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.
Enforcement Actions and Rights of the Home & Community Support Services Agency
[PGM1948] Enforcement Actions and Rights of the Home and Community Support Services Agency Summary: DADS enforcement staff discuss IRoD and agency rights. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][3]basic principles of management in a licensed health-related setting Faculty: Anderson, Sue [DADS] Program Description: Texas DADS Regulatory Services Enforcement staff presents a Home and Community Support Services Agency's rights to an Informal Review of Deficiencies (IRoD), DADS criteria for assessing administrative penalties and rights for appealing. Of importance to all, DADS staff present why, when and how DADS determines a HCSSA must be reported to the National Healthcare and Integrity Protection Data Bank (NHIPDB). Program Objectives: Upon completion of this program, the viewer will be able to: Identify Home and Community Support Services Agencies (HCSSA) Enforcement Actions Analyze HCSSA Informal Review of Deficiencies (IRoD) Procedures Discuss the Texas Department of Aging and Disability Services’ (DADS) Reporting of Public Information About the Presenter: Sue Anderson is the Manager of the Survey and Certification Enforcement Unit with DADS. She is a registered nurse with 14 years’ experience in Regulatory Services and Long Term Care. She has regulatory and clinical experience in hospitals, nursing facilities, case management and utilization review. Education-Training Credits: 1.50 Hr(s) HCSSA Administrator/Alternate [PGM1948] Enforcement Actions and Rights of the Home and Community Support Services Agency
- Speaker
- Anderson, Sue [DADS]
- Model
- 1948
$45.00
Enhancing Communication Skills to Improve Patient, Employee and Referral Source Satisfaction
[3442] Enhancing Communication Skills to Improve Patient, Employee and Referral Source Satisfaction (And Your Bottom Line Too!)
How to utilize certain tools to enhance communication and improve these integral relationships.
Presentation Info:
TAHC&H Virtual Event | 51st Annual Meeting & Conference | Recorded for On-Demand Access
Presentation Date | September 1, 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
§558.260[a][8]skills for working with clients, families, and other professional service providers
Program Description: In the fast paced world of home health care, it can be hard to make connections with
people, especially during a worldwide pandemic, such as COVID-19; unless time is set aside to connect for this purpose. Monotonous regime,
lackluster communication skills and unsustainable satisfaction can all lead to employee burnout, unhappy patients and loss of referral sources.
Once you make the decision to utilize tools such as social media, video conferencing technology and other tips you will learn in this session,
you will begin enhancing your communication skills and improving these integral relationships.
Program Learning Objective(s): Participants will actively engage in the discussion and incorporate best practices for
identifying 10 steps to implementing communication tips that will improve working relationships, explaining how communication needs to be tailored to each of
the current generations in the workplace and describing how improved communication will have a lasting effect on their organization.
TAHC&H Faculty/Presenter(s): Marcylle Combs, MS, RN, BS, CHCE, President, MAC Legacy
About the Presenter(s):
Marcylle CombsAfter over 30 years in home health care and hospice, holding many positions
including field nurse, director, administrator and owner/president of a successful home health and hospice company, Marcylle sold her business to embark on new
opportunities. She has since founded 3 companies, serving as President over The Marcylle Combs Company, MAC Legacy Investments, a real estate development company and
MAC Legacy – a home health care and hospice resource company. Marcylle is well known in Texas and nationally for her leadership in both the home care and hospice
community. She has served on the TAHCH Government Affairs Committee since the ‘90s and is currently serving on the board of directors for The Home Care and Hospice
Financial Managers Association (HHFMA); a professional organization bringing together CFOs, CEOs, COOs and other financial positions who are employed by the nation’s
25,000 home care and hospice agencies. She also chairs the Women in Leadership group for HHFMA. She enjoys speaking on various subjects such as mentoring,
leadership and communication.
[3442] Enhancing Communication Skills to Improve Patient, Employee and Referral Source Satisfaction (And Your Bottom Line Too!)
- Speaker
- Combs, Marcylle
- Model
- 3442
$45.00
Ensure Appropriate Setting Selection by Working with Hospital Discharge Planners
[3117] Ensure Appropriate Setting Selection by Working with Hospital Discharge Planners
How to help Discharge Planners make fact based transition of care decisions.
TAHC&H CONFERENCE RECORDING: This program was presented on 08/08/2018 at the Texas Association of Home Care
& Annual Conference in Frisco. It is one of 16 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 8, 2018
TAHC&H Event: TAHC&H Annual Meeting | Frisco
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.5 Clock Hrs
Social Worker
1.5 CEU
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of social work education by the Texas State Board of Social Work Examiners, approved provider #1230.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][8]skills for working with clients, families, and other professional service providers
§558.260[a][9]community resources
§558.260[a][10]marketing
Program Description:Effective hospital discharge planning and transitions of care have real
benefits in improved patient outcomes and lower hospitalization rates. Though the American Medical Association and the
Joint Commission offer recommendations for discharge planning, there is no universal system used within hospitals. Being
able to work with your hospital discharge planners to help them make fact based transition of care decisions, even if it’s
not to your practice setting, may influence the rest of patients’ lives.
Program Learning Outcome:
Learners will actively engage in the learning activity and indicate an intent to change their practice by
utilizing techniques to help discharge planners make fact-based decisions when assisting with transitions of care.
TAHC&H Faculty/Presenter: Cheryl A. Acres RN, CCM, CDP
About the Presenter:
Cheryl Acres has been an RN since 1978, and a certified case manager since 1998.
As of February 2018, she obtained her credentials as a Certified Dementia Practitioner (CDP), and her certification as an Assisted Living Manager (CALM) in Texas.
Clinical practice areas have included acute care and home health care, and case management practice has included group health insurance, home health care, Workers’
Compensation, disability management and consulting, with multiple areas of expertise. She founded her company, Comprehensive Care Management LLC in 2007, in order to
assist seniors and families to develop a care road map, providing education about illness and services for their aging loved ones, and to aid seniors in maintaining their
health, independence, while aging with dignity.
[3117] Ensure Appropriate Setting Selection by Working with Hospital Discharge Planners
- Speaker
- Acres, Cheryl
- Model
- 3117
$45.00
Expand Your Business Line: How to Start a Private Pay Agency
[3431] Expand Your Business Line: How to Start a Private Pay Agency
Hear strategies on how to start a private-pay line of business...
Presentation Info:
TAHC&H Virtual Event | 51st Annual Meeting & Conference | Recorded for On-Demand Access
Presentation Date | August 27, 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
§558.260[a][10]marketing
Program Description: Starting a private-pay business line can be a daunting task if you do not know where to begin.
In this presentation, the learner will be able to identify the various models of private pay revenue and the key elements for a successful private pay line of business.
The learner will hear strategies on how to start a private-pay line of business for their agency, make changes along the way as needed and implement the plan with success.
Program Learning Objective(s): Participants will actively engage in the learning activity and identify steps to
key elements for starting a private-pay business by discussing the 3 types of private pay business models that may be used for expanding their line of
business and the 8 strategies for how to expand their current payor mix to include private pay revenue.
TAHC&H Faculty/Presenter(s): Beverly Sepulveda MBA, BSN, RN, SynerImages Healthcare Consulting
About the Presenter(s):
Beverly Sepulveda is the founder, CEO, and Principle consultant for SynerImages Healthcare Consulting,
a national healthcare and regulatory consulting firm in operation for over 23 years. She holds a Master's in Business Administration and a Bachelor of Science in Nursing.
Her nursing specialization is in quality assurance and accreditation compliance. Ms. Sepulveda's consulting expertise covers a broad array of areas including Home Health Agencies,
Therapy clinics, ORFs, CORFs, Hospitals and the MCO industry. Ms. Sepulveda's company specializes in start-up healthcare business seeking state and federal licensure,
cloud-based policies and procedures, on-going regulatory compliance services and insurance contracting assistance. 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 c
onferences/webinars and other business operations assistance.
[3431] Expand Your Business Line: How to Start a Private Pay Agency
- Speaker
- Sepulveda, Beverly
- Model
- 3431
$45.00
Financial Ops Mgmnt: What Are the Keys to Success in HH Value-Based Purchasing?
[3056] Financial Operations Management: What Are the Keys to Success in Home Health Value-Based Purchasing?
Education-Training Credits:
1.5 Hr(s) HCSSA Administrator/Alternate
Summary: Strategies, tactics, and
operational adjustments for the financial management team.
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
Faculty: Melinda Gaboury
Program Description: While clinical performance is essential for success in
Home Health Value Based Purchasing (HHVBP), a strong partnership with a HHA’s Financial Operations can exponentially improve the
chances of positive achievement. Performance tracking, return on investment analysis, cost efficiency strategies, and prioritization
of actions can help turn clinical success into bottom-line positive outcomes. This program explores the strategies, tactics, and
operational adjustments that the financial management team at an HHA can take in combination with clinical practices that form the
foundation for HHVBP success. This session will:
Identify the standards used to determine what brings the best returns on clinical investments
Recognize best practices for integrating HHVBP clinicians with financial operations
Determine which HHVBP measures your agency should target to achieve the highest overall score
Presentation Date: 08.10.2017
Learning Outcomes(s): Participants will actively engage in the learning activity and
indicate an intent to change or enhance their practice by recognizing how financial decisions impact clinical operations.
About the Presenter:
Melinda Gaboury is co-founder and Chief Executive Officer of
Healthcare Provider Solutions, Inc. (HPS), based in Nashville, TN. Melinda Gaboury and Mark Cannon founded the company in April 2001 to provide
financial, reimbursement, billing and clinical consulting to the home care and hospice industries.
With more than 16 years of executive speaking, educating and most importantly day-to-day experience working
with home care and hospice professionals, Gaboury has been a speaker for multiple state and national home care and hospice associations. She is
actively conducting Basic and Advanced Home Care and Hospice Seminars throughout the country. She is currently serving on the HHFMA Board and
Home Care Association of Florida Board of Directors. Gaboury is also the author of the Home Health Pocket Guide to OASIS-C2: A Reference Guide for Field Staff.
[3056] Financial Operations Management: What Are the Keys to Success in Home Health Value-Based Purchasing?
- Speaker
- Gaboury, Melinda
- Model
- 3056
$45.00
Fraud & Compliance: A Changing World for Hospice
[2432] Fraud & Compliance: A Changing World for Hospice
Summary: Hospice
relationships draw increased focus to prevent fraud.
HCSSA Topic(s) Addressed:
§558.259[d][1]information regarding fraud and abuse detection and prevention
§558.259[d][4]agency responsibilities
§558.260[a][9]community resources
§558.260[a][10]marketing
Faculty: Berliner, Marie
Program Description: Regulations are tightening in the hospice industry
both as a constraint against fraud and as a focus on improved quality of care. As new relationships link hospices together with
entities such as nursing homes, assisted living facilities and accountable care organizations, the compliance focus and
governance of hospices must also adapt. In this program Marie discusses significant hospice fraud cases in the last year
while also presenting Congressional actions and OIG Work Plan initiatives addressing fraud, reimbursement changes,
and reporting practices as they affect fraud enforcement.
Program Objectives: Upon completion of this program, the viewer will be able to:
Discuss perspectives and objectives of Congress, CMS and OIG in implementing hospice quality and cost controls
Explain interplay among OIG reports, Work Plans, and CMS Regulations
Highlight concerns over nursing facility relationships, use of GIP
services, CHC marketing, and duplicate billings
Explain data collection measures and relationship to cost containment
Review lawsuits filed under the False Claims Act by individual citizens and the Department of Justice
Evaluate patterns of behavior common to enforcement actions (aggressive marketing, CHC services, terminal illness criteria and discharge criteria
Explain proposal to give qui tam relators a greater share of recovery.
About the Presenter: Marie Berliner, JD, Senior Counsel at Joy & Young, LLP has been counseling healthcare providers,
including home health agencies, hospices, physicians and hospitals, in all aspects of administrative and regulatory compliance, since 1988.
Her practice focuses on Medicare reimbursement, fraud and abuse, physician self-referrals (“Stark law”), licensure and certification,
and other administrative and regulatory healthcare matters. She has also been a regular speaker (2004-2013) on Medicare issues to TAHC&H, The Texas and New Mexico Hospice
Organization, and the University of Texas’ Annual Health Law Conference, and has presented numerous administrator training seminars to home
health and hospice providers on select federal and state laws.
Ms. Berliner is licensed to practice in Texas as well as Maryland, and the
District of Columbia.
Education-Training Credits:
1.50 Hr(s) HCSSA Administrator/Alternate
[2432] Fraud & Compliance: A Changing World for Hospice
- Speaker
- Berliner, Marie C
- Model
- 2432
$45.00
Fraud, Waste & Abuse
[3458] Fraud, Waste & Abuse
Reviews relevant federal and state laws pertaining to fraud, waste and abuse plus tips for improving agency compliance programs.
Presentation Info:
TAHC&H Virtual Event | Administrator Program | Recorded for On-Demand Access
Presentation Date | November 17, 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][1]information regarding fraud and abuse detection and prevention
§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: Home care and hospice providers face a daunting array of complex laws and regulations, with non-compliance potentially
resulting in a host of criminal charges, civil sanctions and administrative enforcement actions. This program reviews relevant federal and state laws pertaining to fraud, waste and abuse,
recent enforcement activity, and focus on tips for improving agency compliance programs.
TAHC&H Faculty/Presenter(s): Jennifer Papapanagiotou, Partner, LilesParker & Heidi Kocher, J.D., M.B.A., C.H.C., Liles Parker
About the Presenter(s):
Jennifer Papapanagiotou Ms. 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
Heidi Kocher 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 also Certified in Health Care Compliance.
[3458] Fraud, Waste & Abuse
- Speaker
- Papapanagiotou, J & Kocher, H
- Model
- 3458
$45.00
Fraud, Waste & Abuse - Recent Developments and Compliance Tips
[3709] Fraud, Waste & Abuse- Recent Developments and Compliance Tips
A review of relevant federal and state laws pertaining to fraud, waste and abuse, recent enforcement activity, and focus on tips for improving agency compliance programs.
Presentation Info:
TAHC&H Event | HCSSA Administrator Conference | Recorded for On-Demand Access
Presentation Date | November 15, 2022
Program Description: Home care and hospice providers face a daunting array of complex laws and regulations,
with non-compliance potentially resulting in a host of criminal charges, civil sanctions and administrative enforcement actions. This session will review
relevant federal and state laws pertaining to fraud, waste and abuse, recent enforcement activity, and focus on tips for improving agency compliance programs.
HCSSA Topic(s) Addressed:
§558.259[d][1]information regarding fraud and abuse detection and prevention
§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
1.5 Clock Hr(s)
Continuing Education for Nurses
1.5 Contact Hr(s)
This program awards CNE until 11.15.2024
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): Jennifer Papapanagiotou, Esq. Liles Parker PLLC
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.
[3709] Fraud, Waste & Abuse- Recent Developments and Compliance Tips
- Speaker
- Papapanagiotou, Jennifer
- Model
- 3709
$45.00
Fraud, Waste & Abuse | Let’s Talk About Legal Marketing Practices
[3569] Fraud, Waste & Abuse | Let’s Talk About Legal Marketing Practices (Because No One Looks Good in Orange)
Reviews the current state of Federal and Texas state fraud and abuse law governing marketing plus tips for structuring compliant arrangements.
Presentation Info:
TAHC&H Event | HCSSA Administrator Conference | Recorded for On-Demand Access
Presentation Date | November 16, 2021
Program Description: There’s been a rise in investigation, civil litigation and criminal prosecution and of marketing arrangements,
including in the home health and hospice industry sector. This presentation reviews the current state of Federal and Texas state fraud and abuse law governing marketing and
review several example cases. The presenters also present tips for structuring compliant arrangements.
HCSSA Topic(s) Addressed:
§558.259[d][1]information regarding fraud and abuse detection and prevention
§558.259[d][4]agency responsibilities
§558.260[a][3]basic principles of management in a licensed health-related setting
§558.260[a][4]ethics
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.5 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): Heidi Kocher, JD, MBA, CHC, Partner, Liles Parker, PLLC and Jennifer Papapanagiotou, JD, Partner, Liles Parker, PLLC
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 also Certified in Health Care Compliance.
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
[3569] Fraud, Waste & Abuse | Let’s Talk About Legal Marketing Practices (Because No One Looks Good in Orange)
- Speaker
- Papapanagiotou, J & Kocher, H
- Model
- 3569
$45.00
Fraud, Waste and Abuse: Ongoing and Unstoppable
[3139] Fraud, Waste and Abuse: Ongoing and Unstoppable
Understand what is at stake by understanding your responsibilities and legal obligations.
TAHC&H CONFERENCE RECORDING: This program was presented on 11/13/2018 at the Texas Association of Home Care
& Administrator Program in Houston. It is one of 15 presentations captured and produced for online access. Subscribers
receive 24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page.
Presentation Info:
Presentation Date: November 13, 2018
TAHC&H Event: TAHC&H HCSSA Administrator Program | Houston
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][1]information regarding fraud and abuse detection and prevention
§558.259[d][4]agency responsibilities
§558.260[a][4]ethics
Program Description: Federal and state governments have ramped up their efforts to combat fraud, waste and abuse in the
healthcare system. Despite these efforts, providers throughout the nation continue to face enforcement action.
Understand what is at stake, by understanding your responsibilities and legal obligations.
This program helps you become familiar with the...
Anti-kickback Statute
Stark Law
False Claims Act
Program Learning Outcome:
Participants will actively engage in the activity and indicate an intent to change or enhance their practice by ensuring
application of fraud and abuse surveillance within their agency to promote ethical standards of practice.
TAHC&H Faculty/Presenter: Luis J. Acevedo, Acevedo & Edwards, PLLC
About the Presenter:
Luis J. Acevedo has been practicing law since 1993. He has substantial
experience in executive management of large corporations inside and outside the healthcare industry. Mr. Acevedo has a Master’s degree in
Healthcare Law and extensive knowledge of laws and regulations applicable to the healthcare industry, including access, compliance, fraud and
abuse and e-health. As an attorney for multiple business entities and in-house counsel for Atlantis Health Care Group, Inc., he offers impressive
experience in corporate, real estate and business counseling. Mr. Acevedo has used his extensive background to help health care clients resolve internal
conflicts, sales and transactions, and conflicts with government agencies.
[3139] Fraud, Waste and Abuse: Ongoing and Unstoppable
- Speaker
- Acevedo, Luis
- Model
- 3139
$45.00
Get Ready! Changes Ahead for Hospice
[3058] Get Ready! Changes Ahead for Hospice
Education-Training Credits:
1.5 Hr(s) HCSSA Administrator/Alternate
Summary: 2018 Hospice Changes
HCSSA Topic(s) Addressed:
§558.260[a][2]development and interpretation of agency policies
§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
Faculty: Sherri Foster and Carolyn Williams
Program Description: The fiscal year 2018 Hospice Proposed Final
Rule will become effective October 1, 2017. In this session, the speakers will talk about Hospice Quality Reporting Program (HQRP),
changes to the hospice wage index and payment rate, aggregate cap amount, new Hospice Consumer Assessment of Healthcare
Providers and Systems (CAHPS®) measures, the launch of Hospice Compare, CASPER reports and the Hospice Evaluation and Assessment Reporting Tool (HEART).
In conjunction, speakers will tie in how clinical behaviors affect each of these changes.
Presentation Date: 08.10.2017
Learning Outcomes(s): Participants will actively engage in the learning activity and
indicate an intent to change or enhance their practice by identifying how clinical behaviors affect changes in financial and quality reporting measures.
About the Presenter:
Sherri Foster, RN has worked in the home health
and hospice industry, in patient care, management and consulting rolls for 20 years. Her primary role is a legal nurse consultant
with Brooks Acevedo, Attorneys at Law, working with Hospice providers on regulatory and billing compliance issues. Her previous
experience as a hospice administrator allows her unique insights into helping hospice providers in all aspects of ADR and ZPIC
preparation as well as comprehensive regulatory and billing compliance.
About the Presenter:
Carolyn Williams has a clinical background in
home health and hospice regulatory and billing compliance. Ms. Williams began her career as a home health registered nurse in
1997 as a field RN. Later, she served as a case manager, Director of Patient Care and served many years’ as a former home health
agency executive. Ms. Williams holds Board Certifications in Healthcare Compliance and Home Care Clinical Specialist - OASIS, and
is a Certified HIPAA Professional. Ms. Williams also brings experience as a former Medicare and Hospice Regulatory Specialist at
the Texas Association for Home Care and Hospice.
[3058] Get Ready! Changes Ahead for Hospice
- Speaker
- Foster, S & Williams, C
- Model
- 3058
$45.00
High Tech Pediatrics at Home - It is More Than ABC's
[2181] High Tech Pediatrics at Home - It is More Than ABC's Summary: This program addresses key issues in delivery of compliant and competent pediatric services to medically fragile children. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][2]development and interpretation of agency policies §558.260[a][6]risk assessment and management §558.260[a][8]skills for working with clients, families, and other professional service providers Faculty: Smith, Ellie Program Description: With changes to Medicare, increased fraud scrutiny and desire for increased revenue streams, agencies look to pediatric programs to diversify. Technology is certainly making management of children with Tracheostomies, Ventilator dependence and other complex needs easier, and reimbursement for PDN looks attractive, but liability, regulatory requirements, staff competency, documentation, and care management are necessary at more than basic levels to meet quality of care and safety needs of these medically complex children. This program addresses key issues in delivery of compliant and competent pediatric services to medically fragile children. What are the high risk skills? How do you determine competency? Who are qualified staff? What are key clinical skills to manage trach and vent dependent children at home? What are documentation challenges to address? What is enough supervision for safe delivery of care? How can positive outcomes be best achieved? Would "minimum standards" be enough for your child? Program Objectives: Upon completion of this program, the viewer will be able to: Identify three methods of determining nursing competence. Evaluate the reference for Home and Community Support Services Agencies (HCSSA) minimum standards for licensure relating to staff. Analyze three key elements of a compliant pediatric tracheostomy and ventilator competency program. Identify three areas of high risk in providing pediatric tracheostomy and ventilator care. Demonstrate pediatric nursing ventilator essential skills and competency. Describe three key behaviors to observe during Registered Nurse (RN) supervisory and reassessment visits to children with tracheostomies. Evaluate challenges to implementation of a pediatric ventilator competency program. About the Presenter: Ellie Smith, RN, BSN, LMSW, Owner of Options Home Care Solutions, is an experienced consultant and educator in pediatric nursing clinical skills and home care practice. Over the past 30+ years she has been a part of creating and evaluating pediatric home care programs across the southwest. Her years of experience as a pediatric intensive care and home care clinical educator, home care manager, and consultant provide a rich foundation for her information filled presentations. Ms. Smith has developed and published the Pediatric Skilled Nursing Procedures Manual for Home Health and many other well received tools for successful documentation, clinical competency and quality driven pediatric home care practice. Education-Training Credits: 1.50 Hr(s) HCSSA Administrator/Alternate [2181] High Tech Pediatrics at Home - It is More Than ABC's
- Speaker
- Smith, Ellie
- Model
- 2181
$45.00
HIPAA Compliance - Minimizing Your Risk
[2973] HIPAA Compliance - Minimizing Your Risk
Education-Training Credits:
1.5 Hr(s) HCSSA Administrator/Alternate
Summary:Learn to be HIPAA compliant and
minimize your agency’s risk and potential liability.
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
Faculty:Acevedo, Luis
Program Description:
Achieving compliance with HIPAA’s Privacy and Security Rules continues to prove an overwhelming
task for home health and hospice administrators. The recent initiation of compliance audits has
most providers on the edge and running for the hills! Are you ready for an audit? Is policy
development, employee training and technical oversight enough? Learn to be compliant and
minimize your agency’s risk and potential liability. Presentation Date: 11.15.2016
Learning Outcomes(s): Participants will actively engage in the learning activity and indicate
an intent to change their practice by adhering to the HIPAA Privacy Rule, Security Rule, and Breach
Notification Audit Program in an effort to protect patient privacy.
About the Presenter:
Luis Acevedo, Esq. with Brooks Acevedo Attorneys at Law,
has substantial experience in executive management of large healthcare corporations, as well as extensive knowledge of Health Law including
licensing, access, regulation, compliance, Stark Law, anti-kickback and e-health. He offers impressive experience in
healthcare transactions, corporate and business counseling. Mr. Acevedo has used his extensive background to help health care
clients with sales and transactions, to resolve internal conflicts, as well as conflicts with government agencies.
[2973] HIPAA Compliance - Minimizing Your Risk
- Speaker
- Acevedo, Luis
- Model
- 2973
$45.00
Hospice Care Index – Are your Index Values Reflecting the Care that You Provide?
[3685] Hospice Care Index – Are your Index Values Reflecting the Care that You Provide?
Do you know your number and what it means for you?
Presentation Info:
TAHC&H 53rd Annual Meeting | Round Rock | Rich-Media Capture | On-Line, On-Demand Access
Presentation Date | August 31, 2022
Program Description: The Hospice Care Index was added to hospice quality reporting in the fall of 2021 and is
a big move by CMS to claims-based quality measurement in hospice. Now that the HCI is available in agency data and public reporting, hospices must get to
know the background of this new quality reporting measure, what the components of this rating scale are, and the potential impact for you and your agency.
Do you know your number and what it means for you?
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
1.5 Clock Hr(s)
Continuing Education for Nurses
1.5 Contact Hr(s)
This program awards CNE until 08.31.2024
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): Colleen Bryan, MSNed, RN, Senior Consultant, Primary Nurse Planner; JCC Consulting
About the Presenter(s):
Colleen Bryan has worked in the home care industry since 1996, holding various positions in both home health &
hospice agencies including field nurse, case manager, educator, QA manager, DON and Administrator. Colleen is currently a senior consultant and lead educator with JCC Consulting,
and services home health and hospice agencies in Texas.
Colleen enjoys helping agency leaders navigate the constant changes and challenges in the current home health and hospice industries. She enjoys assisting in the incorporation
of meaningful and impactful changes into their agency’s operations – both administrative and clinical, in order to provide high quality care that is both sustainable while
maintaining regulatory requirements and promoting excellent patient care.
[3685] Hospice Care Index – Are your Index Values Reflecting the Care that You Provide?
- Speaker
- Woods, Colleen
- Model
- 3685
$45.00
Hospice Clinical Documentation: Painting the Picture for Payment
[PGM2170] Hospice Clinical Documentation: Painting the Picture for Payment Summary: A focus on proper documentation for hospice. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][2]development and interpretation of agency policies §558.260[a][5]quality improvement Faculty: Markland, Susan Program Description: Documentation is crucial to a hospice agency’s success. How does one paint the picture, but not the house? Complete and concise documentation provides smooth, accurate and timely payment to your hospice agency. This program presents and discusses documentation standards including an overview of International Classification of Functioning, Disability and Health (ICF), for each discipline, enabling viewers to comply with the documentation standards and presents an overall picture of documentation for ease in reimbursement for the hospice client. Program Objectives: Upon completion of this program, the viewer will be able to: List the 5 rights that are guiding principles of the Medicare Coverage Policy. Analyze documentation concepts that "Go Beyond the Diagnosis" to clearly support the patient’s decline in structure and function. Discuss the Palliative Performance Scale (PPS). About the Presenter: Susan Markland, RN, BSN is currently the Regional Director of Clinical Services for Scott and White Home Care and Hospice. Susan has 20+ years nursing experience with 12 years’ experience in Hospice Administration. More recently she has entered the Home Health and PAS arenas as well. She is a passionate advocate for quality patient care and a leader in demonstrating Home Care services can be profitable even within the not for profit organizations. Susan serves on the Board of Directors at TAHC&H, is a member of the Education Committee and a member of the Hospice Committee. Having survived the teenage years of 6 daughters, she faces Health Care reform with calm, humor, and a resolve to not become entrenched in the drama. Education-Training Credits: 1.50 Hr(s) HCSSA Administrator/Alternate [PGM2170] Hospice Clinical Documentation: Painting the Picture for Payment
- Speaker
- Markland, Susan
- Model
- 2170
$45.00
HOSPICE Election Statement & Addendum + Hospice Quality Reporting Program Updates
[3470] Changes Ahead: HOSPICE Election Statement and Addendum Plus Hospice Quality Reporting Program Updates
Get a better handle on the new hospice requirements.
Presentation Info:
TAHC&H Virtual Event | Administrator Program | Recorded for On-Demand Access
Presentation Date | November 19, 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
§558.260[a][5]quality improvement
Program Description: This program covers hot topics including the recently modified Hospice Election Statement/Addendum Requirements,
key developments in the Hospice Quality Reporting Program (HQRP) and new developments with the Hospice PEPPER. After viewing you will walk away with a better handle on the new requirements, including
understanding the common misperceptions and gaps in application, as well as tips and strategies to implement for compliance and plan for success.
TAHC&H Faculty/Presenter(s): Katie Wehri | Director, Home Care & Hospice Regulatory Affairs
National Association for Home Care & Hospice
About the Presenter(s):
Katie Wehri has 25+ years in the hospice, home health, private duty and palliative care industries
holding various executive level positions in these arenas. She has extensive experience in operations, healthcare regulation and accreditation standards interpretation and compliance,
quality assessment and performance improvement programming and compliance programs. She has worked for hospices and home health agencies in a variety of settings including multiple
locations in multiple states, hospice inpatient unit, pediatric hospice and adult and pediatric palliative care. She also has experience in opening and expanding sites for hospice
and home health organizations. Katie is educated in health care administration with a bachelor’s degree from Bowling Green State University in Ohio.
She is currently the Director, Home Care & Hospice Regulatory Affairs for NAHC.
[3470] Changes Ahead: HOSPICE Election Statement and Addendum Plus Hospice Quality Reporting Program Updates
- Speaker
- Wehri, Katie
- Model
- 3470
$45.00
Hospice Quality Reporting and Customer Service…Yes there IS a Connection!
[3441] Hospice Quality Reporting and Customer Service…Yes there IS a Connection!
A brief overview of these regulatory requirements and demonstration of exceptional
customer service behaviors that hospice staff can use in daily practice.
Presentation Info:
TAHC&H Virtual Event | 51st Annual Meeting & Conference | Recorded for On-Demand Access
Presentation Date | September 1, 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
§558.260[a][5]quality improvement
§558.260[a][8]skills for working with clients, families, and other professional service providers
Program Description: With the implementation of Hospice Quality Reporting Measures and the CAHPS Hospice Survey,
hospice staff and managers must understand the impact of their daily interactions with patients/families and how they may directly influence public
reporting measures (and future star ratings). This presentation provides a brief overview of these regulatory requirements and engages the participants
in exploring each of the questions and the direct impact that staff interaction may have on HIS and CAHPS Hospice Survey responses. This presentation utilizes
case scenarios and group discussion to demonstrate exceptional customer service behaviors that hospice staff can use in daily practice to improve in these measures.
TAHC&H Faculty/Presenter(s): Kimberly Skakhan, RN, MSN, Director of Compliance, Regulatory and Quality,
Simione Healthcare LLC | Melynda Lee, Director of Growth Solutions, Simione Healthcare Consultants, LLC
About the Presenter(s):
Kimberly Skakhan is Director of Compliance, Regulatory & Quality at Simione Healthcare
Consultants with more than 30 years of clinical, management and consulting experience in home health and hospice. Kim is nationally recognized and highly respected by
state, federal and industry leaders. She has acted as a liaison to state and federal regulatory agencies and legislators to facilitate collaboration regarding issues
affecting the home care and hospice industry. Kim currently serves as a member of the Regulatory Committee of the National Hospice & Palliative Care Organization (NHPCO)
and the Education Committee for the National Association for Home Care and Hospice. She is also a member of the Connecticut Association for Healthcare at Home Kim is a
certified consultant by the Accreditation Commission for Health Care(ACHC) for home health, hospice and private duty care. An AHCC-accredited home care coding specialist
and certified OASIS reviewer(COS-C), Kim earned her B.S. degree in nursing from Southern Connecticut State University, and her M.S. degree in nursing administration from
the University of Connecticut (UCONN), where she has also served as adjunct faculty for the School of Nursing.
About the Presenter(s):
Melynda Lee, a member of the Simione team since 2016, is an expert in home care and hospice sales,
marketing and referral management, communications, public relations, administration and strategic planning. Melynda previously served as a home health and
hospice leader in Florida and Georgia for 8 years, and is a former board member and education committee member for the Georgia Hospice and Palliative Organization.
She is a co-founder of the Greater Atlanta Hospice-Veteran Partnership. She is an expert trainer of home care and hospice professionals, and speaker at state and
national association conferences. The recipient of a Digital Marketing Certificate from Cornell University, Melynda excels n assessment of marketing and
communications programs, brand and marketing communications, and client assistance to measure and improve competitive strategies for growth. She is also a
True Colors®Certified Facilitator, helping individuals and teams identify their leadershipstyles to maximize performance, and holds a certificate in
Instructional Design. Melynda earned a BFA in advertising design from University of North Florida, and an MBA from Webster University. She completed the
Management Development Program at Northwestern University, Kellogg School of Management, and the Executive Development Program of the American College of
Healthcare Executives.
[3441] Hospice Quality Reporting and Customer Service…Yes there IS a Connection!
- Speaker
- Skakhan, Kimberly | Lee, Melynda
- Model
- 3441
$45.00
Hospice Regulatory Compliance: Certifications of Terminal Illness/Election/Comprehensive Assess
[3283] Hospice Regulatory Compliance: Certifications of Terminal Illness/Election/Comprehensive Assessment
These items are part of every medical review and there is a new focus on them during Medicare surveys.
TAHC&H CONFERENCE RECORDING: This program was presented on 08/28/2019 at the Texas Association of Home Care & Hospice 50th
Annual Meeting in Grapevine. It is one of 17 presentations captured and produced for online access. Subscribers receive 24/7 on-demand access from
both home and office during the subscription period shown at the bottom of this page.
Presentation Info:
Presentation Date: August 28, 2019
TAHC&H Event: TAHC&H Annual Meeting | Grapevine
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.5 Clock Hr(s)
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: Regulatory Compliance is of grave concern always, but especially during times of
heightened scrutiny by medical reviewers. CMS’ has stated concerns about the sources of clinical information for hospice certifications of terminal
illness (CTI) and other recent reminders from CMS emphasizes the importance of compliance with CTI and Medicare election statement requirements. These
items will be part of every medical review and there is a new focus on them during Medicare surveys. The comprehensive assessment of the patient is
the ground work for the care to be provided and requires additional attention by most agencies. This program delves deep into the requirements for
the CTI, Medicare election statement and comprehensive assessment and their impact on operations. It also covers other regulatory and billing necessities
such as the plan of care, Notice of Election (NOE), and current medical review topics.
Program Learning Outcome: Participants will actively engage in the learning activity and indicate an
intent to change their practice by implementing best practices in the comprehensive assessment of the terminal patient to contribute to optimal patient outcomes.
TAHC&H Faculty/Presenter: Melinda A. Gaboury, COS-C, CEO, Healthcare Provider Solutions, Inc.
About the Presenter:
Melinda A. Gaboury with more than 27 years in home care, has over 17 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 PPS training,
billing, collections, case-mix calculations, chart reviews and due diligence. ZPIC, 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 as ex-officio and is Associate Director on the Home Care
Association of Florida Board of Directors. Melinda is also the author of the Home Health Pocket Guide to OASIS-C2: A Reference for Field Staff.
[3283] Hospice Regulatory Compliance: Certifications of Terminal Illness/Election/Comprehensive Assessment
- Speaker
- Gaboury, Melinda
- Model
- 3283
$45.00
How to Get Something Out of Your Financial Statements - Other Than A Headache
[2470] How To Get Something Out of Your Financial Statements (other than a headache)
Summary: Dexter explores financial statements and shows you how to get more from them than just kindling.
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: Braff, Dexter
Program Description: Every month...ok, maybe, maybe not...you
get financial statements. They look impressive – lots of columns, numbers, and ledger accounts, perhaps even a profit.
Unfortunately, as billing systems capture more and more data, financial statements
have gotten so dense and unwieldy that the information you need – and the insight you can get – is beyond the reach of
practically anyone without CPA in their title. Dexter explores financial statements and shows you how to get more from them than just kindling.
Program Objectives: Upon completion of this program, the viewer will be able to:
Identify the key components of a financial statement
Evaluate the most important areas of the financial statement to focus on
Discuss how financial statements can misrepresent the “true” performance
About the Presenter:
Dexter Braff has more than 20 years experience
in health care mergers and acquisitions. Prior to forming The braff group, he was an associate and senior appraiser with Telesis
Mergers & Acquisitions. He also served as regional Director of Finance for Foster Medical Corporation. Dexter has written numerous
feature articles on mergers and acquisitions and finance and has authored the chapter on Home Health Care Valuation in the Handbook
of Business Valuation published by John Wiley & Sons. Additionally, Dexter is a frequent speaker at major industry conferences and
state association meetings. Dexter holds an MBA from the University of Pittsburgh and received the Vincent W. Lanfear Award for
academic achievement, a Masters of Science from the University of Oregon, and a Bachelor of Arts from Cornell University.
Education-Training Credits:
1.50 Hr(s) HCSSA Administrator/Alternate
[2470] How To Get Something Out of Your Financial Statements (other than a headache)
$45.00
Implementation Strategies for RCD in the New World of PDGM
[3370] Implementation Strategies for RCD in the New World of PDGM
Learn from the presenters experience with RCD and ensure your success.
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
§558.260[a][6]risk assessment and management
Program Description: With the implementation of RCD March 2nd, providers in Texas must be able to adapt quickly
and move from implementing PDGM in January to implementing RCD in March. Illinois and Ohio have gone before us and have valuable experience to share with
Texas agencies. This presentation features Executive Director, Sara Ratcliffe, from the Illinois Homecare and Hospice Council, who has been on the front
line of advocacy with CMS and Palmetto GBA, who will discuss their ongoing advocacy and problem solving around RCD along with
Cheryl Adams, RN, BSN, MBA, Administrator, At-Home HealthCare of Sparta Community Hospital, who will share her agency’s techniques that have helped her to
achieve a better than 100% affirmation rate. Learn from their experience and ensure your success.
TAHC&H Faculty/Presenters: Cheryl Adams, RN, BSN, MBA, Administrator, At-Home HealthCare of Sparta Community Hospital; Sara Ratcliffe, Executive Director, Illinois Home Care & Hospice Council
About the Presenters:
Cheryl Adams RN, BSN, MBA with 40 years of clinical nursing and healthcare executive experience. Cheryl has been the
administrator of At-Home Health Care of Sparta Community Hospital since its inception in 1996. Cheryl is responsible for developing, implementing and sustaining the business plan for the
hospital based home health agency known as At-Home Health Care. The agency under her direction has a history of multiple deficiency free surveys, a reduction in acute care hospitalization
rate, improved patient satisfaction and implementation of a telehealth program. Cheryl is credentialed as a Home Health ICD-10 Coder and OASIS Specialist. Cheryl is committed to having a
voice for the home care industry and the people that are served. She feels it is important that leaders of home care ensure access to care but also quality of care to those we serve all
while staying compliant with rules and regulations of home health. With the implementation of the pilot program of Pre-claim Review in IL, Cheryl has succeeded in achieving a 100% affirmation
rate through the education and implementation of processes to ensure accurate, complete documentation.
Sara Ratcliffe serves as executive director of the Illinois HomeCare & Hospice Council (IHHC) working with its Board and our team to deliver
exceptional member services, quality educational opportunities, industry leadership and advocacy on public policy issues. Sara has successfully lobbied Congress and the Centers for Medicare
and Medicaid Services to benefit the IHHC membership. She has expertise in large group processes and thrives on coalition building, creative solutions and working toward consensus. A one-time
high school art teacher, Sara earned a BFA in Art History from the University of Illinois, Urbana-Champaign. Sara serves as the Treasurer of the Central Illinois Foodbank and is a member of
the Community Foundation for the Land of Lincoln Young Philanthropists.
[3370] Implementation Strategies for RCD in the New World of PDGM
- Speaker
- Adams, Cheryl + Ratcliffe, Sara
- Model
- 3370
$45.00
