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Initial Phase Two Curriculum for Medicare CHHA Provider Types
[PKG_PH2D]
$486.00


Initial Phase Two Curriculum [16HRs] for Medicare CHHA Provider Types. [Revised 12.13.11]

Summary: This curriculum provides thirteen (13) programs produced by TAHC&H/HCIN to satisfy TX §97.259( d ), the Initial 16 hour (post-designation) training requirement for a new administrator or alternate administrator. This curriculum should be used by Medicare certified HHA provider types or those applying for Medicare certification.

HCSSA Topic(s) Addressed:

  • §97.259[d][1]information regarding fraud and abuse detection and prevention [Program 466]
  • §97.259[d][2]legal issues regarding advance directives [Program 468]
  • §97.259[d][3]client rights, including the right to confidentiality [Program 468]
  • §97.259[d][4]agency responsibilities [Programs 732,1353,1518,1520,1521,1582,1584,1832]
  • §97.259[d][5]complaint investigation and resolution [Program 468]
  • §97.259[d][6]emergency preparedness planning and implementation [Program 1581]
  • §97.259[d][7]abuse, neglect, and exploitation [Program 468]
  • §97.259[d][8]infection control [Program 395]
  • §97.259[d][10]the Outcome and Assessment Information Set (OASIS) [Program 715]

Faculty: Varies by Program

Curriculum Description: This is a curriculum assembled for use by Medicare certified HHA provider types (or those applying for Medicare certification) to satisfy TX §97.259( d ), the Initial 16 hour (post-designation) training requirement for new administrators and alternate administrators. Choosing this curriculum is an easy option for those who prefer not to select from our extensive list of A LA CARTE programs. The curriculum includes thirteen (13) programs produced by TAHC&H/HCIN and provides 16.20 hours of credit for new administrators and alternate administrators.

Each new administrator & alternate administrator candidate must subscribe individually to this curriculum. A subscription provides sixty (60) days of program access. Programs can be viewed 24/7, from home or office, unlimited times prior to the subscription expiration. Successful completion of an online post-test generates a printable certificate displaying the registered individual's name, course number and title with reference to the specific regulatory citation and date of completion. Access to program post-tests is provided until tests are successfully completed, even after the subscription access period expires.

This curriculum was revised on 12/13/11 to include PGM1832 Medicare Regulatory Update - Nov 2011 , that was recorded 11.09.11.

View a regulatory crosswalk from program-to-regulation for this curriculum.

PROGRAMS LISTED IMMEDIATELY BELOW ADDRESS REQUIRED TOPICS §97.259[d][1,2,3,5,6,7,8 & 10] & TOTAL 5.25 HRS

[395] Infection Control and OSHA

HCSSA Topic(s) Addressed:

  • §97.259[d][8]infection control

Faculty: Wilson, Kim

Program Description: All home care agencies are required to be in compliance with the Occupational Safety & Health Administration (OSHA) requirements that protect clients and employees. This program will identify the TX DADS regulations regarding infection control, discuss the Texas Health and Safety Codes, review CFR 1910.1030 related to impact on Home Care practice and discuss OSHA regulations.

Program Objectives: Upon completion of this program, the viewer will be able to:

  • Identify the DADS regulations regarding infection control
  • Discuss the Texas Health and Safety Codes
  • Review CFR 1910.1030 related to impact on home care practice
  • Discuss OSHA regulations

Education-Training Credits:

  • 1.0 Hr(s) HCSSA Administrator/Alternate addressing TX §97.259( d )(8)infection control

[466] Staying Safe: Design a Blueprint for Compliance & Avoiding Fraud

HCSSA Topic(s) Addressed:

  • §97.259[d][1]information regarding fraud and abuse detection and prevention

Faculty: Dombi, William

Program Description: Providing home care requires more than delivering high quality services. Today, home care agencies must be ever vigilant in their efforts to comply with the myriad of regulatory requirements. Anything less raises risk of allegations of fraud and abuse. This program provides a focused analysis of federal and Texas laws affecting Medicare and Medicaid home care services applied to home care specific activities such as claims, quality of care, cost reporting, patient referrals, and marketing practices.

Program Objectives: Upon completion of this program, the viewer will be able to:

  • Discuss the reasons why compliance with fraud laws is required
  • Identify who has potential to be involved in fraud
  • Discuss types of non-compliance with anti-fraud laws
  • Identify the applicable anti-fraud laws

About the Presenter: William Dombi is Vice President for Law at the National Association for Home Care & Hospice (NAHC) and Director of the Center for Health Care Law in Washington, DC. With over 30 years of experience in health care law and policy, Bill Dombi has been involved in virtually all legislative and regulatory efforts affecting home care and hospice since 1975, including the expansion of Medicare home health benefit in 1980, the formation of the hospice benefit in 1983, the institution on Medicare PPS for home health in 2000, and this year’s historic health care reform . With litigation, Dombi was lead counsel in the landmark lawsuit that reformed the Medicare home health services benefit, challenges to HMO home care cutbacks for high-tech home care patients, lawsuits against Medicaid programs for inadequate payment rates, a nationwide class action against then-HCFA for its failure to enforce the federal HMO Act, and litigation directed against the "Interim Payment System" for the Medicare home health benefit.

Education-Training Credits:

  • 1.2 Hrs HCSSA Administrator/Alternate addressing TX §97.259( d )(1) information regarding fraud and abuse detection and prevention

[468] Administrator Training: Initial Training Requirements

HCSSA Topic(s) Addressed:

  • §97.259[d][2]legal issues regarding advance directives
  • §97.259[d][3]client rights, including the right to confidentiality
  • §97.259[d][5]complaint investigation and resolution
  • §97.259[d][7]abuse, neglect, and exploitation
  • §97.259[d][8]infection control

Faculty: Hammond, Rachel

Program Description: This program presents the regulations required of home care agencies in order to comply with the rules and provide quality care. Topics covered include:

  • Advanced Directive law requirements
  • client rights and responsibilities
  • abuse, neglect, or exploitation
  • complaints
  • infection control

Program Objectives: Upon completion of this program, the viewer will be able to:

  • Discuss Advance Directive law requirements
  • Discuss Client Rights and responsibilities
  • Identify what qualifies as abuse, neglect, or exploitation
  • Identify what is considered a complaint
  • Discuss infection control regulations

About the Presenter: Rachel Hammon is the Director of Clinical Practice and Regulatory Affairs for TAHC&H. Rachel has been in health care for 17 years with over 11 years of home care experience, including pediatric case manager, Medicare case manager, Administrator/DON and Corporate Director of Clinical Services, with the majority of her time focused on supervision and management of home care pediatric programs. At TAHC&H, Rachel provides clinical and technical assistance related to both federal and state regulations. She currently serves on the Nursing Practice Advisory Council for the Texas Board of Nurse Examiners.

Education-Training Credits:

  • 0.75 Hr(s) HCSSA Administrator/Alternate addressing TX:
  • §97.259[d][2]legal issues regarding advance directives
  • §97.259[d][3]client rights, including the right to confidentiality
  • §97.259[d][5]complaint investigation and resolution
  • §97.259[d][7]abuse, neglect, and exploitation
  • §97.259[d][8]infection control

[715] Interdisciplinary Orientation: Comprehensive Assessment, OASIS & Outcomes

HCSSA Topic(s) Addressed:

  • §97.259[d][10]the Outcome and Assessment Information Set (OASIS)

Faculty: Will, Rhonda & Krafft, Cindy

Program Description: This program is one of six from the Fazzi Associates Interdisciplinary Orientation to Home Health Care Series.

Home care clinicians need a clear understanding of what is involved in the completion of a comprehensive assessment both from a clinical and regulatory perspective. The OASIS assessment is an integral part of care delivery as the data it collects drives our care, determines the quality of the care delivered and impacts payment. This program examines the comprehensive assessment, OASIS and outcomes model for home health.

Program Objectives: Upon completion of this program, the viewer will be able to:

  • Discuss the necessary components of a comprehensive assessment
  • Discuss the significance of completing the OASIS document accurately
  • Explore the relationship between OASIS and outcome measures in determining quality of care

About the Presenters: Rhonda Will, RN, BS, HCS-D, COS-C heads Fazzi's OASIS auditing team and is one of home care's most well known national trainer and speaker. Cindy Krafft , MS, PT, COS-C is an Assistant Director of Operational Consulting, Rehab Services at Fazzi Associates, Chair of the NAHC Therapy Advisory Committee and the current Vice President of the Home Health Section of the American Physical Therapy Association.

Education-Training Credits:

  • 1.3 Hr(s) HCSSA Administrator/Alternate addressing TX §97.259[d][10]the Outcome and Assessment Information Set (OASIS)

[1581] Emergency Preparedness: Developing a “Plan That Will Stand”

HCSSA Topic(s) Addressed:

  • §97.259[d][6]emergency preparedness planning and implementation

Faculty: Jones, Patricia

Program Description: Come fire, flood, wind or snow…develop an emergency plan that both meets regulatory requirements AND serves as a valuable tool when a disaster actually strikes. This program includes how to:

  • Discuss regulations related to emergency preparedness
  • Discuss the designation of an agency disaster coordinator
  • Explain how to conduct a hazard vulnerability analysis (HVA)
  • Evaluate results of HVA to develop Emergency Preparedness plan
  • Discuss how to test and revise plan

A demonstration of a process for conducting an after action review and the improvements that can be made as you learn is also included. Emphasis will be on developing long term relationships with your communities’ other emergency response agencies and local emergency management officials.

Program Objectives: Upon completion of this program, the viewer will be able to:

  • Understand the background for the development of the expanded Emergency Preparedness rules
  • Follow the steps outlined in TAC 97.256 and 97.301 to develop a plan that works for you and your patients

About the Presenter: Presented by Patricia R. Jones, RN, BA, CHCE, Director of Community Based Care, Memorial Health System of East Texas. Patricia Jones has over 28 years experience in home care as staff nurse, field supervisor, branch manager and agency administrator. She has served on a variety of community Boards who were involved in an area disaster plan. She is Clinical Coordinator for the special needs shelter for the city of Lufkin operating during Hurricane Lilly & Rita and the shelter nurses station for evacuees from the New Orleans Superdome.

Education-Training Credits:

  • 1.0 Hr(s) HCSSA Administrator/Alternate addressing TX §97.259[d][6]emergency preparedness planning and implementation

PROGRAMS LISTED BELOW ADDRESS REQUIRED TOPIC §97.259[d][4], TOTAL 10.95 HRS & COMPLETE THE SIXTEEN (16) HOUR TRAINING REQUIREMENT

[732] Are You Managing SMART? Know How Your Agency is Doing at All Times

HCSSA Topic(s) Addressed:

  • §97.259[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:

  • 1.1 Hr(s) HCSSA Administrator/Alternate

[1353] How to Increase Referrals Without Increased Costs

HCSSA Topic(s) Addressed:

  • §97.259[d][4]agency responsibilities

Faculty: Ferris, Michael

Program Description: As agencies are faced with unparalled competitive challenges, protecting key accounts and growing their numbers will determine your agency's success over the coming years. This program provides focus on increasing referrals (revenues) without increasing costs. You will discover best practice tricks and techniques to control costs AND increase referrals.

Program Objectives: Upon completion of this program, the viewer will be able to:

  • Identify strategies to increase return on investment for sales and marketing programs
  • Discover which skills your sales people need and how to train and manage them
  • Develop plan to manage referral process for implementation at your agency

About the Presenter: Mike is the Director of the Marketing, Sales and Customer Service Consulting Division at Simione Consultants. Long a nationally recognized expert in Home Care and Hospice Sales, Marketing and Customer Service, his training programs are the most acclaimed in the country, receiving accolades from some of the biggest CEOs and Sales managers from California to New York. He has the unique perspective of having counseled and consulted with many of the most successful home care and hospice organizations and seen what works on a national basis.

Education-Training Credits:

  • 1.0 Hr(s) HCSSA Administrator/Alternate

[1518] RAC Scrutiny, Audit Findings from RAC-like Surveys

HCSSA Topic(s) Addressed:

  • §97.259[d][4]agency responsibilities

Faculty: Cisneros, Arnie

Program Description: This program helps you prepare for audit scrutiny. The presenter has had a front-row seat as audits performed by Fiscal Intermediaries served as a warm-up for the RAC (Recovery Audit Contractor) era. Having analyzed audited cases from multiple agencies in multiple states, this program describes denied care in clinical terms that can help providers identify claim concerns that exist in their programs. Specific dissections of partial denials illustrate areas where clinical improvements can help agencies re-wire care delivery for future stability and success. This program is important for all levels of home health professionals.

Program Objectives: Upon completion of this program, the viewer will be able to:

  • Identify the challenges facing the Home Health industry as they confront more stringent regulatory constraints and audits
  • Discuss methods employed by other provider types to adapt care to meet requirements of reforms in their care delivery
  • Evaluate findings from Home Health audit/denial patterns experienced in other states to determine care modifications required for the audits
  • Outline action plans required for homecare providers to survive these challenges

About the Presenter: This program is presented by Arnie Cisneros, PT, Owner and President of HomeHealth Strategic Management. Arnie is renowned for his adaptation of traditional care philosophies to address current and future healthcare initiatives. A practicing clinician, Arnie provides working level insight into program development and care consultation for providers. He authors "Home Health Forum", a bi-weekly column addressing homecare issues and is a contributor to "The Remington Report", Caring, and Decision Health publications. He presents nationally on topics including S.U.R.C.H. - UR for Home Health, OBQI case Conference, and PPS/P4P strategies.

Education-Training Credits:

  • 1.5 Hrs HCSSA Administrator/Alternate

[1520] S.U.R.C.H. - A Utilization Program for Home Health

HCSSA Topic(s) Addressed:

  • §97.259[d][4]agency responsibilities

Faculty: Cisneros, Arnie

Program Description: This exciting QA program utilizes UR mechanisms employed by hospitals to manage care. Agencies that have implemented this methodology have enhanced clinical outcomes and improved productivity. Accurate Start of Care programming is the first step in producing and delivering audit-proof care, and a S.U.R.C.H.-like mechanism assures PPS compliant programming. This program has been presented across the country and featured in CARING magazine, The Remington Report, and Decision Health's Home Care Outcomes in 2009.

Program Objectives: Upon completion of this program, the viewer will be able to:

  • Describe the history of the Medicare Home Health benefit
  • Discuss how the Prospective Pay System (PPS) model utilizes the Outcome and Assessment Information Set (OASIS) and Outcome-Based Quality Improvement (OBQI) methods to identify programming
  • Evaluate the Service Utilization for Care in the Home (SURCH) method of utilization review and its effect on clinical and fiscal outcomes
  • Demonstrate the Clinical Synthesis method via interactive audience participation demos with specific nursing and rehab management scripting

Diane Levan, Director of Home Care for South Jersey VNA states "Our nurses love SURCH..." when describing that it "can be easily replicated by anyone".

About the Presenter: This program is presented by Arnie Cisneros, PT, Owner and President of HomeHealth Strategic Management. Arnie is renowned for his adaptation of traditional care philosophies to address current and future healthcare initiatives. A practicing clinician, Arnie provides working level insight into program development and care consultation for providers. He authors "Home Health Forum", a bi-weekly column addressing homecare issues and is a contributor to "The Remington Report", Caring, and Decision Health publications. He presents nationally on topics including S.U.R.C.H. - UR for Home Health, OBQI case Conference, and PPS/P4P strategies.

Education-Training Credits:

  • 1.5 Hrs HCSSA Administrator/Alternate

[1521] Outliers - Friend or Foe?

HCSSA Topic(s) Addressed:

  • §97.259[d][4]agency responsibilities

Faculty: Teenier, Pamela

Program Description: Managing outliers can be like walking a tightrope...each agency needs to manage resources, patients and community needs. This program walks you through determining individual case outlier qualification and how to determine your agency outlier payment percentage. Basic strategies for clinical management of wound care and diabetic patients, major factors in this complicated puzzle, is also examined.

Program Objectives: Upon completion of this program, the viewer will be able to:

  • Evaluate an individual cases to determine if they will qualify for an outlier payment
  • Identify ways to determine an agencies current outlier payment percentage
  • Discuss basic strategies for clinical management of wound care and diabetic patients

About the Presenter: This program is presented by Pamela Teenier, RN, MBA, CHCE, HCS-D, COS-C, Assistant VP, Medicare Operations, Gentiva Health Services.

Education-Training Credits:

  • 1.1 Hrs HCSSA Administrator/Alternate

[1582] Financial Reporting Overview

HCSSA Topic(s) Addressed:

  • §97.259[d][4]agency responsibilities

Faculty: Peterson

Program Description: In this program you will learn how to read financial statements, the significant aspects and relationships of the balance sheet, the statement of income and accrual versus cash basis accounting. Also included is a discussion on the bank account, accounts receivable, start up costs, liability accounts and revenue recognition.

Program Objectives: Upon completion of this program, the viewer will be able to:

  • Discuss the significance of your financial statements
  • Discuss how to read a financial statement and balance sheet
  • Examine the statement of income and accrual versus cash basis accounting
  • Define the basic business transactions recorded in your accounting system

About the Presenter: Presented by John Peterson, CPA, MBA, President, Peterson & Peterson, PC. John Peterson is President of Peterson & Peterson, P.C. He is a Texas licensed Certified Public Accountant and has a Masters of Business Administration degree from the University of Nebraska. He is a member of the Texas Society of Certified Public Accountants, the American Institute of Certified Public Accountants and Beta Gamma Sigma, the national honorary business scholastic society. John developed tax, accounting, cost reporting, audit representation and management services practice to small and medium sized businesses. He also developed the health industry market niche including home health agencies, hospice agencies, comprehensive outpatient rehab facilities, skilled nursing facilities and Texas Home & Community Based Services agencies. His firm’s current client list totals over 800 and covers businesses throughout Texas, California, Georgia, Hawaii, Illinois, Kansas, Michigan, and New York. He has created and provided health industry workshops to home health executives and made presentations to the health industry association conferences. John also represents the State of Texas on the 16 State Coalition Group that meets regularly with Palmetto officials to discuss current health industry practices and problems. He is a past member of the Board of Directors and Audit Committee of MetroCorps Bancshares, Inc., a publicly traded bank holding company with banks in Texas and California.

Education-Training Credits:

  • 1.0 Hr(s) HCSSA Administrator/Alternate

[1584] ZPICs: They’re Not Andy of Mayberry!

HCSSA Topic(s) Addressed:

  • §97.259[d][4]agency responsibilities

Faculty: Kennedy,Mark & Terrell, Lurese

Program Description: The ZPIC satisfies two roles for Medicare: One is to ensure Medicare program integrity similar to the prior duties of the Program Safeguard Contractor and assist Medicare in detecting fraud and abuse of the system. The other is to recover funds from calculated overpayments based upon a record and chart review of the home health agency’s internal records. These investigations typically take 1 of 2 forms; both require immediate action. A notice of overpayment (and they are always large) requires a thorough understanding of the government’s administrative process in order to ride out the storm. This program presents an overview of methods ZPIC’s use for enforcement and recovery of overpayments, and how the provider should respond.

Program Objectives: Upon completion of this program, the viewer will be able to:

  • Identify the Zone Program Integrity Contractors (ZPIC)
  • Identify the ZPIC mission
  • Identify the avenues post ZPIC notification of overpayment
  • Evaluate the providers’ options for repayment

About the Presenter: Presented by Mark S. Kennedy, JD and Lurese A. Terrell, JD, KENNEDY Attorneys at Law. Mark S. Kennedy is the founder of KENNEDY, Attorneys and Counselors at Law, a health law boutique in Dallas Texas. He focuses his practice in health law and regulatory compliance. Mark formerly was Assistant Regional Counsel to the U.S. Department of Health and Human Services. He represented the Health Care Financing Administration (now Centers for Medicare and Medicaid Services,) Inspector General, and other Departmental Agencies in the federal trial and appellate courts and various administrative tribunals. He has represented the government in a multitude of cases concerning Medicare and Medicaid involving payment and reimbursement disputes, fraud and abuse enforcement, health and safety compliance, and provider bankruptcy. In private practice, Mark’s depth of knowledge in healthcare regulation has proven to be an invaluable asset in successfully representing clients in a wide array of civil and regulatory matters. His background and experience provide him a unique understanding of government decision-making and procedures. LURESE A. TERRELL is a senior attorney at Kennedy Attorneys & Counselors at Law, in Dallas, Texas. Lurese has extensive experience in administrative law and litigation, in addition to the regulatory health care law she practices with the firm. Prior to joining Kennedy Attorneys & Counselors at Law, Lurese litigated cases before the workers compensation system for both claimant and later for the insurer. At Kennedy, Lurese handles healthcare regulatory and administrative cases in addition to District Court litigation and business matters.

Education-Training Credits:

  • 2.0 Hr(s) HCSSA Administrator/Alternate

[1832] Medicare Regulations - Nov 2011

Summary: Review of Medicare Regulations for home health agencies recorded November 2011.

HCSSA Topic(s) Addressed:

  • §97.259[d][4]agency responsibilities

Faculty: Hammon, Rachel

Program Description: This program covers key Medicare regulations in the Conditions of Participation (CoPs) and how those regulations are applied by surveyors. Specific program requirements such as coverage, notice requirements, OASIS and Prospective Payment System (PPS) changes related to the new 2011 PPS update are also discussed.

Program Objectives: Upon completion of this program, the viewer will be able to:

  • Discuss legislative issues affecting Medicare home health agencies
  • Discuss regulatory issues affecting home health
  • Assess key Conditions of Participation (CoPs)
  • Discuss required Medicare Notifications

About the Presenter: Rachel Hammon is the Director of Clinical Practice and Regulatory Affairs for TAHC&H. Rachel has been in health care for 17 years with over 11 years of home care experience, including pediatric case manager, Medicare case manager, Administrator/DON and Corporate Director of Clinical Services, with the majority of her time focused on supervision and management of home care pediatric programs. At TAHC&H, Rachel provides clinical and technical assistance related to both federal and state regulations. She currently serves on the Nursing Practice Advisory Council for the Texas Board of Nurse Examiners.

Education-Training Credits:

  • 1.75 Hr(s) HCSSA Administrator/Alternate

FAX ORDER OPTION: If you prefer to fax your order, or need to mail your order along with payment, use this printable order form .

[PKG PH2D] Initial Phase Two Curriculum [16HRs] for Medicare CHHA Provider Types. [Revised 12.13.11]

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This product was added to our catalog on Wednesday 05 January, 2011.
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