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Navigating Home Health TPE: Challenges and Solutions

[3833] Navigating Home Health TPE: Challenges and Solutions
An informative presentation on Home Health TPEs. Presentation Info: TAHC&H Event | Winter Conference | Fort Worth | Rich-Media Presentation Capture for Your Online On-Demand Access Presentation Date | February 21, 2024 Presentation Track | Medicare Home Health Program Description: This is an informative presentation on Home Health TPEs (Additional Documentation Requests), a critical aspect of healthcare compliance and reimbursement. It explores the intricacies of TPEs in the context of home health services and provides valuable insights into how agencies can effectively manage and respond to them. You will learn about common challenges, best practices, and strategies for improving your agency's TPE process, ultimately enhancing patient care and financial sustainability. 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 1.0 Clock Hr(s) Continuing Education for Nurses 1.0 Contact Hr(s) This program awards CNE until 02.21.2026 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): Brian W Lebanion, MBA, CPC, RNC, HCS-O, HCS-D, Healthcare Consulting Manager, Wipfli About the Presenter(s): Brian W Lebanion has more than 25 years of experience in the healthcare industry and provides consulting services for all aspects of home health care and hospice, including operations, reimbursement and education. He specializes in comprehensive consulting services offering clients and providers survey/licensure coaching, clinical review and training, financial and revenue cycle management, third-party audit response, and quality assurance/performance improvement training. [3833] Navigating Home Health TPE: Challenges and Solutions

Speaker
Lebanion, Brian W
Model
3833

$30.00

Unlocking Secrets of Hospice Financial Management: Demystifying CAP Reporting & Calculation

[3820] Unlocking Secrets of Hospice Financial Management: Demystifying CAP Reporting & Calculation
Demystifies CAP reporting and calculation, empowering you and your team to make informed financial decisions that will contribute to the success and sustainability of your Hospice agency. Presentation Info: TAHC&H Event Administrator Conference | Rich-Media Presentation Capture | Online On-Demand Access Presentation Date | November 8, 2023 Program Description: This enlightening program delves deep into the world of Hospice financial management, focusing specifically on the elusive CAP (Capped Annual Payment) Reporting and Calculation. It unravels the complexities surrounding CAP and equips you with the knowledge and tools to navigate this critical aspect of financial management in the Hospice industry. The expert instructor will guide you through the intricacies of CAP reporting, helping you gain a comprehensive understanding of its nuances and importance in ensuring your Hospice agency's financial health. You will learn how to effectively calculate and manage CAP, allowing you to optimize reimbursement and financial stability. Don't miss this opportunity to demystify CAP reporting and calculation, empowering yourself and your team to make informed financial decisions that will contribute to the success and sustainability of your Hospice agency. This program will transform the way you approach financial management in Hospice care. 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 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): Brian W Lebanion, MBA, CPC, RNC, HCS-O, HCS-D, Healthcare Consulting Manager, Wipfli About the Presenter(s): Brian W Lebanion has more than 25 years of experience in the healthcare industry and provides consulting services for all aspects of home health care and hospice, including operations, reimbursement and education. He specializes in comprehensive consulting services offering clients and providers survey/licensure coaching, clinical review and training, financial and revenue cycle management, third-party audit response, and quality assurance/performance improvement training. [3820] Unlocking Secrets of Hospice Financial Management: Demystifying CAP Reporting & Calculation

Speaker
Lebanion, Brian W
Model
3820

$30.00

HOS What to expect with Hospice Surveys & New Hospice Guidelines

[3770] HOS What to expect with Hospice Surveys & New Hospice Guidelines
Reviews the hospice survey changes and provides insight on how to prepare. Want to Save Time? This and 4 additonal programs are included in the Survey Preparedness Workshop for Hospice Providers package. Order PKG6997 to get all 5! Presentation Info: TAHC&H Event | Spring Virtual Conference | Recorded for On-Demand Access Presentation Date | May 11, 2023 Program Description: CMS has updated the surveyor protocols and trainings for hospice under direct pressure from the OIG. These surveys are intended on insuring all hospices are providing the quality of care that we all want in our industry- but it still may increase the difficulty we find with the survey process to ensure full compliance. These rules are being applied whether you are surveyed by your state, or by an accrediting organization such as Joint Commission, CHAP or ACHC. This session reviews the changes, but even more importantly provides insights on how to best prepare for these new interview questions, home visit observations and high risk record review areas. Bonus: Tools will be provided for your own preparation and success! 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 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 05.11.2025 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): Annette Lee, RN, MS, HCS-D, COS-C, CEO and Founder, Provider Insights, Inc. About the Presenter(s): Annette Lee Annette is a registered nurse, with a Master’s in Health Care Administration, practicing since 1990. For over a decade she worked with the CMS Home Health and Hospice intermediary, Cahaba GBA and CGS, where she provided review of, and education on home health and hospice documentation. She worked as a specialist in the Medical Review, Appeals, and Provider Education departments, and assisted with cross-MAC quality assurance and training. Annette then founded Provider Insights, Inc. providing consultative support and provider education regarding Medicare reimbursement issues and effective documentation strategies, assisting providers across the nation with Survey Preparation, ADRs and appeals. Today she continues to marry together her experience in the “real world” and the inside knowledge of Medicare to ensure providers can meet the requirements of CMS, and ensure compliant, efficient operations. ​ [3770] HOS What to expect with Hospice Surveys & New Hospice Guidelines

Speaker
Lee, Annette
Model
3770

$37.50

The Secret World of HIS Measures - How CMS Validates and Changes Your HIS Responses

[3501] The Secret World of HIS Measures - How CMS Validates and Changes Your HIS Responses
Are your agency's HIS scores lower than you expected? Are you trying to figure out how you could be less than 100%? You are not alone! Presentation Info: TAHC&H Virtual Event | Winter Conference | Recorded for On-Demand Access Presentation Date | February 9, 2021 Program Description: Are your agency's HIS scores lower than you expected? Are you trying to figure out how you could be less than 100%? You are not alone! Hospice agencies across the nation are surprised that their comprehensive assessment composite, as well as some of the individual scores are lower than expected per CMS data. Did you know that even if you answer positively to some of these process measures, CMS has "Validation questions" embedded in the HIS to ensure your answers represent the measure, as CMS defines it. Literally, you may say "Yes, we screened the patient for pain"- but if any of the following questions - date, rating or type of standardized tool are not answered correctly, per the measure, CMS will change your answer to "No, we did not screen the patient for pain". This presentation uncovers these validation questions, and provides a thorough understanding of the measures, per CMS guidance, and how to be successful 100% of the time! HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][3]basic principles of management in a licensed health-related setting §558.260[a][5]quality improvement Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.25 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): Annette Lee, RN, MS, HCS-D, COS-C About the Presenter(s):
Annette Lee has been in the home health and hospice arena for nearly 30 years! 10 of those years were spent working for the CMS MAC doing reviews and education for hospice and HH agencies. Annette left the MAC to found Provider Insights, Inc- a consulting company that solely focuses on home health and hospice agencies. She brings her expertise from working with CMS, and the "real world" and marries these experiences together to ensure compliance, quality and efficiency. [3501] The Secret World of HIS Measures - How CMS Validates and Changes Your HIS Responses

Speaker
Lee, Annette
Model
3501

$37.50

Avoiding Criminal Liability | Views from a Former Federal Prosecutor

[W3646] Avoiding Criminal Liability | Views from a Former Federal Prosecutor
A 2022 TAHC&H Member Webinar - Now Available to All! Presentation Info: TAHC&H Virtual Event | 2022 Monthly Member Webinars | Recorded for On-Demand Access Presentation Date | July 7, 2022 Program Description: John Pierce served as a federal prosecutor in three different U.S. Attorney’s Offices around the country. He also served on the Attorney General’s Advocacy Committee for Health Care Fraud. After leaving the DOJ, Mr. Pierce has represented a wide variety of health care providers and suppliers around the country in criminal health care fraud investigations and prosecutions. During this session, Mr. Pierce will discuss the current criminal risk areas facing home health and hospice agency owners and staff. He will discuss recent prosecutions by the government and cover steps that you can take to reduce your level of risk. Join John Pierce and moderator Robert Liles as they discuss the current criminal enforcement landscape facing your agency. 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 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 07.07.2024 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): Robert W. Liles and John Pierce | Liles Parker Attorneys & Counselors at Law About the Presenter(s):
Robert W. Liles' background is somewhat unique. In addition to a law degree, he holds a Master’s in Health Care Administration. Robert has worked on the provider side, as a federal prosecutor and now represents home health and hospice agencies around the country in connection with Medicare and Medicaid audits and investigations. While working as a federal prosecutor, he was asked to serve as the first National Health Care Fraud Coordinator for the DOJ’s, Executive Office for U.S. Attorneys. In this capacity, he advised prosecutors around the country regarding health care fraud statutes, schemes, investigative tools, privacy concerns, and compliance issues. Robert is a nationally-recognized speaker and educator on health law regulatory issues. He has taught and lectured at regional and national conferences, seminars and webinars to federal and state prosecutors, auditors, industry representatives, providers and suppliers on a variety of regulatory issues. About the Presenter(s):
John Pierce is an experienced former Federal prosecutor and trial attorney whose practice focuses on sophisticated criminal defense and civil litigation. His background is rather unique. Prior to entering private practice, Mr. Pierce served as an Assistant U.S. Attorney in the Southern District of California, the District of Columbia and in the Eastern District of Virginia. While working as a Federal prosecutor in the Eastern District of Virginia, he represented the office on the Attorney General’s Advisory Committee (AGAC) for Health Care Fraud. Since leaving the government, Mr. Pierce has successfully represented both foreign and domestic individuals and corporations in health care, commercial securities, corruption, export control and tax disputes. He has also handled a number of whistleblower cases. [W3646] Avoiding Criminal Liability | Views from a Former Federal Prosecutor

Speaker
Liles Parker Attorneys
Model
W3646

$30.00

Buying and Selling Home Health & Hospice Agencies

[W3642] Buying And Selling Home Health & Hospice Agencies
A 2022 TAHC&H Member Webinar - Now Available to All! Presentation Info: TAHC&H Virtual Event | 2022 Monthly Member Webinars | Recorded for On-Demand Access Presentation Date | April 6, 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][3]basic principles of management in a licensed health-related setting §558.260[a][7]financial management Program Description: Are you in the market to buy or sell your agency? What are the various concerns you need to address when engaging in this type of business transaction? What steps can you take to reduce your level of risk? Join attorneys Jennifer Papapanagiotou and Heidi Kocher as they discuss these important issues. TAHC&H Faculty/Presenter(s): Jennifer Papapanagiotou and Heidi Kocher | Liles Parker Attorneys & Counselors at Law About the Presenter(s):
Jennifer Papapanagiotou Ms. Papapanagiotou’s practice focuses on compliance, regulatory and transactional matters for a wide array of health care providers, including home health and hospice agencies. She has extensive experience in analyzing proposed and existing business arrangements for compliance with federal and state fraud and abuse laws, and drafting a wide variety of legal agreements. Ms. Papapanagiotou is knowledgeable in all aspects of state licensing for home health and hospice providers, and in Medicare and Medicaid enrollment, including initial enrollment, changes of ownership and appeals of revocation actions. Finally, she assists clients with compliance plans, forming new businesses, and addressing Medicare and Medicaid program coverage and reimbursement issues. About the Presenter(s):
Heidi Kocher is a partner with Liles Parker and has over 20 years of experience in health care legal and compliance-related issues, including serving as a chief privacy officer and interim chief compliance officer at a medical device manufacturer. She is currently serving as an outside compliance expert to a hospital and a clinical laboratory that are under Corporate Integrity Agreements. She has significant reimbursement experience, responding to and defending audits from Medicare, addressing coverage policy issues, challenging denials, recoupments, and loss of billing privileges, obtaining HCPCS codes, and other reimbursement related issues. Her experience also includes implementing Corporate Integrity Agreements, guiding clients through voluntary self-disclosures and seeking advisory opinions from the OIG. Ms. Kocher is licensed in Texas and Maryland. [W3642] Buying And Selling Home Health & Hospice Agencies

Speaker
Liles Parker Attorneys
Model
W3642

$30.00

Medicare Telehealth and Telecommunications Technology in Home Health and Hospice

[3648] Medicare Telehealth And Telecommunications Technology In Home Health And Hospice
A 2022 TAHC&H Member Webinar - Now Available to All! Presentation Info: TAHC&H Virtual Event | 2022 Monthly Member Webinars | Recorded for On-Demand Access Presentation Date | September 7, 2022 Program Description: Unfortunately, COVID-19 has now been with us for two years and isn’t expected to fade away any time soon. In the wake of COVID-19, CMS has taken a number of steps to make it easier for patients to be treated remotely, using telehealth. Many home health and hospice agencies have expressed interest in this treatment approach and are still evaluating whether or not to implement its use in their agency. Unfortunately, there is still a lot of confusion with regard to the use of telehealth when providing home health or hospice care. During this webinar, we will try to address a number of your questions in this regard. Join attorneys Ashley Morgan and Jennifer Papapanagiotou for a discussion of the current home health and hospice telehealth environment and the risks that your agency may face should you choose to employ this type of care. 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 09.07.2024 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): Jennifer Papapanagiotou and Ashley Morgan | Liles Parker Attorneys & Counselors at Law About the Presenter(s):
Jennifer Papapanagiotou's practice focuses on compliance, regulatory and transactional matters for a wide array of health care providers, including home health and hospice agencies. She has extensive experience in analyzing proposed and existing business arrangements for compliance with federal and state fraud and abuse laws, and drafting a wide variety of legal agreements. Ms. Papapanagiotou is knowledgeable in all aspects of state licensing for home health and hospice providers, and in Medicare and Medicaid enrollment, including initial enrollment, changes of ownership and appeals of revocation actions. Finally, she assists clients with compliance plans, forming new businesses, and addressing Medicare and Medicaid program coverage and reimbursement issues. About the Presenter(s):
Ashley Morgan is an Associate Attorney in Liles Parker’s Washington, DC office where she focuses her practice on regulatory health care compliance matters, fraud and abuse, and reimbursement issues. Ashley represents health care providers across the country in connection with a wide variety of health law issues including coverage disputes, documentation concerns, compliance, medical board complaints, and exclusion / termination issues. Ashley has worked with an assortment of providers including dentists, home health companies, hospice agencies, primary care and specialty physicians, mental health professionals, physical therapists, and licensed acupuncturists. [3648] Medicare Telehealth And Telecommunications Technology In Home Health And Hospice

Speaker
Liles Parker Attorneys
Model
W3648

$30.00

Practical Advice for Strengthening Your In-House Home Health or Hospice Compliance Program

[3650] Building from Baseline | Practical Advice for Strengthening Your In-House Home Health or Hospice Compliance Program
A 2022 TAHC&H Member Webinar - Now Available to All! Presentation Info: TAHC&H Virtual Event | 2022 Monthly Member Webinars | Recorded for On-Demand Access Presentation Date | November 2, 2022 Program Description: Despite your best efforts, regulatory violations are likely to still occur. Nevertheless, there are a number of steps you can take that can significantly improve your home health and hospice agency’s compliance. Attorneys Regina Morano and Richard Pecore will discuss ways your organization can reduce its level of risk through the successful enhancement of your compliance 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][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) 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): Richard Pecore and Regina Morano | Liles Parker Attorneys & Counselors at Law About the Presenter(s):
Richard Pecore is a licensed Texas attorney with over 20 years of experience. Mr. Pecore is a graduate of the University of Texas and South Texas College of Law Houston. Mr. Pecore joined Liles Parker as an associate attorney in January 2012 and became a partner with the firm in February 2016. Mr. Pecore has worked on a variety of health care related matters, and the past 6 years focusing on Medicare and Medicaid administrative provider appeals and creating provider regulatory compliance plans. Since joining Liles Parker, Mr. Pecore has focused on “big box” Medicare and Medicaid overpayments. He has successfully defended overpayment cases ranging in value from $15,000 to $6 million dollars. Mr. Pecore is a Certified Medical Compliance Officer with PMI, is a member of the American Health Lawyers Association. Mr. Pecore lives in Kingwood, Texas. About the Presenter(s):
Regina Morano J.D., CHC is a healthcare regulatory attorney and compliance executive with more than two decades of experience in both the private and public sectors. Ms. Morano began her healthcare career as a Jesuit Volunteer and founding staff member of Baltimore’s Health Care for the Homeless Program, and has served in key legal and compliance positions with leading healthcare and regulatory organizations. Ms. Morano focuses her practice on regulatory compliance matters involving hospitals, physician practices, laboratory and interventional pain providers, workers compensation regulations, and strategic implementation of corporate integrity agreements for healthcare providers who have been subject to government enforcement. She has been certified in healthcare compliance since 2007. [3650] Building from Baseline | Practical Advice for Strengthening Your In-House Home Health or Hospice Compliance Program

Speaker
Liles Parker Attorneys
Model
W3650

$30.00

Preventing The Revocation Of Your Agency From The Medicare Program

[3647] Preventing The Revocation Of Your Agency From The Medicare Program | Tips on Avoiding an Adverse Action and on Responding to Such an Event
A 2022 TAHC&H Member Webinar - Now Available to All! Presentation Info: TAHC&H Virtual Event | 2022 Monthly Member Webinars | Recorded for On-Demand Access Presentation Date | August 3, 2022 Program Description: Two years ago, the number of reasons that CMS can cite when revoking a Medicare provider’s billing privileges was greatly expanded. Since that time, CMS contractors have been aggressively revoking providers on a near-constant basis. How can your agency avoid being revoked? How should your agency respond if your billing privileges are terminated or revoked? What impact can these actions have on a home health or hospice agency? In this webinar, attorneys Jennifer Papapanagiotou and Ashley Morgan will discuss the current revocation actions being pursued by the government how your agency can reduce its risk of being subjected to such an adverse action. 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 08.03.2024 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): Jennifer Papapanagiotou and Ashley Morgan | Liles Parker Attorneys & Counselors at Law About the Presenter(s):
Jennifer Papapanagiotou's practice focuses on compliance, regulatory and transactional matters for a wide array of health care providers, including home health and hospice agencies. She has extensive experience in analyzing proposed and existing business arrangements for compliance with federal and state fraud and abuse laws, and drafting a wide variety of legal agreements. Ms. Papapanagiotou is knowledgeable in all aspects of state licensing for home health and hospice providers, and in Medicare and Medicaid enrollment, including initial enrollment, changes of ownership and appeals of revocation actions. Finally, she assists clients with compliance plans, forming new businesses, and addressing Medicare and Medicaid program coverage and reimbursement issues. About the Presenter(s):
Ashley Morgan is an Associate Attorney in Liles Parker’s Washington, DC office where she focuses her practice on regulatory health care compliance matters, fraud and abuse, and reimbursement issues. Ashley represents health care providers across the country in connection with a wide variety of health law issues including coverage disputes, documentation concerns, compliance, medical board complaints, and exclusion / termination issues. Ashley has worked with an assortment of providers including dentists, home health companies, hospice agencies, primary care and specialty physicians, mental health professionals, physical therapists, and licensed acupuncturists. Ashley has handled claims disputes with major payors including Medicare, Medicaid, various BlueCross BlueShield entities, and UnitedHealthcare. She has extensive experience working on administrative appeals of large alleged extrapolated overpayments assessed by the Centers for Medicare and Medicaid Services’ (CMS) contractors including, Zone Program Integrity Contractors (ZPICs), Unified Program Integrity Contractors (UPICs), and Medicare Administrative Contractors (MACs) and by private payors. Ashley has also successfully defended providers against medical board and nursing board complaints. Ashley is a Certified Medical Compliance Officer and helps clients implement effective compliance programs and provides counsel on mandatory state and industry-specific policies and procedures. In this capacity, Ashley provides on-site walk-throughs to review OSHA compliance and performs training for staff members on HIPAA and other mandatory compliance regulations. Ashley is also a Certified Professional Coder in addition to a Certified Medical Reimbursement Specialist and conducts GAP Analyses of provider’s medical record documentation to determine areas for improvement with any CMS or private payor documentation requirements. [3647] Preventing The Revocation Of Your Agency From The Medicare Program | Tips on Avoiding an Adverse Action and on Responding to Such an Event

Speaker
Liles Parker Attorneys
Model
W3647

$30.00

Reading the Tea Leaves | Top Ten Risks Your Home Health Agency / Hospice will Face in 2023?

[3651] Reading the Tea Leaves | Top Ten Risks Your Home Health Agency / Hospice will Face in 2023?
A 2022 TAHC&H Member Webinar - Now Available to All! Presentation Info: TAHC&H Virtual Event | 2022 Monthly Member Webinars | Recorded for On-Demand Access Presentation Date | December 7, 2022 Program Description: There are likely challenges and risks facing your home health agency and / or hospice in the upcoming year. What are the chances that your agency will be audited? What are the administrative enforcement remedies currently being pursued by CMS program integrity contractors? How should your agency respond? In this webinar, attorneys Richard Pecore and Leonard Schneider will discuss ways your agency can reduce its level of 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 Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hr(s) Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations. TAHC&H Faculty/Presenter(s): Richard Pecore and Leonard Schneider | Liles Parker Attorneys & Counselors at Law About the Presenter(s):
Richard Pecore is a licensed Texas attorney with over 20 years of experience. Mr. Pecore is a graduate of the University of Texas and South Texas College of Law Houston. Mr. Pecore joined Liles Parker as an associate attorney in January 2012 and became a partner with the firm in February 2016. Mr. Pecore has worked on a variety of health care related matters, and the past 6 years focusing on Medicare and Medicaid administrative provider appeals and creating provider regulatory compliance plans. Since joining Liles Parker, Mr. Pecore has focused on “big box” Medicare and Medicaid overpayments. He has successfully defended overpayment cases ranging in value from $15,000 to $6 million dollars. Mr. Pecore is a Certified Medical Compliance Officer with PMI, is a member of the American Health Lawyers Association. Mr. Pecore lives in Kingwood, Texas. About the Presenter(s):
Leonard Schneider ’s practice focuses on complex commercial litigation. He has also been selected to serve as City Attorney for a number of cities and municipalities. In this capacity, he has performed a wide range of legal services, ranging from contract drafting and administration to affirmative civil litigation on behalf of his municipal clients. Mr. Schneider has extensive experience ensuring that applicable statutory and regulatory requirements are met by municipalities. Since joining Liles Parker, Mr. Schneider has expanded his practice to also include a wide variety of health law matters and cases. Mr. Schneider also served as the Assistant District Attorney for Galveston County in Texas. In this role, he prosecuted both felony and misdemeanor criminal cases and honed his litigation skills with significant time before a judge and jury. While he seldom prosecutes criminal cases in his current role, his experience in this field has afforded him a strong skill set in working with criminal law. Mr. Schneider is also responsible for litigation brought by or against the cities he represents, often managing teams of attorneys brought in specifically for each case. In this way, he keeps his litigation skills fresh. His criminal and civil litigation trial experience allows him to give practical and timely advice to clients in civil matters, including business litigation, contracts, breach of contracts, collections, elections, and economic development. In addition to practicing law, he has authored and presented papers on corporate law issues, landlord/tenant arrangements, evictions, economic development, and city council meetings. He also currently instructs business students on ethics and business law as an adjunct professor at two universities. [3651] Reading the Tea Leaves | Top Ten Risks Your Home Health Agency / Hospice will Face in 2023?

Speaker
Liles Parker Attorneys
Model
W3651

$30.00

Responding to a Potential Privacy or Security Breach | Internal and External Strategies

[W3641] Responding to a Potential Privacy or Security Breach | Internal and External Strategies
A 2022 TAHC&H Member Webinar - Now Available to All! Presentation Info: TAHC&H Virtual Event | 2022 Monthly Member Webinars | Recorded for On-Demand Access Presentation Date | March 16, 2022 Program Description: Over the last year, the HHS Office of Civil Rights has aggressively pursued and publicized alleged HIPAA breach violations and the alleged failure of health care providers to meet their patient “Right of Access” obligations. The penalties assessed have been significant and the collateral damage to an organization’s reputation can be long-lasting. In this session, we will discuss these timely enforcement issues and cover ways that your home health or hospice agency can reduce its level of 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 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 03.16.2024 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): Michael Cook and Regina Morano | Liles Parker Attorneys & Counselors at Law About the Presenter(s):
Michael Cook has more than 38 years’ experience representing health clients of all kinds in regulatory, reimbursement, fraud and abuse, compliance, business, strategic planning,and public policy matters, with a strong emphasis on post-acute providers. At the beginning of his career, Michael also was an attorney with the Office of General Counsel at the United States Department of Health and Human Services where he represented the federal regulators of the Medicare and Medicaid programs on matters of the highestlegal and political senstivity. He recently received the honor of Fellow from the American Health Lawyers Association. In addition to his health care practice, Michael serves as a strategic health care advisor to a start-up company that has developed a health care related product to protect seniors from fractured hips. He was appointed by Governor McAuliffe to serve on the Board of the Department of Medical Assistance Services that advises Virginia’s Medicaid program, has served as a health care advisor to a number of candidates for state and national office, and recently received the Albert Nelson Lifetime Achievement Award fromMarquis Who’s Who. He frequently lectures on topics of interest to health care providers and earlier this year presented on the topics of “Internal Investigations” for health care companies at the 2019 American Health Lawyers Association conference on Medicare and Medicaid Payment Issues and moderated a panel of State Medicaid Directors on the changing face of their Medicaid programs in post-acute care for the AHLA Long-Term Care and the Law conference. About the Presenter(s):
Regina Morano J.D., CHC is a healthcare regulatory attorney and compliance executive with more than two decades of experience in both the private and public sectors. Ms. Morano began her healthcare career as a Jesuit Volunteer and founding staff member of Baltimore’s Health Care for the Homeless Program, and has served in key legal and compliance positions with leading healthcare and regulatory organizations. Ms. Morano focuses her practice on regulatory compliance matters involving hospitals, physician practices, laboratory and interventional pain providers, workers compensation regulations, and strategic implementation of corporate integrity agreements for healthcare providers who have been subject to government enforcement. She has been certified in healthcare compliance since 2007. [W3641] Responding to a Potential Privacy or Security Breach | Internal and External Strategies

Speaker
Liles Parker Attorneys
Model
W3641

$30.00

Revised Safe Harbors & Exceptions to Stark for VB Payments & Alternative Payment Methodologies

[W3645] The Revised Safe Harbors for the Anti-Kickback Statute (AKS) and Exceptions to Stark for Value-Based Payments and Alternative Payment Methodologiess
A 2022 TAHC&H Member Webinar - Now Available to All! Presentation Info: TAHC&H Virtual Event | 2022 Monthly Member Webinars | Recorded for On-Demand Access Presentation Date | June 22, 2022 Program Description: The move to value-based payments has been increasing since the enactment of the ACA in 2010. These developments turned the enforcement of the AKB and Stark on its head, often requiring individual waivers in these programs, and failing to accommodate programs that the public programs would encourage. To account for these changes and the dramatic movement away from volume and towards value and alternative payment mechanisms, in December 2020, CMS and OIG published a new set of safe harbors to the AKB and exceptions to Stark. These changes are highly technical in nature, but absolutely critical for home health agencies and hospices to understand if the wish to play in this venue – especially with the upcoming implementation of the Medicare VBP demonstration project nationwide and expansion of VBPs and alternative payment systems by other payors. Join Michael Cook and Heidi Kocher as they describe the new safe harbors and exceptions and demystify them so that the attendees will understand both the need and how to comply with them and participate safely in these programs. 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 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 06.22.2024 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): Michael Cook and Heidi Kocher | Liles Parker Attorneys & Counselors at Law About the Presenter(s):
Michael Cook has more than 38 years’ experience representing health clients of all kinds in regulatory, reimbursement, fraud and abuse, compliance, business, strategic planning,and public policy matters, with a strong emphasis on post-acute providers. At the beginning of his career, Michael also was an attorney with the Office of General Counsel at the United States Department of Health and Human Services where he represented the federal regulators of the Medicare and Medicaid programs on matters of the highestlegal and political senstivity. He recently received the honor of Fellow from the American Health Lawyers Association. In addition to his health care practice, Michael serves as a strategic health care advisor to a start-up company that has developed a health care related product to protect seniors from fractured hips. He was appointed by Governor McAuliffe to serve on the Board of the Department of Medical Assistance Services that advises Virginia’s Medicaid program, has served as a health care advisor to a number of candidates for state and national office, and recently received the Albert Nelson Lifetime Achievement Award fromMarquis Who’s Who. He frequently lectures on topics of interest to health care providers and earlier this year presented on the topics of “Internal Investigations” for health care companies at the 2019 American Health Lawyers Association conference on Medicare and Medicaid Payment Issues and moderated a panel of State Medicaid Directors on the changing face of their Medicaid programs in post-acute care for the AHLA Long-Term Care and the Law conference. About the Presenter(s):
Heidi Kocher is a partner with Liles Parker and has over 20 years of experience in health care legal and compliance-related issues, including serving as a chief privacy officer and interim chief compliance officer at a medical device manufacturer. She is currently serving as an outside compliance expert to a hospital and a clinical laboratory that are under Corporate Integrity Agreements. She has significant reimbursement experience, responding to and defending audits from Medicare, addressing coverage policy issues, challenging denials, recoupments, and loss of billing privileges, obtaining HCPCS codes, and other reimbursement related issues. Her experience also includes implementing Corporate Integrity Agreements, guiding clients through voluntary self-disclosures and seeking advisory opinions from the OIG. Ms. Kocher is licensed in Texas and Maryland. [W3645] The Revised Safe Harbors for the Anti-Kickback Statute (AKS) and Exceptions to Stark for Value-Based Payments and Alternative Payment Methodologiess

Speaker
Liles Parker Attorneys
Model
W3645

$30.00

Risks Facing Your Agency if You Hire Someone on the OIG Exclusion OR CMS Preclusion Lists

[W3644] Risks Facing Your Agency If You Hire Someone On The OIG Exclusion OR CMS Preclusion Lists
A 2022 TAHC&H Member Webinar - Now Available to All! Presentation Info: TAHC&H Virtual Event | 2022 Monthly Member Webinars | Recorded for On-Demand Access Presentation Date | June 1, 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][3]basic principles of management in a licensed health-related setting §558.260[a][6]risk assessment and management Program Description: At the outset, it is important to keep in mind that there are significant differences between the OIG Exclusion List and the CMS Preclusion List.  The presenters will discuss your obligations, as a Medicare home health or hospice provider, to ensure that your employees, agents, contractors, and vendors have not been excluded from participation in Federal health care programs.  They will also discuss the impact of the CMS Preclusion List on your employment and contracting practices. Both OIG and CMS contractors are actively on the lookout for violations. In this webinar, attorneys Paul Weidenfeld and Robert W. Liles will discuss the importance of exclusion screening, how to screen and which exact databases must be screened – according to both Federal and state regulations, how often and which employees providers must screen, and how providers must document their exclusion screening efforts in order to comply with the law. We will also go over the purpose and nature of the CMS Preclusion List. TAHC&H Faculty/Presenter(s): Paul Weidenfeld and Robert W. Liles | Liles Parker Attorneys & Counselors at Law About the Presenter(s):
Paul Weidenfeld brings a unique perspective to False Claims Act cases, Fraud Investigations and Qui Tam, or whistleblower, lawsuits which is partly the result of his rare combination of having BOTH extensive litigation experience (more than 50 trials and 25 appellate) AND subject matter expertise (10 years as a fraud prosecutor, 2 years as the DOJ Healthcare Fraud Coordinator, and experience as a partner in a major healthcare law firm). Virtually every litigation decision in these complex cases requires an understanding of the persons and agencies involved, an understanding of the law, and an ability to predict how the litigation will actually evolve in the legal system — and there is no one better suited to help in this process. Finally, Paul’s experiences have taught him that there is no one-size-fits-all in the world of settlement or conflict resolution, and he is well known for his ability to find innovative solutions to difficult litigation problems. About the Presenter(s):
Robert W. Liles' background is somewhat unique. In addition to a law degree, he holds a Master’s in Health Care Administration. Robert has worked on the provider side, as a federal prosecutor and now represents home health and hospice agencies around the country in connection with Medicare and Medicaid audits and investigations. While working as a federal prosecutor, he was asked to serve as the first National Health Care Fraud Coordinator for the DOJ’s, Executive Office for U.S. Attorneys. In this capacity, he advised prosecutors around the country regarding health care fraud statutes, schemes, investigative tools, privacy concerns, and compliance issues. Robert is a nationally-recognized speaker and educator on health law regulatory issues. He has taught and lectured at regional and national conferences, seminars and webinars to federal and state prosecutors, auditors, industry representatives, providers and suppliers on a variety of regulatory issues. [W3644] Risks Facing Your Agency If You Hire Someone On The OIG Exclusion OR CMS Preclusion Lists

Speaker
Liles Parker Attorneys
Model
W3644

$30.00

TPE Audits, ADRs Prepayment Reviews, Postpayment Audits and Suspensions

[3643] TPE Audits, ADRs Prepayment Reviews, Postpayment Audits and Suspensions | The Impact of these Administrative Enforcement Tools on Home Health and Hospice Agencies
A 2022 TAHC&H Member Webinar - Now Available to All! Presentation Info: TAHC&H Virtual Event | 2022 Monthly Member Webinars | Recorded for On-Demand Access Presentation Date | May 4, 2022 Program Description: Effective September 2021, Target, probe and Educate (TPE) audits were reimplemented by most Medicare Administrative Contractors around the country. TPE audits are merely the latest iteration of prepayment reviews being conducted by CMS contractors. While the government has placed some restrictions on their use, contractors continue to exercise great latitude in their scope and the length that they are imposed. Similarly, contractors remain in control of postpayment audits conducted and suspension actions recommended to CMS. In this webinar, attorneys Lorraine Rosado and Lester Johnson will discuss these enforcement actions and outline the adverse impact each action can have on your home health or hospice agency. 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 05.04.2024 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): Lorraine Rosado and Lester Johnson | Liles Parker Attorneys & Counselors at Law About the Presenter(s):
Lorraine Rosadois a key member of Liles Parker’s healthcare team and has been an attorney at the firm for nearly six years. She defends healthcare providers facing overpayment claims and counsels clients nationwide on compliance with healthcare statutes, regulations, and contract matters. She has represented providers in panel qualification and termination matters. She has extensive experience working on complex cases involving both Federal and State violations of the False Claims Act, including whistleblower cases. She is skilled in administrative litigation and appeals. Lorraine has handled claims disputes involving most major healthcare payors, including Medicare, Medicaid, TRICARE, various BlueCross BlueShield entities, and UnitedHealthcare. She is experienced working on large, complex administrative appeals of extrapolated alleged overpayments assessed by Centers for Medicare and Medicaid Services (CMS) contractors, including Zone Program Integrity Contractors (ZPICs), Medicare Administrative Contractors (MACs), Recovery Audit Contractors (RACs), and Medicaid Integrity Contractors (MICs). About the Presenter(s):
Lester Johnson is a Partner at Liles Parker PLLC and is the Supervising Attorney for the Firm’s Baton Rouge office. In addition, Les also serves as Co-Leader of the Firm’s Health Law Practice Group. Les helps clients navigate the myriad of regulatory, compliance and business issues facing today’s health care providers and practitioners. Core areas of Les’s practice include handling Medicare & Medicaid appeals; Medicare and Medicaid participation and compliance; Stark and Anti-kickback law compliance, state self-referral prohibitions and any other regulatory issues a client may face. Les assists clients with operational and business issues involving hospital/medical staff relations, practitioner credentialing, health care contracting issues, mergers and acquisitions, antitrust hurdles, joint ventures, and practice formation and restructuring. Les is a frequent presenter on regulatory compliance, fraud & abuse, and business issues facing health care providers and practitioners. He was named a Health Care Hero by New Orleans City Business Magazine, and was also recognized by the Gillis Long Poverty Law Center for his work to help open the Lower 9th Ward Health Clinic, a free clinic opened in early 2006 in New Orleans’ flood ravaged Lower 9th Ward neighborhood. [3643] TPE Audits, ADRs Prepayment Reviews, Postpayment Audits and Suspensions | The Impact of these Administrative Enforcement Tools on Home Health and Hospice Agencies

Speaker
Liles Parker Attorneys
Model
W3643

$30.00

Value-Based Purchasing | Where Does Your HHA / Hospice Fit In Delivery System Reform?

[W3640] Value-Based Purchasing | Where Does Your HomeHealth Agency Or Hospice Fit In Delivery System Reform?
A 2022 TAHC&H Member Webinar - Now Available to All! Presentation Info: TAHC&H Virtual Event | 2022 Monthly Member Webinars | Recorded for On-Demand Access Presentation Date | February 2, 2022 Program Description: Value-based payments(“VBP”) and alternative payment methodologies (APMs) are becoming more prevalent both in the public programs and private insurance. Additionally, the HHS has recently published new safe harbors that directly affect these payment mechanisms. The session will discuss some of the various VBPs and APMs that may affect home health agencies and hospices, the new safe harbors related to these payment mechanisms, how you can participate, and the pitfalls of which to be aware. In this presentation attorneys Michael Cook and Heidi Kocher discuss these important developments. 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) 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): Michael Cook and Heidi Kocher | Liles Parker Attorneys & Counselors at Law About the Presenter(s):
Michael Cook has more than 38 years’ experience representing health clients of all kinds in regulatory, reimbursement, fraud and abuse, compliance, business, strategic planning,and public policy matters, with a strong emphasis on post-acute providers. At the beginning of his career, Michael also was an attorney with the Office of General Counsel at the United States Department of Health and Human Services where he represented the federal regulators of the Medicare and Medicaid programs on matters of the highestlegal and political senstivity. He recently received the honor of Fellow from the American Health Lawyers Association. In addition to his health care practice, Michael serves as a strategic health care advisor to a start-up company that has developed a health care related product to protect seniors from fractured hips. He was appointed by Governor McAuliffe to serve on the Board of the Department of Medical Assistance Services that advises Virginia’s Medicaid program, has served as a health care advisor to a number of candidates for state and national office, and recently received the Albert Nelson Lifetime Achievement Award fromMarquis Who’s Who. He frequently lectures on topics of interest to health care providers and earlier this year presented on the topics of “Internal Investigations” for health care companies at the 2019 American Health Lawyers Association conference on Medicare and Medicaid Payment Issues and moderated a panel of State Medicaid Directors on the changing face of their Medicaid programs in post-acute care for the AHLA Long-Term Care and the Law conference. About the Presenter(s):
Heidi Kocher Esq., MBA, CHC, is a partner with the law firm of Liles Parker. She has over 20 years of experience advising and defending health care clients on legal and regulatory matters affecting providers of all sizes. She is an expert in all aspects of compliance and privacy programs, including developing and deploying policies, procedures and training. Her experience includes serving as a Chief Compliance Officer and a Chief Privacy Officer, implementing the various requirements and aspects of Corporate Integrity Agreements, and responding to and defending audits from Medicare, Medicaid and private insurers up through the ALJ level. She received her J.D. from Georgetown University Law Center. She is licensed in Texas and Maryland, and admitted to the U.S. Court of Federal Claims. She is Certified in Health Care Compliance. [W3640] Value-Based Purchasing | Where Does Your HomeHealth Agency Or Hospice Fit In Delivery System Reform?

Speaker
Liles Parker Attorneys
Model
W3640

$30.00

Workplace Violence in Home Care | Protecting Your Patients and Staff

[W3649] Workplace Violence in Home Care | Protecting Your Patients and Staff
A 2022 TAHC&H Member Webinar - Now Available to All! Presentation Info: TAHC&H Virtual Event | 2022 Monthly Member Webinars | Recorded for On-Demand Access Presentation Date | October 5, 2022 Program Description: Researchers have found “violence against health care workers accounted for nearly as many injuries as in all other industries combined, which is four times greater than the average U.S. worker.” In this session, we will discuss the current workplace violence risks facing you, your staff and your patients. Attorneys Richard Pecore and Lester Johnson will cover strategies for responding to incidents of workplace violence. You will learn about the prevalence of workplace violence incidents in health care, about the typical profile of a perpetrator of health care violence, and about the importance of staff training regarding workplace violence prevention 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 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 10.05.2024 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): Richard Pecore and Lester Johnson | Liles Parker Attorneys & Counselors at Law About the Presenter(s):
Richard Pecore is a licensed Texas attorney with over 20 years of experience. Mr. Pecore is a graduate of the University of Texas and South Texas College of Law Houston. Mr. Pecore joined Liles Parker as an associate attorney in January 2012 and became a partner with the firm in February 2016. Mr. Pecore has worked on a variety of health care related matters, and the past 6 years focusing on Medicare and Medicaid administrative provider appeals and creating provider regulatory compliance plans. Since joining Liles Parker, Mr. Pecore has focused on “big box” Medicare and Medicaid overpayments. He has successfully defended overpayment cases ranging in value from $15,000 to $6 million dollars. Mr. Pecore is a Certified Medical Compliance Officer with PMI, is a member of the American Health Lawyers Association. Mr. Pecore lives in Kingwood, Texas. About the Presenter(s):
Lester Johnson is a Partner at Liles Parker PLLC and is the Supervising Attorney for the Firm’s Baton Rouge office. In addition, Les also serves as Co-Leader of the Firm’s Health Law Practice Group. Les helps clients navigate the myriad of regulatory, compliance and business issues facing today’s health care providers and practitioners. Core areas of Les’s practice include handling Medicare & Medicaid appeals; Medicare and Medicaid participation and compliance; Stark and Anti-kickback law compliance, state self-referral prohibitions and any other regulatory issues a client may face. Les assists clients with operational and business issues involving hospital/medical staff relations, practitioner credentialing, health care contracting issues, mergers and acquisitions, antitrust hurdles, joint ventures, and practice formation and restructuring. Les is a frequent presenter on regulatory compliance, fraud & abuse, and business issues facing health care providers and practitioners. He was named a Health Care Hero by New Orleans City Business Magazine, and was also recognized by the Gillis Long Poverty Law Center for his work to help open the Lower 9th Ward Health Clinic, a free clinic opened in early 2006 in New Orleans’ flood ravaged Lower 9th Ward neighborhood. [W3649] Workplace Violence in Home Care | Protecting Your Patients and Staff

Speaker
Liles Parker Attorneys
Model
W3649

$30.00

Violence in Home Care: Protecting Your Workforce

[3048] Violence in Home Care: Protecting Your Workforce Education-Training Credits: 1.5 Hr(s) HCSSA Administrator/Alternate Summary: The risk of violence from clients, family and community against your workforce. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][6]risk assessment and management §558.260[a][8]skills for working with clients, families, and other professional service providers Faculty: Robert Liles, JD and Anthony Cutrona, JD Program Description: Home healthcare workers often face an unsafe and unpredictable environment as they visit a client’s neighborhood and home. Since more violent incidents occur in health care settings than any other profession, your administrative staff are also vulnerable. The presenters discuss the extent of the problem and what measures your home health agency or hospice can take to help protect your workforce from violence. Presentation Date: 08.09.2017 Learning Outcomes(s): Participants will actively engage in the learning activity and indicate an intent to change or enhance their practice by implementing reporting programs that will encourage healthcare staff to more readily report incidents of violence. About the Presenter:
Robert Liles, JD has a background that is somewhat unique. In addition to a law degree, he holds a Master’s in Health Care Administration. Robert has worked on the provider side, as a federal prosecutor and now represents home health and hospice agencies around the country in connection with Medicare and Medicaid audits and investigations. While working as a federal prosecutor, he was asked to serve as the first National Health Care Fraud Coordinator for the DOJ’s, Executive Office for U.S. Attorneys. In this capacity, he advised prosecutors around the country regarding health care fraud statutes, schemes, investigative tools, privacy concerns, and compliance issues. Robert is a nationally-recognized speaker and educator on health law regulatory issues. He has taught and lectured at regional and national conferences, seminars and webcasts to federal and state prosecutors, auditors, industry representatives, providers and suppliers on a variety of regulatory issues. About the Presenter:
Anthony Cutrona, JD began practicing home health law as general counsel for a Houston home health agency in 1996 and opened his solo health law practice in 1997. In 2000, the Texas Association for Home Care named him its Associate Member of the Year. Last year, after 20 years of representing home health care providers throughout Texas, Anthony joined Liles Parker as a Partner and opened its San Antonio office. He continues to represent home health agencies in license and survey matters, administrative appeals, implementation of compliance programs, employment issues, and defends nurses in Board of Nursing matters. [3048] Violence in Home Care: Protecting Your Workforce

Speaker
Liles, R & Cutrona, A
Model
3048

$45.00

Are You Managing SMART?

Are You Managing SMART? Know How Your Agency is Doing at All Times Summary: Learn the importance of on-going agency performance monitoring and benefits. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities Faculty: Litwin, Sharon Program Description: During this program the presenter discusses the importance of on-going performance monitoring to successful home care agency management. She suggests a variety of clinical, financial and operational measures that can be put in place to monitor performance and avoid "surprises." Also outlined are the elements of an agency performance assessment. Program Objectives: Upon completion of this program, the viewer will be able to: Discuss how to proactively manage their agency Complete and evaluate their agency using a Homecare Agency Assessment Identify key financial, clinical and operational indicators and develop an action plan Implement action plan and ongoing monitoring of key indicators About the Presenter: Sharon Litwin, RN, BSHS, MHA is principal and founder of Missouri-based Five Star Consultants. Sharon has been in healthcare management and administration for 25 years. For the past 20, she has been actively involved in the homecare industry, from field nurse to Executive Director to Principal Consultant in 5 Star Consultants. She has worked in and managed certified homecare, hospice, private duty, home infusion and dme as regional and executive directors. Her expertise is in problem solving, teaching and implementing successful action plans. She is a well known speaker at state and national conferences, specializing in case management, outcome enhancement, management training, OASIS, PPS, and documentation. She is an expert in regulatory, compliance, and operations. Education-Training Credits: 1.0 Hr(s) HCSSA Administrator/Alternate

Speaker
Litwin, Sharon
Model
732

$30.00

Administrator’s Guide to Developing Your Director of Nursing

[3051] Administrator’s Guide to Developing Your Director of Nursing Education-Training Credits: 1.25 Hr(s) HCSSA Administrator/Alternate Summary:Guidance to ensure the Administration and clinical team works together. 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: Jennifer Lopez, BSN, RN Program Description: Regardless of an Administrator’s credentials, they are held responsible for both the operational and clinical aspects of home care services. Home care is one of the toughest industries for compliance given the never ending maze of rules and regulations. This is true both in the Administrative side and Clinical side. With that comes the very delicate question, how does an Administrator help develop and guide the Director of Nursing to ensure clinical issues don’t balloon to enforcement level violations that could affect the overall operation of the agency? Ensuring the Administration and clinical team works together is critical to successful operations. In this presentation you will hear from your colleague and TAHC&H President who can share helpful tips to implementing this team approach in your agency. Presentation Date: 08.10.2017 Learning Outcomes(s): Participants will actively engage in the learning activity and indicate an intent to change or enhance their practice by implementing best practices that allow the administrator to effectively train the Director of Nursing to oversee the clinical operations of the agency. About the Presenter:
Jennifer Lopez, BSN, RN is the State Health Services Director for ResCare. She has worked in healthcare for over 25 years in many different settings including acute care, physician office, home health care and residential services. She received her LVN from Cooke County College in 1987, Associates Degree in Nursing from North Central Texas College in 1991 and her Bachelor’s Degree in Nursing from The University of Texas, Austin in 2003. She is also a Certified Developmental Disabilities Nurse (CDDN). Her current responsibilities include providing education, training and clinical support for the ICF, HCS and CLASS programs in Texas. She also serves as President of the Texas Association of Home Care and Hospice. Jennifer has a vast range of expertise in the areas of operations, due diligence, QA, clinical, state and federal regulations, compliance and investigations. Jennifer has a passion to ensure each person cared for receives the highest quality care possible. [3051] Administrator’s Guide to Developing Your Director of Nursing

Speaker
Lopez, Jennifer
Model
3051

$37.50

Emergency Preparedness Plan Blueprint | The Necessary Tools for Compliance for LHHS & PAS

[W3415] Emergency Preparedness Plan Blueprint | The Necessary Tools for Compliance for LHHS & PAS
EP plan tools for Licensed Home Health Services & Personal Assistance Services Presentation Info: TAHC&H Virtual Event | Pandemic Recovery Conference | Recorded for On-Demand Access Presentation Date | May 20, 2020 Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 2.5 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 §558.259[d][6]emergency preparedness planning and implementation §558.260[a][3]basic principles of management in a licensed health-related setting §558.260[a][6]risk assessment and management Program Description: Some of the biggest changes in home health and hospice pandemic plans have been presented since the introduction of COVID-19 into our world. Reframing your Emergency Preparedness Plan is one of the most important steps you can take during a pandemic occurance. This program provides you with the necessary tools to be compliant with the requirements of both LHHS and PAS emergency preparedness planning. The presenter discusses the details of the four (4) phases of emergency planning: Mitigation - including education & awareness, hazard assessment, vulnerability assessment Preparedness - including telecommunication plan, training, exercises and building relationships with community partners Response - including taking quick action to save lives, protect property and the environment, and meet basic human needs and subsistence of the affected population Recovery - taking actions after an emergency to restore and resume normal operation and rebuilding and repairing with goal of improving conditions and reducing future risks. TAHC&H Faculty/Presenter: Jennifer Lopez, BSN, RN About the Presenter:
Jennifer Lopez is a Clinical Consultant with Lopez Healthcare Consulting while completing her MSN & Family Nurse Practitioner degree. She has worked in healthcare for over 25 years in many different settings including acute care, physician office, home health care and residential services. She received her LVN from Cooke County College in 1987, Associates Degree in Nursing from North Central Texas College in 1991 and her Bachelor’s Degree in Nursing from The University of Texas, Austin in 2003. She is also a Certified Developmental Disabilities Nurse (CDDN). Her current responsibilities include providing education, training and clinical support for the Home Health and IDD programs in Texas. She also serves as Immediate Past President of the Texas Association of Home Care and Hospice. Jennifer has a vast range of expertise in the areas of operations, due diligence, QA, clinical, state and federal regulations, compliance and investigations. Jennifer has a passion to ensure each person cared for receives the highest quality care possible. [W3415] The Emergency Preparedness Plan Blueprint | The Necessary Tools for Compliance for LHHS & PAS Subscribers to this webinar receive 24/7 on-demand access for three (3) months. When subscribing to this webinar along with other programs totaling 12 hours or more, the access period increases to six (6) months.

Speaker
Lopez, Jennifer
Model
W3415

$75.00

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