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Texas Through The Looking Glass - What Does The Data Tell Us?

[W3238] Texas Through The Looking Glass - What Does The Data Tell Us?
A one-hour tour of Medicare home health claims and cost report data from the Lone Star State. Presentation Info: Presentation Date: April 2018 TAHC&H Event: TAHC&H Monthly Webinars Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hrs CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations. HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][7]financial management Program Description: It is said that every picture tells a story, and Medicare claims data tells a very transparent story that can answer important questions while lending thoughtful guidance as we move forward both as an industry and as individual providers. How do Texas home health metrics compare to the rest of the country? How does my agency differ from my neighbor? Which measures define success? Where do I need to “get better”? What do ACOs and Hospital Systems expect from me, and why? Where does Medicare Advantage fit in with all of this? Why doesn’t McDonald’s sell hotdogs? We’ll answer most of these questions and more! Duane Blackwell, CEO of National Home Health Analytics, will be our guide as we review the relevant highlights of some 10 Billion Medicare data points. Program Learning Outcome: Participants will actively engage in the learning activity by reviewing National and Texas home health agency operational metrics in an effort to improve the quality and cost-efficiency of their agency's services.  TAHC&H Faculty/Presenter: Duane Blackwell, CEO of National Home Health Analytics About the Presenter:
Duane Blackwell has been in home health since August, 1997 when he was hired as CEO of Thompson Home Health, a multi-provider Louisiana-based home health company. At that time, the industry was undergoing a dramatic transition from a cost-based system to prospective payment. Duane’s previous career in commercial banking seemed a good fit for what was to be a tectonic shift in the way home health was delivered. In 2003, he assisted in the successful sale of Thompson to an equity investment firm, staying on as CEO for five years following the sale. In 2008, Duane established SOSO Solutions, LLC, a consulting practice focused primarily on the serving needs of post-acute care providers, including home health and hospice companies. SOSO’s areas of focus include strategic planning, financial management, the management of change, and sales and business development. SOSO continues to serve a client base centered in the Gulf South. In 2015, Duane partnered with Dr. Cordt Kassner and Dr Warren Hebert to establish National Home Health Analytics; a Medicare Clams and Cost Report research and consulting company focused on delivering industry transparency. A native of Hattiesburg, Mississippi, Duane earned a Bachelor of Science in Business Administration and a Master of Business Administration from The University of Southern Mississippi. [W3238] Texas Through The Looking Glass - What Does The Data Tell Us?

Speaker
Blackwell, Duane
Model
W3238

$30.00

OIG’s 2019 Workplan – Is Your HHA, Hospice, Personal Care Agcy in the Government’s Crosshairs?

[W3237] OIG’s 2019 Workplan – Is Your Home Health, Hospice or Personal Care Agency in the Government’s Cross Hairs?  
The 2019 OIG Work Plan and how it will effect home health and hospice providers. Presentation Info: Presentation Date: December 5, 2018 TAHC&H Event: TAHC&H Monthly Webinars Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hrs CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations. HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][6]risk assessment and management Program Description: The Office of Inspector General’s annual “Work Plan” is its general audit and investigative plan for the upcoming year. The publication of OIG’s Work Plan serves to publicize law enforcement’s program integrity concerns with respect to certain claims and services, types of providers and specific conduct that is thought to be improper. It is an essential tool all health care providers should use to know where to focus its compliance efforts. In this webinar, attorneys Meaghan McCormick  and Mary Soule will discuss the 2019 OIG Work Plan and how it will effect home health and hospice providers, along with other ancillary providers related to them. Program Learning Outcome: Participants will actively participate in the learning activity and indicate an intent to apply the regulatory care documentation changes outlined in the Office of the Inspector General (OIG) 2019 Workplan within their agencies’ policies and practices. TAHC&H Faculty/Presenters: Meaghan McCormick and Mary Soule | Liles Parker Attorneys & Counselors at Law About the Presenter:
Meaghan McCormick is an Associate Attorney in Liles Parker’s Washington, DC office where she concentrates her practice in the area of health care regulatory compliance. Meaghan has experience with auditing claims, identifying deficiencies, and assisting clients in improving their documentation. She also assists providers with creating and implementing effective compliance plans. Meaghan has assisted Dentists, DME providers, community mental health centers, hospices, and home health agencies across the country. About the Presenter:
Mary Soule is an Associate Attorney at Liles Parker’s Washington, DC office. She focuses her practice on regulatory health care compliance matters, fraud and abuse, and reimbursement issues. Mary has represented a variety of healthcare providers, including psychiatrists, dentists, acupuncturists, home health agencies, and counselors. She represents health care providers nationwide with an assortment of health law issues, including prepayment and post-payment audits with Medicare, Medicaid, and private payors and general compliance matters. She is also a Certified Medical Reimbursement Specialist. [W3237] OIG’s 2019 Workplan – Is Your Home Health, Hospice or Personal Care Agency in the Government’s Cross Hairs? 

Speaker
Liles Parker Attorneys
Model
W3237

$30.00

Effective Compliance - How Law Enforcement Evaluate Your Efforts if there is a Problem

[W3236] Effective Compliance Program - How will Law Enforcement Evaluate Your Efforts if there is a Problem?
Examines what the government expects and steps you can take to better ensure that your health care organization is complying with applicable statutory and regulatory requirements. Presentation Info: Presentation Date: November 7, 2018 TAHC&H Event: TAHC&H Monthly Webinars Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hrs Continuing Education for Nurses 1.0 Contact Hr(s) This program awards CNE until 11/07/2020 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by the Texas Nurses Association - Approver, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation. HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][6]risk assessment and management Program Description: In February 2017, the U.S. Department of Justice published guidance describing specific factors that prosecutors should consider when conducting an investigation of a corporate entity in order to determine whether to bring criminal charges. These factors, commonly known as the “Filip Factors,” include “the existence and effectiveness of the corporation’s preexisting compliance program” and the corporation’s remedial efforts “to implement an effective corporate compliance program or to improve an existing one.” Notably, the Department of Health and Human Services, Office of Inspector General (OIG), followed-­up in March 2017 with a list of questions that health care providers can use to evaluate the effectiveness of their organization's compliance program. During this session, attorneys Michael Cook and Meaghan McCormick will examine what the government expects and the steps you can take to better ensure that your health care organization is complying with applicable statutory and regulatory requirements. Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change their practice by evaluating their agency’s compliance program in an effort to remain in compliance with applicable statutory and regulatory requirements while promoting optimal patient outcomes. TAHC&H Faculty/Presenters: Michael Cook and Meaghan McCormick | Liles Parker Attorneys & Counselors at Law About the Presenter:
Michael H. Cook is a Partner and Co-chair of the Health Care Group at the law firm of Liles Parker, PLLC. Michael has more than 40 years of experience as a health care attorney in the regulatory, reimbursement, business, and policy areas. He has lectured and published frequently on topics of interest to health care providers and has served on a number of industry and government task forces and commissions. Michael has presented on the Comprehensive Joint Replacement Program Initiative to the National Association of Home Care and Hospice and the Kentucky Association of Health Care Facilities, and the TAHC&H, and on CJR/Bundled Payment Impact on Post -Acute Providers -- Navigating Alternative Payment Systems for the American Health Lawyers Association, sits on the Board of the Virginia Department of Medical Assistance Services (Medicaid), and served on a health care work group on delivery system reform for the campaign of Secretary Clinton for President. About the Presenter:
Meaghan McCormick is an Associate Attorney in Liles Parker’s Washington, DC office where she concentrates her practice in the area of health care regulatory compliance. Meaghan has experience with auditing claims, identifying deficiencies, and assisting clients in improving their documentation. She also assists providers with creating and implementing effective compliance plans. Meaghan has assisted Dentists, DME providers, community mental health centers, hospices, and home health agencies across the country. [W3236] Effective Compliance Program - How will Law Enforcement Evaluate Your Efforts if there is a Problem?

Speaker
Liles Parker Attorneys
Model
W3236

$30.00

Navigating Targeted Probe And Educate - Using PEPPER

[W3235] Navigating Targeted Probe And Educate - Using PEPPER
Details of these programs and what steps take to navigate and utilize them. Presentation Info: Presentation Date: October 3, 2018 TAHC&H Event: TAHC&H Monthly Webinars Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hrs Continuing Education for Nurses 1.0 Contact Hr(s) This program awards CNE until 10/03/2020 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by the Texas Nurses Association - Approver, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation. HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][6]risk assessment and management Program Description: CMS believes results of the Home Health Probe and Educate program have been favorable based on the decrease in claim errors after providers received education. It is now moving from a broad Probe and Educate program to a more targeted one. The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is a comparative data report that summarizes a single provider’s Medicare claims data statistics in areas identified as at risk for improper Medicare payments, such as poor clinical and Medicare coverage documentation. To develop the HHA PEPPER, Medicare claims data for all HHAs in the nation were analyzed to identify “target areas” which could be at risk for improper Medicare payment. In this webinar, Anthony Cutrona and Heidi Kocher will discuss details of these programs and what steps take to navigate and utilize them. Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change their practice by using the PEPPER reports to target documentation enhancements that will result in more successful Targeted Probe and Educate results.  TAHC&H Faculty/Presenters: Anthony Cutrona and Heidi Kocher | Liles Parker Attorneys & Counselors at Law About the Presenter:
Anthony Cutrona 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. About the Presenter:
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 compliance director, chief privacy officer and interim chief compliance officer at a medical device manufacturer. In addition, she has represented and advised physician groups, home health agencies, DME companies, pharmacies, non-profit organizations, and licensed individuals. Her experience includes implementing the various requirements and aspects of a Corporate Integrity Agreement, responding to and defending audits from Medicare, Medicaid and private insurers up through the ALJ level, guiding clients through voluntary self-disclosures and seeking advisory opinions from the OIG. She also has significant reimbursement experience, addressing coverage policy issues, challenging denials, recoupments, and loss of billing privileges, obtaining HCPCS codes, and other reimbursement related issues. [W3235] Navigating Targeted Probe And Educate - Using PEPPER

Speaker
Liles Parker Attorneys
Model
W3235

$30.00

The Importance of Incorporation and Asset Protection for Home Health and Hospice Owners

[W3234] The Importance of Incorporation and Asset Protection for Home Health and Hospice Owners 
Discussion on agency bankruptcy and its impact. Presentation Info: Presentation Date: September 5, 2018 TAHC&H Event: TAHC&H Monthly Webinars Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hrs CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations. HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][6]risk assessment and management Program Description: Unfortunately, sometimes even you best efforts are insufficient to keep an organization solvent. If your home health or hospice agency is forced into bankruptcy, can you be held liable? Are your personal assets at risk? What impact will a bankruptcy action have on your ability to start a new home health or hospice agency? Program Learning Outcome: Participants will identify limited liability and the impact a bankruptcy action could have on an agency's ability to start a new home health or hospice agency. TAHC&H Faculty/Presenters: Jennifer Papapanagiotou, JD and Leonard Schneider, JD | Liles Parker Attorneys & Counselors at Law About the Presenter:
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:
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. [W3234] The Importance of Incorporation and Asset Protection for Home Health and Hospice Owners 

Speaker
Liles Parker Attorneys
Model
W3234

$30.00

Current Regulatory And Operational Challenges For Hospices

[W3233] Current Regulatory And Operational Challenges For Hospices
How hospices can address the day­-to­-day challenges navigating current state and federal regulatory requirements. Presentation Info: Presentation Date: August 1, 2018 TAHC&H Event: TAHC&H Monthly Webinars Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hrs Continuing Education for Nurses 1.0 Contact Hr(s) This program awards CNE until 08/01/2020 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by the Texas Nurses Association - Approver, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation. HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][6]risk assessment and management Program Description: In this webinar, Lester Johnson and Jason Cabell will discuss the challenges facing hospices in navigating current state and federal regulatory requirements and how hospices can address the day­-to­-day challenges they face in providing quality and essential end­-of-­life care to its patients and their families.  Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change their practice by ensuring all staff are up to date on the latest regulations in order to ensure the highest quality end of life care. TAHC&H Faculty/Presenters: Lester Johnson and Jason Cabell | Liles Parker Attorneys & Counselors at Law About the Presenter:
Lester “Les” W. Johnson, Jr. 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. About the Presenter:
Jason Cabell is an Associate Attorney in Liles Parker’s Health Law Section. Also a registered nurse, Jason works out of the firm’s Baton Rouge office where he focuses on Medicare regulatory matters, audits and administrative appeals of overpayments assessed by Zone Program Integrity Contractors (ZPICs) and/or Recovery Audit Contractors (RACs). [W3233] Current Regulatory And Operational Challenges For Hospices

Speaker
Liles Parker Attorneys
Model
W3233

$30.00

Sensitive Issues in Home Health and Hospice Employment

[W3232] Sensitive Issues in Home Health and Hospice Employment
A discussion of cutting-­edge employment issues so that you can reduce your agency’s level of regulatory risk. Presentation Info: Presentation Date: July 7, 2018 TAHC&H Event: TAHC&H Monthly Webinars Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hrs CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations. HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][3]basic principles of management in a licensed health-related setting §97.260[a][6]risk assessment and management Program Description: Home health and hospice agencies are facing more regulatory challenges on a daily basis than ever before. The employment landscape has changed in recent years and it is essential that you remain up­to-date on the current state of the law. Join us as we discuss the following cutting-­edge issues so that you can reduce your agency’s level of regulatory risk: Religious Discrimination in the Workplace. How is the EEOC Viewing These Issues? Transgender Discrimination – What is the Current Position Being Taken by EEOC? Sexual Harassment, Workplace Harassment and Violence in the Workplace Substance Abuse Testing Recent Holdings Under the American with Disabilities Act (ADA) New EEOC Guidance on Domestic Violence and Stalking Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change their practice by identifying how to remain in compliance with current employment laws. TAHC&H Faculty/Presenter: Anthony Cutrona, JD  | Liles Parker Attorneys & Counselors at Law About the Presenter:
Anthony Cutrona 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. [W3232] Sensitive Issues in Home Health and Hospice Employment

Speaker
Liles Parker Attorneys
Model
W3232

$30.00

How Should Your Agency React When Something Goes Wrong?

[W3231] What the Heck! How Should Your Agency React When Something Goes Wrong?
Steps you should take to reduce your level of risk and make any necessary disclosures to the government. Presentation Info: Presentation Date: June 6, 2018 TAHC&H Event: TAHC&H Monthly Webinars Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hrs Continuing Education for Nurses 1.0 Contact Hr(s) This program awards CNE until 06/06/2020 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by the Texas Nurses Association - Approver, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation. HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][6]risk assessment and management Program Description: Mistakes happen. What should you do if an “excluded” party is advertently hired? How should overpayments be handled? What are your obligations is you uncover evidence of patient abuse? How should you respond if you learn that one your marketing personnel has been engaging in improper or illegal solicitation activities? How should you react if a physician demands a “fee” in order to receive referrals? Join us as we discuss these issues and more! Attorneys Michael Cook and Heidi Kocher will discuss the steps you should take to reduce your level of risk and make any necessary disclosures to the government. Program Learning Outcome: Participants will actively participate in the learning activity and indicate an intent to change or enhance their practice by identifying methods of disclosing potential violations of federal laws regarding health care programs, the process for submitting the disclosures, and advantages and disadvantages of submitting a disclosure. TAHC&H Faculty/Presenters: Heidi Kocher and Michael Cook| Liles Parker Attorneys & Counselors at Law About the Presenter:
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 compliance director, chief privacy officer and interim chief compliance officer at a medical device manufacturer. In addition, she has represented and advised physician groups, home health agencies, DME companies, pharmacies, non-profit organizations, and licensed individuals. Her experience includes implementing the various requirements and aspects of a Corporate Integrity Agreement, responding to and defending audits from Medicare, Medicaid and private insurers up through the ALJ level, guiding clients through voluntary self-disclosures and seeking advisory opinions from the OIG. She also has significant reimbursement experience, addressing coverage policy issues, challenging denials, recoupments, and loss of billing privileges, obtaining HCPCS codes, and other reimbursement related issues. About the Presenter:
Michael H. Cook is a Partner and Co-chair of the Health Care Group at the law firm of Liles Parker, PLLC. Michael has more than 40 years of experience as a health care attorney in the regulatory, reimbursement, business, and policy areas. He has lectured and published frequently on topics of interest to health care providers and has served on a number of industry and government task forces and commissions. Michael has presented on the Comprehensive Joint Replacement Program Initiative to the National Association of Home Care and Hospice and the Kentucky Association of Health Care Facilities, and the TAHC&H, and on CJR/Bundled Payment Impact on Post -Acute Providers -- Navigating Alternative Payment Systems for the American Health Lawyers Association, sits on the Board of the Virginia Department of Medical Assistance Services (Medicaid), and served on a health care work group on delivery system reform for the campaign of Secretary Clinton for President. [W3231] What the Heck! How Should Your Agency React When Something Goes Wrong?

Speaker
Liles Parker Attorneys
Model
W3231

$30.00

Cybersecurity Issues for Home Health Providers

[W3230] Cybersecurity Issues for Home Health Providers
An overview of current cybersecurity issues and more... Presentation Info: Presentation Date: May 2, 2018 TAHC&H Event: TAHC&H Monthly Webinars Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hrs Continuing Education for Nurses 1.0 Contact Hr(s) This program awards CNE until 05/02/2020 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by the Texas Nurses Association - Approver, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation. HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][6]risk assessment and management Program Description: Cybersecurity threats that can cause financial losses, problems with government regulators and damage to your agency’s reputation. This presentation will provide an overview of current cybersecurity issues faced by home health providers and the latest legal developments. The presenters also will discuss best practices for managing cybersecurity risk, how to address a security breach, and how to safeguard patients’ Protected Health Information. Join attorneys Jennifer Papapanagiotou and Ashley Morgan as they discuss these important issues.  Program Learning Outcome: Participants will identify ways to manage cybersecurity risks in compliance with the HIPAA Security Rule to ensure the confidentiality and integrity of electronic Protected Health Information. TAHC&H Faculty/Presenters: Jennifer Papapanagiotou, JD and Ashley Morgan, JD | Liles Parker Attorneys & Counselors at Law About the Presenter:
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:
Ashley Hudson 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. [W3230] Cybersecurity Issues for Home Health Providers

Speaker
Liles Parker Attorneys
Model
W3230

$30.00

Workplace Violence in Home Care - Protecting Your Patients and Staff

[W3229] Workplace Violence in Home Care - Protecting Your Patients and Staff
Cover strategies for responding to incidents of workplace violence... Presentation Info: Presentation Date: April 4, 2018 TAHC&H Event: TAHC&H Monthly Webinars Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hrs Continuing Education for Nurses 1.0 Contact Hr(s) This program awards CNE until 04/04/2020 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by the Texas Nurses Association - Approver, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation. HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][8]skills for working with clients, families, and other professional service providers 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 Anthony Cutrona and Richard Pecore will cover strategies for responding to incidents of workplace violence. Participants 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.  Program Learning Outcome: 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. TAHC&H Faculty/Presenters: Richard Pecore, JD and Anthony Cutrona, JD | Liles Parker Attorneys & Counselors at Law About the Presenter:
Richard B. 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. Prior to joining Liles Parker Mr. Pecore owned and successfully operated an OSHA workplace safety training and custom video company in Austin, Texas. 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:
Anthony Cutrona 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. [W3229] Workplace Violence in Home Care - Protecting Your Patients and Staff

Speaker
Liles Parker Attorneys
Model
W3229

$30.00

Home Health and Hospice Marketing Practices - Are Your Marketing Practices Legal?

[W3228] Home Health and Hospice Marketing Practices - Are Your Marketing Practices Legal?
How Stark regulates gifts and other marketing activities aimed at referral sources and how Texas State statutes regulate the provision of gifts on referral sources. Presentation Info: Presentation Date: March 7, 2018 TAHC&H Event: TAHC&H Monthly Webinars Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hrs Continuing Education for Nurses 1.0 Contact Hr(s) This program awards CNE until 03/07/2020 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by the Texas Nurses Association - Approver, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation. HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][2]development and interpretation of agency policies §97.260[a][6]risk assessment and management Program Description: Marketing activities that would normally qualify as ordinary business courtesies if extended to an actual or potential source of referrals in other industries are often illegal in the context of Federal health business programs. In this session, we will discuss whether a number of common marketing practices comply with Stark and the Federal Anti-kickback Statute. We will also examine various Texas State laws that must be considering before an agency engages in marketing. In this webinar, attorneys Heidi Kocher and Michael Cook discuss how Stark regulates gifts and other marketing activities aimed at referral sources. They will also learn how the Federal Anti-Kickback Statute impacts the provision of gifts and other marketing activities aimed at referral sources. Finally, the presenters will discuss how Texas State statutes regulate the provision of gifts on referral sources. Program Learning Outcome: Participants will actively engage in the learning activity and identify marketing practices which comply with state laws, Stark, and Federal Anti-kickback Statute.  TAHC&H Faculty/Presenters: Heidi Kocher, JD and Michael Cook, JD | Liles Parker Attorneys & Counselors at Law About the Presenter:
Michael H. Cook is a Partner and Co-chair of the Health Care Group at the law firm of Liles Parker, PLLC. Michael has more than 40 years of experience as a health care attorney in the regulatory, reimbursement, business, and policy areas. He has lectured and published frequently on topics of interest to health care providers and has served on a number of industry and government task forces and commissions. Michael has presented on the Comprehensive Joint Replacement Program Initiative to the National Association of Home Care and Hospice and the Kentucky Association of Health Care Facilities, and the TAHC&H, and on CJR/Bundled Payment Impact on Post -Acute Providers -- Navigating Alternative Payment Systems for the American Health Lawyers Association, sits on the Board of the Virginia Department of Medical Assistance Services (Medicaid), and served on a health care work group on delivery system reform for the campaign of Secretary Clinton for President. About the Presenter:
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 compliance director, chief privacy officer and interim chief compliance officer at a medical device manufacturer. In addition, she has represented and advised physician groups, home health agencies, DME companies, pharmacies, non-profit organizations, and licensed individuals. Her experience includes implementing the various requirements and aspects of a Corporate Integrity Agreement, responding to and defending audits from Medicare, Medicaid and private insurers up through the ALJ level, guiding clients through voluntary self-disclosures and seeking advisory opinions from the OIG. She also has significant reimbursement experience, addressing coverage policy issues, challenging denials, recoupments, and loss of billing privileges, obtaining HCPCS codes, and other reimbursement related issues. [W3228] Home Health and Hospice Marketing Practices - Are Your Marketing Practices Legal?

Speaker
Liles Parker Attorneys
Model
W3228

$30.00

Reading the Tea Leaves – The Top Ten Risks Your HHA &/or Hospice will Face in 2018

[W3226] Reading the Tea Leaves – What are the Top Ten Risks Your Home Health Agency and/or Hospice will Face in 2018?
Ways your agency can reduce its level of risk... Presentation Info: Presentation Date: January 10, 2018 TAHC&H Event: TAHC&H Monthly Webinars Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hrs Continuing Education for Nurses 1.0 Contact Hr(s) This program awards CNE until 01/10/2020 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by the Texas Nurses Association - Approver, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation. HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][6]risk assessment and management Program Description: Join us as we discuss the likely challenges and risks facing your home health agency and/or hospice.What are the chances that your agency will be audited? What are the administrative enforcement remedies currently being pursued by UPICs and ZPICs? How should your agency respond? In this webinar, attorneys Richard Pecore and Lorraine Rosado will discuss ways your agency can reduce its level of risk.  Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change or enhance their practice by identifying compliance and quality improvement issues to ensure agency compliance and improved quality of care. TAHC&H Faculty/Presenters: Richard Pecore and Lorraine Rosado | Liles Parker Attorneys & Counselors at Law About the Presenter:
Richard B. 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, including 5 years litigating asbestosis and silicosis related personal injury cases, 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. Prior to joining Liles Parker Mr. Pecore owned and successfully operated an OSHA workplace safety training and custom video company in Austin, Texas. He litigated asbestos and silicosis related personal injury claims for refinery, industrial, and government workers in the Corpus Christi and Texarkana, Texas areas. Mr. Pecore offices in Houston, Texas and visits our McAllen, Texas office by appointment. Mr. Pecore is a Certified Medical Compliance Officer (CMCO) with PMI, is a member of the American Health Lawyers Association (AHLA) and a member of the American Dental Coders Association (ADCA). Mr. Pecore lives in Kingwood, Texas. He is a WWII aircraft enthusiast, a Heritage Flight Experience Holder and a Rivet Holder for the Commemorative Air Force’s B-17G heavy bomber “Texas Raiders”. About the Presenter:
Lorraine Ater Rosado is 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). [W3226] Reading the Tea Leaves – What are the Top Ten Risks Your Home Health Agency and/or Hospice will Face in 2018?

Speaker
Liles Parker Attorneys
Model
W3226

$30.00

TPE Audits, ADRs, Pre-Payment Reviews, Post-Payment Audits and Suspensions - The Impact of thes

[W3185] TPE Audits, ADRs, Pre-Payment Reviews, Post-Payment Audits and Suspensions - The Impact of these Administrative Enforcement Tools on Home Health and Hospice Agencies
Enforcement actions and adverse impact each action can have on your agency. TAHC&H WEBINAR: This webinar was presented on 04/03/2019 and is now available for on-demand access. Presentation Info: Presentation Date: April 3, 2019 TAHC&H Event: TAHC&H Monthly Webinars Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hrs Continuing Education for Nurses 1.0 Contact Hr(s) This program awards CNE until 04/03/2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by the Texas Nurses Association - Approver, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation. HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a]other topics related to the duties of an administrator Program Description: Pre-payment reviews are now being conducted by both ZPICs and RACs. 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 post-payments conducted and suspension actions recommended to CMS. In this webinar, attorneys Mary Soule and Meaghan McCormick will discuss these enforcement actions and outline the adverse impact each action can have on your agency. Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change their practice by incorporating clinical documentation best practices that are conducive to successful ADR and Targeted Probe and Educate results. TAHC&H Faculty/Presenters: Mary Soule, JD and Meaghan McCormick, JD | Liles Parker Attorneys & Counselors at Law About the Presenter:
Mary Soule is an Associate Attorney at Liles Parker’s Washington, DC office.  She focuses her practice on regulatory health care compliance matters, fraud and abuse, and reimbursement issues. Mary has represented a variety of healthcare providers, including psychiatrists, dentists, acupuncturists, home health agencies, and counselors.  She represents health care providers nationwide with an assortment of health law issues, including prepayment and post-payment audits with Medicare, Medicaid, and private payors and general compliance matters. She is also a Certified Medical Reimbursement Specialist. About the Presenter:
Meaghan McCormick is an Associate Attorney in Liles Parker’s Washington, DC office where she concentrates her practice in the area of health care regulatory compliance. Meaghan has experience with auditing claims, identifying deficiencies, and assisting clients in improving their documentation. She also assists providers with creating and implementing effective compliance plans. Meaghan has assisted Dentists, DME providers, community mental health centers, hospices, and home health agencies across the country. [W3185] TPE Audits, ADRs, Pre-Payment Reviews, Post-Payment Audits and Suspensions - The Impact of these Administrative Enforcement Tools on Home Health and Hospice Agencies

Speaker
Liles Parker Attorneys
Model
W3185

$30.00

Current Enforcement Environment Facing TX HCSSA Agency Owners, Staff & Affiliated Professionals

[W3184] Current Enforcement Environment Facing TX HCSSA Agency Owners, Staff & Affiliated Professionals
The importance of compliance and the likely penalties of non-compliance with the law. TAHC&H WEBINAR: This webinar was presented on 03/06/2019 and is now available for on-demand access. Presentation Info: Presentation Date: March 6, 2019 TAHC&H Event: TAHC&H Monthly Webinars Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hrs Continuing Education for Nurses 1.0 Contact Hr(s) This program awards CNE until 03/06/2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by the Texas Nurses Association - Approver, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation. HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][6]risk assessment and management Program Description: In this session, we will go review the types of civil and criminal cases brought against Texas home health, hospice and personal care agencies, their owners, staff and affiliated professionals. We will also discuss the statutory violations that have repeatedly led to criminal prosecutions in Texas. Finally, we will discuss steps you can take to reduce your level of statutory and regulatory risk. In this webinar, attorneys Paul Weidenfeld and Robert W. Liles will discuss the importance of compliance and the likely penalties of non-compliance with the law. Program Learning Outcome: Participants will actively participate in the learning activity and indicate an intent to change or enhance their practice by ensuring that all claims are properly documented, coded, and billed in compliance with state and federal healthcare laws. TAHC&H Faculty/Presenters: Paul Weidenfeld, JD and Ashley Morgan, JD | Liles Parker Attorneys & Counselors at Law About the Presenter:
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:
Ashley Hudson 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. [W3184] Current Enforcement Environment Facing TX HCSSA Agency Owners, Staff & Affiliated Professionals

Speaker
Liles Parker Attorneys
Model
W3184

$30.00

Measuring Compliance Program Effectiveness Incl. Use Of Surveys, And/Or Sanction Screening

[W3183] Measuring Compliance Program Effectiveness Including Use Of Surveys, And/Or Sanction Screening
A discussion of your compliance obligations under Federal and State law. TAHC&H WEBINAR: This webinar was presented on 02/06/2019 and is now available for on-demand access. Presentation Info: Presentation Date: February 6, 2019 TAHC&H Event: TAHC&H Monthly Webinars Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hrs Continuing Education for Nurses 1.0 Contact Hr(s) This program awards CNE until 02/06/2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by the Texas Nurses Association - Approver, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation. HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][6]risk assessment and management Program Description: Home health, hospice and personal care agencies remain under considerable government scrutiny. The development, implementation and monitoring of an effective Compliance Program is an essential step that your agency can take to reduce its level of statutory and regulatory risk. In this webinar, attorneys Michael Cook and Heidi Kocher will discuss your compliance obligations under Federal and State law. Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change their practice by evaluating their agency’s compliance program for compliance with applicable statutory and regulatory requirements while promoting optimal patient outcomes. TAHC&H Faculty/Presenters: Michael Cook, JD and Heidi Kocher, JD | Liles Parker Attorneys & Counselors at Law About the Presenter:
Michael H. Cook is a Partner and Co-chair of the Health Care Group at the law firm of Liles Parker, PLLC. Michael has more than 40 years of experience as a health care attorney in the regulatory, reimbursement, business, and policy areas. He has lectured and published frequently on topics of interest to health care providers and has served on a number of industry and government task forces and commissions. Michael has presented on the Comprehensive Joint Replacement Program Initiative to the National Association of Home Care and Hospice and the Kentucky Association of Health Care Facilities, and the TAHC&H, and on CJR/Bundled Payment Impact on Post -Acute Providers -- Navigating Alternative Payment Systems for the American Health Lawyers Association, sits on the Board of the Virginia Department of Medical Assistance Services (Medicaid), and served on a health care work group on delivery system reform for the campaign of Secretary Clinton for President. About the Presenter:
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 compliance director, chief privacy officer and interim chief compliance officer at a medical device manufacturer. In addition, she has represented and advised physician groups, home health agencies, DME companies, pharmacies, non-profit organizations, and licensed individuals. Her experience includes implementing the various requirements and aspects of a Corporate Integrity Agreement, responding to and defending audits from Medicare, Medicaid and private insurers up through the ALJ level, guiding clients through voluntary self-disclosures and seeking advisory opinions from the OIG. She also has significant reimbursement experience, addressing coverage policy issues, challenging denials, recoupments, and loss of billing privileges, obtaining HCPCS codes, and other reimbursement related issues. [W3183] Measuring Compliance Program Effectiveness Including Use Of Surveys, And/Or Sanction Screening

Speaker
Liles Parker Attorneys
Model
W3183

$30.00

The Impact Of The “Review Choice Demonstration Project” On Your Agency

[W3182] The Impact Of The “Review Choice Demonstration Project” On Your Agency
The Review Choice Demonstration Project and its likely impact on your home health agency. TAHC&H WEBINAR: This webinar was presented on 01/30/2019 and is now available for on-demand access. Presentation Info: Presentation Date: January 30, 2019 TAHC&H Event: TAHC&H Monthly Webinars Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hrs Continuing Education for Nurses 1.0 Contact Hr(s) This program awards CNE until 01/30/2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by the Texas Nurses Association - Approver, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation. HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][7]financial management Program Description: The Centers for Medicare & Medicaid Services (CMS), remains committed in its efforts to initiate the Review Choice Demonstration for Home Health Services project here in Texas. This initiative is the renamed, repackaged version of the prior Pre-Claim Review Demonstration project that was initiated, then placed on hold (due in large part to provider protests), in April 2017. In this webinar, attorneys Ashley Morgan and Lorraine Rosado will discuss the Review Choice Demonstration Project and its likely impact on your home health agency. Program Learning Outcome: Participants will actively participate in the learning activity and indicate an intent to change or enhance their practice by implementing the Review Choice Demonstration process to assure that all relevant coverage and clinical documentation requirements are met before a claim is submitted for payment. TAHC&H Faculty/Presenters: Ashley Morgan, JD and Lorraine Rosado, JD | Liles Parker Attorneys & Counselors at Law About the Presenter:
Ashley Hudson 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. About the Presenter:
Lorraine Ater Rosado is 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). [W3182] The Impact Of The “Review Choice Demonstration Project” On Your Agency

Speaker
Liles Parker Attorneys
Model
W3182

$30.00

Meeting Expectations in Hospice Medicine: Adopting a Total Patient Care Philosophy...

[3159] Meeting Expectations in Hospice Medicine: Adopting a Total Patient Care Philosophy to Avoid Unnecessary Transitions
Explores the expectations of patients and their families while also addressing the increasing expectations of payers. NOW AVAILABLE: RELEASED 2/25/2019 This program was presented on 02/14/2019 at the Texas Association of Home Care & Hospice Winter Policy Conference in Austin. It is one of 9 presentations captured and produced for online access. Presentation Info: Presentation Date: February 14, 2019 TAHC&H Event: TAHC&H Winter Policy Conference | Austin Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.5 Clock Hrs Continuing Education for Nurses 1.5 Contact Hr(s) This program awards CNE until 02/14/2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by the Texas Nurses Association - Approver, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation. HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][8]skills for working with clients, families, and other professional service providers Program Description: Transitions in care would seem on the surface to be a "non-issue" in hospice medicine, but with increasing complexity and segmentation of care for the seriously ill, patients often enter hospice from the acute care system with unrealistic expectations of what is needed and what will be provided. Often unnecessary emergency department visits and hospitalizations result, as well as demands for services not part of the standard hospice plan of care. This program explores not only addressing the expectations of patients and their families, but also addressing the increasing expectations of payers. A vision for the future of optimal care of the seriously ill is presented, acknowledging the daunting steps needed for the evolution of a hospice organization towards a "full service" model, as our organizations enter into a time of increased demand, regulatory uncertainty, quality-based scrutiny, and fiscal constraint. Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change their practice by incorporating effective communication strategies and comprehensive care plans to avoid unnecessary transitions of care. TAHC&H Faculty/Presenter: J. Robert Parkey, MD, MTS, HMDC, CMD, Hospice of Wichita Falls/Palliative Care of North Texas, Healing Hands Home Health About the Presenter:
J. Robert Parkey is a sixth-generation native of the Wichita Falls area, and received his Doctorate in Medicine from the University of Texas Medical Branch in Galveston, and then completed his residency in Family Medicine at the University of Oklahoma campus in Tulsa, where he served as Chief Resident. In 2010, he completed a Masters degree in Theological Studies from the University of Dallas in Irving, with a personal emphasis in Biomedical Ethics. Dr. Parkey practiced rural medicine in Henrietta, Texas for 17 years, but found a special love for the care of the elderly, those with dementia, and for patients with terminal and life-limiting illnesses, expanding his medical specialization and joining the medical staff of Hospice of Wichita Falls in 2008, then closing his rural practice in 2013. He is a member of numerous medical societies, including the American Academy of Hospice and Palliative Medicine, the Society for Post-Acute and Long-Term Care, the American Geriatrics Society, the American Society for Bioethics and Humanities, and the Catholic Medical Association. His “spare time” is filled caring for his family ranch in Clay County, and trying to keep up with his wife Katie (a Registered Nurse who helps him run his private practice and who serves in a number of volunteer capacities in the area) and their three daughters. His hobbies include fishing and literature, and he is a member of the Wichita Falls Poetry Society, the Texas Poetry Society, and the Academy of American Poets. Dr. Parkey holds board certifications in Hospice and Palliative Medicine, Family Medicine, and board certification by the Hospice Medical Director Certification Board. He also holds board certification from the American Board of Post-Acute and Long-Term Care Medicine. [3159] Meeting Expectations in Hospice Medicine: Adopting a Total Patient Care Philosophy to Avoid Unnecessary Transitions

Speaker
Parkey, J. Robert
Model
3159

$45.00

Surviving Government Inquiries – Part 2: ZPIC, UPIC, and CERT Audits

[3157] Surviving Government Inquiries – Part 2: ZPIC, UPIC, and CERT Audits
One of two programs that examine in detail the differences between the various kinds of letters sent to home care and hospice providers by Medicare contractors, the implications of each letter, and how best to respond. NOW AVAILABLE: RELEASED 2/25/2019 This program was presented on 02/14/2019 at the Texas Association of Home Care & Hospice Winter Policy Conference in Austin. It is one of 9 presentations captured and produced for online access. Presentation Info: Presentation Date: February 14, 2019 TAHC&H Event: TAHC&H Winter Policy Conference | Austin Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.5 Clock Hrs Continuing Education for Nurses 1.5 Contact Hr(s) This program awards CNE until 02/14/2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by the Texas Nurses Association - Approver, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation. HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][6]risk assessment and management §97.260[a][7]financial management Program Description: Have you just received a “Dear Provider” letter from one of the Medicare contractors? Are you confused about what the objective of the letter is and what your rights and responsibilities are? This is one of two programs that examine in detail the differences between the various kinds of letters sent to home care and hospice providers by Medicare contractors, the implications of each letter, and how best to respond. In addition, the program presents what you can do in advance to prepare for the day that YOUR agency will receive one of these letters. This Part 2 program provides focus on ZPIC, UPIC and CERT audits Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change their practice by incorporating documentation best practices that are conducive to successful ZPIC, UPIC, and CERT audit results. TAHC&H Faculty/Presenter: Heidi Kocher, JD, MBA, CHC, Liles Parker, PLLC About the Presenter:
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. [3157] Surviving Government Inquiries – Part 2: ZPIC, UPIC, and CERT Audits

Speaker
Kocher, Heidi
Model
3157

$45.00

BE-ing with Those Suffering: What to and Not to Say

[3156] BE-ing with Those Suffering: What to and Not to Say
Explores why it is so challenging to be with others’ pain... NOW AVAILABLE: RELEASED 2/25/2019 This program was presented on 02/14/2019 at the Texas Association of Home Care & Hospice Winter Policy Conference in Austin. It is one of 9 presentations captured and produced for online access. Presentation Info: Presentation Date: February 14, 2019 TAHC&H Event: TAHC&H Winter Policy Conference | Austin Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.5 Clock Hrs Continuing Education for Nurses 1.5 Contact Hr(s) This program awards CNE until 02/14/2021 CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by the Texas Nurses Association - Approver, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation. HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][8]skills for working with clients, families, and other professional service providers Program Description: We WANT to be present with others when they are hurting. We WANT to know what to say or do to help. We’ve simply forgotten that we already know how. This program explores why it is so challenging to be with others’ pain, what to say, what not to say, and how to care well for ourselves in the process. Program Learning Outcome: Participants will actively engage in the activity and indicate an intent to change or enhance their practice by analyzing and applying appropriate boundaries when caring for those suffering in order to provide presence and healing for the patient and family while also caring for themselves as caregivers. TAHC&H Faculty/Presenter: Dr. Carla Cheatham, Founder, Carla Cheatham Consulting Group About the Presenter:
Reverend Dr. Carla Cheatham began in social services with an MA in Psychology, certification in trauma therapy, a PhD in Health & Kinesiology, and M.Div. before working 10 years as a hospice chaplain and bereavement coordinator. Carla is a national keynote speaker and consultant focusing on emotionally competent and resilient professionals and organizations, Section Leader for NHPCO’s Spiritual Caregivers Section, Chair of NHPCOs Ethics Advisory Council, Adjunct Professor at Seminary of the Southwest, and Affiliate Assistant Professor for University of Maryland’s MS in Palliative Care. She publishes books about grief, resilience, the art of presence, and emotional competencies for professionals. [3156] BE-ing with Those Suffering: What to and Not to Say

Speaker
Cheatham, Rev. Dr. Carla
Model
3156

$45.00

The "How" and "Why" to Outsource/Centralize Operations

[3155] The "How" and "Why" to Outsource/Centralize Operations
How home care/hospice agencies can enact smart change management techniques to prepare for this new practice. NOW AVAILABLE: RELEASED 2/25/2019 This program was presented on 02/14/2019 at the Texas Association of Home Care & Hospice Winter Policy Conference in Austin. It is one of 9 presentations captured and produced for online access. Presentation Info: Presentation Date: February 14, 2019 TAHC&H Event: TAHC&H Winter Policy Conference | Austin Subscription Type: Individual Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.5 Clock Hrs CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations. HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][3]basic principles of management in a licensed health-related setting Program Description: There are many new business practices taking shape in the home care/hospice industry. Outsourcing is one business practice used by companies to reduce costs or improve efficiency by shifting tasks, operations, jobs or processes to an external contracted third party for a significant period of time. This same process of centralization is utilized by many companies internally to achieve the same outcome. Home care/hospice agencies must enact smart change management techniques to prepare for this new practice. Program Learning Outcome: Participants will actively engage in a discussion on outsourcing and centralizing operations to reduce costs and improve efficiency in home care agencies. TAHC&H Faculty/Presenter: Marcylle Combs, RN, MS, Founder, Foundation Management Services and William Simione III, Managing Principal, Simione Healthcare Consultants, LLC About the Presenter:
Marcylle Combs has enjoyed 30 years in home health care and hospice, holding many positions including field nurse, director, administrator and owner/president of a successful home health and hospice company. She is well known in Texas and nationally for her leadership in both the home care and hospice community. She serves on the TAHCH Government Affairs Committee since the ‘90s and is currently board of directors for The Home Care and Hospice Financial Managers Association (HHFMA); a professional organization bringing together CFOs, CEOs, COOs and other financial positions who are employed by the nation’s 25,000 home care and hospice agencies. She also chairs the Women in Leadership group for HHFMA. Marcylle enjoys speaking on various subjects such as mentoring, leadership and communication and is best known for keeping her audiences awake. About the Presenter:
Bill Simione III serves as Managing Principal at Simione Healthcare Consultants, leading all consulting, as well as product and service delivery to support home care and hospice business improvement. He previously managed Simione's Financial Consulting division, and has been actively involved in the home care and hospice industry for more than 25 years. Bill has held many interim management positions over the years, including Chief Executive Officer, Chief Financial Officer and Director of Patient Accounting for numerous home care/hospice organizations ranging from single agencies to multi-state organizations and hospital-owned postacute entities. During his interim management positions, he has been responsible for many agency turnarounds, including positioning an agency for acquisition. Bill is a highly experienced speaker addressing many national home care and hospice organizations, as well as state and local associations. He is a graduate of Villanova University with a B.S. in Accounting. [3155] The "How" and "Why" to Outsource/Centralize Operations

Speaker
Combs, M / Simione III, Wm
Model
3155

$45.00

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