ANNUAL CONTINUING EDUCATION
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.
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)
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
§558.259[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
Understanding How to Be Successful at Patient Collections
[3785] Understanding How to Be Successful at Patient Collections
Learn how other agencies are having success by being proactive with their patients’ payments for services.
Presentation Info:
TAHC&H Event 54th Annual Meeting | Rich-Media Presentation Capture | Online On-Demand Access
Presentation Date | August 30, 2023
Program Description: Now that home health agencies are having more and more non-Traditional
Medicare patients and private insurance patients, it is most imperative for agencies to turn to technology when performing intake and
insurance verification and prior authorizations for patients. Learn how to proactively, with technology, collect all of the intake
paperwork from the patient, financially counsel the patient and their family, collect necessary copays and deductibles, and much more before the nurse makes her
visit. At the time of the visit, clinicians should only be concerned with patient care not reimbursement from the patient.
In this presentation Petria will demonstrate to you how other agencies are having success by being proactive with their patients’ payments for services.
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
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): Petria McKelvey, CEO and Founder, Precision Medical Billing
About the Presenter(s): Petria's expertise lies in hands on experience of billing for numerous home
health and hospice agencies throughout the years. She has been in the home health and hospice industry’s for over 21 years and has owned and
operated Precision Medical Billing for the past 17 years. She has supervised, hired, and trained 100s of medical billing staff and speaks
regularly at home health association conferences.
[3785] Understanding How to Be Successful at Patient Collections
- Speaker
- McKelvey, Petria
- Model
- 3785
$30.00
Understanding UMCC Standards and MCO Responsibilities
[3364] Understanding UMCC Standards and MCO Responsibilities
Hear HHSC staff discuss key sections of the UMCC, its standards and MCO responsibilities...that affect HCSSA providers.
NOW AVAILABLE: RELEASED 03/02/2020 This program was presented on 2.12.2020 at the Texas Association of Home Care & Winter Conference in Denton.
It is one of 18 presentations captured and produced for online access.
Presentation Info:
Presentation Date: February 12, 2020
TAHC&H Event: TAHC&H Winter Conference | Denton
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.25 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: What is the UMCC? The UMCC is the Uniform Managed Care Contract that governs
Texas Medicaid and CHIP Managed Care Services. In this session providers will learn why it’s so important to understand the States’ contract
which sets forth the terms and conditions for Health Plans participating in Texas Medicaid Managed Care, administered by HHSC.
Hear HHSC staff discuss key sections of the UMCC, its standards and MCO responsibilities so that you know what standards the MCO’s must meet and
why they may require certain processes for providers.
Program Learning Outcome: Participants will be able to verbalize understanding of key sections of UMCC standards and MCO responsibilities and identify the importance of understanding the State’s contract.
TAHC&H Faculty/Presenter: Sylvia Salvato, TX HHSC, Manager, Policy & Program Development, Medicaid and CHIP Services Department
About the Presenter:
Sylvia Salvato is a Manager of Medicaid Policy and Program Development with the Texas Health and Human Services Commission.
She has a Master’s of Social Work degree from Texas State University. In addition to nearly ten years of service to the state of Texas, Ms. Salvato has previous experience working in
environments including the federal government, long term care, acute care, behavioral health services, and clinical research.
[3364] Understanding UMCC Standards and MCO Responsibilities
- Speaker
- Salvato, Sylvia [TX HHSC]
- Model
- 3364
$37.50
Unlocking Secrets of Hospice Financial Management: Demystifying CAP Reporting & Calculation
[3820] Unlocking Secrets of Hospice Financial Management: Demystifying CAP Reporting & Calculation
Demystifies CAP reporting and calculation,
empowering you and your team to make informed financial decisions that will contribute to the success and sustainability of your Hospice agency.
Presentation Info:
TAHC&H Event Administrator Conference | Rich-Media Presentation Capture | Online On-Demand Access
Presentation Date | November 8, 2023
Program Description: This enlightening program delves deep into the world of Hospice financial management, focusing specifically on the elusive CAP (Capped Annual Payment)
Reporting and Calculation. It unravels the complexities surrounding CAP and equips you with the knowledge and tools to navigate this critical aspect of financial management in the Hospice industry.
The expert instructor will guide you through the intricacies of CAP reporting, helping you gain a comprehensive understanding of its nuances and importance in ensuring your Hospice agency's financial health.
You will learn how to effectively calculate and manage CAP, allowing you to optimize reimbursement and financial stability. Don't miss this opportunity to demystify CAP reporting and calculation,
empowering yourself and your team to make informed financial decisions that will contribute to the success and sustainability of your Hospice agency. This program will transform the way you approach financial management in Hospice care.
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
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): Brian W Lebanion, MBA, CPC, RNC, HCS-O, HCS-D, Healthcare Consulting Manager, Wipfli
About the Presenter(s): Brian W Lebanion has more than 25 years of experience in the healthcare industry and provides consulting
services for all aspects of home health care and hospice, including operations, reimbursement and education. He specializes in comprehensive consulting services offering clients
and providers survey/licensure coaching, clinical review and training, financial and revenue cycle management, third-party audit response, and quality assurance/performance improvement training.
[3820] Unlocking Secrets of Hospice Financial Management: Demystifying CAP Reporting & Calculation
- Speaker
- Lebanion, Brian W
- Model
- 3820
$30.00
Using Technology to Optimize Home Care Staffing Resources
[3373] Using Technology to Optimize Home Care Staffing Resources
Learn how implementing a virtual care platform can help your agency better utilize in-demand specialists and
available staff ...
TAHC&H CONFERENCE RECORDING: This program was presented on 2/13/2020 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 13, 2020
TAHC&H Event: TAHC&H Winter Conference | Denton
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
§558.259[d][4]agency responsibilities
§558.260[a][9]community resources
Program Description: Many Texas home health agencies are currently dealing with a staffing
shortage and also anticipating a greater health workforce shortage in the coming years. Employee churn – which can lead to canceled/rescheduled
appointments and undermine an agency’s ability to take on new patients – can lead to a breakdown in the continuum of care, weaker overall outcomes,
and an increased risk of readmissions. Learn how implementing a virtual care platform can help your agency better utilize in-demand specialists and
available staff while being able to provide better – meaning, more timely and higher quality – care to their patients.
TAHC&H Faculty/Presenters: AnnaMaria Turano,VP Marketing, SYNZI; Dave I. Davis, RN-BC, BSN, MA, ACRN, Chief Clinical Innovation Officer, AccentCare
About the Presenters:
AnnaMaria Turano AnnaMaria M. Turano is the Vice President of Marketing for Synzi.
She is responsible for leading all marketing and branding initiatives for the company. Prior to her client-side roles, AnnaMaria co-founded MCAworks, a
strategic marketing consulting firm advising Fortune 500 companies on developing growth strategies. A published writer, she is the co-author of Stopwatch
Marketing: Take Charge of the Time When Your Customer Decides to Buy (Portfolio: 2008) and has also been an Adjunct Professor of Marketing at NYU, Fordham
University, and the University of Tampa. She received both her B.A. and M.B.A. from the University of Chicago.
Dave I. Davis Coming Soon
[3373] Using Technology to Optimize Home Care Staffing Resources
- Speaker
- Davis, Dave & Turano, AnnaMaria
- Model
- 3373
$45.00
Vaccine Mandate Updates
[3629] Vaccine Mandate Updates
Find out what rules apply to your agency and what actions
should you be taking to come into compliance with state and federal laws.
Presentation Info:
TAHC&H Winter Conference 2022 | Dallas | Recorded for On-Demand Access
Presentation Date | February 24, 2022
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[c][2][G]the Occupational Safety and Health Administration requirements
§558.259[d][4]agency responsibilities
§558.259[d][8]infection control
§558.260[a][3]basic principles of management in a licensed health-related setting
Program Description: In July 2021, President Biden began rolling out COVID-19 vaccination mandates covering federal
employees and contractors and called on employers to implement their own mandates. Since that time, thousands of organizations around the country have taken
steps to require their employees to be vaccinated. On November 21, the Department of Labor’s Occupational Safety and Health Administration (OSHA) and the
Centers for Medicare and Medicaid Services (CMS) announced new regulations requiring vaccination, and in the case of the OSHA rule, vaccination or mandatory
weekly testing. Notably, CMS’s vaccination mandate applies to 15 types of providers and suppliers, including home health and hospice agencies, and in total
covers more than 17 million health care workers and approximately 76,000 health care facilities. After extensive litigation, the OSHA rule has been enjoined
nationwide by the US Supreme Court, and all of the injunctions affecting the CMS rule have been terminated. What rules apply to your agency and what actions
should you be taking to come into compliance with state and federal laws?
TAHC&H Faculty/Presenter(s): Jennifer Papapanagiotou, Liles Parker; Jennifer Elder, Director of Regulatory Affairs, TAHC&H.
About the Presenter(s):
Jennifer Papapanagiotou's practice focuses on compliance, regulatory and transactional matters for a
wide array of health care providers, including home health and hospice agencies. She has extensive experience in analyzing proposed and existing business arrangements for
compliance with federal and state fraud and abuse laws, and drafting a wide variety of legal agreements. Ms. Papapanagiotou is knowledgeable in all aspects of state
licensing for home health and hospice providers, and in Medicare and Medicaid enrollment, including initial enrollment, changes of ownership and appeals of revocation
actions. Finally, she assists clients with compliance plans, forming new businesses, and addressing Medicare and Medicaid program coverage and reimbursement issues
About the Presenter(s):
Jennifer Elder started with TAHC&H in September 2019. Her experience includes Home Health and
Hospice Administration, DME Management and Home Care Consulting. Prior to coming to TAHC&H she worked as a consultant from 2012 – 2017 for home health and hospice agencies
and DME agencies throughout Texas. She has hands on experience in the home care industry with the ADR process, QAPI programs, Marketing and Business Development, Licensing,
Accreditation, Plans of Correction and Informal Dispute Resolutions, Human Resources, Policy Development and Strategic Planning. Jennifer has been in the home care industry since 2007.
[3629] Vaccine Mandate Updates
- Speaker
- Elder,J & Papapanagiotou, J
- Model
- 3629
$30.00
Value-Based Purchasing | Where Does Your HHA / Hospice Fit In Delivery System Reform?
[W3640] Value-Based Purchasing | Where Does Your HomeHealth Agency Or Hospice Fit In Delivery System Reform?
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 | February 2, 2022
Program Description: Value-based payments(“VBP”) and alternative payment methodologies (APMs) are
becoming more prevalent both in the public programs and private insurance. Additionally, the HHS has recently published new safe harbors
that directly affect these payment mechanisms. The session will discuss some of the various VBPs and APMs that may affect home health
agencies and hospices, the new safe harbors related to these payment mechanisms, how you can participate, and the pitfalls of which
to be aware. In this presentation attorneys Michael Cook and Heidi Kocher discuss these important developments.
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)
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): Michael Cook and Heidi Kocher | Liles Parker Attorneys & Counselors at Law
About the Presenter(s):
Michael Cook has more than 38 years’ experience representing health clients of all kinds in regulatory, reimbursement,
fraud and abuse, compliance, business, strategic planning,and public policy matters, with a strong emphasis on post-acute providers. At the beginning of his career, Michael also was an
attorney with the Office of General Counsel at the United States Department of Health and Human Services where he represented the federal regulators of the Medicare and
Medicaid programs on matters of the highestlegal and political senstivity. He recently received the honor of Fellow from the American Health Lawyers Association.
In addition to his health care practice, Michael serves as a strategic health care advisor to a start-up company that has developed a health care related product to
protect seniors from fractured hips. He was appointed by Governor McAuliffe to serve on the Board of the Department of Medical Assistance Services that advises Virginia’s Medicaid program,
has served as a health care advisor to a number of candidates for state and national office, and recently received the Albert Nelson Lifetime Achievement Award fromMarquis Who’s Who.
He frequently lectures on topics of interest to health care providers and earlier this year presented on the topics of “Internal Investigations” for health care companies at the
2019 American Health Lawyers Association conference on Medicare and Medicaid Payment Issues and moderated a panel of State Medicaid Directors on the changing face of their
Medicaid programs in post-acute care for the AHLA Long-Term Care and the Law conference.
About the Presenter(s):
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.
[W3640] Value-Based Purchasing | Where Does Your HomeHealth Agency Or Hospice Fit In Delivery System Reform?
- Speaker
- Liles Parker Attorneys
- Model
- W3640
$30.00
VBID – Hospice 2024 Update
[3843] VBID – Hospice 2024 Update
Details of the Value-Based Insurance Design (VBID) Model – Hospice Benefit Component.
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 | Medicare Hospice
Program Description: This program covers the details of the Value-Based Insurance Design (VBID) Model – Hospice Benefit Component.
Medicare Advantage (MA) has long had coverage for home health patients, but there has never been coverage for Hospice under the MA benefit until 2021 when the VBID demonstration began to include Hospice.
There have been many changes to the Medicare Advantage Organizations (MAO) participating in 2024 as the demonstration has now been extended through 2030.
The differences in coverage for an in-network vs. out-of-network provider will be reviewed and the allowance of MAO plans to force patients to elect IN-NETWORK ONLY.
CMS requires that MAOs provide beneficiaries with broad access to the complete original Medicare hospice benefit. This program covers all known aspects of the demonstration and will
prepare hospices for the reality that Medicare Advantage is now in the Hospice world to stay.
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
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 02.22.2026
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): Melinda Gaboury, COS-C, Chief Executive Officer, Healthcare Provider Solutions, Inc.
About the Presenter(s): Melinda A. Gaboury, with more than 28 years in home care, has over 18 years of executive speaking and educating experience, including extensive day to day interaction
with home care and hospice professionals. She routinely conducts Home Care and Hospice Reimbursement Workshops and speaks at state association meetings throughout the country. Melinda has profound experience in Medicare PDGM training, billing, collections, case-mix calculations, chart reviews and due diligence. UPIC, RA, ADR & TPE appeals with all Medicare MACs have become the forefront of Melinda’s current impact on the industry. She is currently serving on the NAHC/HHFMA Advisory Board
and Work Group and is Associate Director on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-D1.
[3843] VBID – Hospice 2024 Update
- Speaker
- Gaboury, Melinda
- Model
- 3843
$30.00
VBP and OASIS: Where Are Your Opportunities?
[3836] VBP and OASIS: Where Are Your Opportunities?
Takes a good look into the stand-alone OASIS items and describes how the TNC is calculated, along with future changes to the TPS.
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 | Medicare Home Health
Program Description: Part of your Total Performance Score (TPS) is based on OASIS outcomes. Currently it is based on two composite scores for self-care and
mobility (the TNC) along with improvement in dyspnea and oral medication management and discharged to community. This program takes a good look into the stand-alone OASIS items and describes how the TNC is calculated.
It also discusses the future changes to the TPS with the omission of the TNC from the TPS altogether. The TNC is currently 17.5% of the Total Performance Score of VBP, but CMS is implementing drastic changes by
omitting the TNC from its programs and replacing it with the Discharge Function score. Learn the impact of the changes and how your strategies should have a new focus in 2024.
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
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): Lisa Selman-Holman, JD, BSN, RN, HCS-D, COS-C, 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.
[3836] VBP and OASIS: Where Are Your Opportunities?
- Speaker
- Selman-Holman, Lisa
- Model
- 3836
$37.50
Veteran Care Navigators: A Private Duty Niche Service Line
[3665] Veteran Care Navigators: A Private Duty Niche Service Line
Most veterans and private duty organizations are unaware of the multiple funding sources available to pay for veterans care.
Presentation Info:
TAHC&H Event | Spring Virtual Conference | Recorded for On-Demand Access
Presentation Date | May 12, 2022
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][3]basic principles of management in a licensed health-related setting
§558.260[a][10]marketing
Program Description:There are nearly 20 million veterans in the United States and
30% of those veterans have multiple chronic conditions that may be managed by private duty care. Most veterans and
private duty organizations are unaware of the multiple funding sources available to pay for veterans care.
Educating your team on the variety of benefits available to veterans for post- acute care (private duty,
home health, and hospice care) will ensure that your organization is ready to grow your referral
sources while providing a niche market to those that have served our country so well.
TAHC&H Faculty/Presenter(s): Tammy Ross, Senior VP, Professional Services, AXXESS
About the Presenter(s):
Tammy Ross is the Senior Vice President of Professional Services at Axxess,
the leading home healthcare technology company. She oversees the professional services division at Axxess with a focus on practical operational
solutions for the home health, home care, and hospice sectors of the post-acute care industry using technology. Prior to joining Axxess,
Tammy served as an executive consultant at Fazzi and Associates, where she used her years of home health leadership experience to assist
clients with clinical and operational strategic planning and development.
[3665] Veteran Care Navigators: A Private Duty Niche Service Line
- Speaker
- Ross, Tammy
- Model
- 3665
$30.00
Violence in Home Care: Protecting Your Workforce
[3048] Violence in Home Care: Protecting Your Workforce
Education-Training Credits:
1.5 Hr(s) HCSSA Administrator/Alternate
Summary: The risk of violence from clients, family and community against your workforce.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][6]risk assessment and management
§558.260[a][8]skills for working with clients, families, and other professional service providers
Faculty: Robert Liles, JD and Anthony Cutrona, JD
Program Description: Home healthcare workers often face an unsafe and unpredictable
environment as they visit a client’s neighborhood and home. Since more violent incidents occur in health care settings than any other profession,
your administrative staff are also vulnerable. The presenters discuss the extent of the problem and what measures your home health agency or
hospice can take to help protect your workforce from violence.
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 reporting programs that will encourage healthcare staff to more readily report incidents of violence.
About the Presenter:
Robert Liles, JD has a background that is somewhat unique. In addition
to a law degree, he holds a Master’s in Health Care Administration. Robert has worked on the provider side, as a federal prosecutor and now represents
home health and hospice agencies around the country in connection with Medicare and Medicaid audits and investigations. While working as a federal prosecutor,
he was asked to serve as the first National Health Care Fraud Coordinator for the DOJ’s, Executive Office for U.S. Attorneys. In this capacity, he advised
prosecutors around the country regarding health care fraud statutes, schemes, investigative tools, privacy concerns, and compliance issues. Robert is a
nationally-recognized speaker and educator on health law regulatory issues. He has taught and lectured at regional and national conferences, seminars and
webcasts to federal and state prosecutors, auditors, industry representatives, providers and suppliers on a variety of regulatory issues.
About the Presenter:
Anthony Cutrona, JD began practicing home health law as general counsel
for a Houston home health agency in 1996 and opened his solo health law practice in 1997. In 2000, the Texas Association for Home Care named him its Associate
Member of the Year. Last year, after 20 years of representing home health care providers throughout Texas, Anthony joined Liles Parker as a Partner and opened
its San Antonio office. He continues to represent home health agencies in license and survey matters, administrative appeals, implementation of compliance programs,
employment issues, and defends nurses in Board of Nursing matters.
[3048] Violence in Home Care: Protecting Your Workforce
- Speaker
- Liles, R & Cutrona, A
- Model
- 3048
$45.00
What Does “New Normal” Even Mean?
[3661] What Does “New Normal” Even Mean?
How can you incorporate digital and virtual communications and a hybrid work environment from recruitment through onboarding and on to long-term retention?
Lauren Patrick shares her top tips and tricks for today’s business leaders!
Presentation Info:
TAHC&H Event | Spring Virtual Conference | Recorded for On-Demand Access
Presentation Date | May 11, 2022
Program Description: 2020 definitely sent everyone into a tail spin, and we have spent 2 years waiting to go back to ‘normal’.
But, is that what your staff, stakeholders, and clients actually want? COVID-19 may have finally given us all the shove we needed to embrace the digital transformation.
How can you incorporate digital and virtual communications and a hybrid work environment from recruitment through onboarding and on to long-term retention?
Lauren Patrick shares her top tips and tricks for today’s business leaders!
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][8]skills for working with clients, families, and other professional service providers
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): Lauren Patrick | M. A., Director of Development and Marketing, Helping Restore Ability
About the Presenter(s):
Lauren Patrick has had a passion for non-profit work
since early in her college career. Lauren has provided marketing and programmatic support services in the sectors of education, social
services, and now healthcare. After a time living in Colorado and Virginia, Lauren moved home to Texas and started working in the disability
services field and is currently the Director of Development and Marketing at Helping Restore Ability, the largest nonprofit in-home attendant
care provider in Texas. Lauren’s work has been recognized in a variety of publications, formats, and venues. Lauren believes in allowing stories
to paint a picture and utilizing the mind’s eye to enhance and promote services. Lauren has a passion for generational marketing as well as using
digital resources to enhance networking relationships.
[3661] What Does “New Normal” Even Mean?
- Speaker
- Patrick, Lauren
- Model
- 3661
$30.00
What Financial Reports Really Mean to the Health Care Manager
[2741] What Financial Reports Really Mean to the Health Care Manager
Education-Training Credits:
1.25 Hr(s) HCSSA Administrator/Alternate
Summary: Financial reports for non-financial folks...
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: Spears, Jan
Program Description: Whether you are planning for growth and
need capital investment or a business loan, or planning for a sale and need a quick evaluation of
your agency’s worth, or if you simply need a measurement of your month-to-month progress, financial
reports are the first critical pieces to which you must look. If these reports are prepared internally or
from outsourced to an accounting firm, understanding the significance of the information is the responsibility
of the owner, administrator and, yes, the clinical management team. This program explains key concepts that your financials might reveal about the agency and covers topics such as....
standard reporting formats and recommended frequencies
cash vs accrual options
fixed vs variable costs
debt to equity ratios
break-even points
and a brief review of case-mix weights as these affect your revenue performance
You will learn some standard formulas that you can apply to trend your financial performance
from point to point in your reporting year in key areas such as management of accounts receivables through Days Outstanding calculations. This program is
presented in a friendly environment for the non-accounting managers! Presentation Date: 08.13.2015
Program Objectives: Upon completion of this program, the viewer will be able to:
Identify two reasons why clinical managers need to understand financial reports
Recall the difference between cash versus accrual methods in financial reporting
Identify three of the four standard financial reports formats that are products of financial data
Calculate Days Sales Outstanding as a component of evaluating accounts receivable stability
Identify four components that affect case mix rates for the Medicare home health patient
Calculate debt to equity ratio as a component of agency’s liquidity
About the Presenter:
Jan Spears is Co-owner and Chief Executive Officer of
MJS & Associates, LLC. She has more than 30 years’ experience in the health care field. Ms. Spears has owned and operated a multimillion
dollar home health care company as well as consulted for over 300 homecare providers in 25 states. As a full time consultant for the past 15 years,
Ms. Spears has successfully merged clinical and financial strategies into successful operational plans for numerous providers nationwide. Jan serves
as a Medicare coverage expert for health care facilities who are undergoing audits by federal contractors through all levels of appeals. She has
authored several publications and heads a team of more than 25 consultants at MJS & Associates, LLC.
[2741] What Financial Reports Really Mean to the Health Care Manager
- Speaker
- Spears, Jan
- Model
- 2741
$37.50
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)
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: 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
What's New in Star Plus?
[3361] What's New in Star Plus?
Hear the latest on the Star Plus initiative including expansion into 13 new service areas.
NOW AVAILABLE: RELEASED 03/02/2020 This program was presented on 2.12.2020 at the Texas Association of Home Care & Winter Conference in Denton.
It is one of 18 presentations captured and produced for online access.
Presentation Info:
Presentation Date: February 12, 2020
TAHC&H Event: TAHC&H Winter Conference | Denton
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: The Texas Medicaid Star+Plus program, is a managed care program worth nearly $10 billion
in premium revenue for managed care organizations and serves nearly 525,000 seniors and people who are blind and disabled. In October 2019, Texas Health
and Human Services Commission (HHSC) announced that after a competitive procurement, HHSC intends to award new contracts in 13 different service areas for the STAR+PLUS product.
Hear directly from HHSC staff who provide an update for all of Texas Managed Care products, give you a preview of any changes related to the re-procurement and report on any
upcoming legislative and policy initiatives. Invited Managed Care Organizations (MCOs) including Superior, Molina, United, Amerigroup have also confirmed to participate in a
panel discussion to talk through changes and respond to audience questions!
Program Learning Outcome: Participants will actively engage in the discussion by describing any changes related to the re-procurement and any upcoming legislative and policy initiatives.
TAHC&H Faculty/Presenter: Sylvia Salvato, TX HHSC, Manager, Policy & Program Development, Medicaid and CHIP Services Department
About the Presenter:
Sylvia Salvato is a Manager of Medicaid Policy and Program Development with the Texas Health and Human Services Commission.
She has a Master’s of Social Work degree from Texas State University. In addition to nearly ten years of service to the state of Texas, Ms. Salvato has previous experience working in
environments including the federal government, long term care, acute care, behavioral health services, and clinical research.
[3361] What's New in Star Plus?
- Speaker
- Salvato, Sylvia [TX HHSC]
- Model
- 3361
$45.00
Why and How Value-Based Insurance Design (VBID) Matters to Your Hospice Organization
[3798] Why and How Value-Based Insurance Design (VBID) Matters to Your Hospice Organization
How VBID compnents affect your hospice and revenue collections.
Presentation Info:
TAHC&H Event 54th Annual Meeting | Rich-Media Presentation Capture | Online On-Demand Access
Presentation Date | August 31, 2023
Program Description: In its fifth year of testing, the hospice component of Medicare’s Value-Based Insurance Design (VBID)
continues to grow and evolve. In fact, the number of Medicare Advantage organizations participating in the VBID model increased by more than 35% and were expected
to provide coverage for more than 9.3 million Medicare beneficiaries in 2023. While those numbers are still out, what we do know is that if your hospice organization
has not been affected by this shift in payment for hospice services, it will be in the very near future.
In this session, Zaundra Ellis discusses components of the hospice VBID model, how they affect the care your hospice organization provides,
and how collecting your hard-earned revenue is different when working with a Medicare Advantage organization.
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): Zaundra Ellis, Vice President of Hospice Professional Services, Axxess
About the Presenter(s): 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.
[3798] Why and How Value-Based Insurance Design (VBID) Matters to Your Hospice Organization
- Speaker
- Ellis, Zaundra
- Model
- 3798
$30.00
Will your Hospice Documentation Withstand the Scrutiny of a Medical Review Audit?
[3823] Will your Hospice Documentation Withstand the Scrutiny of a Medical Review Audit?
Go beyond the LCDs and common tools for documenting eligibility by drilling down to the details and characteristics that differentiate terminal and chronic patients with the same diagnosis.
Presentation Info:
TAHC&H Event Administrator Conference | Rich-Media Presentation Capture | Online On-Demand Access
Presentation Date | November 8, 2023
Program Description: Accurate hospice eligibility documentation is critical to fulfilling the CoPs and payment requirements.
The lack of supporting documentation for a terminal prognosis is the number one reason for denial. Reviewers often look for a significant decline in patient condition.
Although this is not a requirement of hospice care, terminal prognosis is. This program helps clinicians document the slightest changes in baseline measures.
More importantly, you'll learn how to capture in documentation the occurring changes that support terminal prognosis – even without a decline in baseline measures.
Go beyond the LCDs and common tools for documenting eligibility by drilling down to the details and characteristics that differentiate terminal and chronic patients with the same diagnosis.
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.
[3823] Will your Hospice Documentation Withstand the Scrutiny of a Medical Review Audit?
- Speaker
- Heagy, Leslie
- Model
- 3823
$30.00
Working Through the Complaint Process with Medicaid Managed Care
[3367] Working Through the Complaint Process with Medicaid Managed Care
Extremely helpful... TX HHSC explains the process for the complaint process and how to handle with the MCOs...
NOW AVAILABLE: RELEASED 03/02/2020 This program was presented on 2.12.2020 at the Texas Association of Home Care & Winter Conference in Denton.
It is one of 18 presentations captured and produced for online access.
Presentation Info:
Presentation Date: February 12, 2020
TAHC&H Event: TAHC&H Winter Conference | Denton
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][3]basic principles of management in a licensed health-related setting
Program Description: TX HHSC staff provide a robust discussion of the complaint process related to
Texas Medicaid Managed Care Organizations. Every wonder what happens when you lodge a complaint with HHS? What if an MCO states they did not
receive your complaint, then what? What are agency’s rights and the MCO’s timelines for follow up on a complaint? This session
addresses these questions and many more common issues experienced by providers when lodging complaints both with MCOs and HHSC.
Agencies will find this session extremely helpful with HHSC explaining the process for the complaint process and how to handle with the MCOs.
HHSC provides guidance on the steps and timeframes to assist agencies with completing a complaint and also advises on agency rights when filing complaints.
Program Learning Outcome: Participants will be able to identify the process and steps on how to lodge a complaint with HHS and describe how to complete the process timely.
TAHC&H Faculty/Presenter: Camisha D. Banks, CTCM, Director of Provider and Client Services, Managed Care Compliance and Operations, Medicaid and CHIP Services; Michael Osborne, Senior Manager, Medicaid and CHIP Services
About the Presenters:
Camisha D. Banks is currently serving as Managed Care Compliance & Operation’s (MCCO) Interim Assistant Director.
Camisha is currently the MCCO Director of Provider and Client Services over the managed care complaints, trending and reporting, as well as call centers for transportation and pharmacy.
She has worked in several capacities of the Medicaid program for more than 25 years, and began her state career in 2007 as a Health Plan Specialist in MCCO (formerly Health Plan Management).
Since that time, Camisha has served in increasing responsible positions as a health plan manager and as a senior manager overseeing several of the complex Managed Care Organizations (MCOs).
Michael Osborne has 25 years of State Service with The Texas Department of Health and the Health and Human Services Commission. He has 17 years
with the Vendor Drug Program, assisting with pharmacy providers with Point of Sale claims and software issues. Michael also has 8 years with Managed Care Compliance and Operations,
Senior manager of Research and Resolution. He coordinates complaints, from various stakeholders, against the MCOs to ensure the timely delivery of contracted services and benefits to members and reimbursement to the providers.
[3367] Working Through the Complaint Process with Medicaid Managed Care
- Speaker
- Banks, C & Osborne, M [TX HHSC]
- Model
- 3367
$30.00
Workplace Violence in Home Care | Protecting Your Patients and Staff
[W3649] Workplace Violence in Home Care | Protecting Your Patients and Staff
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 | October 5, 2022
Program Description: Researchers have found “violence against health care workers accounted for nearly as many injuries as
in all other industries combined, which is four times greater than the average U.S. worker.” In this session, we will discuss the current workplace violence risks
facing you, your staff and your patients. Attorneys Richard Pecore and Lester Johnson will cover strategies for responding to incidents of workplace violence.
You will learn about the prevalence of workplace violence incidents in health care, about the typical profile of a perpetrator of health care
violence, and about the importance of staff training regarding workplace violence prevention
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
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 10.05.2024
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): Richard Pecore and Lester Johnson | Liles Parker Attorneys & Counselors at Law
About the Presenter(s):
Richard Pecore is a licensed Texas attorney with over 20 years of experience. Mr. Pecore is a graduate of the University of Texas
and South Texas College of Law Houston. Mr. Pecore joined Liles Parker as an associate attorney in January 2012 and became a partner with the firm in February 2016. Mr. Pecore has worked
on a variety of health care related matters, and the past 6 years focusing on Medicare and Medicaid administrative provider appeals and creating provider regulatory compliance plans.
Since joining Liles Parker, Mr. Pecore has focused on “big box” Medicare and Medicaid overpayments. He has successfully defended overpayment cases ranging in value from $15,000 to
$6 million dollars. Mr. Pecore is a Certified Medical Compliance Officer with PMI, is a member of the American Health Lawyers Association. Mr. Pecore lives in Kingwood, Texas.
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.
[W3649] Workplace Violence in Home Care | Protecting Your Patients and Staff
- Speaker
- Liles Parker Attorneys
- Model
- W3649
$30.00
Workplace Violence Prevention & Solutions - Personal Safety
[1541] Workplace Violence:Prevention & Solutions - Personal Safety Subscription Type: Individual Faculty: Rosner This program is part of the Workplace Violence : Prevention & Solution series, developed specifically for home care and hospice personnel. The program provides the definition of workplace violence and shares statistics that prove workplace violence can impact anyone, anywhere, and at any time. In this program Joe Rosner provides many helpful ideas to enhance one's personal safety and how to avoid certain situations in order to reduce your risk for personal violence. In detail, Joe also explains how to handle dangerous encounters with clear demonstrations, along with a field nurse, on key self defense techniques and the practical tools of self defense. He provides an overview of tazers, blunt weapons, sprays and improvised tools that can be used as weapons as well as weapons must be avoided to enhance one's personal safety. This program's goal is to enable the viewer to have more self confidence, be more aware of their surroundings and how to deal with possible situations that demand self defense. This program is presented by Joe Rosner, Director of Best Defense USA, and a nationally recognized expert on safety and self-defense for real estate, homecare and hospice professionals. Education-Training Credits: 1.0 Hr HCSSA Administrator/Alternate
- Speaker
- Rosner, Joe
- Model
- 1541
$30.00
