Spears, Jan
Bonafide Ways to Improve Cash Flow & Cash Maintenance
[2603] SHOW ME THE MONEY!! Bonafide Ways to Improve Cash Flow and Cash Maintenance
Education-Training Credits:
1.50 Hr(s) HCSSA Administrator/Alternate
Summary: A cash receipt plan to help keep cash in the bank.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][3]basic principles of management in a licensed health-related setting
§558.260[a][7]financial management
Faculty: Spears, Jan
Program Description: Home care and hospice revenues are becoming more and more
difficult to obtain and nearly impossible to keep in today’s atmosphere of non-traditional Medicare with the scrutiny of government
contractors in post payment reviews. This Program explores several key components of a cash receipts plan that will help the agency improve
its conversion of receivables to real “cash in bank.” Surrounding the agency with a robust and timely billing and collections process, while
incorporating key compliance steps, will assist the agency in maintaining its cash in post payment audits. This program also offers processes that
can be implemented to reduce the risk of denials, overpayments or suspension of payments.
Measuring revenue cycle performance over time will prove the worth of developing a comprehensive revenue management program
into home health or hospice operations. Presentation Date: 8.21.2014
Program Objectives: Upon completion of this program, the viewer will be able to:
Identify three typical threats to revenue cycle performance.
Recall two measures to improve the timely conversion of receivables to cash.
Identify three steps to incorporate clinical triggers into the revenue management plan.
About the Presenter:
Jan Spears is Co-owner and Chief Executive Officer of MJS & Associates, LLC.
She has more than 30 years’ experience in the health care field. Ms. Spears has owned and operated a multimillion dollar home health care company as well as consulted
for over 300 homecare providers in 25 states. As a full time consultant for the past 15 years she has successfully merged clinical and financial strategies into
successful operational plans for numerous providers nationwide. She serves as a Medicare coverage expert for health care facilities who are undergoing audits by
federal contractors through all levels of appeals. Jan has also authored several publications including Home Health Agency—Policies and Procedures, “Care Guides
for Home Health Practice under PPS”. She heads a team of more than 25 consultants at MJS & Associates, LLC.
[2603] SHOW ME THE MONEY!! Bonafide Ways to Improve Cash Flow and Cash Maintenance
- Speaker
- Spears, Jan
- Model
- 2603
$45.00
Clinical Documentation Improvement (CDI) - Implementation for Home Health & Hospice
[3745] Clinical Documentation Improvement (CDI) - Implementation for Home Health & Hospice
Describes the process for setting up a CDI in your agency to improve multiple aspects of your agency's operation.
Presentation Info:
TAHC&H Event | Winter Conference | Recorded for On-Demand Access
Presentation Date | February 9, 2023
Program Description: CDI is rapidly making its way into the home health and hospice industry! The onslaught of medical reviews resulting in denial of
payment, significant overpayments, and even suspension of payments has pointed out one clear fact - a Clinical Documentation Improvement Program is tantamount to survival. The name is new;
the process is not. Agencies have been doing many pieces of CDI for years but have failed to formalize it into a robust CDI Program. Improving documentation to support skilled need,
coding, outcomes, quality initiatives, reimbursement is ongoing and is distributed among many roles in the office. But the time to formalize the program is NOW!
This presentation describes the process for setting up a CDI in your agency with the purpose being to improve patient outcomes, prevent denials, maintain survey readiness, improve the
integrity of documentation and coding process to ensure accurate reimbursement, protect the agency from liability and claims errors, improve Agency Star Ratings,
Value Based Purchasing Outcomes, and CAHPS while maintaining peace of mind in the agency's overall operation. CDI can be a part of the QAPI program, but
CDI goes beyond the QAPI program involving metrics, financials and operations in addition to clinical functions tracked in QAPI.
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 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): M Jan Spears, CPCO, MJS & Associates, LLC
About the Presenter(s):
Jan Spears is Co-owner and Chief Executive Officer of MJS & Associates, LLC. She has more than 35 years’ experience in
health care administration and regulatory and reimbursement areas of practice. Ms. Spears has owned and operated a multimillion dollar home health care company as well as consulted for more
than 300 homecare providers in 25 states in the past 20 years. Ms. Spears has successfully merged clinical and financial strategies into successful operational plans for numerous
providers nationwide. She serves as a Medicare coverage expert for health care facilities who are undergoing audits by federal contractors through all levels of appeals. Since
2015, Spears has also provided testimony as a Medicare reimbursement and billing expert at criminal trials for physicians, home health and other provider types involved in
Medicare fraud litigation, including the largest physician fraud case in U.S. history. She has authored several publications including most recently the development of
process and forms for complying with upcoming pre-claim review initiatives. Always the advocate for home health and hospice and as a certified educator in the state,
Spears is a frequent guest speaker at stakeholder association meetings in Texas and surrounding states where she provides practical guidance to people in the
trenches of the health care.
[3745] Clinical Documentation Improvement (CDI) - Implementation for Home Health & Hospice
- Speaker
- Spears, Jan
- Model
- 3745
$45.00
Contracting with MCOs: Benefit vs. Pitfalls
[2974] Contracting with MCOs: Benefit vs, Pitfalls
Education-Training Credits:
1.0 Hr(s) HCSSA Administrator/Alternate
Summary:The pros and cons of working with MCOs in and out of network.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][3]basic principles of management in a licensed health-related setting
§558.260[a][7]financial management
Faculty:Spears, Jan
Program Description:
This program presents the pros and cons of working with MCOs in and out of network. As
traditional payor sources implement payment reductions, new payment models or move exclusively
to Managed Care, home health agencies are once again looking at the best way to work within the
Managed Care arena. Some MCOs can pick and choose their provider networks based upon
geographical area, STARs reporting, and pricing models. Medicaid MCOs typically offer below
market value contracts. Although the MCO must follow the home health rules, the payer can
establish additional requirements such as prior authorization, timeframes for physician signatures,
etc. that can be more stringent than the traditional counterpart. The avenues for appeals are
cumbersome and often leave the provider “holding the bag.”
Learn how to package your agency for
quality, cost and satisfaction in advance of seeking contracts with the MCOs in your area. Delivering
care in accordance with MCO requirements requires process modifcation for order development,
authorization management and billing. In addition, the presenter touches on best practice processes to improve
coverage and reduce days outstanding on your claims. Presentation Date: 11.15.2016
Learning Outcomes(s): Participants will actively engage in the activity and
indicate an intent to change or enhance their practice by delivering care in accordance
with Managed Care Organization (MCO) requirements while incorporating best documentation practices in order
to ensure coverage and reduce days outstanding on agency claims.
About the Presenter:
Jan Spears is Co-owner and Chief Executive Officer of MJS & Associates.
She has more than 30 years’ experience in the health care field. Ms. Spears has owned and operated a multimillion dollar home health care company as
well as consulted for over 300 homecare providers in 25 states. As a full time consultant for the past 15 years, Ms. Spears has successfully merged
clinical and financial strategies into successful operational plans for numerous providers nationwide. Jan serves as a Medicare coverage expert for
health care facilities who are undergoing audits by federal contractors through all levels of appeals. She has authored several publications and heads
a team of more than 25 consultants at MJS & Associates.
[2974] Contracting with MCOs: Benefit vs, Pitfalls
- Speaker
- Spears, Jan
- Model
- 2974
$30.00
Marketing in Healthcare – Put Your BEST Foot Forward Without Breaking the Law or Bank!
[3138] Marketing in a Healthcare Environment – Putting Your BEST Foot Forward Without Breaking the Law or the Bank!
For the administrator who needs to grow the business in a heavily regulated, highly competitive marketplace.
Presentation Info:
Presentation Date: November 13, 2018
TAHC&H Event: TAHC&H HCSSA Administrator Program | Houston
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.5 Clock Hrs
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][3]basic principles of management in a licensed health-related setting
§558.260[a][10]marketing
Program Description: Marketing in healthcare is an increasingly complex and dangerous endeavor.
Laws and regulations fail to provide clear guidance as to what the agency can and can’t do as it relates to hiring and training a sales force,
developing sales and promotion campaigns using electronic media, participating on community health fairs, and most importantly, making contact
with the right people, and competing against the big guys! The best ideas in the real-world sales environment often fail to meet the requirements
of the federal and state anti-solicitation laws, safe harbor requirements in the Anti-Kickback Statute, STARK rules, or the Gifts to Beneficiaries
limitations, and competitors are only too happy to report any perceived violations to government investigators who will take it seriously!
This presentation is designed for the administrator who needs to grow the business in a heavily regulated, highly competitive
marketplace while protecting the pocketbook from costly endeavors. Jan will review the regulatory restrictions that impose limitations on the provider,
BUT she will also introduce you to 9 successful marketing strategies that are economical, investigator friendly, and owner appreciated.
Program Learning Outcome:
Participants will actively engage in the learning activity and indicate an intent to change or enhance their practice by implementing
marketing practices in compliance with state and federal regulations.
TAHC&H Faculty/Presenter: Jan Spears, CEO, MJS & Associates, LLC
About the Presenter:
Jan Spears is Co-owner and Chief Executive Officer of MJS & Associates, LLC.
She has more than 30 years’ experience in the health care field. Ms. Spears has owned and operated a multimillion dollar home health care company as
well as consulted for over 300 homecare providers in 25 states. As a full time consultant for the past 15 years, Ms. Spears has successfully merged
clinical and financial strategies into successful operational plans for numerous providers nationwide. Jan serves as a Medicare coverage expert for
health care facilities who are undergoing audits by federal contractors through all levels of appeals. She has authored several publications and heads
a team of more than 25 consultants at MJS & Associates, LLC.
[3138] Marketing in a Healthcare Environment – Putting Your BEST Foot Forward Without Breaking the Law or the Bank!
- Speaker
- Spears, Jan
- Model
- 3138
$45.00
Marketing in Healthcare: The Can You and Can’t You Dilemma
[3104] Marketing in Healthcare: The Can You and Can’t You Dilemma
The most important presentation on marketing your agency.
TAHC&H Faculty/Presenter: Jan Spears
Presentation Info:
Presentation Date: November 14, 2017
TAHC&H Event: HCSSA Administrator Program | Houston
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.50 Clock Hrs
CE Approval Statements:
· This program meets continuing education requirements
for Administrators and Alternates under Texas HCSSA licensing regulations.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][6]risk assessment and management
§558.260[a][10]marketing
Program Description: Health care facilities are faced with
the need to grow their businesses through the sharing of information about programs and services in an
effective manner. But the rules for implementing an effective marketing program in health care are
limited by several state and federal laws including the Prohibition of Solicitation Law, the
Anti-Kickback Law, Gifts to Beneficiaries, Stark, and other rules implementing by contract and
program directives. Failure to comply with these rules can result in disallowance of a referral,
monetary penalties, loss of licensure, and yes, even imprisonment in some instances. The presenter
explores marketing prohibitions by addressing what an agency “can’t do” under specific regulations
as well as activities that the agency “can do” to promote its business in compliance the law.
Program Learning Outcome:
Learners will actively engage in the learning activity and indicate an intent to change or enhance their
practice by implementing marketing practices in compliance with state and federal regulations.
About the Presenter:
Jan Spears is Co-owner and Chief Executive Officer
of MJS & Associates, LLC. She has more than 30 years’ experience in the health care field. Ms. Spears has owned
and operated a multimillion dollar home health care company as well as consulted for over 300 homecare providers in
25 states. As a full time consultant for the past 15 years, Ms. Spears has successfully merged clinical and
financial strategies into successful operational plans for numerous providers nationwide. Jan serves as a Medicare
coverage expert for health care facilities who are undergoing audits by federal contractors through all levels of appeals.
She has authored several publications and heads a team of more than 25 consultants at MJS & Associates, LLC.
[3104] Marketing in Healthcare: The Can You and Can’t You Dilemma
- Speaker
- Spears, Jan
- Model
- 3104
$45.00
QAPI: Closing the Loop on Agency Performance
Presentation Info:
Presentation Date: November 14, 2017
TAHC&H Event: HCSSA Administrator Program | Houston
Subscription Type: Individual
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.00 Clock Hrs
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][5]quality improvement
Program Description: All agencies believe they provide
quality service in an effective, efficient, and economically sound manner. But proving and backing up
the assertions requires a Quality Assessment and Performance Improvement (QAPI) program that
quantifies results in a measurable way. This program reviews the regulatory requirement for
QAPI program including selection of committee members, development of an effective QAPI policy
and plan, minimal requirements set forth by the state, and activities that can be performed,
measured, and quantified from point to point of review. It also provide updates
for the new QAPI condition and agency requirements applicable to Medicare certified home health
agencies to be implemented on January 8, 2018. The presenter also provides a sample policy and
procedure guide for the new requirements.
Program Learning Outcome:
Learners will actively engage in the learning activity and indicate an
intent to change or enhance their practice by choosing quality projects that produce measurable outcomes to enhance patient care.
TAHC&H Faculty/Presenter: Jan Spears, Chief Executive Officer of MJS & Associates, LLC
About the Presenter:
Jan Spears is Co-owner and
Chief Executive Officer of MJS & Associates, LLC. She has more than 30 years’ experience in the health care field.
Ms. Spears has owned and operated a multimillion dollar home health care company as well as consulted
for over 300 homecare providers in 25 states. As a full time consultant for the past 15 years, Ms. Spears
has successfully merged clinical and financial strategies into successful operational plans for
numerous providers nationwide. Jan serves as a Medicare coverage expert for health care facilities
who are undergoing audits by federal contractors through all levels of appeals. She has authored
several publications and heads a team of more than 25 consultants at MJS & Associates, LLC.
[3107] QAPI: Closing the Loop on Agency Performance
- Speaker
- Spears, Jan
- Model
- 3107
$30.00
What Financial Reports Really Mean to the Health Care Manager
[2741] What Financial Reports Really Mean to the Health Care Manager
Education-Training Credits:
1.25 Hr(s) HCSSA Administrator/Alternate
Summary: Financial reports for non-financial folks...
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][3]basic principles of management in a licensed health-related setting
§558.260[a][7]financial management
Faculty: Spears, Jan
Program Description: Whether you are planning for growth and
need capital investment or a business loan, or planning for a sale and need a quick evaluation of
your agency’s worth, or if you simply need a measurement of your month-to-month progress, financial
reports are the first critical pieces to which you must look. If these reports are prepared internally or
from outsourced to an accounting firm, understanding the significance of the information is the responsibility
of the owner, administrator and, yes, the clinical management team. This program explains key concepts that your financials might reveal about the agency and covers topics such as....
standard reporting formats and recommended frequencies
cash vs accrual options
fixed vs variable costs
debt to equity ratios
break-even points
and a brief review of case-mix weights as these affect your revenue performance
You will learn some standard formulas that you can apply to trend your financial performance
from point to point in your reporting year in key areas such as management of accounts receivables through Days Outstanding calculations. This program is
presented in a friendly environment for the non-accounting managers! Presentation Date: 08.13.2015
Program Objectives: Upon completion of this program, the viewer will be able to:
Identify two reasons why clinical managers need to understand financial reports
Recall the difference between cash versus accrual methods in financial reporting
Identify three of the four standard financial reports formats that are products of financial data
Calculate Days Sales Outstanding as a component of evaluating accounts receivable stability
Identify four components that affect case mix rates for the Medicare home health patient
Calculate debt to equity ratio as a component of agency’s liquidity
About the Presenter:
Jan Spears is Co-owner and Chief Executive Officer of
MJS & Associates, LLC. She has more than 30 years’ experience in the health care field. Ms. Spears has owned and operated a multimillion
dollar home health care company as well as consulted for over 300 homecare providers in 25 states. As a full time consultant for the past 15 years,
Ms. Spears has successfully merged clinical and financial strategies into successful operational plans for numerous providers nationwide. Jan serves
as a Medicare coverage expert for health care facilities who are undergoing audits by federal contractors through all levels of appeals. She has
authored several publications and heads a team of more than 25 consultants at MJS & Associates, LLC.
[2741] What Financial Reports Really Mean to the Health Care Manager
- Speaker
- Spears, Jan
- Model
- 2741
$37.50
