New Products
Hospice Clinical Documentation: Painting the Picture for Payment
[PGM2170] Hospice Clinical Documentation: Painting the Picture for Payment Summary: A focus on proper documentation for hospice. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][2]development and interpretation of agency policies §558.260[a][5]quality improvement Faculty: Markland, Susan Program Description: Documentation is crucial to a hospice agency’s success. How does one paint the picture, but not the house? Complete and concise documentation provides smooth, accurate and timely payment to your hospice agency. This program presents and discusses documentation standards including an overview of International Classification of Functioning, Disability and Health (ICF), for each discipline, enabling viewers to comply with the documentation standards and presents an overall picture of documentation for ease in reimbursement for the hospice client. Program Objectives: Upon completion of this program, the viewer will be able to: List the 5 rights that are guiding principles of the Medicare Coverage Policy. Analyze documentation concepts that "Go Beyond the Diagnosis" to clearly support the patient’s decline in structure and function. Discuss the Palliative Performance Scale (PPS). About the Presenter: Susan Markland, RN, BSN is currently the Regional Director of Clinical Services for Scott and White Home Care and Hospice. Susan has 20+ years nursing experience with 12 years’ experience in Hospice Administration. More recently she has entered the Home Health and PAS arenas as well. She is a passionate advocate for quality patient care and a leader in demonstrating Home Care services can be profitable even within the not for profit organizations. Susan serves on the Board of Directors at TAHC&H, is a member of the Education Committee and a member of the Hospice Committee. Having survived the teenage years of 6 daughters, she faces Health Care reform with calm, humor, and a resolve to not become entrenched in the drama. Education-Training Credits: 1.50 Hr(s) HCSSA Administrator/Alternate [PGM2170] Hospice Clinical Documentation: Painting the Picture for Payment
- Speaker
- Markland, Susan
- Model
- 2170
$45.00
Coordination of Care in a Pediatric Private Duty Nursing Program
[PGM2173] Coordination of Care in a Pediatric Private Duty Nursing Program Summary: Solutions for solving coordination of care deficiencies. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][2]development and interpretation of agency policies §558.260[a][5]quality improvement §558.260[a][8]skills for working with clients, families, and other professional service providers Faculty: Mazick, Greg; Brooks, Lynne; Williams, Belinda Program Description: Coordination of care is #5 on the Texas HCSSA Top 10 survey deficiency list. This program presents how to show and provide effective and comprehensive care coordination by ensuring that all service providers are on the same page. Private duty nursing, community care and therapy providers are highlighted; you will get solutions to address coordination of care in your policies and the "Do's & Don'ts" in the home. Program Objectives: Upon completion of this program, the viewer will be able to: Define “coordination of care” related to pediatric Private Duty Nursing. Describe components of an agency coordination of care policy. Discuss Coordination of Care policy and procedures that comply with Texas Administrative Code (TAC) rule 97.288. Identify Personal Assistance Services (PAS) documentation methods to maintain compliance with TAC rule 97.288. Discuss coordination of care standards for pediatric therapy. Compare 2 case studies with opposite outcomes due to coordination of care received. About the Presenters: Greg Mazick, RN, BSN is the Director of Pediatric Services for Restorative Health Care. He has managed pediatric programs over the past 11 years with as many as 220 licensed nurses and therapist in the program. He has created and implemented processes related to safety, skills competency, nurse and therapist recruitment, compliance, QAPI, and risk management in pediatrics programs. Lynne Brooks, RN, CPHRM is a Registered Nurse and Certified Professional Healthcare Risk Manager with more than 25 years of health care management experience with Adult, Pediatric and Community Care Home Care programs in Texas. She has owned her own Home Care Agency and now operates a large non-profit Agency with 10 offices across the state and its subsidiary For-Profit Agency with 14 offices across the state, along with a CDS operation. Belinda Williams, OTR has more than 25 years experience in healthcare including psych, geriatric, acute and pediatric. To date, she has more than 15 year pediatric experience and still enjoys evaluating and treating. Over the years, her passion for assessing and treating children with sensory related dysfunction lead her to develop a private handwriting training program, group treatment programs and to facilitate numerous professional and parent trainings. As Executive Director of Education and Quality Assurance for THERAPY 2000, she monitors and facilitates regulatory and ethics compliance and performance improvement initiatives for the Agency. Education-Training Credits: 1.00 Hr(s) HCSSA Administrator/Alternate [PGM2173] Coordination of Care: Ensuring Effective Communication with ALL of Your Clients' Service Providers
- Speaker
- Mazick/Brooks/Williams
- Model
- 2173
$30.00
Pain Assessments in Persons with Dementia: Are They in Pain?
[PGM2175] Pain Assessment in Persons with Dementia: Are They in Pain? Summary: A closer look at pain recognition and assessment in persons with dementia. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][5]quality improvement §558.260[a][8]skills for working with clients, families, and other professional service providers Faculty: Shega, Joseph Program Description: Pain assessment is the lynchpin to adequate pain treatment in persons with and without dementia. This program reviews the epidemiology of pain followed by a physiologic-based discussion to debate whether or not persons with dementia experience pain differently than cognitively intact individuals. Viewers will be able to develop tools to comprehensively assess pain in persons with dementia adapting an integrated approach that includes self-report (when possible), consideration of co-morbid conditions, pain behaviors, proxy report, and an empiric analgesic trial. These tools are followed by a series of patient cases that reinforce the concepts detailed in the presentation. Program Objectives: Upon completion of this program, the viewer will be able to: Discuss the problem of pain in older adults with dementia. Manage challenges associated with pain recognition and assessment in persons with dementia. Evaluate strategies for assessing pain in the person with dementia, including those unable to self-report. About the Presenter: Joseph W. Shega, MDis an Associate Professor of Medicine at the University of Chicago. Dr. Shega's research focuses on enhancing the care and outcomes of persons with cognitive impairment through the integration of Geriatrics and Palliative Medicine. This includes investigations into improving the assessment and treatment of pain as well as expanding our understanding of the relationship between pain and other physical symptoms with cognitive, functional, and behavioral outcomes in persons with progressive neurodegenerative disorders. Finally, he is interested in the development of innovative care models for persons with advanced illness particularly those with dementia including the role and impact of hospice on end of life care. Education-Training Credits: 1.00 Hr(s) HCSSA Administrator/Alternate [PGM2175] Pain Assessment in Persons with Dementia: Are They in Pain?
- Speaker
- Shega, Joseph
- Model
- 2175
$30.00
How to Develop Specialty Services That Increase the Bottom Line
[2177] How to Develop Specialty Services That Increase the Bottom Line Summary: Insight into identifying & measuring market demand and structuring specialty programs to meet customer needs. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][3]basic principles of management in a licensed health-related setting §558.260[a][10]marketing Faculty: Kenyon, Ginny Program Description: This program provides insight and tools that will assist viewers in identifying opportunities for new services specific to their geographic area and populations they serve, a step by step process for use of the tools and examples of three specialty services - Staffing Services, Concierge Transportation Services and Day Surgery Services - with components of each program and the suggested marketing focus. Viewers will gain an understanding of the use of demographics and the other components necessary to create effective, financially rewarding, specialty service programs. Program Objectives: Upon completion of this program, the viewer will be able to: Identify useful tools and data needed to identify potential specialty programs. Demonstrate the development of two potential programs and identify additional opportunities for specialty program development. Identify the issues and barriers to developing a successful specialty services in a private pay agency . About the Presenter: Ginny Kenyon is founder and principal of Kenyon HomeCare Consulting. Ginny's knowledge and passion for helping clients achieve unique success defines the mission of her company. Known for her ability to produce substantial results in a short period of time, Ginny is well versed in quick turnarounds, including once taking a client from $1.7M to $3M in a little under a year. Ginny holds a Masters in Nursing Administration with minors in Business and Health Services. She has worked as an administrator in Public Health, Home Health, Hospice, and Private Duty home care for the last eighteen years. Education-Training Credits: 1.00 Hr(s) HCSSA Administrator/Alternate [2177] How to Develop Specialty Services That Increase the Bottom Line
- Speaker
- Kenyon, Jennifer
- Model
- 2177
$30.00
High Tech Pediatrics at Home - It is More Than ABC's
[2181] High Tech Pediatrics at Home - It is More Than ABC's Summary: This program addresses key issues in delivery of compliant and competent pediatric services to medically fragile children. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[a][2]development and interpretation of agency policies §558.260[a][6]risk assessment and management §558.260[a][8]skills for working with clients, families, and other professional service providers Faculty: Smith, Ellie Program Description: With changes to Medicare, increased fraud scrutiny and desire for increased revenue streams, agencies look to pediatric programs to diversify. Technology is certainly making management of children with Tracheostomies, Ventilator dependence and other complex needs easier, and reimbursement for PDN looks attractive, but liability, regulatory requirements, staff competency, documentation, and care management are necessary at more than basic levels to meet quality of care and safety needs of these medically complex children. This program addresses key issues in delivery of compliant and competent pediatric services to medically fragile children. What are the high risk skills? How do you determine competency? Who are qualified staff? What are key clinical skills to manage trach and vent dependent children at home? What are documentation challenges to address? What is enough supervision for safe delivery of care? How can positive outcomes be best achieved? Would "minimum standards" be enough for your child? Program Objectives: Upon completion of this program, the viewer will be able to: Identify three methods of determining nursing competence. Evaluate the reference for Home and Community Support Services Agencies (HCSSA) minimum standards for licensure relating to staff. Analyze three key elements of a compliant pediatric tracheostomy and ventilator competency program. Identify three areas of high risk in providing pediatric tracheostomy and ventilator care. Demonstrate pediatric nursing ventilator essential skills and competency. Describe three key behaviors to observe during Registered Nurse (RN) supervisory and reassessment visits to children with tracheostomies. Evaluate challenges to implementation of a pediatric ventilator competency program. About the Presenter: Ellie Smith, RN, BSN, LMSW, Owner of Options Home Care Solutions, is an experienced consultant and educator in pediatric nursing clinical skills and home care practice. Over the past 30+ years she has been a part of creating and evaluating pediatric home care programs across the southwest. Her years of experience as a pediatric intensive care and home care clinical educator, home care manager, and consultant provide a rich foundation for her information filled presentations. Ms. Smith has developed and published the Pediatric Skilled Nursing Procedures Manual for Home Health and many other well received tools for successful documentation, clinical competency and quality driven pediatric home care practice. Education-Training Credits: 1.50 Hr(s) HCSSA Administrator/Alternate [2181] High Tech Pediatrics at Home - It is More Than ABC's
- Speaker
- Smith, Ellie
- Model
- 2181
$45.00
Succeed at the BUSINESS of Home Care
[2176] Succeed at the BUSINESS of Home Care Summary: Tactics, tools and techniques for monitoring and managing 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][7]financial management Faculty: Peterschmidt, Steve Program Description: Everyone knows about the challenges facing home care agencies today. In order to survive, agencies must be on top of not only the quality of care but the BUSINESS of home care. This program walks viewers through the business elements that must be present in any home care agency that wants to survive. Program Objectives: Upon completion of this program, the viewer will be able to: Discuss the basic business components required for home care agencies. Describe the concept of “Managing to the Numbers”. Discuss of the concept of “Evolving”. Review effective tools and techniques. About the Presenter: Steve Peterschmidt has over 20 years of management experience at all levels of business and with a diverse group of industries. Most recently as the owner and administrator of an agency in Colorado. Steve grew the agency from a self funded start-up with no employees, no patients and no revenue to a respected, profitable agency with an average daily patient census of over 250, all in less than 5 years. Prior to the health care industry Steve worked in the weapons, aerospace and high tech industries. Steve has taken the management, business and process control experience from these progressive industries and adapted it successfully to health care. Education-Training Credits: 1.50 Hr(s) HCSSA Administrator/Alternate [2176] Succeed at the BUSINESS of Home Care
- Speaker
- Peterschmidt, Steve
- Model
- 2176
$45.00
Fraud & Compliance: A Changing World for Hospice
[2432] Fraud & Compliance: A Changing World for Hospice
Summary: Hospice
relationships draw increased focus to prevent fraud.
HCSSA Topic(s) Addressed:
§558.259[d][1]information regarding fraud and abuse detection and prevention
§558.259[d][4]agency responsibilities
§558.260[a][9]community resources
§558.260[a][10]marketing
Faculty: Berliner, Marie
Program Description: Regulations are tightening in the hospice industry
both as a constraint against fraud and as a focus on improved quality of care. As new relationships link hospices together with
entities such as nursing homes, assisted living facilities and accountable care organizations, the compliance focus and
governance of hospices must also adapt. In this program Marie discusses significant hospice fraud cases in the last year
while also presenting Congressional actions and OIG Work Plan initiatives addressing fraud, reimbursement changes,
and reporting practices as they affect fraud enforcement.
Program Objectives: Upon completion of this program, the viewer will be able to:
Discuss perspectives and objectives of Congress, CMS and OIG in implementing hospice quality and cost controls
Explain interplay among OIG reports, Work Plans, and CMS Regulations
Highlight concerns over nursing facility relationships, use of GIP
services, CHC marketing, and duplicate billings
Explain data collection measures and relationship to cost containment
Review lawsuits filed under the False Claims Act by individual citizens and the Department of Justice
Evaluate patterns of behavior common to enforcement actions (aggressive marketing, CHC services, terminal illness criteria and discharge criteria
Explain proposal to give qui tam relators a greater share of recovery.
About the Presenter: Marie Berliner, JD, Senior Counsel at Joy & Young, LLP has been counseling healthcare providers,
including home health agencies, hospices, physicians and hospitals, in all aspects of administrative and regulatory compliance, since 1988.
Her practice focuses on Medicare reimbursement, fraud and abuse, physician self-referrals (“Stark law”), licensure and certification,
and other administrative and regulatory healthcare matters. She has also been a regular speaker (2004-2013) on Medicare issues to TAHC&H, The Texas and New Mexico Hospice
Organization, and the University of Texas’ Annual Health Law Conference, and has presented numerous administrator training seminars to home
health and hospice providers on select federal and state laws.
Ms. Berliner is licensed to practice in Texas as well as Maryland, and the
District of Columbia.
Education-Training Credits:
1.50 Hr(s) HCSSA Administrator/Alternate
[2432] Fraud & Compliance: A Changing World for Hospice
- Speaker
- Berliner, Marie C
- Model
- 2432
$45.00
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
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
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 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
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
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
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
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
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
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
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
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
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
![Are You Running Your Business or is It Running You? [Two Parts]](images/150x150 New.png "Are You Running Your Business or is It Running You? [Two Parts]")