Sepulveda, Beverly

Displaying 1 to 6 (of 6 products)
Clearing the Path to Pediatric Reimbursement

[3444] Clearing the Path to Pediatric Reimbursement
Hear strategies on how to avoid claims recoupment from clinical record audits to improve audit outcomes from pediatric payors. Presentation Info: TAHC&H Virtual Event | 51st Annual Meeting & Conference | Recorded for On-Demand Access Presentation Date | September 3, 2020 Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.25 Clock Hr(s) CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations. 1 HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][3]basic principles of management in a licensed health-related setting §558.260[a][5]quality improvement §558.260[a][7]financial management Program Description: All too often professional staff submit a Plan of Care (POC) anticipating Payor approval, yet later hear their POC was denied due to missing payor specific documentation requirements. In this presentation, Beverly Sepulveda will highlight the specific documentation you will need to decrease your denials and improve payor approval. This will include critical elements that must be included in the Plan of Care, treatment notes and telehealth notes. Hear strategies on how to avoid claims recoupment from clinical record audits to improve audit outcomes from pediatric payors. 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 conferences/webinars and other business operations assistance. [3444] Clearing the Path to Pediatric Reimbursement

Speaker
Sepulveda, Beverly
Model
3444

$37.50

1.25 Hrs
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

1.5 Hrs
Managed Care Contracting-The Good, The Bad, The Ugly

[3746] Managed Care Contracting-The Good, The Bad, The Ugly
Learn important steps for successful insurance contracting and much more! Presentation Info: TAHC&H Event | Winter Conference | Recorded for On-Demand Access Presentation Date | February 9, 2023 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][7]financial management §558.260[a][9]community resources Program Description: In this presentation you will learn important steps for successful insurance contracting, how to access your payor market for open or closed networks, how to request patient authorization while still in credentialing, request rate increases and much more vital information. TAHC&H Faculty/Presenter(s): Beverly Sepulveda, MBA, BSN, RN, CEO, Founder, Principle Consultant, 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. 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. [3746] Managed Care Contracting-The Good, The Bad, The Ugly

Speaker
Sepulveda, Beverly
Model
3746

$30.00

1.0 Hr
Pediatric QAPI Compliance - How to Avoid Costly QAPI Fines by Collecting Relevant Pediatric Da

[3749] Pediatric QAPI Compliance - How to Avoid Costly QAPI Fines by Collecting Relevant Pediatric Data
l\Learn the required elements for QAPI documentation, recommendations for pediatric data collection and how to confirm all performance monitoring is being implemented Presentation Info: TAHC&H Event | Winter Conference | Recorded for On-Demand Access Presentation Date | February 9, 2023 Program Description: In this presentation you will learn the required elements for QAPI documentation, recommendations for pediatric data collection and how to confirm all performance monitoring is being implemented. Learn how to document identified areas for performance improvement and write a plan for correction. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][3]basic principles of management in a licensed health-related setting §558.260[a][5]quality improvement Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hr(s) Continuing Education for Nurses 1.0 Contact Hr(s) This program awards CNE until 02.09.2025 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): Beverly Sepulveda, MBA, BSN, RN, CEO, Founder, Principle Consultant, 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. 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. [3749] Pediatric QAPI Compliance - How to Avoid Costly QAPI Fines by Collecting Relevant Pediatric Data

Speaker
Sepulveda, Beverly
Model
3749

$30.00

1.0 Hr
Testing Your Emergency Preparedness Plan

[3297] Testing Your Emergency Preparedness Plan
Best practices for testing your EP plan. TAHC&H CONFERENCE RECORDING: This program was presented on 10/09/2019 at the Texas Association of Home Care & Hospice Fall Conference in Grapevine. It is one of 4 presentations captured and produced for online access. Subscribers receive 24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page. Presentation Info: Presentation Date: October 9, 2019 TAHC&H Event: TAHC&H Fall Conference | Grapevine Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.25 Clock Hr(s) CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations. HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.259[d][6]emergency preparedness planning and implementation §97.260[a][3]basic principles of management in a licensed health-related setting §97.260[a][6]risk assessment and management Program Description:This presentation discusses the staff training requirements for both orientation and annual training, how to collaborate with local, state, and federal agencies, illustrate the differences between the tabletop, functional, and full-scale test exercises, and review best practices in documentation. Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change or enhance their practice by applying methods learned related to implementing realistic and effective disaster drills at their agency in compliance with state and federal rules. TAHC&H Faculty/Presenters: Beverly Sepulveda, BSN, RN, MBA, CEO, SynerImages Healthcare Consulting LLC About the Presenters:
Beverly Sepulveda is the founder, CEO, and Principle consultant for SynerImages Healthcare Consulting, a national healthcare and regulatory consulting firm in operation for over 23 years. She holds a Master's in Business Administration and a Bachelor of Science in Nursing. Her nursing specialization is in quality assurance and accreditation compliance. Ms. Sepulveda's consulting expertise covers a broad array of areas including Home Health Agencies, Therapy clinics, ORFs, CORFs, Hospitals and the MCO industry. Ms. Sepulveda's company specializes in start-up healthcare business seeking state and federal licensure, cloud-based policies and procedures, on-going regulatory compliance services and insurance contracting assistance. Prior to her working for SynerImages, Ms. Sepulveda was the Executive Director for PCA Health plans of Texas [later purchased by Humana] and held senior management positions with Aetna, CIGNA, and MetLife insurance companies. Her medical experience was at St. David's Hospital, Bellaire Hospital, Critical Care of America Home Health, North American Medical Management and Princeton Medical Management services. SynerImages is a Texas-based healthcare consulting firm with offices in Houston and South Texas. In addition to offering home health startup and compliance services, her firm also facilitates other business needs such coordinating medical equipment inspections, application management services, educational conferences/webinars and other business operations assistance. [3297] Testing Your Emergency Preparedness Plan

Speaker
Sepulveda, Beverly
Model
3297

$37.50

1.25 Hrs
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

1.0 Hr
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