Services About the Presenter:
Stephanie Allred obtained her doctorate of experimental psychology from the University of Texas at Arlington, with a major in cognitive psychology and a minor in statistics. Her focus of study was ambiguity in the English language. She began her career with the state as a professor at the University of Texas at Tyler, teaching various psychology and statistics courses. Following, she worked for Rusk State Hospital for 17 years. Rusk State Hospital is a state owned psychiatric hospital and is part of the Health and Human Services Commission. Her positions at the hospital varied from Data Specialist, Director of Training, Standards Compliance Officer, to Director of Quality Management. Currently, she is the Director of Long-term Care Regulatory Licensing and Credentialing for the Health and Human Services Commission. She is responsible for the provider licensure and certification, credentialing, and data/records management. Going forward, she welcomes the challenge to better serve the residents of the state of Texas. About the Presenter:
Trent Banks is currently a Manager with Health Human Services Commission (HHSC), Licensing and Certification. He has served as an Investigator VI with Professional Credentialing Enforcement Unit, Regulatory Services Division with Health Human Service Commission. He previously served as an Investigator IV in the PCEU at the Department of Aging and Disability Services (DADS). Prior to that, he was an investigator at the Texas Department of Juvenile Justice’s Office of Inspector General. Trent was previously a Youth Rights Specialist in the Office of General Counsel at the Texas Youth Commission where he worked to ensure the Rights and Safety of juvenile offenders. Trent has a bachelor’s degree in International Studies from Southwest Texas State University. [W3246] TULIP Training: Texas Unified License Information Portal Subscribers to this webinar receive 24/7 on-demand access for one (1) month. When subscribing to this webinar along with other programs totaling 12 hours or more, the access period increases to six (6) months.

Speaker
Allred, S & Banks, T [HHSC]
Model
W3246

$30.00

1.0 Hr
TPE Audits, ADRs, Pre-Payment Reviews, Post-Payment Audits and Suspensions

[W3185] TPE Audits, ADRs, Pre-Payment Reviews, Post-Payment Audits and Suspensions - The Impact of these Administrative Enforcement Tools on Home Health and Hospice Agencies
Enforcement actions and adverse impact each action can have on your agency. TAHC&H WEBINAR: This webinar was presented on 04/03/2019. Subscribers receive 24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page. Presentation Info: Presentation Date: April 3, 2019 TAHC&H Event: TAHC&H Monthly Webinars Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hrs Continuing Education for Nurses 1.0 Contact Hr(s) This program awards CNE until 04/03/2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151 HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a]other topics related to the duties of an administrator Program Description: Pre-payment reviews are now being conducted by both ZPICs and RACs. While the government has placed some restrictions on their use, contractors continue to exercise great latitude in their scope and the length that they are imposed. Similarly, contractors remain in control of post-payments conducted and suspension actions recommended to CMS. In this webinar, attorneys Mary Soule and Meaghan McCormick will discuss these enforcement actions and outline the adverse impact each action can have on your agency. Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change their practice by incorporating clinical documentation best practices that are conducive to successful ADR and Targeted Probe and Educate results. TAHC&H Faculty/Presenters: Mary Soule, JD and Meaghan McCormick, JD | Liles Parker Attorneys & Counselors at Law About the Presenter:
Mary Soule is an Associate Attorney at Liles Parker’s Washington, DC office.  She focuses her practice on regulatory health care compliance matters, fraud and abuse, and reimbursement issues. Mary has represented a variety of healthcare providers, including psychiatrists, dentists, acupuncturists, home health agencies, and counselors.  She represents health care providers nationwide with an assortment of health law issues, including prepayment and post-payment audits with Medicare, Medicaid, and private payors and general compliance matters. She is also a Certified Medical Reimbursement Specialist. About the Presenter:
Meaghan McCormick is an Associate Attorney in Liles Parker’s Washington, DC office where she concentrates her practice in the area of health care regulatory compliance. Meaghan has experience with auditing claims, identifying deficiencies, and assisting clients in improving their documentation. She also assists providers with creating and implementing effective compliance plans. Meaghan has assisted Dentists, DME providers, community mental health centers, hospices, and home health agencies across the country. [W3185] TPE Audits, ADRs, Pre-Payment Reviews, Post-Payment Audits and Suspensions - The Impact of these Administrative Enforcement Tools on Home Health and Hospice Agencies Subscribers to this webinar receive 24/7 on-demand access for one (1) month. When subscribing to this webinar along with other programs totaling 12 hours or more, the access period increases to six (6) months.

Speaker
Liles Parker Attorneys
Model
W3185

$30.00

1.0 Hr
Top 10 Steps To Improve Compliance In 2020

[W3249] Top 10 Steps To Improve Compliance In 2020
Steps you can take - many of which can be initiated tomorrow - which will significantly improve your compliance! TAHC&H WEBINAR: This webinar was presented on 12/04/2019. Subscribers receive 24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page. Presentation Info: Presentation Date: December 4, 2019 TAHC&H Event: TAHC&H Monthly Webinars Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hrs Continuing Education for Nurses 1.0 Contact Hr(s) This program awards CNE until 12/04/2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151 HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][3]basic principles of management in a licensed health-related setting §97.260[a][6]risk assessment and management Program Description: Despite your best efforts, there are a number of steps you can take - many of which can be initiated tomorrow - which will significantly improve your compliance from a coding / billing / HIPAA / OSHA standpoint. Attorneys Lorraine Rosado and Mary Soule present ways your organization can reduce its level of risk by presenting their top 10 steps you can use to improve your agency's compliance in 2020. This webinar is 60 minutes with a brief Q & A session that follows. Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change their practice by incorporating compliance best practices in throughout their agency. TAHC&H Faculty/Presenter: Lorraine Rosado, JD and Mary Soule, JD | Liles Parker Attorneys & Counselors at Law About the Presenter:
Lorraine Rosado is a key member of Liles Parker’s healthcare team and has been an attorney at the firm for nearly six years. She defends healthcare providers facing overpayment claims and counsels clients nationwide on compliance with healthcare statutes, regulations, and contract matters. She has represented providers in panel qualification and termination matters. She has extensive experience working on complex cases involving both Federal and State violations of the False Claims Act, including whistleblower cases. She is skilled in administrative litigation and appeals. Lorraine has handled claims disputes involving most major healthcare payors, including Medicare, Medicaid, TRICARE, various BlueCross BlueShield entities, and UnitedHealthcare. She is experienced working on large, complex administrative appeals of extrapolated alleged overpayments assessed by Centers for Medicare and Medicaid Services (CMS) contractors, including Zone Program Integrity Contractors (ZPICs), Medicare Administrative Contractors (MACs), Recovery Audit Contractors (RACs), and Medicaid Integrity Contractors (MICs). About the Presenter:
Mary Soule is an Associate Attorney at Liles Parker’s Washington, DC office. She focuses her practice on regulatory health care compliance matters, fraud and abuse, and reimbursement issues. Mary has represented a variety of healthcare providers, including psychiatrists, dentists, acupuncturists, home health agencies, and counselors. She represents health care providers nationwide with an assortment of health law issues, including prepayment and post-payment audits with Medicare, Medicaid, and private payors and general compliance matters. She is also a Certified Medical Reimbursement Specialist. [W3249] Top 10 Steps To Improve Compliance In 2020 Subscribers to this webinar receive 24/7 on-demand access for one (1) month. When subscribing to this webinar along with other programs totaling 12 hours or more, the access period increases to six (6) months.

Speaker
Liles Parker Attorneys
Model
W3249

$30.00

1.0 Hr
Tips for Drafting Hospice Contracts with Nursing Facilities

[3288] Tips for Drafting Hospice Contracts with Nursing Facilities
Learn about the regulatory requirements for contracts between hospice providers and nursing facilities. TAHC&H CONFERENCE RECORDING: This program was presented on 08/29/2019 at the Texas Association of Home Care & Hospice 50th Annual Meeting in Grapevine. It is one of 17 presentations captured and produced for online access. Subscribers receive 24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page. Presentation Info: Presentation Date: August 29, 2019 TAHC&H Event: TAHC&H Annual Meeting | Grapevine Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.25 Clock Hr(s) Continuing Education for Nurses 1.25 Contact Hr(s) This program awards CNE until 08.29.2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151 HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][3]basic principles of management in a licensed health-related setting §97.260[a][6]risk assessment and management §97.260[a][7]financial management Program Description: Learn about the regulatory requirements for contracts between hospice providers and nursing facilities. This program highlights key provisions that will govern both parties' payment obligations and care coordination obligations, and it identifies common drafting pitfalls to avoid. Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change their practice by identifying best practices in drafting contracts between hospice providers and nursing facilities to meet regulatory requirements and contribute to improved patient outcomes. TAHC&H Faculty/Presenter: Irma Jacobson, J.D., Jacobson PLLC About the Presenter:
Irma Jacobson is a commercial litigator and administrative law attorney who regularly practices in state, federal, and administrative law courts. She graduated from West Point in 2004 and served in Operation Iraqi Freedom from 2005-2006. Irma has extensive experience representing clients in the health care industry and excels at providing legal solutions to complex problems by tailoring strategies to fit each client’s specific need. She can assist with data privacy requests, both requesting disclosure and defending against disclosure involving Health Insurance Portability and Accountability Act (HIPAA), Freedom of Information Act (FOIA), and the Texas Public Information Act (TPIA). Irma represents nursing home facilities, assisted living facilities, and home and community support services agencies (HCSSAs) regarding compliance and licensure actions. She has been essential in securing favorable results for long-term care facilities while defending against license revocations and appealing Medicare/Medicaid terminations and state and federal civil monetary penalties. She has extensive experience advising long-term care facilities concerning audits by Medicaid Recovery Audit Contractors (RACs), Medicaid Integrity Contractors (MICs), Zone Program Integrity Contractor (ZPIC), and other Medicare/Medicaid reimbursement matters. Her practice also includes representing benefit plans, providers, employers, claims administrators, and insurers in disputes concerning the availability of mental health and substance abuse coverage under ERISA-governed plans. [3288] Tips for Drafting Hospice Contracts with Nursing Facilities

Speaker
Jacobson, Irma
Model
3288

$37.50

1.25 Hrs
Time for your Annual Inspection! A Review of the State & Federal Emergency Preparedness Rules

[3294] Time for your Annual Inspection! Review of the State and Federal Emergency Preparedness Rules
Understand how to prepare for potential disaster and emergency situation, comply with state and federal requirements... TAHC&H CONFERENCE RECORDING: This program was presented on 10/09/2019 at the Texas Association of Home Care & Hospice Fall Conference in Grapevine. It is one of 4 presentations captured and produced for online access. Subscribers receive 24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page. Presentation Info: Presentation Date: October 9, 2019 TAHC&H Event: TAHC&H Fall Conference | Grapevine Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.5 Clock Hr(s) Continuing Education for Nurses 1.5 Contact Hr(s) This program awards CNE until 10.09.2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151 HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.259[d][6]emergency preparedness planning and implementation §97.260[a][3]basic principles of management in a licensed health-related setting §97.260[a][6]risk assessment and management Program Description:The Federal Emergency Preparedness requirements are both similar and different than the requirements that Texas agencies have been meeting. This presentation outlines in detail both these similarities and differences so that agencies – both certified and non-certified – can understand how to prepare for potential disaster and emergency situation, comply with state and federal requirements, and protect their businesses, clients, and employees. Regulatory changes since 2018 and lessons learned are also discussed. Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change or enhance their practice by revising their agency emergency preparedness policies to reflect regulatory requirements and teaching clinical staff how to implement the requirements. TAHC&H Faculty/Presenter: Kay Hollers, RN, MPH, COS-C, HCS-D, Independent Consultant, HealthCare ConsultLink About the Presenter:
Kay Hollers is well known to TAHCH audiences as she has been an active member or associate member since her return to Texas in 1985. Kay holds a Bachelor of Science degree from the University of Texas with a major in Nursing and a Master’s Degree in Public Health from the University of Texas School of Public Health. She also earned a post-master’s Specialist Certification in Health Care Evaluation from Wayne State University College of Nursing in Detroit. Kay taught Public Health Nursing at Michigan State University and has practiced in and consulted with home health and hospice agencies large and small, public and private. Kay likes to share her experiences and knowledge with audiences and has been a frequent presenter for TAHCH conferences and seminars. [3294] Time for your Annual Inspection! Review of the State and Federal Emergency Preparedness Rules

Speaker
Hollers, Kay
Model
3294

$45.00

1.5 Hrs
The Impact Of RCD - The “Review Choice Demonstration Project” On Your Agency

[W3182] The Impact Of The “Review Choice Demonstration Project” On Your Agency
The Review Choice Demonstration Project and its likely impact on your home health agency. TAHC&H WEBINAR: This webinar was presented on 01/30/2019. Subscribers receive 24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page. Presentation Info: Presentation Date: January 30, 2019 TAHC&H Event: TAHC&H Monthly Webinars Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hrs Continuing Education for Nurses 1.0 Contact Hr(s) This program awards CNE until 01/30/2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151 HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][7]financial management Program Description: The Centers for Medicare & Medicaid Services (CMS), remains committed in its efforts to initiate the Review Choice Demonstration for Home Health Services project here in Texas. This initiative is the renamed, repackaged version of the prior Pre-Claim Review Demonstration project that was initiated, then placed on hold (due in large part to provider protests), in April 2017. In this webinar, attorneys Ashley Morgan and Lorraine Rosado will discuss the Review Choice Demonstration Project and its likely impact on your home health agency. Program Learning Outcome: Participants will actively participate in the learning activity and indicate an intent to change or enhance their practice by implementing the Review Choice Demonstration process to assure that all relevant coverage and clinical documentation requirements are met before a claim is submitted for payment. TAHC&H Faculty/Presenters: Ashley Morgan, JD and Lorraine Rosado, JD | Liles Parker Attorneys & Counselors at Law About the Presenter:
Ashley Hudson Morgan is an Associate Attorney in Liles Parker’s Washington, DC office where she focuses her practice on regulatory health care compliance matters, fraud and abuse, and reimbursement issues. Ashley represents health care providers across the country in connection with a wide variety of health law issues including coverage disputes, documentation concerns, compliance, medical board complaints, and exclusion / termination issues. Ashley has worked with an assortment of providers including dentists, home health companies, hospice agencies, primary care and specialty physicians, mental health professionals, physical therapists, and licensed acupuncturists. Ashley has handled claims disputes with major payors including Medicare, Medicaid, various BlueCross BlueShield entities, and UnitedHealthcare. She has extensive experience working on administrative appeals of large alleged extrapolated overpayments assessed by the Centers for Medicare and Medicaid Services’ (CMS) contractors including, Zone Program Integrity Contractors (ZPICs), Unified Program Integrity Contractors (UPICs), and Medicare Administrative Contractors (MACs) and by private payors. Ashley has also successfully defended providers against medical board and nursing board complaints. Ashley is a Certified Medical Compliance Officer and helps clients implement effective compliance programs and provides counsel on mandatory state and industry-specific policies and procedures. In this capacity, Ashley provides on-site walk-throughs to review OSHA compliance and performs training for staff members on HIPAA and other mandatory compliance regulations. Ashley is also a Certified Professional Coder in addition to a Certified Medical Reimbursement Specialist and conducts GAP Analyses of provider’s medical record documentation to determine areas for improvement with any CMS or private payor documentation requirements. About the Presenter:
Lorraine Ater Rosado is a key member of Liles Parker’s healthcare team and has been an attorney at the firm for nearly six years. She defends healthcare providers facing overpayment claims and counsels clients nationwide on compliance with healthcare statutes, regulations, and contract matters. She has represented providers in panel qualification and termination matters. She has extensive experience working on complex cases involving both Federal and State violations of the False Claims Act, including whistleblower cases. She is skilled in administrative litigation and appeals. Lorraine has handled claims disputes involving most major healthcare payors, including Medicare, Medicaid, TRICARE, various BlueCross BlueShield entities, and UnitedHealthcare. She is experienced working on large, complex administrative appeals of extrapolated alleged overpayments assessed by Centers for Medicare and Medicaid Services (CMS) contractors, including Zone Program Integrity Contractors (ZPICs), Medicare Administrative Contractors (MACs), Recovery Audit Contractors (RACs), and Medicaid Integrity Contractors (MICs). [W3182] The Impact Of The “Review Choice Demonstration Project” On Your Agency Subscribers to this webinar receive 24/7 on-demand access for one (1) month. When subscribing to this webinar along with other programs totaling 12 hours or more, the access period increases to six (6) months.

Speaker
Liles Parker Attorneys
Model
W3182

$30.00

1.0 Hr
The Illinois RCD Experience: Preclaim Review Success

[3272] The Illinois RCD Experience: Preclaim Review Success
An on-demand, rich-media recording of Part Two of the June 19, 2019 RCD Training Event in San Antonio. TAHC&H CONFERENCE RECORDING: This program was presented on 06/19/2019 at the Texas Association of Home Care & Hospice RCD Training Event in San Antonio. It is one of 2 presentations captured and produced for online access. Subscribers receive 24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page. Presentation Info: Presentation Date: June 19, 2019 TAHC&H Event: RCD - Review Choice Demonstration Training | San Antonio Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 2.0 Clock Hrs Continuing Education for Nurses 2.0 Contact Hr(s) This program awards CNE until 06/19/2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151 HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][6]risk assessment and management §97.260[a][7]financial management Program Description: Home Health Providers in Illinois, North Carolina, Ohio, Florida or Texas are gearing up for the implementation of the Review Choice Demonstration (RCD) in their states. Following the Palmetto GBA RCD training presented 6/19/19, two distinguished Illinois providers - both board members of the Illinois HomeCare & Hospice Council - presented results of preclaim review and review choice in Illinois - the first state to begin. They present data from Illinois, issues impacting Illinois providers, and each one presents their own agency's experiences - along with practical tips and tested processes to help you be successful with RCD. RCD Goals Assist CMS in developing improved methods to identify, investigate, and prosecute potential fraud Protect the Medicare Trust Fund Reduce the rate of improper payments Improve provider compliance with Medicare rules and requirements Offers providers increased flexibility and choice Risk-based changes to reward providers who show compliance with policies Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change their practice by effectively managing the Review Choice Demonstration process and ensuring appropriate clinical documentation thereby decreasing the number of non-affirmations related to poor or insufficient documentation. TAHC&H Faculty/Presenters: Cheryl Adams, RN, BSN, MBA, Administrator, At-Home Health Care of Sparta Community Hospital and President, Illinois HomeCare & Hospice Council | Sheila Guither, MSN, RN, CWOCN, COS-C. OSF Home Care Services and Past President, Illinois HomeCare & Hospice Council About the Presenters: Sheila Guither MSN RN, CWOCN, COS-C currently serves as Immediate Past President of the Illinois Home Care and Hospice Council. She works as the Manager of Clinical Practice and Staff Development for OSF Healthcare- Home Care and Post-Acute Services in Peoria, IL. Throughout the Illinois Preclaim Review demonstration, OSF achieved a 100% affirmation rate without compromising access to care. Sheila earned her Master’s Degree in Nursing Education from OSF Saint Francis College of Nursing, her BSN from Mennonite College of Nursing in Bloomington, IL and her Wound, Ostomy, and Continence Nurse (WOCN) certification from Emory University in Atlanta, GA. She has worked in the Home Care field for 23 years serving in various clinical and leadership roles. She resides in Bloomington, IL with her husband and three children. Cheryl Adams RN, BSN, MBA with 40 years of clinical nursing and healthcare executive experience. Cheryl has been the administrator of At-Home Health Care of Sparta Community Hospital since its inception in 1996. Cheryl is responsible for developing, implementing and sustaining the business plan for the hospital based home health agency known as At-Home Health Care. The agency under her direction has a history of multiple deficiency free surveys, a reduction in acute care hospitalization rate, improved patient satisfaction and implementation of a telehealth program. Cheryl is credentialed as a Home Health ICD-10 Coder and OASIS Specialist. Cheryl is committed to having a voice for the home care industry and the people that are served. She feels it is important that leaders of home care ensure access to care but also quality of care to those we serve all while staying compliant with rules and regulations of home health. With the implementation of the pilot program of Pre-claim Review in IL, Cheryl has succeeded in achieving a 100% affirmation rate through the education and implementation of processes to ensure accurate, complete documentation. [3272] The Illinois RCD Experience: Preclaim Review Success

Speaker
Adams, Cheryl + Guither, Sheila
Model
3272

$60.00

2.0 Hrs
The Final Rule: Hospice Payment Rates and Quality Measures Defined, Reviewed and Applied

[3319] The Final Rule: Hospice Payment Rates and Quality Measures Defined, Reviewed and Applied
Why Hospice CoP changes were made, how they affect your hospice agency and tips to ensure that you are maximizing the potential of the changes coming in 2020. TAHC&H CONFERENCE RECORDING: This program was presented on 11/13/2019 at the Texas Association of Home Care & Hospice Administrator Program Conference in Houston. It is one of 20 presentations captured and produced for online access. Subscribers receive 24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page. Presentation Info: Presentation Date: November 13, 2019 TAHC&H Event: TAHC&H Administrator Program | Houston Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 2.0 Clock Hr(s) Continuing Education for Nurses 2.0 Contact Hr(s) This program awards CNE until 11.13.2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151 HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][3]basic principles of management in a licensed health-related setting §558.260[a][5]quality improvement §558.260[a][7]financial management Program Description: The 2020 CMS Final Rule brings changes to hospice reimbursement rates and quality that will more closely align reimbursement rates with care provided while allowing consumers to access the information they need to make the best decision about hospice care for themselves or the ones that they love. The presenter discusses why the changes were made, how they affect your hospice agency and tips to ensure that you are maximizing the potential of the changes coming in 2020. Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change or enhance their practice by identifying how the Hospice 2020 CMS Final Rule changes in reimbursement rates and quality requirements will affect their hospice agency practices. TAHC&H Faculty/Presenters: Zaundra Ellis, Hospice Product Director, Axxess About the Presenters:
Zaundra Ellis Zaundra Ellis is the Hospice Product Manager for Axxess. She leverages her many years of expertise in the hospice industry to create a software that is easy to use and allows clients to be clinically, administratively and financially compliant. Prior to joining Axxess, Zaundra served as the Executive Director and Regional Director for Kindred Hospice and Heart to Heart Hospice agencies across Texas. In this role she oversaw an inpatient hospice facility, created and implemented a companywide QAPI program for an organization that served more than 2,500 patients, and used her experience to create operations that improved compliance and maximized reimbursements. Zaundra is an active member of the Texas Association of Home Care and Hospice and has served on multiple committees including the Education, Hospice and Medicare/Medicaid committees. [3319] The Final Rule: Hospice Payment Rates and Quality Measures Defined, Reviewed and Applied

Speaker
Ellis, Zaundra
Model
3319

$60.00

2.0 Hrs
The "How" and "Why" to Outsource/Centralize Operations

[3155] The "How" and "Why" to Outsource/Centralize Operations
How home care/hospice agencies can enact smart change management techniques to prepare for this new practice. NOW AVAILABLE: RELEASED 2/25/2019 This program was presented on 02/14/2019 at the Texas Association of Home Care & Hospice Winter Policy Conference in Austin. It is one of 9 presentations captured and produced for online access. Presentation Info: Presentation Date: February 14, 2019 TAHC&H Event: TAHC&H Winter Policy Conference | Austin Subscription Type: Individual Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.5 Clock Hrs CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][3]basic principles of management in a licensed health-related setting Program Description: There are many new business practices taking shape in the home care/hospice industry. Outsourcing is one business practice used by companies to reduce costs or improve efficiency by shifting tasks, operations, jobs or processes to an external contracted third party for a significant period of time. This same process of centralization is utilized by many companies internally to achieve the same outcome. Home care/hospice agencies must enact smart change management techniques to prepare for this new practice. Program Learning Outcome: Participants will actively engage in a discussion on outsourcing and centralizing operations to reduce costs and improve efficiency in home care agencies. TAHC&H Faculty/Presenter: Marcylle Combs, RN, MS, Founder, Foundation Management Services and William Simione III, Managing Principal, Simione Healthcare Consultants, LLC About the Presenter:
Marcylle Combs has enjoyed 30 years in home health care and hospice, holding many positions including field nurse, director, administrator and owner/president of a successful home health and hospice company. She is well known in Texas and nationally for her leadership in both the home care and hospice community. She serves on the TAHCH Government Affairs Committee since the ‘90s and is currently board of directors for The Home Care and Hospice Financial Managers Association (HHFMA); a professional organization bringing together CFOs, CEOs, COOs and other financial positions who are employed by the nation’s 25,000 home care and hospice agencies. She also chairs the Women in Leadership group for HHFMA. Marcylle enjoys speaking on various subjects such as mentoring, leadership and communication and is best known for keeping her audiences awake. About the Presenter:
Bill Simione III serves as Managing Principal at Simione Healthcare Consultants, leading all consulting, as well as product and service delivery to support home care and hospice business improvement. He previously managed Simione's Financial Consulting division, and has been actively involved in the home care and hospice industry for more than 25 years. Bill has held many interim management positions over the years, including Chief Executive Officer, Chief Financial Officer and Director of Patient Accounting for numerous home care/hospice organizations ranging from single agencies to multi-state organizations and hospital-owned postacute entities. During his interim management positions, he has been responsible for many agency turnarounds, including positioning an agency for acquisition. Bill is a highly experienced speaker addressing many national home care and hospice organizations, as well as state and local associations. He is a graduate of Villanova University with a B.S. in Accounting. [3155] The "How" and "Why" to Outsource/Centralize Operations

Speaker
Combs, M / Simione III, Wm
Model
3155

$45.00

1.5 Hrs
Testing Your Emergency Preparedness Plan

[3297] Testing Your Emergency Preparedness Plan
Best practices for testing your EP plan. TAHC&H CONFERENCE RECORDING: This program was presented on 10/09/2019 at the Texas Association of Home Care & Hospice Fall Conference in Grapevine. It is one of 4 presentations captured and produced for online access. Subscribers receive 24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page. Presentation Info: Presentation Date: October 9, 2019 TAHC&H Event: TAHC&H Fall Conference | Grapevine Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.25 Clock Hr(s) Continuing Education for Nurses 1.25 Contact Hr(s) This program awards CNE until 10.09.2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151 HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.259[d][6]emergency preparedness planning and implementation §97.260[a][3]basic principles of management in a licensed health-related setting §97.260[a][6]risk assessment and management Program Description:This presentation discusses the staff training requirements for both orientation and annual training, how to collaborate with local, state, and federal agencies, illustrate the differences between the tabletop, functional, and full-scale test exercises, and review best practices in documentation. Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change or enhance their practice by applying methods learned related to implementing realistic and effective disaster drills at their agency in compliance with state and federal rules. TAHC&H Faculty/Presenters: Beverly Sepulveda, BSN, RN, MBA, CEO, SynerImages Healthcare Consulting LLC About the Presenters:
Beverly Sepulveda is the founder, CEO, and Principle consultant for SynerImages Healthcare Consulting, a national healthcare and regulatory consulting firm in operation for over 23 years. She holds a Master's in Business Administration and a Bachelor of Science in Nursing. Her nursing specialization is in quality assurance and accreditation compliance. Ms. Sepulveda's consulting expertise covers a broad array of areas including Home Health Agencies, Therapy clinics, ORFs, CORFs, Hospitals and the MCO industry. Ms. Sepulveda's company specializes in start-up healthcare business seeking state and federal licensure, cloud-based policies and procedures, on-going regulatory compliance services and insurance contracting assistance. Prior to her working for SynerImages, Ms. Sepulveda was the Executive Director for PCA Health plans of Texas [later purchased by Humana] and held senior management positions with Aetna, CIGNA, and MetLife insurance companies. Her medical experience was at St. David's Hospital, Bellaire Hospital, Critical Care of America Home Health, North American Medical Management and Princeton Medical Management services. SynerImages is a Texas-based healthcare consulting firm with offices in Houston and South Texas. In addition to offering home health startup and compliance services, her firm also facilitates other business needs such coordinating medical equipment inspections, application management services, educational conferences/webinars and other business operations assistance. [3297] Testing Your Emergency Preparedness Plan

Speaker
Sepulveda, Beverly
Model
3297

$37.50

1.25 Hrs
Technology Revolution in Home Care

[3278] Technology Revolution in Home Care
A look at real life case studies of how technology is being implemented in home and community care. TAHC&H CONFERENCE RECORDING: This program was presented on 08/27/2019 at the Texas Association of Home Care & Hospice 50th Annual Meeting in Grapevine. It is one of 17 presentations captured and produced for online access. Subscribers receive 24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page. Presentation Info: Presentation Date: August 27, 2019 TAHC&H Event: TAHC&H Annual Meeting | Grapevine Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.25 Clock Hr(s) Continuing Education for Nurses 1.25 Contact Hr(s) This program awards CNE until 08.27.2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151 HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][3]basic principles of management in a licensed health-related setting §97.260[a][6]risk assessment and management §97.260[a][7]financial management Program Description:With an ever-changing competitive market, providers need to consider how to deliver services more efficiently. This program takes a look at real life case studies of how technology is being implemented in home and community care to assist in the delivery of services. What technologies are being implemented to record and monitor changes in an individual’s health? What is being implemented in regional and remote areas to ensure the wellbeing of seniors? Machine learning is a type of artificial intelligence that is concentrated on developing algorithms that analyze data and predict future events with tremendous accuracy. It is a technology that is well suited to identify hidden trends and patterns in vast amounts of data, not visible to the human eye. Jonathan Vallée, CTO of AlayaCare, an end-to-end home healthcare software solution, discusses the importance of collecting and analyzing data, provide real examples of feasible tech solutions organizations could implement today, explore the insights gained from utilizing machine learning, and present the results of two studies on applying machine learning to streams of incoming remote patient monitoring vitals for decision support. Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change their practice by implementing remote patient monitoring as a tool to aid in improving optimal patient outcomes. TAHC&H Faculty/Presenter: Jonathan Vallée, M.Sc., CTO, AlayaCare About the Presenter:
Jonathan Vallée is the VP, Engineering at AlayaCare. AlayaCare looks to deliver the next disruptive solution for the industry by combining remote patient monitoring, clinical documentation and back office software supported by machine learning and optimization. Jonathan holds a M.Sc. in machine learning where he has been awarded the board of honors and has worked as a data science researcher before taking the leadership of JDA’s data science team and now AlayaCare’s. Jonathan is an inventor and co-inventor on four patents and strives to innovate the home healthcare industry. [3278] Technology Revolution in Home Care

Speaker
Vallée, Jonathan
Model
3278

$37.50

1.25 Hrs
Surviving Government Inquiries – Part 2: ZPIC, UPIC, and CERT Audits

[3157] Surviving Government Inquiries – Part 2: ZPIC, UPIC, and CERT Audits
One of two programs that examine in detail the differences between the various kinds of letters sent to home care and hospice providers by Medicare contractors, the implications of each letter, and how best to respond. TAHC&H CONFERENCE RECORDING: This program was presented on 02/14/2019 at the Texas Association of Home Care & Hospice Winter Policy Conference in Austin. It is one of 9 presentations captured and produced for online access. Subscribers receive 24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page. Presentation Info: Presentation Date: February 14, 2019 TAHC&H Event: TAHC&H Winter Policy Conference | Austin Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.5 Clock Hrs Continuing Education for Nurses 1.5 Contact Hr(s) This program awards CNE until 02/14/2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151 HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][6]risk assessment and management §558.260[a][7]financial management Program Description: Have you just received a “Dear Provider” letter from one of the Medicare contractors? Are you confused about what the objective of the letter is and what your rights and responsibilities are? This is one of two programs that examine in detail the differences between the various kinds of letters sent to home care and hospice providers by Medicare contractors, the implications of each letter, and how best to respond. In addition, the program presents what you can do in advance to prepare for the day that YOUR agency will receive one of these letters. This Part 2 program provides focus on ZPIC, UPIC and CERT audits Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change their practice by incorporating documentation best practices that are conducive to successful ZPIC, UPIC, and CERT audit results. TAHC&H Faculty/Presenter: Heidi Kocher, JD, MBA, CHC, Liles Parker, PLLC About the Presenter:
Heidi Kocher, Esq., MBA, CHC, is a partner with the law firm of Liles Parker. She has over 20 years of experience advising and defending health care clients on legal and regulatory matters affecting providers of all sizes. She is an expert in all aspects of compliance and privacy programs, including developing and deploying policies, procedures and training. Her experience includes serving as a Chief Compliance Officer and a Chief Privacy Officer, implementing the various requirements and aspects of Corporate Integrity Agreements, and responding to and defending audits from Medicare, Medicaid and private insurers up through the ALJ level. She received her J.D. from Georgetown University Law Center. She is licensed in Texas and Maryland, and admitted to the U.S. Court of Federal Claims. She is Certified in Health Care Compliance. [3157] Surviving Government Inquiries – Part 2: ZPIC, UPIC, and CERT Audits

Speaker
Kocher, Heidi
Model
3157

$45.00

1.5 Hrs
Surviving Government Inquiries – Part 1: ADRs and TPE

[3154] Surviving Government Inquiries – Part 1: ADRs and TPE
One of two programs that examine in detail the differences between the various kinds of letters sent to home care and hospice providers by Medicare contractors, the implications of each letter, and how best to respond. TAHC&H CONFERENCE RECORDING: This program was presented on 02/14/2019 at the Texas Association of Home Care & Hospice Winter Policy Conference in Austin. It is one of 9 presentations captured and produced for online access. Subscribers receive 24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page. Presentation Info: Presentation Date: February 14, 2019 TAHC&H Event: TAHC&H Winter Policy Conference | Austin Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.5 Clock Hrs Continuing Education for Nurses 1.5 Contact Hr(s) This program awards CNE until 02/14/2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151 HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][6]risk assessment and management §558.260[a][7]financial management Program Description: Have you just received a “Dear Provider” letter from one of the Medicare contractors? Are you confused about what the objective of the letter is and what your rights and responsibilities are? This is one of two programs that examine in detail the differences between the various kinds of letters sent to home care and hospice providers by Medicare contractors, the implications of each letter, and how best to respond. In addition, the program presents what you can do in advance to prepare for the day that YOUR agency will receive one of these letters. This Part 1 program provides focus on ADRs and TPEs. Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change their practice by incorporating documentation best practices that are conducive to successful ADR and Targeted Probe and Educate results. TAHC&H Faculty/Presenter: Heidi Kocher, JD, MBA, CHC, Liles Parker, PLLC About the Presenter:
Heidi Kocher, Esq., MBA, CHC, is a partner with the law firm of Liles Parker. She has over 20 years of experience advising and defending health care clients on legal and regulatory matters affecting providers of all sizes. She is an expert in all aspects of compliance and privacy programs, including developing and deploying policies, procedures and training. Her experience includes serving as a Chief Compliance Officer and a Chief Privacy Officer, implementing the various requirements and aspects of Corporate Integrity Agreements, and responding to and defending audits from Medicare, Medicaid and private insurers up through the ALJ level. She received her J.D. from Georgetown University Law Center. She is licensed in Texas and Maryland, and admitted to the U.S. Court of Federal Claims. She is Certified in Health Care Compliance. [3154] Surviving Government Inquiries – Part 1: ADRs and TPE

Speaker
Kocher, Heidi
Model
3154

$45.00

1.5 Hrs
Surviving & Thriving During Times of Great Change

[3318] Surviving & Thriving During Times of Great Change
It's about you and what you can do to make positive change happen for yourself and your organization. TAHC&H CONFERENCE RECORDING: This program was presented on 11/13/2019 at the Texas Association of Home Care & Hospice Administrator Program Conference in Houston. It is one of 20 presentations captured and produced for online access. Subscribers receive 24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page. Presentation Info: Presentation Date: November 13, 2019 TAHC&H Event: TAHC&H Administrator Program | Houston Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 2.0 Clock Hr(s) Continuing Education for Nurses 2.0 Contact Hr(s) This program awards CNE until 11.13.2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151 HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][3]basic principles of management in a licensed health-related setting §558.260[a][5]quality improvement Program Description: In the wake of unrelenting changes surging through the private, government, and not-for-profit sectors, today’s most urgent challenge has shifted. If you aspire to grow in your organization, you shouldn’t be spending your time convincing yourself and others why change should be happening or why it should not be happening. You should be spending your time specifically designing a plan to address the conditions and challenges of change itself. This presentation is about you and what you can do to make positive change happen for yourself and your organization. It focuses on the link between purpose and change, getting you in shape, enlisting people to support you, to perform, help facilitate change, and enjoy the process. Program Learning Outcome: Participants will actively engage in the discussion by identifying how to address the challenges of change and facilitate change management techniques to help grow in your organization. TAHC&H Faculty/Presenters: Martha Bryan, Owner, Bryan & Bryan Associates About the Presenters:
Martha Bryan is a management consultant, author, speaker, and seminar leader who speaks nationally and internationally on topics including implementing quality, excellence, leadership, vision and strategy, self-esteem and success psychology. With an education background in teaching, she has taught at both the high school and college levels and has held administrative positions in both public and private sector organizations. Her work career expands from farm laborer and cafeteria helper to positions in staff support, sales, training, and personnel administration. She has served in leadership positions for a number of organizations: chairman of college advisory boards, president of women's organizations, president of personnel administration organizations, and president of a financial institution. She left the position of personnel administrator with Snohomish County Government to start her own consulting firm, and since that time has worked with over 500 organizations and associations throughout the United States and Canada. [3318] Surviving & Thriving During Times of Great Change

Speaker
Bryan, Martha
Model
3318

$60.00

2.0 Hrs
Rethinking Wound Care & Pressure Ulcer Prevention

[3286] Rethinking Wound Care & Pressure Ulcer Prevention
PDGM expands skilled nursing care...why it’s extremely important to manage wounds efficiently and effectively. TAHC&H CONFERENCE RECORDING: This program was presented on 08/28/2019 at the Texas Association of Home Care & Hospice 50th Annual Meeting in Grapevine. It is one of 17 presentations captured and produced for online access. Subscribers receive 24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page. Presentation Info: Presentation Date: August 28, 2019 TAHC&H Event: TAHC&H Annual Meeting | Grapevine Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.5 Clock Hr(s) Continuing Education for Nurses 1.5 Contact Hr(s) This program awards CNE until 08.28.2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151 HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][3]basic principles of management in a licensed health-related setting §97.260[a][6]risk assessment and management §97.260[a][7]financial management Program Description: With Pressure Ulcer (PU) prevalence rates between 2.9% and 19.1% in home care, it’s extremely important to manage wounds efficiently and effectively. In addition, with the coming changes of PDGM, home care providers will be forced to expand into more skilled-nursing activities, such as wound care. Amy Cassata, VP Clinical at Swift Medical, has implemented hundreds of wound care programs and shares her best practices over the years, including clinical best practices, technology recommendations, and change management techniques. Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change their practice by implementing evidence-based guidelines in wound care and pressure ulcer prevention to maximize the best possible patient outcomes. TAHC&H Faculty/Presenter: Amy Cassata, RN, WCC, VP Clinical Operations, Swift Medical About the Presenter:
Amy Cassata has over 15 years of post-acute care clinical experience as well as experience overseeing departmental budgets, clinical operations, staffing resources and major EHR configurations in a wide range of health care facilities and projects. Amy’s unique blend of clinical skills and digital implementation knowledge has helped her transform facilities into world-class leaders in the adoption of digital health innovations like Swift Skin and Wound. [3286] Rethinking Wound Care & Pressure Ulcer Prevention

Speaker
Cassata, Amy
Model
3286

$45.00

1.5 Hrs
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