Spears, Jan
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)
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): 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
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
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
