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About Us



Phone:  225-253-4876


Haydel Consulting Services, LLC was established in March of 2001 as a service oriented business dedicated to the needs of home health agencies.  Since our beginnings, we have expanded our staff and expertise to include services to nursing homes, small hospitals including LTACs, hospices, rural health clinics and outpatient rehabilitation facilities.

Julianne Haydel, founder of Haydel Consulting Services, LLC, has worked in the field of home health since 1996.  She was never satisfied with the way her employers ran their businesses so she opened her own.  Haydel Consulting Services believes that our success depends on the success of our clients.  There is no shortage of people who sell consulting services.  Haydel Consulting Services works along side with our clients to refine processes and avoid regulatory scrutiny so that your nurses can do what they do best:  Take care of patients.

Alice Posseno comes to us with an impressive 35 years of home health experience.  In addition to managing large change of ownership projects, Alice has successfully brought health care facilities in numerous states through the Joint Commission on Accreditation of Hospitals and CHAP survey processes.

Haydel Consulting Services, LLC is available to assist you in the following areas:

  • Survey preparation and management (certification, state licensure and JCAHO and CHAP)
  • Compliance
  • Medicare Appeals
  • ZPIC Audits
  • Home Health Documentation Education
  • Change of Ownership regulatory responsibilities
  • Facility assessment and action plans for improvement
  • Quality assessment surveillance activities

Please do not hesitate to call us should have any questions or if you would like to meet with us for a detailed description of your facilities needs.

13 Comments Post a comment
  1. Ed Swan #

    Was researching OASIS-C impact for Amed and ran accross your site. Looks like your all over this OASIS-C stuff. I hope you’re doing well.


    May 11, 2009

    • Ed, I am always well but miss you guys. Give Peter my regards. Y’all come see us one day.

      May 12, 2009
  2. Angela Martin #

    I loved this article on disease management. I am wondering if your services offer care plans on disease management. Our current care plans are computerized and sorely lacking. I appreciate your service and am hoping you can help me.
    Angela Martin RN

    August 23, 2010

    • I’d love to help you! Look for an email tomorrow.

      August 23, 2010
  3. gail #

    Wondering if you would comment on your wonderful website…(Loved the writing goals video!!!)about determining a policy for what would constitute a “significant change in condition” in order to decide whether or not to complete the OASIS OFU.

    April 6, 2011

    • Glad you asked. Since the follow-up for a significant change in condition (SCIC) is no longer considered in billing, there are a lot of agencies not doing them anymore. This is a bad thing. The OASIS requirements regarding SCICs have not changed! I just wanted to take this golden opportunity to remind you. The federal regulations regarding OASIS state that the agency must adopt their own definition of a Significant Change and build it into their policy. To make the assessment useful as well as necessary, you may consider including some of the following changes:

      New diagnosis
      Addition of a new discipline such as therapy (Home Health Aides excluded) for a condition that did not exist at recertification or admission)
      Addition of two or more medications requiring teaching
      An ER visit that did not result in an inpatient stay
      An increase of frequency that lasts longer than two weeks (so you can exclude PRN visits)

      You can use any or all of these. The state surveyors used to ask for this but they haven’t lately. That doesn’t mean they won’t in the future. If you write a policy geared towards true changes in conditions, the follow-up assessment will assist in care planning. However, if the policy is too restrictive, all of your nurses will be doing nothing but SCICs all day long.

      Also, remember that some OASIS questions on transfer and discharge ask about the period of time since the last OASIS data was collected. If you do a SCIC, keep in mind that this assessment counts. Hope this helps. Call me or email me if it doesn’t.


      April 6, 2011

  4. Hi,
    I’m a reporter with Inside CMS, and I’m working on a story about face-to-face home health requirements. I wondered if you could speak with me about this.

    August 1, 2013

    • I sent an email to the ‘info’ address on your blog. I will be available Tuesday or Wed at 225-253-4876. See if tonight’s post answers any questions.

      August 4, 2013

  5. I absolutely love your blog and find most of
    your post’s to be exactly what I’m looking for. Do you offer guest writers to
    write content in your case? I wouldn’t mind producing a post or elaborating on
    a lot of the subjects you write regarding here. Again, awesome blog!

    October 16, 2013

    • I would love to post some pieces by guest writers. Please feel free to contact me with any ideas you have.

      October 16, 2013

  6. Since you are absolutely my favorite blogger on home health, I wanted to share this with you in case you hadn’t see it.

    June 5, 2014

  7. Julianne,
    I just want to say that I always look forward to reading your blogs. They are generally spot on, informative and I often find myself thinking about something you wrote about days after I read the article. Keep the good stuff coming!!
    Lori Moshier
    Novaetus, Inc.

    October 2, 2014

  8. Home care is important since it give extra care to those that need it since they are the one that are responsible for caring for the elderly or children. Both have different home care like children deserve pediatric home care agencies that deal especially in caring for all types of children facing any need they require since there are specialists that are available.

    July 8, 2021

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