Home Health Reimbursement Training at Flamingo Hotel & Casino, Las Vegas, NV
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This is an “Ounce of Prevention” that is needed by all organizations. Please join SMART Healthcare Compliance Resources, LLC presenter Lista L. Clark, BSN, RN, Senior Hospice Clinical Consultant for this timely and informative training session, including recent regulatory updates.
Over the past 5 years, greater scrutiny of the hospice program by the OIG has resulted in multiple investigative audits of hospices nationwide, identifying improper payments, ineligible admissions and recertifications, and very concerning trends of poor quality of care practices and noncompliance with the CoPs.
Make no mistake about it, the Hospice honeymoon period has come and gone regarding the trust level that CMS has in our provision and documentation of hospice services. At SMART HCR, we continue to assist many hospices dealing with harsh survey deficiencies, TPE and medical review audits that are costing hundreds of thousands of dollars and years of time through the appeals process
Make no mistake about it, the Hospice Honeymoon Period has come and gone regarding the trust level that CMS has in our provision and documentation of services. In the past few months we have assisted hospices dealing with UPIC Audits, SMRC Audits, Targeted Probe and Educate Audits. The OIG recently issued a scathing report referring to hospice survey deficiencies and citing numerous instances of patients being harmed due to lack of compliance with the Conditions of Participation. This program is designed to inform Hospice Administrators, Physicians, Clinicians and Stakeholders with practical guidance in relation to compliant documentation of services. Friends this is an “Ounce of Prevention” that is needed by all organizations. Please join SMART Healthcare Compliance Resources, LLC presenters Randy Forrest, Partner and Lista Clark, RN for this timely and informative training session.-
2026 – Hospice Documentation under Scrutiny August 26, 2026 – Las Vegas, NV
August 26, 2026 8:00 AM - 5:00 PM
Las Vegas, NV
Includes: 1 Person
Single Agency
Course Materials
Coffee
Lunch7 hours of Administrator Continuing Education Units (CEU)
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Lista LeQuire Clark, BSN, RN, COS-C
Home Health and Hospice Clinical Consultant
Lista Clark began her nursing career after graduating BSN, RN from Vanderbilt University in her home town of Nashville TN. She has over 20 years’ experience in the Home Health and Hospice industry, beginning as a Primary Case Manager and moving into managerial and quality improvement positions over the years. Lista developed a passion and an expertise in documentation accuracy for Medicare and Medicaid regulatory requirements, and since 2011 she has been providing clinical consulting services to multiple home health and hospice agencies across the nation. Lista has significant experience in all types of MAC/RAC/TPE/UPIC Audits, Responses and Appeals, as well as Clinical Record Reviews, Survey Preparedness, CoP Compliance, QAPI, HIS, OASIS, and ICD-10 Compliance. She has additional experience in providing Clinical Due Diligence reviews for Merger and Acquisition projects as well as OIG Clinical Integrity Audits.
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IDG RN Role
IDG Social Worker
IDG Chaplain
IDG Volunteer Roles
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Routine Home Care Visits
Continuous Care Visits
General Inpatient Visits
Inpatient Respite Care Visits
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Hospice Initial Assessment
Certification of Terminal Illness (CTI) Content Requirements
Comprehensive Nurse Assessment
Beneficiary Election Statement
New – Election Statement Addendum – Hospice Transparency
Covered vs. Non-Covered Services
Plan of Care – Initial & Updates
Related vs. Unrelated to Terminal Illness
Hospice Physician Roles
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If Medicare Training and Consulting must cancel a seminar due to low registration, registrants will receive a full refund by their method of payment. If a participant cancels a reservation, notification must occur 15 or more calendar days before the meeting date for a 100% refund. A participant may enroll in a future course in lieu of a cash refund. Medicare Training & Consulting is unable to grant refunds for lodging, airfare, and other expenses.
The Office of Inspector General has announced a nationwide audit to be conducted starting in 2023 relative to hospice beneficiary admissions which are not preceded by a hospital stay or emergency room visit. State Surveyors and Deemed Status Organization’s are being trained and held accountable to ensure the Hospice CoP’s are being followed with emphasis on patient safety. CMS Contractor Post-Payment Medical Review continues to ramp significantly in many areas of the country with profound overpayment determinations being made. CMS is working diligently to implement a required Comprehensive Assessment Tool for hospice – HOPE! The industry is facing the most heightened scrutiny since Hospice became a Medicare benefit in 1983. Unquestionably the Landscape is changing and this seminar is designed to provide critical and practical information for all Hospice Stakeholders.
Make no mistake about it, the Hospice Honeymoon Period has come and gone regarding the trust level that CMS has in our provision and documentation of services. In the past few months we have assisted hospices dealing with UPIC Audits, SMRC Audits, Targeted Probe and Educate Audits. The OIG recently issued a scathing report referring to hospice survey deficiencies and citing numerous instances of patients being harmed due to lack of compliance with the Conditions of Participation. This program is designed to inform Hospice Administrators, Physicians, Clinicians and Stakeholders with practical guidance in relation to compliant documentation of services. Friends this is an “Ounce of Prevention” that is needed by all organizations. Please join SMART Healthcare Compliance Resources, LLC presenters Randy Forrest, Partner and Lista Clark, RN for this timely and informative training session.-
August 27, 2026 8:00 AM - 5:00 PM
Las Vegas, NV
Includes: 1 Person
Single Agency
Course Materials
Coffee
Lunch7 hours of Continuing Education Units (CEU)
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Randy Forrest
Senior Healthcare Consultant
Mr. Forrest began his career in 1979 as a Financial Auditor for a government contractor overseeing the Medicare Program. He entered the home health industry in 1992 as CFO for a home care operation in Nashville, TN.
In 1994 he founded Forrest Consulting Services and has been a consultant to the industry since. In 2012 he founded Regulatory Compliance, LLC with the mission to partner with home care and hospice providers to help them navigate the ever-changing regulatory environment.
Randy is a strong provider, advocate, and national speaker; training industry partners in compliant operational practices, regulatory requirements, changes, and reimbursement retention.
As Director with Regulatory Compliance, he provides Interim Executive Management Services and works with a team of experienced home health and hospice clinical professionals to provide operational and clinical compliance oversight, appeals for claim denials, clinical due diligence reviews, operational reviews and cost reporting services. His rounded experience working on “both sides of the fence”, so to speak, is a great advantage for clients. Now as Co-Founder of S.M.A.R.T. Healthcare Compliance Resources he is excited to be part of an organization with a mission to service clients on the front-end of the clinical compliance process.
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Overview of the Hospice Medicare Benefit Policy Manual
Overview of the Hospice Medicare Billing Manual
Latest Hospice Regulatory Updates
Hospice Payment Reform Update & Preparation
Documentation Principles to Survive Medical Review
Medical Review Risks from MAC’s/UPIC’s/SMRC’s
VBID Pilot – Intro to Medicare Advantage in Hospice
Billing for Physician and NP Services
Understanding the Hospice Aggregate CAP
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If Medicare Training and Consulting must cancel a seminar due to low registration, registrants will receive a full refund by their method of payment. If a participant cancels a reservation, notification must occur 15 or more calendar days before the meeting date for a 100% refund. A participant may enroll in a future course in lieu of a cash refund. Medicare Training & Consulting is unable to grant refunds for lodging, airfare, and other expenses.
