Marcylle has 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. She has faithfully served the home care industry in Texas and nationally throughout her years on multiple committees, associations and dedicated lobbying efforts. Currently, Marcylle serves on the board of directors for The National Association for Home Care & Hospice (NAHC), the Home Care and Hospice Financial Managers Association (HHFMA) and the Industry Advisory Board. Additionally, she serves on NAHC’s HHFMA Innovations Committee, Governance and Nominating Committee, HHFMA workgroup, and chairs the Women in Leadership Committee.

Marcylle’s passion is for mentoring the next generation of leaders, and has had the honor to speak in China, Italy, Belize, Spain and across the US on multiple leadership subjects such as mentoring, recruitment and retention, communication and conflict management. As a wife, mother of 5 adult children and as a female in the workplace she aspires to grow and lead others until her last breath on this earth. She continues this quest through three new business ventures she has founded: MAC Legacy, MAC Legacy Investments and The Marcylle Combs Company.

Arnie Cisneros is the President of Home Health Strategic Management; he has 30+ years of experience as a Physical Therapist across the care continuum, and he serves as a Post-Acute Consultant for multiple Health Systems and HH Providers.  He is renowned for his adaptation of traditional Healthcare operations to address ongoing CMS reforms.

Kimberly McCormick, RN/BSN, a highly accomplished clinical consultant in the Home Health industry, is Executive Clinical Director for Home Health Strategic Management. Her 30 years’ experience in Home Health, 8 spent as Administrator of a Home Health Agency, has given her the experience and the knowledge to provide unrivaled insight into the home care arena. Kimberly has established herself as a national expert in the area of Utilization Management and Operation Excellence in Home Health services. During her time as Administrator, she achieved deficiency-free surveys by The Joint Commission, deficiency-free Department of Health & CMS surveys, and a 0.42% error rate on an ADR audit. Kimberly is a contributing author on the HHSM newsletter and is presenting nationally on home care topics and care models proposed by CMS and MedPac for the future of the Home Health industry.

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 to OASIS-D1.

Tom is the co-author of What the Heck is EOS?, Profit Works, and Enjoy the Climb. He is a sought after speaker with extensive experience in helping business leaders get what they want from their organizations. He founded The EOS Conference which now draws over 2,000 attendees a year.

In addition to starting and running his own companies in Turkey, Tom has worked for start-ups and Fortune 50 companies. Tom has consulting experience with Deloitte & Touche and Booz Allen Hamilton. Today, with The Bouwer Group and Pinnacle, he implements tools companies need to grow and make business easier. He has a B.A. from Hope College and MBA from the Fuqua School of Business at Duke University.

Lisa McClammy, BSN, RN, COS-C, HCS-D, HCS-O Senior Clinical Education Consultant with MAC Legacy, has more than 27 years of diverse nursing experience. Her experience includes Director of Customer Success for a Home Health Software Company and Director of Patient Care and Alternate Administrator for a home health agency, which gives her a unique perspective and understanding of the challenges home care agencies face. Her clinical and consulting experience in the home care industry is the foundation for a variety of education topics presented to agencies, state associations, webinars, and workshops. Lisa is a CHAP and ACHC certified consultant.  

Chris Gallarneau is a Senior Education Consultant at MAC Legacy, specializing in hospice education, healthcare operations, sales and marketing, and leadership development.  As a certified ACHC and CHAP Consultant for Home Health and Hospice, Chris brings over 18 years of diverse leadership experience in the hospice industry.  He is also a dedicated member of The National Alliance for Care at Home (The Alliance), member of Home Health and Hospice Financial Managers Association (HHFMA), and serves on the Texas New Mexico Hospice and Palliative Care Organization (TNMHPO) and Texas Association of Home Health and Hospice (TAHC&H) Membership Committees.

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Chris is passionate about enhancing patient care models and boosting employee satisfaction.  He frequently speaks at healthcare and business conferences, sharing insights and inspiring others in the field.

Ms. Kocher is a partner with Liles Parker and has over 20 years of experience in health care legal and compliance-related issues, representing all kinds of health care providers of all size.  Her experience includes serving as a chief privacy officer and interim chief compliance officer at a medical device manufacturer. She also served as an outside compliance expert to a hospital and a clinical laboratory that were under Corporate Integrity Agreements.  She has significant reimbursement experience, responding to and defending audits, addressing coverage policy issues, challenging denials, recoupments, and loss of billing privileges, obtaining HCPCS codes, and other reimbursement related issues.  Her experience also includes implementing Corporate Integrity Agreements, guiding clients through voluntary self-disclosures and seeking advisory opinions from the OIG.  In acknowledgement of her expertise, Ms. Kocher has served as a lecturer in the Biomedical Engineering department at the University of Texas at Dallas.  Ms. Kocher is licensed in Texas and Maryland and Certified in Healthcare Compliance.   

Brian Lebanion has more than 25 years of experience in the healthcare industry and provides consulting services for all aspects of home health care and hospice, including operations, reimbursement and education. He specializes in comprehensive consulting services offering clients and providers survey/licensure coaching, clinical review and training, financial and revenue cycle management, third-party audit response, and quality assurance/performance improvement training.

Colleen Bryan, MSNEd, RN, is a Senior Consultant and Lead Educator with JCC Consulting in North Texas. She has worked in home health and hospice since 1996, serving in roles including field nurse, case manager, educator, QA manager, Director of Nursing, and Administrator. Since joining JCC Consulting in 2011, she has led the firm’s educational department as its primary nurse planner and presenter.

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Colleen regularly speaks on topics related to home care and hospice operations, compliance, and staff training. She focuses on helping agency leaders implement practical changes that support high-quality care and meet regulatory requirements.

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She earned her Master of Science in Nursing Education from Texas Woman’s University and her Bachelor of Science in Nursing from the University of Texas at Arlington.

Nick Seabrook is Executive Vice President at SimiTree, where he leads Client Development and Strategic Partnerships. A co-founder of BlackTree Healthcare Consulting, Nick brings over 25 years of experience in home care consulting, helping agencies enhance profitability and reimbursement through revenue cycle improvements, workflow optimization, operational efficiency, and strengthened compliance.

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Nick has served on several industry boards, including the Home Care & Hospice Association of New Jersey, the Association for Home and Hospice Care of North Carolina, and the Pennsylvania Homecare Association. He is also a long-standing member of the HHFMA Advisory Board, where he has contributed to the workgroup committee for over a decade. A frequent speaker at industry conferences, Nick is recognized as a trusted thought leader in the home care space.

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He holds a Bachelor of Science in Accounting from Villanova University. A passionate sports enthusiast, Nick is a devoted Villanova and Philadelphia sports fan. When he's not working or speaking, you’ll likely find him coaching his kids in softball and basketball—or cheering on his favorite teams.

Tammy Ross is the Senior Vice President of Professional Services at Axxess, the leading home healthcare technology company. She oversees the professional services division at Axxess with a focus on practical operational solutions for the home health, home care, and hospice sectors of the post-acute care industry using technology. Prior to joining Axxess, Tammy served as an executive consultant at Fazzi and Associates, where she used her years of home health leadership experience to assist clients with clinical and operational strategic planning and development.

Mike Carr is the Senior Product Manager for our Axxess Certification product. His clinical expertise and industry knowledge has been critical to the development and implementation of the Axxess Certification program. Mike joined Axxess in 2018 through the acquisition of Home Health Gold. Mike had worked directly for Home Health Gold for more than a decade where he served in a variety of roles, including business development, sales, product enhancement, implementation, and clinical training. Mike has been intimately involved in the design, development, and creation of Axxess Certification and now oversees an international team of engineers and support personnel. 

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.

Lisa Selman-Holman is the Vice President of Clinical Services at McBee and a nationally recognized expert in home health and hospice. With more than 35 years of experience as both a registered nurse and home care attorney, she is known for her deep expertise in regulatory compliance, clinical operations, and quality improvement.

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She founded Selman-Holman & Associates in 2004, a firm specializing in regulatory compliance, coding, OASIS review, and education. After joining McBee in 2021, she contributed to select educational initiatives, including development work with the Post‑Acute Academy.

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In her current role, Lisa oversees the clinical aspects of consulting projects, providing guidance on clinical operations, quality standards, outcome improvement, and regulatory compliance.

With nearly 30 years in nursing and a deep commitment to senior care, I’ve focused on helping older adults and their families navigate the complexities of healthcare. Since 2004, I’ve specialized in non-medical home care, developing strategies to improve care quality and support home care agencies. As a Senior Care Consultant, I’ve guided families and agencies in securing the best services, while also helping home care providers streamline operations and maintain compliance.

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Through Slusher Consulting, I’ve assisted over 60 new agencies with startups and supported 300+ existing agencies across Texas with policy development, marketing, and leadership training. Having owned and sold two non-medical home care agencies, I bring firsthand experience to my consulting work. I’m proud to have helped numerous agencies improve care delivery and compliance, making a lasting impact on both the professionals I work with and the seniors they serve.

Siva Juturi is the Co-Founder & Chief Customer Officer at AutomationEdge, a leading provider of AI cloud for Home and Post-acute Care.

With over three decades of experience, Siva is known for his ability to align AI and business
strategies, drive operational excellence, and foster a culture of continuous improvement. He is a
versatile leader who brings a unique blend of strategic vision, technical acumen, and creative
energy to his role of driving customer success. Siva is a popular AI thought leader, frequently
speaking at industry events and conferences like NAHC.

He recently spoke at length about “AI – Moving Beyond The Hype.” He also hosts a popular
podcast called “Luminaries – Home & Post-acute Care” where he interviews leading experts and
discusses the latest trends, game-changing AI innovations, and best practices.

Beyond his professional achievements, Siva has a deep passion for the performing arts, particularly theater and acting. He believes that the skills honed on stage – storytelling, empathy, and the ability to engage and inspire an audience – are invaluable in the business world. Siva often draws on his creative background to bring a fresh perspective to strategic planning, team building, and customer relationship management.

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"Every delayed referral is a patient waiting longer for care. AI give us speed, accuracy and the power to say ‘yes’ more often. The agencies adopting AI today to scale smart, are tomorrow’s market leaders." - Siva Juturi

With over a decade of experience in the post-acute and long term care industries, I am a passionate and visionary leader dedicated to enhancing the quality, accessibility, and affordability of long term care and healthcare at-home.

As the founder and president of Ohio Community at Home Network (OCHN), I pioneered the country's first home health specific clinically integrated managed care network that not only provided higher reimbursement rates and better contract terms, it also led to better quality of care and superior outcomes for both home health providers and patients.

Carmen Perry is the Vice President of Provider Engagement at Paradigm, where she leads initiatives that strengthen provider performance, engagement, and growth through strategic coaching and enterprise partnerships. She sits on the Editorial Board for the CSA Journal, chairs the National Board of Directors for the National Aging in Place Council (NAIPC), and serves on the VA Advisory Committee for the Home Care Association of America (HCAOA). With extensive experience in leadership development and provider relations, Carmen is dedicated to advancing collaboration, innovation, and excellence across the aging services network. 

Rachel Hammon received her Bachelors of Science degree in Nursing from the University of Texas in Austin. She has 29 years of experience in nursing with 25 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. 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 in Texas. As part of that advocacy she routinely works with state and federal legislators and agency staff on legislation and policy that affects the home care industry.

Dana Madison has been an RN for 45 years and for the last 37 years have lived in Lubbock, Texas. She and her family have owned and operated home health agencies for 30 years and a Chronic Care Management company for the last 5 years. She recently finished her doctorate degree in nursing from Texas Tech. She and her husband Ronnie have three grown sons, three daughter-in-laws, and six grandchildren.

Bradley Madison is a dedicated professional with a strong commitment to leadership, teamwork, and ongoing development. Known for his collaborative approach, he brings people together to achieve common objectives across various settings, including business, sports, and community organizations. A lifelong learner, Bradley emphasizes integrity, effective communication, and strategic thinking in all of his endeavors. He is actively involved in healthcare advocacy at the local, state, and federal levels, working to promote the growth and sustainability of the industry. Outside of his professional responsibilities, he prioritizes his family, enjoys playing golf, mentoring colleagues, and contributing to local initiatives. His dedication to excellence and positive impact informs both his personal and professional pursuits. Bradley currently serves as the Administrator of ComPassion Personal Care Services and ComPassion At Home.

Raymond Charles Winter was appointed Inspector General for Texas Health and Human Services by Governor Greg Abbott on October 2, 2023, having previously served as Assistant Deputy Inspector General for Complex Litigation. Before joining the OIG, Winter was at the Office of the Attorney General of Texas for more than 24 years, including 15 as Chief of the Civil Medicaid Fraud Division. He was also

a staff attorney at the Texas Water Commission, now the Texas Commission on Environmental Quality, and a U.S. Army infantry officer and paratrooper. Winter earned a bachelor’s degree from Texas A&M University, a law degree from the University of Houston, and is board-certified in administrative law by the Texas Board of Legal Specialization.

Susan Biles joined the OIG in January 2017. She became the Principal Deputy Inspector General in December 2023 after serving Chief of Staff for five years. Biles brings more than 25 years of experience in Texas government to her role, with an extensive background in agency management, governmental affairs and policy research. Before coming to the OIG, she held a number of positions, including Legislative Affairs and Program Strategy Manager for the Texas Medicaid Healthcare Partnership, Director of Governmental Affairs for the Texas General Land Office, and Senior Policy Analyst for the Texas Comptroller. Biles holds a degree in government from the University of Texas at Austin and a Master of Public Policy from Duke University.