New Products
New Dept of Labor Rules: Overtime Criteria & Other Risks for HHAs
[2950] New DOL Rule: Overtime Criteria and Other Risks for HHAs
Education-Training Credits:
1.0 Hr(s) HCSSA Administrator/Alternate
Summary:Recent employment law changes & problems common to home health and hospice
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:Haff, Alicia
Program Description: There are Big Changes from the Department of Labor (DOL) in the overtime criteria! Employers may now have
to pay overtime for employees whom did not meet those criteria last year. Don’t risk being a target
for a DOL investigation – get the facts! This program addresses many employment law problems
common to home health & hospice providers including...
overtime
on-call
travel time
hourly vs. contract workers
PRN
live-ins
work separations
Fair Labor Standards Act
Presentation Date: 08.10.2016
Learning Outcome: Upon completion of this program, the viewer will be able to:
Apply the recent changes in overtime laws and recognize employment law problems common to home health and hospice.
About the Presenter:
Alicia Haff, JD, Partner, ETC Companies, has practiced law in
Texas since 1997, after graduating from The University of Texas School of Law in Austin in 1996. Healthcare issues and specifically, the
Affordable Care Act, passed in 2010, have become Alicia’s passion. To that end, she obtained her Certified Health Care Specialist
designation and is certified as a Patient Protection and Affordable Care Act Professional. As part of her consulting practice,
Alicia is retained on a regular basis by clients to advise on the intricacies of the Affordable Care Act and clients’
need to come into compliance with the law and regulations.
[2950] New DOL Rule: Overtime Criteria and Other Risks for HHAs
- Speaker
- Haff, Alicia
- Model
- 2950
$30.00
How to Improve Outcomes While Dealing with Reimbursement Cuts
[2949] How to Improve Outcomes While Dealing with Reimbursement Cuts
Education-Training Credits:
1.0 Hr(s) HCSSA Administrator/Alternate
Summary:CMS rebasing, Value-Based Purchasing, and episode management strategies to reduce risk
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:Salmons, Laurie
Program Description:
With the third year of PPS cost rebasing around the corner, it remains very important for agencies to monitor
costs while improving clinical outcomes. Agencies MUST make their operations more efficient to preserve
margins. Meanwhile, on the clinical front, reporting measures call for agencies to focus heavily on reducing
ACH rates. Effective episode management that uses best practice processes and triggers will be the key to
success in both these areas. Presentation Date: 08.10.2016
Learning Outcome: Upon completion of this program, the viewer will be able to:
Describe CMS rebasing, Value-Based Purchasing, and episode management strategies to reduce risk.
About the Presenter:
Laurie Salmons, RN, BSN, Clinical Consulting Manager, McBee Associates, has been a
registered nurse for over 30 years with 20 of those years being spent in the home care industry. Her specialty is working with home care providers to
improve the care delivery services of the elderly while in their homes through episode and disease management strategies.
She has lectured on home care issues for the National Association of Home Care and Hospice and
at regional and state conferences as well. Laurie co-authored a manual on Best Practices for the Home Care Patient.
[2949] How to Improve Outcomes While Dealing with Reimbursement Cuts
- Speaker
- Salmons, Laurie
- Model
- 2949
$30.00
Abuse, Neglect & Exploitation: New Rules from TX Senate Bill 1880
[2826] Abuse, Neglect & Exploitation: New Rules from TX Senate Bill 1880
Education-Training Credits:
1.0 Hr(s) HCSSA Administrator/Alternate
Summary:How new rules & investigation process identified in the
recently passed Senate Bill 1880 that dictates an agency's policies and responses to suspected ANE
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.259[d][7]abuse, neglect, and exploitation
§558.260[a][2]development and interpretation of agency policies
§558.260[a][3]basic principles of management in a licensed health-related setting
Faculty:Brooks, Troy
Program Description: Texas has some of the most stringent
regulations related to the identification and investigation of suspected ANE in home
health and hospice. This program discusses the new rules & investigation process
identified in the recently passed Senate Bill 1880 that dictates an agency's
policies and responses to suspected ANE. Also examined are common mistakes that
agencies make with regard to ANE complaints and practical steps to avoid them. From
the intake of the complaint to the closing of the investigation, this program
addresses the processes needed to maintain compliance with Texas regulations. Presentation Date: 11.17.2015
Program Objectives: Upon completion of this program, the viewer will be able to:
Identify the rule that addresses self-reported incidents of abuse, neglect,
and exploitation for Home and Community Support Services Agencies.
Identify two laws that provide definitions for ANE as it is used in §
97.249.
Describe an allegation of abuse.
Describe Texas Senate Bill 1880.
About the Presenter:
Troy Brooks is a former Assistant General
Counsel for the Texas Department of Human Services, and has worked extensively with the Home and Community Support Services
Agencies Program. Troy now represents home health agencies across Texas in Medicare and Medicaid disputes with government
agencies and their contractors. He also represents home health agencies in negotiating and responding to government fraud
investigations. Troy runs his own law firm, Brooks Acevedo Attorney at Law, here in Houston, Texas.
[2826] Abuse, Neglect & Exploitation: New Rules from TX Senate Bill 1880
- Speaker
- Brooks, Troy
- Model
- 2826
$30.00
Infection Control Components for Home Care & Hospice
[2822] Infection Control Components for Home Care & Hospice
Education-Training Credits:
1.0 Hr(s) HCSSA Administrator/Alternate
Summary:Infection control compliance strategies.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.259[d][8]infection control
§558.260[a][3]basic principles of management in a licensed health-related setting
§558.260[a][6]risk assessment and management
Faculty:Kelley, Freda
Program Description: This program presents the role of the hospice and home care
administrator in the adoption and enforcement of infection control practices. With focus on
compliance in our world today, setting the standard for basic infection control practices is crucial.
Key infection prevention strategies are presented to assist in the management of re-hospitalization rates,
patient satisfaction and quality patient care. The presenter also demonstrates how providers, practitioners,
patients and lawmakers are all currently involved in this issue. Learn what you as an administrator should
be asking of your agency with regard to this topic. Presentation Date: 11.16.2015
Program Objectives: Upon completion of this program, the viewer will be able to:
Identify issues in standard infection control practices from our history and events in the world today that impact both patients and providers.
List key implications for infection control practice in the home healthcare setting.
State how providers, practitioners, patients and lawmakers are all currently involved in infection control issues.
Identify the regulatory administrator responsibilities in infection control practice in the home care and hospice agency.
About the Presenter:
Freda Kelley has been a Registered Nurse since 1975 and
has personal experience with the changes of infection prevention and control practice over the years. Her focused area of practice in
home care began in 1985. It was her initial experience as a PRN field nurse in a small, hospital-based home healthcare agency in rural
West Texas that set her professional future. Freda has served as a Branch Agency Director, Administrator, Supervising Nurse and now
as Vice-President of Clinical Services of a home care organization in Ft. Worth.
[2822] Infection Control Components for Home Care & Hospice
- Speaker
- Kelley, Freda
- Model
- 2822
$30.00
A Corporate Integrity Agreement May be Good Medicine
[2821] A Corporate Integrity Agreement May be Good Medicine
Education-Training Credits:
1.50 Hr(s) HCSSA Administrator/Alternate
Summary:Ensure your risk and
compliance programs meet the Federal Sentencing Guidelines (FSG).
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
Faculty: Bommelje, Karen
Program Description:
In today's healthcare environment there is an ever-increasing amount of scrutiny and government oversight
of home health and hospice providers. It may not be a question of "if" you are ever under investigation,
but "when" your agency is under the microscope. It is becoming increasingly necessary to ensure your risk and
compliance programs meet the Federal Sentencing Guidelines (FSG).
This program looks at specific Corporate Integrity Agreements (CIAs) and
how closely mirrored they are to the FSG. A robust, effective and ethical compliance program that is more than
a binder on the shelf will be a key to keeping the "medicine" away! Presentation Date: 11.17.2015
Program Objectives: Upon completion of this program, the viewer will be able to:
Identify the Seven Elements of a compliance program
Explain how to evaluate the effectiveness of your current compliance plan
Describe how an effective compliance plan will assist in reducing risk
About the Presenter:
Karen Bommelje is a seasoned professional with more than 25 years of
nursing, management, and consulting experience in the health care industry, including: home care, pediatrics, hospice, long-term care, home care pharmacy/infusion, and
medical equipment/respiratory. Prior experience includes Corporate and Regional positions with multi-site Home Health and Hospice providers.
Karen’s focus since 1991 has been in Regulatory, Quality, Accreditation and Compliance areas.
Karen has been with Simione Healthcare consultants for the past five years where she is a Senior Manager on the Compliance Team responsible for
management of regulatory and compliance projects for attorneys and clients.
[2821] A Corporate Integrity Agreement May be Good Medicine
- Speaker
- Bommelje, Karen
- Model
- 2821
$45.00
The Most Interesting Employment Issues in the World for HH & Hospice
[2819] The Most Interesting Employment Issues in the World...for Home Health and Hospice
Education-Training Credits:
1.50 Hr(s) HCSSA Administrator/Alternate
Summary:Key employment issues impacting the home health care and hospice industry.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][3]basic principles of management in a licensed health-related setting
Faculty: Stern, Daniel
Program Description:
Two years ago it felt like a new employment rule was put into effect each week but now it seems like a daily occurrence.
Most of the activity is being generated by state and federal agencies making it extremely difficult to remain up to date
on employment law issues. This program presents the hot buttons of liability including which employees are exempt under
the Fair Labor Standards Act and how to pay them (the new regulations will make it much more expensive).
The federal government has also issued new guidance regarding independent contractors.
Compensable time quandaries such as travel, on-call, waiting time and bonuses (discretionary and/or non-discretionary) are discussed.
If you use the companionship exemption, you need to know the Department of Labor seems to have succeeded in basically eliminating
it for home health care agencies. The need to provide leaves of absence seems to have expanded to the point that employees may not ever have to come to work.
Finally, we are still having fun reading what the National Labor Relations Board says employees may post on Facebook about employers...and not be disciplined! Presentation Date: 11.17.2015
Program Objectives: Upon completion of this program, the viewer will be able to:
Identify key employment issues impacting the home health care and hospice industry
Discuss ways to effectively respond to the new issues impacting the home health care and hospice industry.
Identify expected changes in regulatory agency enforcement activity
Describe effective tools for preventing employment related claims
About the Presenter:
Daniel Stern advises employers on labor and employment matters including
affirmative action plans; wage and hour issues; and discrimination and harassment claims. By recommending and developing effective employment policies
and procedures, he helps clients reduce the risk of employment-related lawsuits.
Dan works with employer clients to bring their existing workplace policies into compliance with best practices in
the human resources field, and he provides day-to-day counseling which enables clients to make wise decisions in human resource matters. Understanding the
frequent and complex employment issues continually faced by today’s employers, Dan has designed his practice so that he is readily and quickly available to his clients.
He is a frequent speaker and author on employment matters and labor-related legislative changes, with a particular focus on wage and hour issues.
He is Board Certified in Labor and Employment Law by the Texas Board of Legal Specialization.
[2819] The Most Interesting Employment Issues in the World...for Home Health and Hospice
- Speaker
- Stern, Daniel
- Model
- 2819
$45.00
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
Destination Documentation: Surviving Medicare Denials & Audits
[2739] Destination Documentation: Surviving Medicare Denials & Audits
Education-Training Credits:
1.50 Hr(s) HCSSA Administrator/Alternate
Summary: Focus on Documentation...
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][7]financial management
Faculty: Warfield, Jennifer
Program Description: Agencies are constantly at risk of audits, denials,
sanctions and or penalties for missing or inadequate documentation. This program will help you learn to avoid pitfalls of poor
documentation, recognize areas which are likely to trigger an audit and detect items that frequently contradict care deemed to be
reasonable and necessary. Additionally, you will learn ways to safeguard your agency by properly responding to ADR’s and audits. Presentation Date: 08.13.2015
Program Objectives: Upon completion of this program, the viewer will be able to:
Describe documentation areas likely to trigger an audit
List OASIS items that frequently contradict care that is reasonable and necessary
Identify ways to safeguard your agency from audits and denials
About the Presenter:
Jennifer Warfield As a well-known homecare coding and OASIS specialist with
extensive nursing experience, Jennifer Warfield is an informational ally for hundreds of home health agencies across the country. Certified as an official
ICD-9 and ICD-10 trainer, Jennifer provides education on important industry topics, including coding, OASIS and documentation. Her passion for being an
educational resource keeps her traveling across the country to agencies and associations, conducting educational workshops and speaking at numerous home
care conferences. Her expert knowledge plays an integral role in the development of OASIS Analysis Plus, PPS Plus Software’s OASIS analysis software.
Jennifer received a bachelor’s degree in nursing from the University of South Alabama in Mobile, a home care coding
specialist – diagnosis certification from the Board of Medical Specialty Coding in Gaithersburg, Maryland and earned her Certificate for OASIS Specialist-Clinical
from the OASIS Certificate & Competency Board in New Iberia, Louisiana. She is author of two ICD-9 coding guidebooks, Tips, Tricks & Tidbits for Home Health
Professionals, and is currently serving as the education director at PPS Plus Software in Biloxi, Mississippi.
[2739] Destination Documentation: Surviving Medicare Denials & Audits
- Speaker
- Warfield, Jennifer
- Model
- 2739
$45.00
Therapy Documentation: Required Rehab Content, Goal Writing, Visit Note Production
[2735] Therapy Documentation: Required Rehab Content, Goal Writing, & Visit Note Production
Education-Training Credits:
1.25 Hr(s) HCSSA Administrator/Alternate
Summary: Rewiring your rehab concession to assure a skilled, audit-proof therapy program.
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: Cisneros, Arnie
Program Description: Home Health rehab reforms have
modified many therapy requirements including elimination of the 10-visit threshold, objective testing, and
ongoing re-assessment re]inement to name a few. Auditors have focused on the rehab elements of patient claims
as they produce denials for unskilled or unnecessary care delivery. The Affordable Care Act (ACA) bundling model
will focus on the rehab content in homecare programs as they seek greater efficiency under decreased utilization
to achieve cost reduction goals.
Therapy ST/LT goal production, skilled per visit documentation, patient compliance,
caregiver involvement, and discharge planning and management are all addressed by a PPS-compliant, objective test-based
therapy evaluation. Clinical case examples will outline the good and bad in current therapy documentation, with strategies
to manage successful therapy programs. Start today on rewiring your rehab concession to assure a skilled, audit-proof therapy program. Presentation Date: 08.12.2015
Program Objectives: Upon completion of this program, the viewer will be able to:
Identify current rehabilitation elements in the Medicare PPS (Prospective Payment System) Home Health model.
Describe Goal Writing for Home Health rehabilitation services.
Describe Visit Note Production for Home Health rehabilitation.
About the Presenter:
Arnie Cisneros, PT, President of Home Health Strategic Management, is one of the most progressive speakers in Home Health today.
His legacy as a rehab provider across the care continuum allows for insight into contemporary healthcare delivery. He is renowned for his adaptation of traditional care philosophies to address current and
future healthcare initiatives. Arnie’s refinement of clinical delivery mechanisms, integration of new protocols at the staff level, and adaptation of traditional care philosophies has helped providers
of all sizes to achieve Medicare compliance. He has also become the leading clinical authority on the audit scrutiny that has come to the homecare industry, and is serving as a Post-Acute consultant for
CMS Pioneer ACO grant recipients.
Arnie is a contributor to CARING magazine and Decision Health publications, and presents nationally on homecare topics and care models proposed by CMS and
Med Pac for the future of the Home Health industry.
[2735] Therapy Documentation: Required Rehab Content, Goal Writing, & Visit Note Production
- Speaker
- Cisneros, Arnie
- Model
- 2735
$37.50
Achieving Efficiencies in Back Office Staffing & Structure
[2662] Achieving Efficiencies in Back Office Staffing & Structure
Education-Training Credits:
1.00 Hr(s) HCSSA Administrator/Alternate
Summary: How to measure & control back office costs.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][7]financial management
Faculty: Gaboury, Melinda
Program Description: Having and efficient back office that is accountable to key performance
metrics is a key component to financial wellbeing. As
an administrator, you are responsible for “implementing an
accounting and budgeting system that promotes the health and
safety of the agency’s clients” (TAC §558.243).
This program presents
the cost indicators that must be understood in making operational
decisions, items needed to develop billing performance
measures that hold the billing department accountable and detail
items to review in order to evaluate your back office structure.
Supervising nurses may also benefit from a working knowledge
of back-office processes to improve collaboration between billing
and clinical aspects of patient care. Presentation Date: 11.18.2014
Program Objectives: Upon completion of this program, the viewer will be able to:
Identify the cost indicators that must be understood in making operational decisions regarding back office staff
Develop billing department performance measures
Detail items to review to evaluate back office structure
About the Presenter:
Melinda Gaboury, COS-C, is co-founder and Chief Executive Officer of Healthcare Provider Solutions, Inc.
(HPS). Melinda and Mark Cannon founded the company in April 2001 to provide financial, reimbursement, clinical
and cost reporting services to the home health industry. She has over 20 years’ experience in Medicare Home
Health Reimbursement and has remained on the cutting edge of Medicare PPS since the regulation’s inception.
She has helped her clients bridge the gap between clinical and financial issues and has been a seminar and
webcast presenter for 20+ State Home Care Associations. She is also the author of “Home Health Pocket Guide
to OASIS-C.”
[2662] Achieving Efficiencies in Back Office Staffing & Structure
- Speaker
- Gaboury, Melinda
- Model
- 2662
$30.00
Patient-Centered Medical Home (PCMH) Collaborative Care
[2598] The Quest for the Perfect Triad for Patient-Centered Medical Home (PCMH): Collaborative Care between Primary Care, Home Health and Hospital Teams
Education-Training Credits:
1.00 Hr(s) HCSSA Administrator/Alternate
Summary: Learn how PCMH strategies improved care coordination,
care delivery, and patient outcomes.
HCSSA Topic(s) Addressed:
§558.259[d][4]agency responsibilities
§558.260[a][5]quality improvement
§558.260[a][7]financial management
§558.260[a][8]skills for working with clients, families, and other professional service providers
Faculty: Khan, Nusrat (Ness)
Program Description: The current void of collaborative care between
the primary care physician’s practice, inpatient care, and home health is
costly for the U.S. healthcare system and can result in poor outcomes. Home health and primary care in a patient-centered
medical home (PCMH) has a role in addressing this need through a new approach with better care-
team collaboration.
PCMH is a patient-centric model of healthcare delivery based on ongoing, personal relationships
between patients, physicians, and healthcare teams, which includes the patient as a team member. In this program a primary care physician
describes how a Texas physician practice transformed into a medical home, adopted PCMH
strategies and partnered with hospitalists and preferred home health partners to improve care coordination,
care delivery, and patient outcomes. Learn why...and how home care is part of the PCMH team.
Presentation Date: 8.20.2014
Program Objectives: Upon completion of this program, the viewer will be able to:
Define the patient-centered medical home model of care delivery.
Discuss the importance of care coordination as it relates to improved care at a reduced
cost.
Describe the implications for future collaboration between home care providers and
physician practices.
About the Presenter:
Nusrat (Ness) Khan, MD, MBA, FAAP, is
the Medical Director of MedPeds Medical Clinic, PA in Weatherford, TX. He
completed his early education, college, and medical school in North Carolina and completed specialty training
and board certification at the Cleveland Clinic Foundation in Cleveland, Ohio. He is double board certified
in Internal Medicine and Pediatrics. His love of teaching manifested early in his career; he has received
teaching awards at Cleveland Clinic Foundation, and at University of North Texas Health Sciences Center.
Dr. Khan remains a strong believer patient centered medical care model. For the last 2 years he has being
working on creating and implementing models for patient centered care plans that allow seamless information
and care transfer at transitions of care between outpatient clinics, Home Health Care, and inpatient care.
[2598] The Quest for the Perfect Triad for Patient-Centered Medical Home (PCMH): Collaborative Care between Primary Care, Home Health and Hospital Teams
- Speaker
- Kahn, Nusrat
- Model
- 2598
$30.00
Affordable Care Act [ACA] & Employer Mandate: The Numbers Count!
[2607] Affordable Care Act (ACA) and Employer Mandate- The Numbers Count!
Education-Training Credits:
1.50 Hr(s) HCSSA Administrator/Alternate
Summary: Find out what numbers in the ACA can impact your agency.
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][7]financial management
Faculty: Haff, Alicia
Program Description: The US Treasury Department published final regulations
implementing Employer Shared Responsibility Under the Affordable Care Act (ACA) for 2015. The final rules provide, for 2015, that an
employer responsibility provision will generally apply to larger firms with 100 or more full-time employees starting in 2015 and
employers with 50 or more full-time employees starting in 2016.
This program addresses the transition provisions, and clarifies whether employees of certain
types or in certain occupations are considered full-time, including volunteers. It provides information about the employer
responsibility provisions in 2015 such as who must offer coverage to at least 70 percent of full-time employees as
one of the conditions for avoiding an assessable payment, rather than 95 percent which will begin in 2016. Alicia also discusses
the full-time employee status determination and an optional look-back measurement method to make it easier to determine
whether employees with varying hours and seasonal employees are full-time, help clarify the method and the
alternative monthly method of determining full-time status, and review the final rules which provide safe harbors that
make it easy for employers to determine whether the coverage they offer is affordable to employees and next steps for simplifying
employer information reporting. Presentation Date: 8.21.2014
Program Objectives: Upon completion of this program, the viewer will be able to:
Recognize that knowledge is power when understanding the employer mandate.
Identify which employer size “sandbox” applies to your organization.
Identify which employees must be offered coverage in 2015 to avoid costly penalties.
Design a recordkeeping system to track employer mandate requirements.
About the Presenter:
Alicia J. Haff, JD, has practiced
law in Texas since 1997, having obtained her Bachelor of Arts in History from Trinity University in 1992 and her
Juris Doctorate from the University Of Texas School Of Law in Austin. From 1997 until 2010, Alicia spent her time
litigating employment disputes, commercial matters and personal injury claims. Healthcare issues and specifically,
the Affordable Care Act, passed in 2010, have become Alicia’s passion. To that end, she obtained her Texas General
Lines License in 2007 and thereafter, obtained her Certified Health Care Specialist designation and is certified as
a Patient Protection and Affordable Care Act Professional. As part of her consulting practice, Alicia is retained on
a regular basis by clients to advise on the intricacies of the Affordable Care Act and clients’ need to come into
compliance with the law and surrounding regulations.
[2607] Affordable Care Act (ACA) and Employer Mandate- The Numbers Count!
- Speaker
- Haff, Alicia
- Model
- 2607
$45.00
Bridging Business & Clinical: Achieving Operational Excellence
[2606] Bridging Business and Clinical: Achieving Operational Excellence
Education-Training Credits:
1.50 Hr(s) HCSSA Administrator/Alternate
Summary: Three TAHC&H presidents share their expertise.
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][7]financial management
Faculty: Lee, Lucy & Cargle, Ken & Madison, Dana
Program Description: It’s a simple fact – if business operations can’t
“stay in the black”- you won’t be providing patient care very long. Aligning
staff skills and patients’ needs with operational goals can be a challenge. Where do you begin with strategic planning, annual
goal setting and efficiencies? How do you assess administrative overhead? Business managers must consider a multitude
of factors to achieve operational goals and inspire process improvement. What about fixed costs vs. variable costs;
productivity expectations of clinical staff; controlling overtime costs; benchmarks for cost centers? Don’t be overwhelmed!
Learn from the best…in this program a panel of seasoned veterans of successful home care agencies share their expertise
on how to run “the business.” Learn their secrets including enhancing communications with staff to promote the goal of
shared responsibility for operational success. Presentation Date: 8.21.2014
Program Objectives: Upon completion of this program, the viewer will be able to:
Discuss the relationship between clinical practice and financial realities.
Describe the importance of goal setting to achieve business objectives.
Identify at least two strategies to motivate agency staff to achieve clinical operational
objectives.
About the Presenters:
Lucy Lee, RN, MS, CHCE, Founder and President of a rural
Texas home health agency, Lucy has been involved in the home health industry for over 28 years. She has first-hand knowledge of the
practical aspects of home health agency management, having worked in all levels of home health care from contract field nurse
through director of patient care to administrator, and is now responsible for strategic planning and alliances. Lucy has served
on the board of TAHC&H representing certified agencies, and has served as secretary, and as president of the association. She has a
Master’s degree in Healthcare Administration and is a Certified Home/Hospice Care Executive.
About the Presenters:
Ken Cargle is the Administrator/Owner of Goodcare
Health Services in Amarillo, Texas. Ken has been active in home care for 19 years and has owned both a Medicare Certified agency and
a Private Duty agency. He received his Bachelor of Arts and Masters of Divinity from Texas Christian University and is an active leader
of the Texas Association for Home Care & Hospice; where he has served as President, the Owner auspice, the Licensed Home Health auspice,
and the Licensed and Certified auspice. He has served and chaired on various TAHC&H committees, subcommittees, councils and task forces,
and actively participates on the TAHC&H Owner’s Forum Networking Group.
About the Presenters:
Dana Madison, RN, BSN, MBA is the Administrator/Owner of
Calvert Home Health Care, Ltd in Lubbock. Dana’s health care experience includes working as an RN for 30 years, a hospital administrator for
2 years, a Practice Manager in a physician’s office for 8 years and a home health administrator and owner for 19 years. Dana received her BSN
from Texas Women’s University in Dallas, and an MBA in Health Care Administration from the University of Dallas. Dana served as the President
of the Texas Association for Home Care & Hospice from 2010 – 2012.
[2606] Bridging Business and Clinical: Achieving Operational Excellence
- Speaker
- Cargle, K / Lee, L / Madison, D
- Model
- 2606
$45.00
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
Achieving HIPAA Compliance
[2513] Achieving HIPAA Compliance
Education-Training Credits:
1.00 Hr(s) HCSSA Administrator/Alternate
Summary: HIPAA compliance is a hot topic again...and will remain that way. Find out why.
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][6]risk assessment and management
Faculty: Acevedo, Luis
Program Description: Achieving compliance with current HIPAA’s Privacy and Security
Rules continues to prove an overwhelming task for home health
and hospice administrators. Policy development, employee training
requirements, technical oversight and notice requirements
may seem too onerous or burdensome to your daily operation.
Never fear! It is not the end of the world! You can learn to be
compliant and minimize your agency’s risk and potential liability
and protect your patients privacy rights. Presentation Date: 11.19.2013
Program Objectives: Upon completion of this program, the viewer will be able to:
Describe an example of an administrative safeguard under the Privacy Rule
List one example of when a healthcare provider can release protected health information without authorization
Identify one situation in which a healthcare provider can be subject to a penalty for a HIPAA violation
Identify one entity to which the Security Rule would apply
Identify one duty of the HIPAA Privacy Officer
About the Presenter:
Luis Acevedo, JD, with Brooks Acevedo Attorneys at Law,
has substantial experience in executive management of large healthcare corporations as well as extensive knowledge of Health Law including
access, regulation, compliance, Stark Law, anti-kickback and e-health. As a former in-house counsel for Atlantis Health Care Group, Inc.
he offers impressive experience in corporate, real estate and business counseling. Mr. Acevedo has used his extensive background to help
health care clients resolve internal conflicts, sales and transactions, and conflicts with government agencies.
[2513] Achieving HIPAA Compliance
- Speaker
- Acevedo, Luis
- Model
- 2513
$30.00
Administrator’s Role in Risk Management
[2512] Administrator’s Role in Risk Management
Education-Training Credits:
1.50 Hr(s) HCSSA Administrator/Alternate
Summary: An overview of
some of the common areas of risk that an administrator must consider.
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][4]ethics
§558.260[a][6]risk assessment and management
Faculty: Patterson, Charlotte
Program Description: Administrators wear many hats. One of the most important
roles however is the Administrator’s duty to recognize and mitigate risk factors.This program provides an overview of
some of the common risk areas that an agency should be considering. Presentation Date: 11.19.2013 Areas of review will include:
patient care
nursing practice
employee property
financial risks
Program Objectives: Upon completion of this program, the viewer will be able to:
Discuss the broad areas of risk encountered in running an agency
Distinguish the 4 types of business insurance
Identify at least 3 common risks that Administrators encounter
Identify potential mistakes and practice guidelines in risk management
About the Presenter:
Charlotte E. Patterson, RN, BSN, JD, is a VP, Associate
General Counsel – Healthcare at Golden Living, a family of healthcare companies, including rehab, assisted living, skilled nursing care,
and hospice. Collectively, the Golden Living family of companies has more than 42,000 employees who provide quality healthcare to
more than 60,000 patients every day. Ms. Patterson assists the staff by providing legal and compliance guidance regarding a wide
range of matters, including Health Law, State and Federal regulations, HR and employment issues. Her past practice includes Chief
Compliance Officer for a large Homecare and Hospice organization, Claims Counsel for an international insurance corporation and
Medical Malpractice litigation. Ms. Patterson received her B.S. in Nursing at the University of Florida and her J. D. at the University of Texas.
[2512] Administrator’s Role in Risk Management
- Speaker
- Patterson, Charlotte
- Model
- 2512
$45.00
How to Get Something Out of Your Financial Statements - Other Than A Headache
[2470] How To Get Something Out of Your Financial Statements (other than a headache)
Summary: Dexter explores financial statements and shows you how to get more from them than just kindling.
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: Braff, Dexter
Program Description: Every month...ok, maybe, maybe not...you
get financial statements. They look impressive – lots of columns, numbers, and ledger accounts, perhaps even a profit.
Unfortunately, as billing systems capture more and more data, financial statements
have gotten so dense and unwieldy that the information you need – and the insight you can get – is beyond the reach of
practically anyone without CPA in their title. Dexter explores financial statements and shows you how to get more from them than just kindling.
Program Objectives: Upon completion of this program, the viewer will be able to:
Identify the key components of a financial statement
Evaluate the most important areas of the financial statement to focus on
Discuss how financial statements can misrepresent the “true” performance
About the Presenter:
Dexter Braff has more than 20 years experience
in health care mergers and acquisitions. Prior to forming The braff group, he was an associate and senior appraiser with Telesis
Mergers & Acquisitions. He also served as regional Director of Finance for Foster Medical Corporation. Dexter has written numerous
feature articles on mergers and acquisitions and finance and has authored the chapter on Home Health Care Valuation in the Handbook
of Business Valuation published by John Wiley & Sons. Additionally, Dexter is a frequent speaker at major industry conferences and
state association meetings. Dexter holds an MBA from the University of Pittsburgh and received the Vincent W. Lanfear Award for
academic achievement, a Masters of Science from the University of Oregon, and a Bachelor of Arts from Cornell University.
Education-Training Credits:
1.50 Hr(s) HCSSA Administrator/Alternate
[2470] How To Get Something Out of Your Financial Statements (other than a headache)
$45.00
ADRs, RACs, ZPICs & More: What's All the ToDo & Is Your Agency at Risk?
[2468] Additional Documentation Requests (ADRs), Recovery Audit Contractors (RACs), Zone Program Integrity Contractors (ZPICs), and More: What’s All the To-Do and Is Your Agency at Risk?
Summary:Understand all types of reviews that can place your agency at risk.
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
Faculty: Whitemyer, Brandi
Program Description: With the current array of pre- and
post-payment reviews, the Centers for Medicare and Medicaid Services (CMS) continues to make new efforts to assure program integrity and compliance.
While pre-payment reviews can significantly interrupt cash flow to your agency, post-payment reviews can be just as costly and burdensome.
This program helps home health agency administrators, directors, and other staff understand the importance of a clear and directive response
to all types of medical reviews, as well as measures that can be taken to avoid placing your agency at risk.
Program Objectives: Upon completion of this program, the viewer will be able to:
Recognize the types of CMS medical reviews including RACs, ADRs, and ZPICs
Describe practices which place agencies at risk for pre and post payment reviews
Evaluate the appeals process following CMS medical reviews
About the Presenter:
Brandi Whitemyer, RN, COS-C, HCS-D, HCS-O, AHIMA Approved ICD-10 Trainer/Ambassador is a 14-year veteran
of home health and hospice as a Registered Nurse. She has experience as a field nurse, director, administrator, and regulatory affairs executive with agencies, both large and small.
She holds both an Associates Degree in Nursing, as well as a Bachelors Degree in Psychology from Kent State University. She is currently a Senior Associate Consultant with Selman-Holman &
Associates and the owner of Transitions Health & Wellness Solutions, a home health & hospice coding and consulting agency. Brandi works closely with home health and hospice agencies
nationally in providing consulting services, survey compliance, managing medical reviews and appeals of Medicare denials, writing Corrective Action Plans, developing staff education,
policy development, developing coding and quality assurance processes, and development of coding education. Brandi is certified as a Homecare Coding Specialist-Diagnosis (HCS-D),
Homecare Clinical Specialist-OASIS (HCS-O), and is certified in OASIS competency, COS-C. She is also an AHIMA Approved ICD-10-CM Trainer and Ambassador.
Education-Training Credits:
1.50 Hr(s) HCSSA Administrator/Alternate
[2468] Additional Documentation Requests (ADRs), Recovery Audit Contractors (RACs), Zone Program Integrity Contractors (ZPICs), and More: What’s All the To-Do and Is Your Agency at Risk?
$45.00
How to Turn Your Clients into Your #1 Referral Source for Private Pay
[2466] How to Turn Your Clients into Your #1 Referral Source for Private Pay
Summary:Client referral strategies yield positive dividends for private pay agencies.
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][8]skills for working with clients, families, and other professional service providers
§558.260[a][10]marketing
Faculty: Marcum, Aaron
Program Description: What if you could proudly say to others,
“Our clients and their loved ones are our #1 referral source!” What does this statement communicate to those looking for home care?
In this program, Aaron Marcum, the founder of Home Care Pulse, the leader in Quality Satisfaction
research for the home care industry, will discuss top client referral strategies, used by Best of Home Care® award winning agencies.
Viewers also learn why generating more client referrals is perhaps the best way to grow their business...along with how they can better
tap into this powerful referral source.
Program Objectives: Upon completion of this program, the viewer will be able to:
Understand the relationship between happy clients and client referrals
Explain how to motivate and create incentives for team members to get more client referrals
Identify ways to implement the top methods, used by the Best of Home Care® providers, for obtaining client referrals
About the Presenter:
Aaron Marcum is the Founder and CEO of Home
Care Pulse, a leading organization who specializes in capturing and measuring client and employee satisfaction for hundreds
of private duty home care agencies throughout the United States and Canada. Aaron is also the founder and creator of the
annual Private Duty Benchmarking Study, now in its 4th annual edition. This powerful industry study has quickly become the
largest, most reputable and in-depth study available for the home care industry. Aaron is passionate about helping home care
agency owners and executives accomplish their goals, empower their employees, and confidently provide the best in-home care possible.
Due to his expertise in capturing and measuring performance and his hands on experience as a former successful private duty
home care owner, Aaron continues to be a popular national speaker and respected educator.
Education-Training Credits:
1.25Hr(s) HCSSA Administrator/Alternate
[2466] How to Turn Your Clients into Your #1 Referral Source for Private Pay
- Speaker
- Marcum, Aaron
- Model
- 2466
$37.50
The Alberto N Settlements & Pediatric Care: How It Applies to Your Agency
[2435] The Alberto N Settlements & Pediatric Care: How It Applies to Your Agency Summary: Learn how the Alberto N. lawsuit and ruling affects your peds program. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][8]skills for working with clients, families, and other professional service providers §558.260[a][9]community resources Faculty: Hofer, Peter Program Description: With new managed health care organization (MCO) models, the pediatric home care environment has changed drastically over the past year and will continue to do so. Challenging new patient care issues related to medical necessity criteria, Texas Early Childhood Intervention (ECI) referrals, and prior authorization guidelines often leave pediatric providers asking the question: “Can the MCO really do that?” In this program Attorney Peter Hofer of Disability Rights Texas - who played a key role in the Alberto N. Settlement - will educate you on how this very significant law suit applies to issues currently experienced by pediatric home care teams. Program Objectives: Upon completion of this program, the viewer will be able to: Understand the claims of the Alberto N. lawsuit Describe the impact of the Alberto N. Settlement on therapies and nursing Evaluate your programs' current issues as they relate to the Alberto N. Settlement About the Presenter: Peter Hofer, JD, Disability Rights Texas, is the Senior Litigation for Disability Rights Texas, and has been practicing healthcare law for the past twelve years. Peter was an attorney on the Alberto N. Medicaid Lawsuit and played a key role in the Alberto N. Settlement. Education-Training Credits: 1.25 Hr(s) HCSSA Administrator/Alternate [2435] The Alberto N Settlements & Pediatric Care: How It Applies to Your Agency
- Speaker
- Hofer, Peter
- Model
- 2435
$37.50
