Sepulveda, Beverly
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
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
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
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)
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): 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
