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Text version   RSS   Unsubscribe   Archive   Media Kit      May 27, 2015

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Case Management Jobs

Administrative Director of Care Management
Bon Secours Virginia Health System
Mechanicsville, Virginia
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Assistant Director Social Services — Care Coordination
Suburban Hospital — Johns Hopkins Medicine
Bethesda, Maryland
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To access complete Career Link listings click here.

Case Management Advocacy: A call to action
Bills have been introduced in Washington, which address issues affecting your daily practice and adversely impacting patient care. The Improving Access to Medicare Coverage Act and the Medicare Audit Improvement Act represent opportunities for case managers to voice concerns related to observation status/the three-day stay requirement and the CMS Recovery Audit Program (formerly RAC). Over the coming months, you will periodically receive email calls to action regarding these issues, which contain a link to ACMA's online Grassroots Action Center. You can also learn more and make your voice heard anytime at Please take a few moments and contact Congress to request support of these bills. ACMA has already provided a message to help you get started — simply customize/add your personal experience, sign your name and send. One click, it's that easy. There is strength in numbers, so we also encourage you to share these issues and direct your colleagues and non-member advocates to join the effort via ACMA's Grassroots Action Center at
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CMS update: Probe and educate reviews
Centers for Medicare & Medicaid Services
CMS will conduct pre-payment reviews of home health claims for episodes beginning on or after Aug. 1, 2015. CMS contractors will conduct these reviews using a Probe and Educate strategy through an end date to be determined. The purpose of this Probe and Educate process is to ensure that HHAs understand the new patient certification requirements. Because home health episodes have a 60-day certification, CMS anticipates the first documentation requests will be sent on or about Oct. 1, 2015.
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Collaborative case management now available
The latest issue of Collaborative Case Management is now available online in the CE center of the ACMA Members Only section and set to arrive in your mailbox soon. As a reminder, continuing education credits are available with each edition of ACMA's official publication.

This issue includes:
  • Reaching the C-Suite: How to Advocate and Communicate Case Management's Value to Hospital Leadership
  • CHF Home Care Program Decreases Rehospitalizations, Achieves Positive Outcomes for Patients
  • Case Management and Social Work Career Ladder Offers Stability, Growth Opportunities and Succession Planning
  • Telecare Intervention Lessens Chronic Joint Pain.

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The 2015 National Hospital Case Management Survey results are in
The 2015 National Hospital Case Management Survey final report is now available. Every two years, ACMA conducts an extensive survey to produce 95 percent confidence level data. ACMA randomly selects hospitals from the acute care setting across the United States to participate in this survey, and collects data from more than 400 hospitals.

More than 75 data elements are included in the final report including average case loads, salary ranges and scope of services/functions. Survey data is used by members in organizations nationwide for benchmarking, resource justification and practice improvement.

ACMA thanks those who participated in the Survey — your responses allow us to provide you and your colleagues in case management with valuable data and metrics specific to your daily practice.

The Survey results are available in the Members Only section of the ACMA website under the "Resources" tab.

Login at to download the Survey today

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Free online continuing education for ACMA members
ACMA offers continuing education in the Members Only Section of the ACMA website. The Continuing Education Center is designed to enhance your membership by granting up to 30 hours of online continuing education focused on a variety of topics that can be viewed at your convenience. Login to learn more and start earning CEs today —
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ACMA Chapter Events
Innovative case management education near you — learn more at
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CMS proposes 1st major update to Medicaid and CHIP managed care regulations
State of Reform
Recently, the Centers for Medicare & Medicaid Services proposed to modernize Medicaid and Children's Health Insurance Program managed care regulations to update the programs' rules and strengthen the delivery of quality care for beneficiaries. This proposed rule is the first major update to Medicaid and CHIP managed care regulations in more than a decade.
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MCG Industry-leading Care Guidance

MCG recently released the 19th edition of its care guidelines. In preparation, MCG physician and nurse editors evaluated 140,000 unique references incorporating more than 7,000 new references into the care guidelines- an unprecedented 30,000 cited references in total! Visit our booth #230 at the ACMA National Conference to learn more.

Healthcare industry can't get no (patient) satisfaction
Even as the healthcare industry puts an increasing emphasis on customer service, a new report from the American Consumer Satisfaction Index finds that overall patient satisfaction has dropped. The ACSI uses data culled from the more than 70,000 consumer interviews it conducts annually to score industries on a scale of 0 to 100. The healthcare sector overall scored a 75.1 in 2015, a 3.2 percent decrease from its 2014 score, which means patient satisfaction is at its "lowest level in nearly a decade," according to the report.
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Tech companies, hospitals and labs blocking exchange of EHR
Kaiser Health News
A fear of losing business to competitors is driving resistance to the federal government's push toward digital records. In other health industry news, it is estimated that the average data breach cost for companies is $3.8 million. Meanwhile, the market outlook is uncertain for six new proton-beam centers soon to open. And the improved economic outlook for the health care industry has increased demand for travel nurses.
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States consider teaming to support cash-strapped health exchanges
Kaiser Health News
With federal funding for the state-run health insurance marketplaces expiring, California and Oregon are looking into the possibility of combining efforts into a multi-state exchange. New York and Connecticut have also held preliminary talks. Meanwhile, Republicans discuss White House negotiation tactics in case the Supreme Court rules the federal exchange subsidies illegal. And that is not the only question before the justices that could impact healthcare policy.
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Alternative to the Status Quo
Secondary review and audit defense services, delivering timely, cost-effective and accurate status reviews and determinations. Call 1-844-4Resonant or visit us for more information.
June 4-7, 2015 Advancing Best Practices for Brain Injury Rehab.
Continuing Education Opportunity by TIRR Memorial Hermann Education Academy. *19 hours pending. Disciplines include: OTs, PTs, SLPs, nurses, case managers and social workers. To register please visit:

HHS awards $112 million to help doctors fight heart disease
Kaiser Health News
The grants will be used to create regional groups of experts to help smaller medical practices. News outlets also report on other public health issues, including new evidence about umbilical cord care after birth, concerns about college students and tanning beds, some doctors' reluctance to order colon cancer screening and new efforts to fight Alzheimer's disease.
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AHA urges Congress to reject efforts to relax physician self-referral restrictions
AHA News
AHA urged Congress to reject legislation aimed at loosening current restrictions on the growth of physician-owned hospitals. "Physician self-referral is the antithesis of competition," AHA Executive Vice President Rick Pollack wrote leaders of the House Ways and Means Committee. "It allows physicians to steer their most profitable cases to facilities they own — facilities that often call 9-1-1 to handle their emergencies and are frequently located in the most affluent areas."
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Date Event Location More Info
May 22 Minnesota Chapter Hopkins Details
July 2 North California Chapter Napa Details
July 30-31 Florida Chapter Orlando Details
Aug. 8 Georgia Chapter Atlanta Details
Sept. 18 North Carolina Chapter Charlotte Details
Sept. 19 ACMA Maryland Chapter Baltimore Details
Oct. 3 Western Pennsylvania Chapter Pittsburgh Details
Oct. 10 Virginia Chapter Richmond Details
Oct. 12 Great Lakes Chapter Novi Details
Oct. 20 Illinois Chapter Rosemont Details
Oct. 24 Connecticut Chapter Uncasville Details

  For the full ACMA event map, click here.



Tyler Neese, ACMA Director of Communications and Public Policy, 501.907.2262
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Colby Horton, Vice President of Publishing, 469.420.2601

Ryan Clark, Content Editor, 202.684.7160  
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