My name is Karen A. Vance, but people call me Karen A. Vance. Here is my homepage: . I live in United States and work as an OTR at

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Karen A. Vance - Home Health Coding Expert

Karen A. Vance - OTR

Home Health

Karen Vance provides clinical and general operations consulting services to home care agencies, and helps home care providers establish and maintain quality management practices and provides assessment, training and consulting.

Karen's experience in home care since 1981 includes direct service provision as an occupational therapy practitioner, then as a clinical and regulatory manager. As a home care agency regulatory manager, Karen was integrally involved in preparation of OASIS implementation and PPS. Her OASIS experience began as part of the demonstration project, continuing with the original CMS/CHSR Train the Trainer Program, agency implementation and years of training at the agency, state and national level.

Karen has presented home care seminars for the National Association for Home Care, American Occupational Therapy Association (AOTA), American Physical Therapy Association (APTA), state and regional associations and several national media organizations since 1988. She also has contributed to several publications on home care.

In addition to her clinical and management experience, Karen currently serves on the Missouri Alliance for Home Care (MAHC) Research and Education Foundation Board. She has also recently served as Chair of the Home and Community Health Section of AOTA, on the Technical Expert Panel for CMS’ Home Health Quality Improvement Campaign in 2010 and 2007, and the AHRQ HHCAHPS project. Karen earned her BSOT degree in 1978 from the University of Missouri, Columbia.

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