Mr. Acevedo has been practicing law since 1993. He has substantial experience in executive management of large corporations inside and outside the healthcare industry.  Mr. Acevedo has a Master’s degree in Healthcare Law and extensive knowledge of laws and regulations applicable to the healthcare industry, including access, compliance, fraud and abuse and e-health. 



Rachel Hammon received her Bachelors of Science degree in Nursing from the University of Texas in Austin. She has 26 years of experience in nursing with 22 years’ experience in the home health industry. During her employment with a home health agency, she served in many roles (i.e. Pediatric Case Manager, Medicare Case Manager, DON / Administrator and Corporate Director of Clinical Services), which gave her a diverse knowledge of the industry. At the Texas Association for Home Care and Hospice Rachel assisted member agencies with compliance with state and federal laws (Medicare, Medicaid, OSHA, BON, etc.), served as a liaison with state and federal government officials, and on the Nurse Practice Advisory Committee for the Board of Nurse Examiners, the committee that developed the RN Delegation Rules we are talking about today. As the Executive Director, Rachel is responsible for implementing the mission of the association which is to advocate for ethical practices, quality, and economic viability of licensed providers of home and community support services in Texas. As part of that advocacy she routinely works with legislators and state agency staff on legislation and policy that affects the home care industry.



Prior to joining the TAHCH staff, Grace worked in the Homecare Industry for over 25 years. She has had the wonderful opportunity to serve in multiple roles at Home Health Agencies fulfilling positions varying from Administrator to DON/Clinical Supervisor to Case Management to Field RN. With this, Grace was able to provide focus and specialty in QA, OASIS and Compliance and enjoyed learning and held both OASIS and Coding certifications in the past years. Grace received her Bachelor of Science in Nursing degree from Incarnate Word College in San Antonio, Texas and currently works with Texas Association for Homecare and Hospice in the Home Care Education Nurse Manager role. 

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Colleen Bryan has worked in the home care industry since 1996, holding various positions in both home health & hospice agencies including field nurse, case manager, educator, QA manager, DON and Administrator.  Colleen is currently a senior consultant and lead educator with JCC Consulting, and services home health and hospice agencies in Texas.Colleen enjoys helping agency leaders navigate the constant changes and challenges in the current home health and hospice industries.  She enjoys assisting in the incorporation of meaningful and impactful changes into their agency’s operations – both administrative and clinical, in order to provide high quality care that is both sustainable while maintaining regulatory requirements and promoting excellent patient care.

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After over 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, Marcylle sold her business to embark on new opportunities. She has since founded 3 companies, serving as President over The Marcylle Combs Company, MAC Legacy Investments, a real estate development company and MAC Legacy – a home health care and hospice resource company. Marcylle is well known in Texas and nationally for her leadership in both the home care and hospice community. She has served on the TAHCH Government Affairs Committee since the ‘90s and is currently serving on the 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.  She enjoys speaking on various subjects such as mentoring, leadership and communication. 

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Jennifer Elder started with TAHC&H in September 2019. Her experience includes Home Health and Hospice Administration, DME Management and Home Care Consulting. Prior to coming to TAHC&H she worked as a consultant from 2012 – 2017 for home health and hospice agencies and DME agencies throughout Texas.  She has hands on experience in the home care industry with the ADR process, QAPI programs, Marketing and Business Development, Licensing, Accreditation, Plans of Correction and Informal Dispute Resolutions, Human Resources, Policy Development and Strategic Planning. Jennifer has been in the home care industry since 2007.  



Melinda A. Gaboury, with more than 28 years in home care, has over 18 years of executive speaking and educating experience, including extensive day to day interaction with home care and hospice professionals. She routinely conducts Home Care and Hospice Reimbursement Workshops and speaks at state association meetings throughout the country. Melinda has profound experience in Medicare PDGM training, billing, collections, case-mix calculations, chart reviews and due diligence. UPIC, RA, ADR &TPE appeals with all Medicare MACs have become the forefront of Melinda’s current impact on the industry. She is currently serving on the NAHC/HHFMA Advisory Board and Work Group and is Associate Director on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health OASIS Guide toOASIS-D1.



Amy L. Knight is a CPA, originally from Oklahoma and now based in Austin, Texas with over 20 years experience almost exclusively in home health and hospice.  Her CPA firm, Knight CPA Group, has extensive experience with all financial issues pertaining to home health, hospice and other healthcare providers including cost reporting, accounting & payroll issues that are specific to healthcare providers.



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 also Certified in Health Care Compliance. 

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Kay Hollers is well known to TAHCH audiences as she has been an active member or associate member since her return to Texas in 1985. Kay holds a Bachelor of Science degree from the University of Texas with a major in Nursing and a Master’s Degree in Public Health from the University of Texas School of Public Health. She also earned a post-master’s Specialist Certification in Health Care Evaluation from Wayne State University College of Nursing in Detroit. Kay taught Public Health Nursing at Michigan State University and has practiced in and consulted with home health and hospice agencies large and small, public and private. She currently is a consultant with HealthCare Consultlink. Kay likes to share her experiences and knowledge with audiences and has been a frequent presenter for TAHCH conferences and seminars.



Ms. 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



J’non Griffin is a 34 year veteran of home care as an RN. She received her Master’s Degree in Health Care Administration in 2005. She has experience as a field nurse, director and executive with home health and hospice agencies, both large and small. J’non is certified as a Homecare Coding Specialist-Diagnosis (HCS-D), Certified in OASIS competency, COS-C, Certified in Homecare Coding Specialist-Hospice (HCS-H), Home Care Specialist-Compliance (HCS-C)
and is an AHIMA approved ICD-10-CM trainer/ambassador. J’non is an accredited ACHC and CHAP consultant. She has presented several webinars,
and has been a nationally recognized speaker on a variety of subjects.



Jennifer Osburn is a Registered Nurse with over 27 years of combined home health staff nurse, clinical management, administration, and technology experience. This diverse background combined with certifications for OASIS and ICD-10 coding knowledge creates a depth of connection to home health staff across the nation.As a seasoned Medicare regulatory thought leader, Jennifer regularly trains on PDGM, Conditions of Participation, Emergency Preparedness, Infection Control, QAPI, Documentation, Coding, OASIS, agency operations and management. Her heart for teaching and supporting home health professionals has created opportunities to present for The Joint Commission, CHAP, NAHC, and numerous state home health associations.

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Michael found his passion for home health, hospice, palliative care and in-home community-based services 27 years ago.  He was originally on the operational side of the business until starting his first consulting practice in 2000.  Since that time, he has consulted and provided strategic growth advisory services to many of the leading home health and hospice organizations  in the country.  As the developer of the industry best-practice sales training process, he has trained thousands of the most successful sales professionals in the industry.

Michael founded Healthcare Strategica in 2018 to re-imagine the relationship between consultant and client in the hospice and home care industry.  In 2020 he created the Healthcare Strategica Sales Academy to deliver his legendary sales training on-demand to the industry.  He is the author of 11 industry specific books related to strategic growth for healthcare, home health and hospice.

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Larry Neiswender is a veteran of the United States Air Force where he served as a computerized flight simulation technician.  He is a Microsoft Certified Systems Administrator and holds a designation from the Department of Health and Human Services as a Practice Workflow and Health Information Technology Redesign Specialist..

As the founder and Managing Partner of a company named Protect EHR, he has conducted over 1500 Security Risk Analyses for healthcare entities in 10 states and has served as a Security and Compliance Consultant for over 300 entities.

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Alicia J. Haff, is a Founder and Partner with Eligibility Tracking Calculators. Having obtained her Bachelor of Arts in History from Trinity University in 1992 and her Juris Doctorate from the University of Texas School of Law in Austin in 1996 has practiced law in Texas since 1997. From 1997 until 2010, Alicia spent her time in the court room litigating employment disputes, commercial matters and personal injury claims. Since that time Alicia has concentrated on keeping her clients out of the courtroom by proactively identifying ways to correct potential liability issues. Alicia performs these services on a regular basis with client “in-service” audits, in group settings and through training workshops. Healthcare specifically, the Affordable Care Act and pending replacement legislation have become Alicia’s passion. She obtained her Texas General Lines License in 2007, has obtained her Certified Health Care Specialist designation and is certified as a Patient Protection and Affordable Care Act Professional. As part of her consulting practice, Alicia is retained on a regular basis by clients to advise on the intricacies of the Affordable Care Act and by clients who need to come into compliance with the law and surrounding regulations.

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Valerie Cornett, MS, is the Chief of Strategy and Innovation for MAC Legacy. Valerie has been in the home health and hospice industry since 1995, and brings many distinctive qualities to the team. She has served in many roles over the years spanning from education to operations to finance. Her leadership experience will help agencies not only meet their goals, but also solve a myriad of challenges. Valerie looks forward to building relationships with providers and other vendors to strengthen the industry. 

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Israel Barco is a TMHP Provider Relations Representative, in billing and education for The Texas Medical Center, Gulf Coast Region.  As a Provider Relations Representative, my job is to provide Billing and provider education and ensuring that every Texan from oldest to tiniest Texan are receiving care without delay. I have over 30 years of billing and revenue cycle experience with extensive knowledge in Medicaid education.



Sr. Manager Managed Care Compliance and Operations, HHSC


25 years of State Service with The Texas Department of Health and the Health and Human Services Commission.

17 years with the Vendor Drug Program, assisting with pharmacy providers with Point of Sale claims and software issues.

8 years with Managed Care Compliance and Operations, Senior manager of Research and Resolution. Coordinate complaints, from various stakeholders, against the MCOs to ensure the timely delivery of contracted services and benefits to members and reimbursement to the providers.

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TMHP Provider Relations Retention and Recruitment Rep, TMHP

Yolanda Brown is the TMHP Provider Relations Retention and Recruitment Rep for Houston Region. As a Provider Relations Representative, she is responsible for ensuring that a strong provider network is available to provide endless client care. She has 10 years of extensive knowledge of the Provider Enrollment process working as a Provider Enrollment Specialist, validating, and processing Medicaid Applications.