Source: https://hcinstore.com/index.php?cPath=115&19=118-114-120-121-123-124&sort=2a&page=4&osCsid=gkhdvl3oisf9qj8b43nn67p853
Timestamp: 2020-05-25 11:10:20
Document Index: 719307690

Matched Legal Cases: ['§558', '§558', '§97', '§97', '§97', '§97', '§97', '§97', '§97', '§97']

TPE Audits, ADRs, Pre-Payment Reviews, Post-Payment Audits and Suspensions
[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:
· Texas Association for Home Care & Hospice is approved as a provider of nursing continuing professional development by the Texas Nurses Association - Approver, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. HCSSA Topic(s) Addressed: §558.259[d][4]agency responsibilities §558.260[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 Subscribers to this webinar receive 24/7 on-demand access for one (1) month. When subscribing to this webinar along with other programs totaling 12 hours or more, the access period increases to six (6) months.
Liles Parker Attorneys
Information on the new system and how to gain access and where to find additional resources. TAHC&H WEBINAR: This webinar was presented on 09/25/2019 and is now available for on-demand access. Presentation Info: Presentation Date: September 25, 2019 TAHC&H Event: TAHC&H Monthly Webinars Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.0 Clock Hr 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] other topics related to the duties of an administrator Program Description: TULIP is the new web-based licensure system for the Health and Humans Services Commission. The Texas Unified Licensure Information Portal is designed for licensed long-term care providers. The system is designed to be more efficient, including electronic payments and instant access to licensure information. This presentation will provide information on the new system and how to gain access and where to find additional resources. Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change their practice by utilizing the Texas Unified Licensure Portal (TULIP) to improve efficiencies in submitting long-term care licensure applications, making electronic payments, and accessing status of licensure information. TAHC&H Faculty/Presenters: Stephanie Allred, PhD, Director of LTCR Licensing and Credentialing, HHSC Regulatory Services & Trent Banks, Manager, Provider Licensure and Certification, HHSC Regulatory Services About the Presenter:
Stephanie Allred obtained her doctorate of experimental psychology from the University of Texas at Arlington, with a major in cognitive psychology and a minor in statistics. Her focus of study was ambiguity in the English language. She began her career with the state as a professor at the University of Texas at Tyler, teaching various psychology and statistics courses. Following, she worked for Rusk State Hospital for 17 years. Rusk State Hospital is a state owned psychiatric hospital and is part of the Health and Human Services Commission. Her positions at the hospital varied from Data Specialist, Director of Training, Standards Compliance Officer, to Director of Quality Management. Currently, she is the Director of Long-term Care Regulatory Licensing and Credentialing for the Health and Human Services Commission. She is responsible for the provider licensure and certification, credentialing, and data/records management. Going forward, she welcomes the challenge to better serve the residents of the state of Texas. About the Presenter:
Trent Banks is currently a Manager with Health Human Services Commission (HHSC), Licensing and Certification. He has served as an Investigator VI with Professional Credentialing Enforcement Unit, Regulatory Services Division with Health Human Service Commission. He previously served as an Investigator IV in the PCEU at the Department of Aging and Disability Services (DADS). Prior to that, he was an investigator at the Texas Department of Juvenile Justice’s Office of Inspector General. Trent was previously a Youth Rights Specialist in the Office of General Counsel at the Texas Youth Commission where he worked to ensure the Rights and Safety of juvenile offenders. Trent has a bachelor’s degree in International Studies from Southwest Texas State University. [W3246] TULIP Training: Texas Unified License Information Portal Subscribers to this webinar receive 24/7 on-demand access for one (1) month. When subscribing to this webinar along with other programs totaling 12 hours or more, the access period increases to six (6) months.
Allred, S & Banks, T [HHSC]
How your home health agency and hospice can take advantage of VPB initiatives and avoid being left out in the cold. TAHC&H WEBINAR: This webinar was presented on 07/10/2019 and is now available for on-demand access. Presentation Info: Presentation Date: July 10, 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 07/10/2021 CE Approval Statements:
· Texas Association for Home Care & Hospice is approved as a provider of nursing continuing professional development by the Texas Nurses Association - Approver, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. HCSSA Topic(s) Addressed: §97.259[d][4]agency responsibilities §97.260[a][5]quality improvement §97.260[a][7]financial management Program Description: Medicare is moving rapidly from fee for service payments to payment based on quality. Through such mechanisms as ACOs, penalties on hospital re-admissions, other value-based purchasing initiatives and pilot projects initiated through the Center for Medicare and Medicaid Innovations, the program is placing payment incentives for care that is based on quality and not quantity. Many state Medicaid programs and private insurers are following suit. Michael Cook and Heidi Kocher will discuss how your home health agency and hospice can take advantage of these initiatives and avoid being left out in the cold. This webinar is 60 minutes and includes a Q & A session that follows. Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change or enhance their practice by implementing clinical data collection processes to measure patient progress and 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. [W3242] Value-Based Purchasing – Where Does Your Home Health and / or Hospice Fit Into Delivery System Reform Subscribers to this webinar receive 24/7 on-demand access for one (1) month. When subscribing to this webinar along with other programs totaling 12 hours or more, the access period increases to six (6) months.
What to Expect from a Texas OIG Investigation
[3292] What to Expect from a Texas OIG investigation
Overview of the major steps in a provider investigation. NOW AVAILABLE: RELEASED 9/10/2019 This program was presented on 08/29/2019 at the Texas Association of Home Care & Hospice 50th Annual Meeting in Grapevine. It is one of 17 presentations captured and produced for online access. Presentation Info: Presentation Date: August 29, 2019 TAHC&H Event: TAHC&H Annual Meeting | Grapevine Education-Training Credits: TX HCSSA Administrator/Alternate Continuing Education 1.5 Clock Hr(s) Continuing Education for Nurses 1.5 Contact Hr(s) This program awards CNE until 08.29.2021 CE Approval Statements:
· Texas Association for Home Care & Hospice is approved as a provider of nursing continuing professional development by the Texas Nurses Association - Approver, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. 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 §97.260[a][7]financial management Program Description: The Texas Office of Inspector General (OIG) presenter presents and discusses the role of provider investigations within the broader mission of the OIG and also gives an overview of the major steps in a provider investigation as well as the provider’s role in each step. Includes potential outcomes of a provider investigation and examples of past investigations specific to cases involving pediatric care and home health care. Program Learning Outcome: Participants will actively engage in the learning activity and indicate an intent to change their practice by identifying the provider’s role in each step of an Office of Inspector General investigation of fraud, waste, and abuse in the Medicaid program. TAHC&H Faculty/Presenter: Glynn Bell, Manager - Provider Field Investigations, Dallas & Fort Worth Texas Health & Human Services Commission - OIG About the Presenter:
Glynn Bell is the Manager of Provider Field Investigations for the Texas Health & Human Services Commission - Office of Inspector General (OIG), Medicaid Program Integrity Division in the Dallas-Fort Worth area and has been with the OIG since February of 2018. Glynn has over 19 years of investigative experience in the private insurance sector, handling large scale, organized fraud/major medical fraud cases. Glynn is a Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI) and Certified Forensic Interviewer (CFI). [3292] What to Expect from a Texas OIG investigation
Bell, Glynn