Heagy, Leslie
Deep Dive into Hospice Quality Reporting Program (HQRP)
[3724] Deep Dive into Hospice Quality Reporting Program (HQRP)
Presents the components of the Hospice Quality Reporting Program (HQRP) and the financial impact
for hospice providers who do not meet the reporting requirements.
Presentation Info:
TAHC&H Event | HCSSA Administrator Conference | Recorded for On-Demand Access
Presentation Date | November 16, 2022
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][5]quality improvement
§558.260[a][7]financial management
Program Description: This program presents the components of the Hospice Quality Reporting Program (HQRP) and the financial impact
for hospice providers who do not meet the reporting requirements. You will learn the changes in the HQRP that were finalized in the Hospice FY 2023 payment rule
including the new Hospice Care Index (claims-based) measure, an update on the Hospice Visits in the Last Days of Life (HVLDL) measure, STAR rating for the
hospice CAHPS survey and removal of the seven HIS measures from Care Compare. This session will also provide an update on the HOPE tool.
What is HQRP
Quality of Care
Quality of Care - Claim-Based
Family Experience of Care
Quality Data Submission Reporting Requirements
TAHC&H Faculty/Presenter(s): Leslie Heagy, RN, COS-C, Director of Clinical Services, Healthcare Provider Solutions, Inc.
About the Presenter(s): Leslie Heagy is Registered Nurse who joined Healthcare Provider Solutions, Inc. (HPS), as the Clinical Services Manager,
in June 2017. Leslie is part of the clinical consulting team providing support and solutions to home health and hospice agencies across the country to achieve regulatory compliance.
In 2022, Leslie was promoted to Director of Clinical Services over both home health and hospice clinical consulting.
Leslie’s commitment to service and compassionate leadership first took root 21 years ago when she began providing care to patients as a hospice nurse after
receiving her nursing degree from Ivy Tech Community College in Columbus, Indiana. Throughout her nursing career, she has worked in various capacities within the home health,
hospice and private duty industries. Her experience includes successfully opening a Medicare/Medicaid licensed hospice start-up program, leading multidisciplinary teams
in various locations to being part of the team to open a new hospice inpatient unit. She has educated hospitals, skilled facilities, assisted living facilities
and the community on the benefits and requirements for home health and hospice services. Leslie’s extensive Federal and State Regulatory knowledge, along
with her vast clinical experience motivates her to continually seek solutions to the barriers of healthcare in all settings.
Leslie has operational experience in the survey process for Medicare/Medicaid licensed agencies and has assisted agencies in developing/implementing
corrective action plans. Her experience includes clinical consulting, performing clinical chart reviews, onsite billing audit reviews, provider education, developing and
implementing quality and performance improvement programs for home health and hospice agencies.
[3724] Deep Dive into Hospice Quality Reporting Program (HQRP)
- Speaker
- Heagy, Leslie
- Model
- 3724
$30.00
Home Health QAPI
[3757] Home Health QAPI
Steps for building a successful QAPI program as well as developing action plans to ensure effectiveness.
Want to Save Time? This and 4 additonal programs are included in the Survey Preparedness Workshop for Licensed & Certified Providers package.
Order PKG6993 to get all 5!
Presentation Info:
TAHC&H Event | Spring Virtual Conference | Recorded for On-Demand Access
Presentation Date | May 10, 2023
Program Description: An Effective Home Health Quality Program is a key component to a well-run organization! This session will focus on understanding
the home health QAPI CoP and knowing the rules for the condition. It will detail the steps for building a successful QAPI program as well as developing action plans to ensure
your agency’s QAPI program is effective. You will learn how utilizing your home health QAPI program to the fullest will improve your agency's compliance and performance.
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
§558.260[a][5]quality improvement
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
1.25 Clock Hr(s)
Continuing Education for Nurses
1.25 Contact Hr(s)
This program awards CNE until 05.10.2025
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): Leslie Heagy, RN, COS-C, Director of Clinical Services, Healthcare Provider Solutions
About the Presenter(s): Leslie Heagy is Registered Nurse who joined Healthcare Provider Solutions, Inc. (HPS), as the Clinical Services Manager,
in June 2017. Leslie is part of the clinical consulting team providing support and solutions to home health and hospice agencies across the country to achieve regulatory compliance.
In 2022, Leslie was promoted to Director of Clinical Services over both home health and hospice clinical consulting.
[3757] Home Health QAPI
- Speaker
- Heagy, Leslie
- Model
- 3757
$37.50
Hospice Final Rules FY2023
[3723] Hospice Final Rules FY2023
Provides a detailed analysis of changes and the specifics of implementation.
Presentation Info:
TAHC&H Event | HCSSA Administrator Conference | Recorded for On-Demand Access
Presentation Date | November 16, 2022
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[c][2]information on the state and federal laws applicable to an agency
§558.259[d][4]agency responsibilities
§558.260[a][5]quality improvement
§558.260[a][7]financial management
Program Description: The Hospice Final Wage Index & Payment Rule is packed full of changes for 2023.
This program provides a detailed analysis of changes and the specifics of implementation! Preparation for implementation of these changes is necessary,
with the changes including rate adjustments, numerous Hospice Quality Reporting Program changes -listed below- and the update on the HOPE Tool.
Quality Measure Calculated using the Hospice Item Set (HIS)
Quality Measure Calculated using the CAHPS Hospice Survey
Quality Measure Calculated using the Claims-based Hospice Visits in Last Days of Life (HVLDL)
Quality Measure Calculated using the Claims-based Hospice Care Index (HCI)
HQRP Compliance Cycle Quality Data Collection & Submission Requirements
TAHC&H Faculty/Presenter(s): Leslie Heagy, RN, COS-C, Director of Clinical Services, Healthcare Provider Solutions, Inc.
About the Presenter(s): Leslie Heagy is Registered Nurse who joined Healthcare Provider Solutions, Inc. (HPS), as the Clinical Services Manager,
in June 2017. Leslie is part of the clinical consulting team providing support and solutions to home health and hospice agencies across the country to achieve regulatory compliance.
In 2022, Leslie was promoted to Director of Clinical Services over both home health and hospice clinical consulting.
Leslie’s commitment to service and compassionate leadership first took root 21 years ago when she began providing care to patients as a hospice nurse after
receiving her nursing degree from Ivy Tech Community College in Columbus, Indiana. Throughout her nursing career, she has worked in various capacities within the home health,
hospice and private duty industries. Her experience includes successfully opening a Medicare/Medicaid licensed hospice start-up program, leading multidisciplinary teams
in various locations to being part of the team to open a new hospice inpatient unit. She has educated hospitals, skilled facilities, assisted living facilities
and the community on the benefits and requirements for home health and hospice services. Leslie’s extensive Federal and State Regulatory knowledge, along
with her vast clinical experience motivates her to continually seek solutions to the barriers of healthcare in all settings.
Leslie has operational experience in the survey process for Medicare/Medicaid licensed agencies and has assisted agencies in developing/implementing
corrective action plans. Her experience includes clinical consulting, performing clinical chart reviews, onsite billing audit reviews, provider education, developing and
implementing quality and performance improvement programs for home health and hospice agencies.
[3723] Hospice Final Rules FY2023
- Speaker
- Heagy, Leslie
- Model
- 3723
$30.00
Hospice HOT Topics 2023 | 2 Parts
[PKG6878] Hospice HOT Topics 2023 | 2 Parts
Addresses 2 HOT Topics: Hospice Medical Review and Documentation supporting Eligibility.
Presentation Info:
TAHC&H Event | HCSSA Administrator Conference | Recorded for On-Demand Access
Presentation Date | November 16, 2022
Education-Training Credits:
TX HCSSA Administrator/Alternate Continuing Education
Part One: 1.0 Clock Hr(s)
Part Two: 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:
§558.260[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:
Part One | Hospice Medical Review in a Medicare Certified World. This program takes agencies through the winding road of Medicare scrutiny.
While billing the Medicare benefit and getting paid relatively easy, there is always a risk of things being reviewed at some point and what can you do to avoid denials.
Participants will be able to define Targeted Probe & Educate (TPE) and outline the structure of how to respond to any level of medical review that may occur, including UPIC, RA, SMRC.
Part Two | Hospice Documentation Supporting Eligibility. Accurate hospice eligibility documentation is critical to fulfilling the CoPs and payment requirements.
The lack of supporting documentation for a terminal prognosis is the number one reason for claim denials under Medical Review.
The clinical documentation must go beyond the LCDs and common tools for documenting eligibility by drilling down to
the details and characteristics that differentiate terminal and chronic patients with the same diagnosis.
TAHC&H Faculty/Presenter(s): Candyce Slusher, LVN, CDCS, Owner of SLUSHER Consulting
About the Presenter(s): Candyce Slusher is a geriatric-focused nurse serving San Antonio since 1995 in multiple settings, specifically PAS since 2004.
As a Home Care Consultant her primary goal is to help agencies provide the highest quality care to seniors in their communities through regulatory compliance, creating a culture of accountability, and simplifying work-flow systems.
[PKG6878] Hospice HOT Topics 2023 | 2 Parts
- Speaker
- Heagy, Leslie
- Model
- PKG6878
$60.00
The Top 5 Hospice Claim Denials and How to Avoid Them
[3821] The Top 5 Hospice Claim Denials and How to Avoid Them
A review of the top hospice claim denials from all Medicare MACs,
OIG & other review contractors.
Presentation Info:
TAHC&H Event Administrator Conference | Rich-Media Presentation Capture | Online On-Demand Access
Presentation Date | November 8, 2023
Program Description: This program provides a review of the top hospice claim denials from all Medicare MACs,
OIG & other review contractors. Targeted Probe & Educate is in full swing and this program helps navigate the edits and the denial percentages that are being produced.
It is imperative that agencies are prepared to successfully navigate the Medicare medical review process!
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
§558.260[a][7]financial management
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 11.08.2025
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): Leslie Heagy RN, COS-C, Director of Clinical Services, Healthcare Provider Solutions, Inc.
About the Presenter(s): Leslie Heagy Leslie Heagy is Registered Nurse who joined Healthcare Provider Solutions, Inc. (HPS),
as the Clinical Services Manager, in June 2017. Leslie is part of the clinical consulting team providing support and solutions to home health and hospice agencies across
the country to achieve regulatory compliance. In 2022, Leslie was promoted to Director of Clinical Services over both home health and hospice clinical consulting.
Leslie has operational experience in the survey process for Medicare/Medicaid licensed agencies and has assisted agencies in
developing/implementing corrective action plans. Her experience includes clinical consulting, performing clinical chart reviews, onsite billing audit reviews,
provider education, developing and implementing quality and performance improvement programs for home health and hospice agencies.
[3821] The Top 5 Hospice Claim Denials and How to Avoid Them
- Speaker
- Heagy, Leslie
- Model
- 3821
$30.00
Will your Hospice Documentation Withstand the Scrutiny of a Medical Review Audit?
[3823] Will your Hospice Documentation Withstand the Scrutiny of a Medical Review Audit?
Go beyond the LCDs and common tools for documenting eligibility by drilling down to the details and characteristics that differentiate terminal and chronic patients with the same diagnosis.
Presentation Info:
TAHC&H Event Administrator Conference | Rich-Media Presentation Capture | Online On-Demand Access
Presentation Date | November 8, 2023
Program Description: Accurate hospice eligibility documentation is critical to fulfilling the CoPs and payment requirements.
The lack of supporting documentation for a terminal prognosis is the number one reason for denial. Reviewers often look for a significant decline in patient condition.
Although this is not a requirement of hospice care, terminal prognosis is. This program helps clinicians document the slightest changes in baseline measures.
More importantly, you'll learn how to capture in documentation the occurring changes that support terminal prognosis – even without a decline in baseline measures.
Go beyond the LCDs and common tools for documenting eligibility by drilling down to the details and characteristics that differentiate terminal and chronic patients with the same diagnosis.
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
§558.260[a][7]financial management
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 11.08.2025
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): Leslie Heagy RN, COS-C, Director of Clinical Services, Healthcare Provider Solutions, Inc.
About the Presenter(s): Leslie Heagy Leslie Heagy is Registered Nurse who joined Healthcare Provider Solutions, Inc. (HPS),
as the Clinical Services Manager, in June 2017. Leslie is part of the clinical consulting team providing support and solutions to home health and hospice agencies across
the country to achieve regulatory compliance. In 2022, Leslie was promoted to Director of Clinical Services over both home health and hospice clinical consulting.
Leslie has operational experience in the survey process for Medicare/Medicaid licensed agencies and has assisted agencies in
developing/implementing corrective action plans. Her experience includes clinical consulting, performing clinical chart reviews, onsite billing audit reviews,
provider education, developing and implementing quality and performance improvement programs for home health and hospice agencies.
[3823] Will your Hospice Documentation Withstand the Scrutiny of a Medical Review Audit?
- Speaker
- Heagy, Leslie
- Model
- 3823
$30.00
