Continuing Education is perfect for a (1) designated Administrator or Alternate who must comply with TAC §558.260, and (2) a prior administrator or alternate not currently designated but maintaining compliance with TAC §558.260, and (3) anyone who wants to improve their knowledge on a broad range of topics specific to TX HCSSAs.
Continuing Education programs are added throughout the year soon after TAHC&H conferences/events conclude. All programs are à la carte, that is, you have the flexibility to browse and order programs that suit your specific needs and are applicable to your role and responsibility.
[3427] The Road Back: How Home Care Agencies Can Grow and Be Safe After COVID-19
Explores how agencies can reopen office operations in ways that keep employees and clients safe...
Presentation Info:
TAHC&H Virtual Event | 51st Annual Meeting & Conference | Recorded for On-Demand Access
Presentation Date | August 25, 2020
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.5 Clock Hr(s)
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: The COVID-19 pandemic has caused deep changes in how businesses function, with no industry
facing as acute challenges that have direct consequences on the lives of Americans than health care. In this new landscape, home and community care has emerged
as an invaluable method to deliver services to those who need them safely while respecting physical distancing needs. In this presentation, Erin Vallier, Account Executive of AlayaCare
explores how agencies can reopen office operations in ways that keep employees and clients safe, while ensuring efficient scheduling, keeping lines of business open to new
referrals, and supporting infectious disease control, among other urgent considerations. Special focus is placed on leveraging technology available now to help home care
providers achieve these necessary measures. Joining Erin in her presentation is Amy Knight, President of Knight CPA Group and Candyce Slusher, Owner of Slusher Consulting,
who both support Erin with their Texas-specific expertise and fielded questions from the live audience.
Program Learning Objective(s): Participants will actively engage in the learning activity and identify strategies to
understand considerations for retrofitting offices, procedures and protocols both physically and digitally to support new rules and regulations that
agencies must consider now and in the future.
TAHC&H Faculty/Presenters: Amy Knight, CPA, Knight CPA Group | Erin Vallier, Account Executive, AlayaCare | Candyce Slusher, LVN, CDCS, Owner, SLUSHER Consulting
About the Presenters: Amy Knight is a CPA, originally from Oklahoma and now based in Austin, Texas with over 20 years experience
almost exclusively in home health and hospice. Her CPA firm, Knight CPA Group, has extensive experience with all financial issues pertaining to home health, hospice and other
healthcare providers including cost reporting, accounting & payroll issues that are specific to healthcare providers.
About the Presenters: Erin Vallier earned an Individually Structured Liberal Arts degree in Physical Science, Psychology, and Music Performance
from the University of Colorado, Denver. She earned a Masters in Healthcare Administration and Management, with a Project Management Specialty, from Colorado State University.
Erin began her career in the fitness industry in 2005. After earning her bachelors, she transitioned to the home care space with a passion bred from personal and family experience.
She has held management roles in the QA, intake, OASIS, and HR departments, and has helped facilitate numerous successful state and CHAP surveys for the organization she worked for.
Erin was responsible for maintaining clinical documentation compliance, writing and revising policies and procedures, and for writing and facilitating new hire training for all clinical
employees, including EMR and OASIS education. Her last role in home health was marketing - a natural segway to her role at AlayaCare – Account Executive.
About the Presenters: Candyce Slusher LVN, CDCS is the founder of SLUSHER Consulting and is a geriatric-focused nurse serving San Antonio
since 1995 in multiple settings, specifically PAS since 2004. As a Home Care Consultant her primary goal is to help agencies provide the highest quality care to seniors in their communities
through regulatory compliance, creating a culture of accountability, and simplifying work-flow systems. Candyce has spoken for the Alzheimer’s Association and has also served as
Board Member and past President for the Alamo Area Home Care Council.
[3427] The Road Back: How Home Care Agencies Can Grow and Be Safe After COVID-19
[3856] The Role of Interpersonal Skills and Emotional Intelligence in Home Care
Presents the role of emotional intelligence at critical
pressure points that may add stress to staff and client interaction.
Presentation Info:
TAHC&H Event | Winter Conference | Fort Worth | Rich-Media Presentation Capture for Your Online On-Demand Access
Presentation Date | February 22, 2024
Presentation Track | All HCSSAs
Program Description: The administrator of a home and community support services agency is tasked with ensuring quality care and
services to clients while also maintaining client satisfaction and enabling and respecting quality of life for clients. This can best be accomplished when the agency has a
culture of encouraging open, honest and respectful communication and staff self-reflection. The program presents the role of emotional intelligence at critical
pressure points that may add stress to staff and client interaction. The presenter also discusses the requirements for admission, transfer, and discharge as well as emergency
discharge when communication fails. Also provided are measures for evaluation of staff performance in interpersonal skills and communication while offering suggestions to ensure documentation of actions and requirements met.
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
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 02.22.2026
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
Nurse CE Approval Statement
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
Requirements for Successful Completion
To receive continuing education credits for this online presentation participant must view the entire online presentation, complete an evaluation, and post-test attestation.
Reporting of Perceived Bias
Bias, as defined by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC COA/LSNA) is the “tendency or inclination to cause partiality, favoritism, or influence.”
Commercial bias may occur when a CNE activity promotes one or more product(s) (drugs, devices, services, software, hardware, etc.). This definition is not all inclusive and participants may use
their own interpretation in deciding if a presentation is biased. The ANCC COA is interested in the opinions and perceptions of participants at approved CNE activities, especially in the presence
of actual or perceived bias in continuing education. Therefore, ANCC invites participants to access their “ANCC Accreditation Feedback Line” to report any noted bias or conflict of interest in the
education activity. The toll free number is 1(866) 262-9730.
TAHC&H Faculty/Presenter(s): Rosalind Nelson-Gamblin, Independent Healthcare Consultant, Former Senior Policy Specialist at HHSC
About the Presenter(s): Rosalind Nelson-Gamblin recently retired from a 33-year career in state government at the Texas Health and Human Services Commission,
where she was a senior policy specialist for regulation of the home health, hospice, and personal assistance services industry including supportive palliative care, assisted living, and day activity
and health services. In her state career, she analyzed state and federal legislation for impact to providers and consumers, promulgated and interpreted state regulations, developed and delivered
continuing education and training to providers and surveyors, and provided regulatory guidance to both industry representatives and leaders and state of Texas surveyors and investigators.
Rosalind is also a subject matter expert for federal standards and possesses a keen understanding of accreditation for home health and hospice care. Rosalind is well-versed
in the regulations for the settings where home care is delivered including nursing facilities, assisted living facilities, intermediate care facilities for individuals with developmental disabilities,
and independent living settings.
Rosalind has been a public speaker for home care and hospice since 2000; and she is now an independent healthcare consultant.
[3856] The Role of Interpersonal Skills and Emotional Intelligence in Home Care
[3501] The Secret World of HIS Measures - How CMS Validates and Changes Your HIS Responses
Are your agency's HIS scores lower than you expected? Are you trying to figure out how you could be less than 100%?
You are not alone!
Presentation Info:
TAHC&H Virtual Event | Winter Conference | Recorded for On-Demand Access
Presentation Date | February 9, 2021
Program Description: Are your agency's HIS scores lower than you expected? Are you trying to figure out how you could be less than 100%?
You are not alone! Hospice agencies across the nation are surprised that their comprehensive assessment composite, as well as some of the individual scores are lower than expected
per CMS data. Did you know that even if you answer positively to some of these process measures, CMS has "Validation questions" embedded in the HIS to ensure your answers represent
the measure, as CMS defines it. Literally, you may say "Yes, we screened the patient for pain"- but if any of the following questions - date, rating or type of standardized tool are
not answered correctly, per the measure, CMS will change your answer to "No, we did not screen the patient for pain". This presentation uncovers these validation questions, and provides
a thorough understanding of the measures, per CMS guidance, and how to be successful 100% of the time!
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
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.25 Clock Hr(s)
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
TAHC&H Faculty/Presenter(s): Annette Lee, RN, MS, HCS-D, COS-C
About the Presenter(s): Annette Lee has been in the home health and hospice arena for nearly 30 years!
10 of those years were spent working for the CMS MAC doing reviews and education for hospice and HH agencies. Annette left the MAC to found Provider Insights, Inc-
a consulting company that solely focuses on home health and hospice agencies. She brings her expertise from working with CMS, and the "real world" and marries these
experiences together to ensure compliance, quality and efficiency.
[3501] The Secret World of HIS Measures - How CMS Validates and Changes Your HIS Responses
[3123] The Tax Cuts and Jobs Act of 2018: Big Challenges Ahead for Healthcare Entities
How it affects individuals and healthcare entities.
Presentation Info:
Presentation Date: August 9, 2018
TAHC&H Event: TAHC&H Annual Meeting | Frisco
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.0 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][7]financial management
Program Description: The Tax Cuts and Jobs Act (TCJA) represents the most significant change to Internal Revenue Code in more than 30 years and creates big changes for all taxpayers including
healthcare entities. In this program BKD trusted advisor Paige Gerich shares her knowledge and expertise on the recent legislation that will affect you and your organization.
Program Learning Outcome:
Learners will actively engage in the learning activity and indicate an intent to change their practice by implementing recent tax law changes that affect healthcare organizations.
TAHC&H Faculty/Presenter: Paige Gerich, CPA, BKD CPAs & Advisors
About the Presenter: Paige Gerich As industry tax leader for BKD’s South Region, Paige Gerich is charged with growth and development of
not-for-profit and governmental tax services in Texas, Oklahoma and Arkansas. She has more than 30 years of experience providing tax services to a broad range of health care
institutions, physician and clinical practices and other not-for-profit entities. Paige performs comprehensive reviews of not-for-profit activities to identify and help mitigate exposure areas related to
private inurement, intermediate sanctions, worker classification and unrelated business taxable income issues. She has extensive experience with IRS examinations, obtaining favorable determination
letters, private letter rulings and closing agreements. Paige also provides tax, financial and retirement planning services for key executives, in addition to compliance and business tax services.
Paige currently serves on the board and as Treasurer of the Greater Houston Women’s Chamber of Commerce. She also serves on the board as Secretary and Communications Chair of the TEGE Exempt Organizations Council. She is a member of the American Institute of CPAs, Texas Society of Certified Public Accountants and American Health Lawyers Association. She has led several tax-focused webcasts and presented to a number of industry organizations, including the Risk Management Association, Government Finance Officers Association, National Association of College and University Business Officers and Healthcare Financial Management Association.
Paige is a graduate of University of Houston, Texas, with a B.B.A. degree in accounting.
[3123] The Tax Cuts and Jobs Act of 2018: Big Challenges Ahead for Healthcare Entities
[3881] The Therapy Journey for Children with Chronic or Progressive Conditions
Addresses the unique therapeutic paths that children with
chronic or progressive conditions may demonstrate...
Presentation Info:
TAHC&H Event | 55th Annual Conference | Rich-Media Presentation Capture | Online On-Demand Access
Presentation Date | September 10, 2024
Program Description: This training program addresses the unique therapeutic paths that children with
chronic or progressive conditions may demonstrate and will offer a lens through which we can view and analyze along the way. Context and
perspective are key when selecting assessment tools and interpreting findings, as well as when making decisions around medical necessity,
dosage, and interventions. Routines and priorities unique to the individual child/family are particularly important for children with chronic
or progressive conditions, given their complexity, and best practice for gathering and utilizing this vital information is addressed.
Additionally, perspective and language around goal development and collaboration with caregivers is explored. There are times in the
life of a child with a chronic or progressive condition where strategic use of the Maintenance Level / Prevent Deterioration frequency/dosage
level (as outlined in the TMPPM), may be most appropriate. This training program also describes the benefits of this dosage level, and
how it can be utilized most effectively.
HCSSA Topic(s) Addressed:
§558.260[a][3]basic principles of management in a licensed health-related setting
§558.260[a][5]quality improvement
§558.260[a][6]risk assessment and management
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 9.10.2026
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
Nurse CE Approval Statement
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
Requirements for Successful Completion
To receive continuing education credits for this online presentation participant must view the entire online presentation, complete an evaluation, and post-test attestation.
Reporting of Perceived Bias
Bias, as defined by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC COA/LSNA) is the “tendency or inclination to cause partiality, favoritism, or influence.”
Commercial bias may occur when a CNE activity promotes one or more product(s) (drugs, devices, services, software, hardware, etc.). This definition is not all inclusive and participants may use
their own interpretation in deciding if a presentation is biased. The ANCC COA is interested in the opinions and perceptions of participants at approved CNE activities, especially in the presence
of actual or perceived bias in continuing education. Therefore, ANCC invites participants to access their “ANCC Accreditation Feedback Line” to report any noted bias or conflict of interest in the
education activity. The toll free number is 1(866) 262-9730.
TAHC&H Faculty/Presenter(s): Jennifer Lawson, OTR, MS, Knowledge Is Now
About the Presenter(s): Jennifer Lawson has been an Occupational Therapist since 1996, and has
focused on pediatric practice since 1999. Since 2008, Jennifer has worked for THERAPY 2000, a growing pediatric home health therapy company.
As the Occupational Therapy Program Director for the company, she guides the quality of services provided through activities such as teaching,
training, mentoring, and resource development. As of January 2024, Jennifer is also the Director of Operations for Knowledge Is Now, a continuing
education and consulting organization. Knowledge Is Now aims to elevate the quality of service for children and families, as well as the experience
of professionals, through sharing of best practices in a variety of areas from the specifics of evidence-based clinical skills to leadership
and management, and everything in between.
[3881] The Therapy Journey for Children with Chronic or Progressive Conditions
[3821] The Top 5 Hospice Claim Denials and How to Avoid Them
A review of the top hospice claim denials from all Medicare MACs,
OIG & other review contractors.
Presentation Info:
TAHC&H Event Administrator Conference | Rich-Media Presentation Capture | Online On-Demand Access
Presentation Date | November 8, 2023
Program Description: This program provides a review of the top hospice claim denials from all Medicare MACs,
OIG & other review contractors. Targeted Probe & Educate is in full swing and this program helps navigate the edits and the denial percentages that are being produced.
It is imperative that agencies are prepared to successfully navigate the Medicare medical review process!
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
§558.260[a][7]financial management
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 11.08.2025
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
Nurse CE Approval Statement
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
Requirements for Successful Completion
To receive continuing education credits for this online presentation participant must view the entire online presentation, complete an evaluation, and post-test attestation.
Reporting of Perceived Bias
Bias, as defined by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC COA/LSNA) is the “tendency or inclination to cause partiality, favoritism, or influence.”
Commercial bias may occur when a CNE activity promotes one or more product(s) (drugs, devices, services, software, hardware, etc.). This definition is not all inclusive and participants may use
their own interpretation in deciding if a presentation is biased. The ANCC COA is interested in the opinions and perceptions of participants at approved CNE activities, especially in the presence
of actual or perceived bias in continuing education. Therefore, ANCC invites participants to access their “ANCC Accreditation Feedback Line” to report any noted bias or conflict of interest in the
education activity. The toll free number is 1(866) 262-9730.
TAHC&H Faculty/Presenter(s): Leslie Heagy RN, COS-C, Director of Clinical Services, Healthcare Provider Solutions, Inc.
About the Presenter(s): Leslie Heagy Leslie Heagy is Registered Nurse who joined Healthcare Provider Solutions, Inc. (HPS),
as the Clinical Services Manager, in June 2017. Leslie is part of the clinical consulting team providing support and solutions to home health and hospice agencies across
the country to achieve regulatory compliance. In 2022, Leslie was promoted to Director of Clinical Services over both home health and hospice clinical consulting.
Leslie has operational experience in the survey process for Medicare/Medicaid licensed agencies and has assisted agencies in
developing/implementing corrective action plans. Her experience includes clinical consulting, performing clinical chart reviews, onsite billing audit reviews,
provider education, developing and implementing quality and performance improvement programs for home health and hospice agencies.
[3821] The Top 5 Hospice Claim Denials and How to Avoid Them
[3794] The Value of Reporting in Value-Based Purchasing
Lisa Selman-Holman reviews reports, forms, tracking/trending data, and strategies to ensure success in VBP.
Presentation Info:
TAHC&H Event 54th Annual Meeting | Rich-Media Presentation Capture | Online On-Demand Access
Presentation Date | August 31, 2023
Program Description: The first Interim Performance Report is out. What does this mean and how do you
use the reports? How are you maintaining and/or improving your Value-Based Purchasing (VBP) outcomes data? Lisa Selman-Holman reviews reports, forms, tracking/trending data, and strategies to ensure success in VBP.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][2]development and interpretation of agency policies
§558.260[a][3]basic principles of management in a licensed health-related setting
§558.260[a][7]financial management
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 08.31.2025
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
Nurse CE Approval Statement
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
Requirements for Successful Completion
To receive continuing education credits for this online presentation participant must view the entire online presentation, complete an evaluation, and post-test attestation.
Reporting of Perceived Bias
Bias, as defined by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC COA/LSNA) is the “tendency or inclination to cause partiality, favoritism, or influence.”
Commercial bias may occur when a CNE activity promotes one or more product(s) (drugs, devices, services, software, hardware, etc.). This definition is not all inclusive and participants may use
their own interpretation in deciding if a presentation is biased. The ANCC COA is interested in the opinions and perceptions of participants at approved CNE activities, especially in the presence
of actual or perceived bias in continuing education. Therefore, ANCC invites participants to access their “ANCC Accreditation Feedback Line” to report any noted bias or conflict of interest in the
education activity. The toll free number is 1(866) 262-9730.
TAHC&H Faculty/Presenter(s): Lisa Selman-Holman, JD, BSN, RN, HCS-D, COS-C, Vice President Quality and Education, McBee
About the Presenter(s): Lisa Selman-Holman brings more than 35 years of experience in the home health & hospice industry, specializing
in regulatory compliance, both as an RN and a home care attorney. Lisa founded Selman-Holman & Associates and CoDR (Coding Done Right), a coding outsource and audit company in 2004.
Lisa has a wide range of regulatory experience in home health and has served on numerous committees and task forces. Selman-Holman was recently acquired by McBee in July 2021.
In her role as VP of Education and Quality, Lisa leads the quality audit team to ensure the highest-level of accuracy in coding and clinical documentation internally at McBee
and externally for clients nationwide. She will expand McBee’s educational offerings, including live events and on-demand online trainings through the McBee Post-Acute Academy.
[3794] The Value of Reporting in Value-Based Purchasing
[2960] The World Has Changed: Word-of-Mouth Went Viral (and Nobody Told the Home Care Industry)
Education-Training Credits:
1.0 Hr(s) HCSSA Administrator/Alternate
Summary: Ways to use social media in successful marketing
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][10]marketing
Faculty:McManus, Roger
Program Description:
Dentists, Auto Shops and Pizza Parlors have all used the power of satisfied current customers to
draw new ones. Whether through Facebook Fans, Google Reviews or Yelp Yappers, the influence of
consumers on buying behavior has changed marketing in this country forever. Amazingly, online consumer
feedback about Home Care is almost non-existent. And, there are a range of easy and almost
cost-free ways to make it happen! This huge oversight is a massive opportunity for those in the
Home Care business who act quickly. In this program you will learn economical, fool-proof ways to exploit this
enormous gap resulting in more clients -- and the ability to attract more quality staff to serve them. Your view
of marketing Home Care services will be turned completely upside down. Presentation Date: 08.11.2016
Learning Outcome: Upon completion of this program, the viewer will be able to:
Discuss economical ways to use social media in successful marketing to clients and to attract higher quality staff.
About the Presenters: Roger McManus earned his undergraduate and graduate MBA degrees from Wake Forest University.
Throughout his career, he has focused on the sources of information that allow owners of small businesses, like home care agencies, to gain faster growth and greater freedom.
He capsulized those objectives in his 2011 book, Entrepreneurial Insanity, which he is currently restructuring in partnership with Tim Rowan to specifically address the issues
facing owners of home care agencies in a book titled, Entrepreneurial Insanity in the Home Care Industry to be published Fall 2016.
[2960] The World Has Changed: Word-of-Mouth Went Viral (and Nobody Told the Home Care Industry)
[3830] Therapy Documentation
Covers the various aspects of Medicare Home Health therapy documentation.
Presentation Info:
TAHC&H Event | Winter Conference | Fort Worth | Rich-Media Presentation Capture for Your Online On-Demand Access
Presentation Date | February 21, 2024
Presentation Track | Medicare Home Health
Program Description: This program covers the various aspects of Medicare Home Health therapy documentation.
Topics will include...
case scenarios
Medicare regulations
documentation principles
common errors related to the therapy medical review
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
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 02.21.2026
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
Nurse CE Approval Statement
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
Requirements for Successful Completion
To receive continuing education credits for this online presentation participant must view the entire online presentation, complete an evaluation, and post-test attestation.
Reporting of Perceived Bias
Bias, as defined by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC COA/LSNA) is the “tendency or inclination to cause partiality, favoritism, or influence.”
Commercial bias may occur when a CNE activity promotes one or more product(s) (drugs, devices, services, software, hardware, etc.). This definition is not all inclusive and participants may use
their own interpretation in deciding if a presentation is biased. The ANCC COA is interested in the opinions and perceptions of participants at approved CNE activities, especially in the presence
of actual or perceived bias in continuing education. Therefore, ANCC invites participants to access their “ANCC Accreditation Feedback Line” to report any noted bias or conflict of interest in the
education activity. The toll free number is 1(866) 262-9730.
TAHC&H Faculty/Presenter(s): Charles Canaan, RN, Senior Provider Relations Consultant, Provider Outreach & Education, Palmetto GBA
About the Presenter(s): Charles Canaan has over 30 years of diverse nursing experience in a variety of healthcare settings,
to include inpatient, outpatient, home and organizational settings. His education includes a Bachelor of Science Degree in Nursing from Old Dominion University in Norfolk,
Virginia and a Master of Public Health Degree in Health Promotion and Education from the University of South Carolina and a Coding for Health Care Professionals Certificate
from Trident technical College. He currently provides education and consultation to Medicare providers with learning needs.
[3830] Therapy Documentation
[2735] Therapy Documentation: Required Rehab Content, Goal Writing, & Visit Note Production
Education-Training Credits:
1.25 Hr(s) HCSSA Administrator/Alternate
Summary: Rewiring your rehab concession to assure a skilled, audit-proof therapy program.
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][7]financial management
Faculty: Cisneros, Arnie
Program Description: Home Health rehab reforms have
modified many therapy requirements including elimination of the 10-visit threshold, objective testing, and
ongoing re-assessment re]inement to name a few. Auditors have focused on the rehab elements of patient claims
as they produce denials for unskilled or unnecessary care delivery. The Affordable Care Act (ACA) bundling model
will focus on the rehab content in homecare programs as they seek greater efficiency under decreased utilization
to achieve cost reduction goals.
Therapy ST/LT goal production, skilled per visit documentation, patient compliance,
caregiver involvement, and discharge planning and management are all addressed by a PPS-compliant, objective test-based
therapy evaluation. Clinical case examples will outline the good and bad in current therapy documentation, with strategies
to manage successful therapy programs. Start today on rewiring your rehab concession to assure a skilled, audit-proof therapy program. Presentation Date: 08.12.2015
Program Objectives: Upon completion of this program, the viewer will be able to:
Identify current rehabilitation elements in the Medicare PPS (Prospective Payment System) Home Health model.
Describe Goal Writing for Home Health rehabilitation services.
Describe Visit Note Production for Home Health rehabilitation.
About the Presenter: Arnie Cisneros, PT, President of Home Health Strategic Management, is one of the most progressive speakers in Home Health today.
His legacy as a rehab provider across the care continuum allows for insight into contemporary healthcare delivery. He is renowned for his adaptation of traditional care philosophies to address current and
future healthcare initiatives. Arnie’s refinement of clinical delivery mechanisms, integration of new protocols at the staff level, and adaptation of traditional care philosophies has helped providers
of all sizes to achieve Medicare compliance. He has also become the leading clinical authority on the audit scrutiny that has come to the homecare industry, and is serving as a Post-Acute consultant for
CMS Pioneer ACO grant recipients.
Arnie is a contributor to CARING magazine and Decision Health publications, and presents nationally on homecare topics and care models proposed by CMS and
Med Pac for the future of the Home Health industry.
[2735] Therapy Documentation: Required Rehab Content, Goal Writing, & Visit Note Production
[3368] They Keep Asking for My Money Back - How to Calculate Your Proportional CAP
The calculation method to
determine your patient count and compare to the revenue you are billing to Medicare to see if you are within limits or have to pay money back.
TAHC&H CONFERENCE RECORDING: This program was presented on 2/12/2020 at the Texas Association of Home Care & Hospice Winter
Conference in Denton. It is one of 18 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 12, 2020
TAHC&H Event: TAHC&H Winter Conference | Denton
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.0 Clock Hr(s)
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][6]risk assessment and management
§558.260[a][7]financial management
Program Description: In 2012 CMS changed the Hospice Cap method of calculation for all
new providers and those who chose not to grandfather themselves. This presentation will discuss and give you the calculation method to
determine your patient count and compare to the revenue you are billing to Medicare to see if you are within limits or have to pay money back.
TAHC&H Faculty/Presenters: Jill Schuerman, Founder and CEO, Schuerman Business Consulting, LLC
About the Presenters: Jill Schuerman has over 14 years in hospice, serving as regional and national Director of
Reimbursement overseeing billing/collections for 17 agencies in 6 states, and collaborating with the Compliance officers in the review of Medicare and Medicaid
regulations and changes and the creation of related Policy and Procedures. Currently, Ms. Schuerman is the Founder and CEO of Schuerman Business Consulting, LLC.,
which provides outsourced billing services, billing training, and billing due diligence audits for hospice agencies. She has been an Associate Member of TAHCH since
starting her business in 2016, as well as a member of the Palmetto Home Health and Hospice Provider Outreach and Education Advisory Group, and a Patron Member and
Board Member of the Texas New Mexico Hospice Organization. Ms. Schuerman holds a Bachelor of Science degree in Accounting, and is a frequent speaker on hospice billing topics.
[3368] They Keep Asking for My Money Back - How to Calculate Your Proportional CAP
[3579] THMP PEMS | Provider Enrollment and Management System
An explanation of this new system and provider responsibilities.
Presentation Info:
TAHC&H Event | HCSSA Administrator Conference | Recorded for On-Demand Access
Presentation Date | November 17, 2021
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
0.75 Clock Hr(s)
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: The Texas Medicaid & Healthcare Partnership’s (TMHP) Provider Enrollment and Management System (PEMS) is
coming soon. TMHP's Israel Barco explains this new system and provider responsibilities. Provider enrollment functions will be available through PEMS,
and providers must use the new system to enroll in Texas Medicaid. The new system will be the single tool for provider enrollment, reenrollment,
revalidation, and maintenance requests (maintaining and updating provider enrollment record information).
TAHC&H Faculty/Presenter(s): Israel Barco and Yolanda Brown, THMP
About the Presenter(s): Israel Barco is a TMHP Provider Relations Representative, in billing and education for The Texas Medical Center,
Gulf Coast Region. As a Provider Relations Representative, hisob is to provide Billing and provider education and ensuring that every Texan from oldest to tiniest Texan are receiving care without delay. He has 30 years of billing and revenue cycle experience with extensive knowledge in Medicaid education.
About the Presenter(s): Yolanda Brown is the TMHP Provider Relations Retention and Recruitment Rep for Houston Region.
As a Provider Relations Representative, she is responsible for ensuring that a strong provider network is available to provide endless client care. She has 10 years of
extensive knowledge of the Provider Enrollment process working as a Provider Enrollment Specialist, validating, and processing Medicaid Applications.
[3579] THMP PEMS | Provider Enrollment and Management System
[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)
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
§97.259[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
[3797] Time Management for Administrators: Balancing Operations with Compliance
How to manage day-to-day issues while working your compliance program.
Presentation Info:
TAHC&H Event 54th Annual Meeting | Rich-Media Presentation Capture | Online On-Demand Access
Presentation Date | August 31, 2023
Program Description: Administrator’s and Clinical Supervisors never have "enough time". Compliance tends to get pushed to the back burner because it’s
seen as additional work that can be done when all the fires have been put out, until compliance becomes the bonfire we can’t ignore. In this presentation, there is a discussion of the day-to-day issues facing
home-based care agencies, and managing those issues while working your compliance program. Also discussed is how to document efficiently so that completing your compliance is just a matter of running
a report from your EMR. We can’t eliminate emergencies, but we can restructure to stop duplicating work and allow you and your team the one thing more important than coffee; TIME!
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][2]development and interpretation of agency policies
§558.260[a][3]basic principles of management in a licensed health-related setting
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.0 Clock Hr(s)
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
TAHC&H Faculty/Presenter(s): Ann Lozano, CEO, Forte Consulting Group
About the Presenter(s): Ann Lozano started in home health care accidently in 2006 while she was figuring out what to do with a
Political Science and Business degree in San Antonio. Her original plan of becoming Michael J Fox from Spin City didn’t seem to have as much potential as she originally thought.
A part time job in a private pay PAS agency turned into managing a private pay PAS agency which turned into Regional Director for a Medicaid PAS program and then to Administrator
at an adult Home Health Agency. She started her consulting company with her business partner in 2013 and since then has had the opportunity to work with Home Health and Hospice
clients across the US with a focus in Texas.
[3797] Time Management for Administrators: Balancing Operations with Compliance
[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)
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][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
[3839] Tips for Hospice Providers: Things I Wish I’d Known
Explores hard lessons learned, shares clinical pearls of wisdom, ideas to ease transitions of care.
Presentation Info:
TAHC&H Event | Winter Conference | Fort Worth | Rich-Media Presentation Capture for Your Online On-Demand Access
Presentation Date | February 21, 2024
Presentation Track | Medicare Hospice
Program Description: When it comes to patients entering that last chapter of their stories, the medical side
of the equation pales in comparison to the importance of a holistic, consistent, and compassionate presence on the part of the home care and hospice team.
This program explores some of the hard lessons learned along the trail, sharing some clinical pearls of wisdom as well as ideas to ease transitions of care,
as well as how a home health and hospice organization can build a consistent culture of exemplary care. “Parkey’s Rules” will be applied.
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
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 02.21.2026
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
Nurse CE Approval Statement
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
Requirements for Successful Completion
To receive continuing education credits for this online presentation participant must view the entire online presentation, complete an evaluation, and post-test attestation.
Reporting of Perceived Bias
Bias, as defined by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC COA/LSNA) is the “tendency or inclination to cause partiality, favoritism, or influence.”
Commercial bias may occur when a CNE activity promotes one or more product(s) (drugs, devices, services, software, hardware, etc.). This definition is not all inclusive and participants may use
their own interpretation in deciding if a presentation is biased. The ANCC COA is interested in the opinions and perceptions of participants at approved CNE activities, especially in the presence
of actual or perceived bias in continuing education. Therefore, ANCC invites participants to access their “ANCC Accreditation Feedback Line” to report any noted bias or conflict of interest in the
education activity. The toll free number is 1(866) 262-9730.
TAHC&H Faculty/Presenter: J. Robert Parkey, MD, MTS, HMDC, CMD, Hospice of Wichita Falls/Palliative Care of North Texas, Healing Hands Home Health
About the Presenter: J. Robert Parkey is a sixth-generation native of the Wichita Falls area, and
received his Doctorate in Medicine from the University of Texas Medical Branch in Galveston, and then completed his residency in Family Medicine
at the University of Oklahoma campus in Tulsa, where he served as Chief Resident. In 2010, he completed a Masters degree in Theological Studies
from the University of Dallas in Irving, with a personal emphasis in Biomedical Ethics.
Dr. Parkey practiced rural medicine in Henrietta, Texas for 17 years, but found a special love for the care of the elderly,
those with dementia, and for patients with terminal and life-limiting illnesses, expanding his medical specialization and joining the medical staff of
Hospice of Wichita Falls in 2008, then closing his rural practice in 2013. He is a member of numerous medical societies, including the American Academy
of Hospice and Palliative Medicine, the Society for Post-Acute and Long-Term Care, the American Geriatrics Society, the American Society for
Bioethics and Humanities, and the Catholic Medical Association.
His “spare time” is filled caring for his family ranch in Clay County, and trying to keep up with his wife Katie
(a Registered Nurse who helps him run his private practice and who serves in a number of volunteer capacities in the area) and their three
daughters. His hobbies include fishing and literature, and he is a member of the Wichita Falls Poetry Society, the Texas Poetry Society, and
the Academy of American Poets.
Dr. Parkey holds board certifications in Hospice and Palliative Medicine, Family Medicine, and board
certification by the Hospice Medical Director Certification Board. He also holds board certification from the American Board of
Post-Acute and Long-Term Care Medicine.
[3839] Tips for Hospice Providers: Things I Wish I’d Known
[3525] TMHP Revalidation, Re-enrollment and Enrollment
TMHP shares vital provider information on Revalidation, Re-enrollment and Enrollment.
Presentation Info:
TAHC&H Virtual Event | Spring Conference | Recorded for On-Demand Access
Presentation Date | May 13, 2021
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.50 Clock Hr(s)
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
§558.260[a][7]financial management
Program Description: In this program representatives from Texas Medicaid & Healthcare Partnership [TMHP] share
vital provider information on Revalidation, Re-enrollment and Enrollment.
You will learn about revalidation including if changes are needed, they must be done prior to starting revalidation. Furthermore, you will learn the difference between
Certified home health and licensed home health processes and gain helpful tips including that providers must complete their revalidation enrollment before the
end of their enrollment period. Providers can revalidate their enrollment up to 90 days before their deadlines through Provider Enrollment on the Portal (PEP).
If changes need to be done, start early, early, early.
TAHC&H Faculty/Presenter(s): Yolanda Brown, Israel Brarco, Texas Medicaid & Healthcare Partnership [TMHP]
About the Presenter(s): Yolanda Brownis the TMHP Provider Relations Retention and Recruitment Rep for Houston Region.
As a Provider Relations Representative, she is responsible for ensuring that a strong provider network is available to provide endless client care.
She has 10 years of extensive knowledge of the Provider Enrollment process working as a Provider Enrollment Specialist, validating, and
processing Medicaid Applications.
About the Presenter(s): Israel Brarco is a TMHP Provider Relations Representative, in billing and education for
The Texas Medical Center, Gulf Coast Region. As a Provider Relations Representative, his job is to provide Billing and provider education and ensuring that
every Texan from oldest to tiniest Texan are receiving care without delay. He has over 30 years of billing and revenue cycle experience with extensive
knowledge in Medicaid education.
[3525] TMHP Revalidation, Re-enrollment and Enrollment
[3643] TPE Audits, ADRs Prepayment Reviews, Postpayment Audits and Suspensions | The Impact of these Administrative Enforcement Tools on Home Health and Hospice Agencies
A 2022 TAHC&H Member Webinar - Now Available to All!
Presentation Info:
TAHC&H Virtual Event | 2022 Monthly Member Webinars | Recorded for On-Demand Access
Presentation Date | May 4, 2022
Program Description: Effective September 2021, Target, probe and Educate (TPE) audits were reimplemented by most
Medicare Administrative Contractors around the country. TPE audits are merely the latest iteration of prepayment reviews being conducted by CMS contractors.
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 postpayment audits conducted and suspension actions recommended to CMS. In this webinar,
attorneys Lorraine Rosado and Lester Johnson will discuss these enforcement actions and outline the adverse impact each action can have on your
home health or hospice agency.
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
§558.260[a][7]financial management
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 05.04.2024
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
Nurse CE Approval Statement
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
Requirements for Successful Completion
To receive continuing education credits for this online presentation participant must view the entire online presentation, complete an evaluation, and post-test attestation.
Reporting of Perceived Bias
Bias, as defined by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC COA/LSNA) is the “tendency or inclination to cause partiality, favoritism, or influence.”
Commercial bias may occur when a CNE activity promotes one or more product(s) (drugs, devices, services, software, hardware, etc.). This definition is not all inclusive and participants may use
their own interpretation in deciding if a presentation is biased. The ANCC COA is interested in the opinions and perceptions of participants at approved CNE activities, especially in the presence
of actual or perceived bias in continuing education. Therefore, ANCC invites participants to access their “ANCC Accreditation Feedback Line” to report any noted bias or conflict of interest in the
education activity. The toll free number is 1(866) 262-9730.
TAHC&H Faculty/Presenter(s): Lorraine Rosado and Lester Johnson | Liles Parker Attorneys & Counselors at Law
About the Presenter(s): Lorraine Rosadois 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(s): Lester Johnson is a Partner at Liles Parker PLLC and is the Supervising Attorney for the
Firm’s Baton Rouge office. In addition, Les also serves as Co-Leader of the Firm’s Health Law Practice Group. Les helps clients navigate the myriad of regulatory,
compliance and business issues facing today’s health care providers and practitioners. Core areas of Les’s practice include handling Medicare & Medicaid appeals;
Medicare and Medicaid participation and compliance; Stark and Anti-kickback law compliance, state self-referral prohibitions and any other regulatory issues a client
may face. Les assists clients with operational and business issues involving hospital/medical staff relations, practitioner credentialing, health care contracting
issues, mergers and acquisitions, antitrust hurdles, joint ventures, and practice formation and restructuring.
Les is a frequent presenter on regulatory compliance, fraud & abuse, and business issues facing health care providers and practitioners.
He was named a Health Care Hero by New Orleans City Business Magazine, and was also recognized by the Gillis Long Poverty Law Center for his work to help open the
Lower 9th Ward Health Clinic, a free clinic opened in early 2006 in New Orleans’ flood ravaged Lower 9th Ward neighborhood.
[3643] TPE Audits, ADRs Prepayment Reviews, Postpayment Audits and Suspensions | The Impact of these Administrative Enforcement Tools on Home Health and Hospice Agencies
[3047] Trends in Fraud, Waste, and Abuse
Education-Training Credits:
1.5 Hr(s) HCSSA Administrator/Alternate
Summary:Former Federal Prosecuters explain how your data helps determine fraud.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][6]risk assessment and management
§558.260[a][7]financial management
Faculty: Mindy Sauter, JD and Mike Elliott, JD
Program Description: In order to curtail the continued presence of fraud, waste, and abuse within
government programs, specifically home health and hospice, the OIG has implemented the use of data analytics to highlight providers who are outliers
in terms of billing trends. It is essential that providers become aware of how their data analytics will be observed by an outside party.
Along those same lines, emphasis is now being placed on provider-administered compliance programs. Successfully administered compliance
programs will be key if a provider’s data analytics ever come into question. Use this presentation to gain insight from the original Federal
prosecutors in the Dr. Roy case who successfully led the indictment for one of the largest fraud cases in home health.
Presentation Date: 08.09.2017
Learning Outcomes(s): Participants will actively engage in the learning activity and
indicate an intent to change or enhance their practice by implementing compliance training and education within the agency’s operations.
About the Presenters: Mindy Sauter, JD and Mike Elliott, JD are both former Assistant United States Attorneys
who investigated and prosecuted health care fraud throughout the United States.
Mindy is a graduate of Oklahoma State University and SMU law school. Before she was a federal prosecutor,
Mindy was an Assistant District Attorney in Dallas where she tried hundreds of cases and supervised felony prosecutions.
Mike is a graduate of the United States Naval Academy and the University of Miami School of Law.
Prior to working in both the Southern and Northern Districts of Texas with the Department of Justice, Mike was in private practice in New York City.
Their firm, Elliott Sauter, focuses on representing health care organizations and professionals in regulatory, compliance and criminal matters.
Elliott Sauter is based out of Dallas, TX.
[3047] Trends in Fraud, Waste, and Abuse
[3692] Turning Vision Into Value: Top 3 Business Opportunities for Private Duty Agencies
Learn the top three business opportunities for Private Duty agencies.
Presentation Info:
TAHC&H 53rd Annual Meeting | Round Rock | Rich-Media Capture | On-Line, On-Demand Access
Presentation Date | September 1, 2022
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.25 Clock Hr(s)
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
§558.260[a][10]marketing
Program Description: Older Americans with chronic illness and other maladies of aging insist on remaining as
independent as possible and aging in place. This presents the Private Duty arena with enormous opportunities. How can Private Duty agencies set themselves
apart? What innovations have you yet to capitalize on? Industry experts will discuss several opportunities that your organization can take advantage of to
serve your communities better while also increasing the value of your organization and having meaningful positive impacts on your bottom line. This session
will touch on the top three business opportunities for Private Duty agencies and help your organization become a trailblazer.
TAHC&H Faculty/Presenter(s): Sheila Davis, Executive Senior Vice President, Area Operations, Always Best Care Senior Services, LLC
About the Presenter(s): Sheila Davis is an accomplished Healthcare administration executive with comprehensive experience directing
successful operational strategies and driving academic and research facility. Her background includes extensive years of excellent experience overseeing healthcare operations while
spearheading financial reporting and management, budgeting, staff recruitment, revenue generation, and service line expansion. Ms. Davis was one of HomeCare University’s inaugural
class, earning her certification as a Certified Home/Hospice Care Executive (CHCE). Additionally, she excels at propelling healthcare initiatives and policies while driving optimal
facility efficiency and productivity within multimillion-dollar businesses.
Ms. Davis serves on the NAHC Strategic Planning Committee, Advisory Council, Quality Data Implementation Committee, Rural Advisory Council, Finance Committee &
Home Care Workforce Action Alliance; PDHCA Advisory Board; HCAOA Medical Advisory Board, Quality Data Review Committee & VA Committee; TAHC&H Board of Directors, Government Affairs Committee,
Private Pay Committee, Membership Committee, and Community Care Services Committee. She is also a founding member of the Home Care Action Alliance; member of the Texas State Preventive Health
Advisory Committee (SPHAC); serves on the WellSky Home Client Advisory Board; and is an ACHC Certified Consultant. Ms. Davis is engaged as the Senior Executive Vice President, Area Operations
at Always Best Care Senior Services.
[3692] Turning Vision Into Value: Top 3 Business Opportunities for Private Duty Agencies