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Text version   RSS   Unsubscribe   Archive   Media Kit      August 13, 2014

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MD Anderson Cancer Center
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Director, Transition Management Operations — 1408616
Vanderbilt University Medical Center
Nashville, Tennessee
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System Vice President Case Management
Sharp Healthcare
San Diego
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Telephone Interview Invitation
Pick Research Solutions, Inc.
Port Matilda, Pennsylvania
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Memorial Healthcare
Owosso, Michigan
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Corporate Director of Care Management, Post-Acute Services
Community Hospital Corporation
Plano, Texas
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Hospitalists weigh in on observation status
The Society for Hospital Medicine (SHM) recently released a white paper regarding observation status and the new two-midnight rule. In the paper, SHM reports that only 17 percent of hospitalists surveyed believe the two-midnight rule is an improvement over previous observation policies, while 55 percent believe it has impeded hospitalist workflow. Survey results, based on the responses from more than 300 hospitalists, also found that doctors change the status of 16 percent of their patients daily.
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2 days remaining to apply for certification in 2014
This Friday, Aug. 15, 2014, is the ACM Certification application deadline for the fourth quarter of 2014. Applications and payment must be received by the ACMA National Office by this date in order to take the exam during October, November or December.

What are you waiting for? If you are not yet ACM certified, apply now at and put the ACM credential after your name.

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More ALJs, pilots may cut appeal backlog; fate of rebilling is unclear
AISHealth (Free Subscription Required)
With HHS administrative law judges receiving 13,000 new appeals of Medicare claim denials per week, Chief ALJ Nancy Griswold encouraged providers to consider new ways to put their appeals to rest. The Office of Medicare Hearings and Appeals introduced two pilot programs designed to resolve exponentially more cases and reduce the enormous backlog caused largely by the recovery audit contractor program. But one pilot is designed for Part B claims only and it's unclear how the other pilot will affect the ability of hospitals to rebill Part A claim denials to Part B.
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2014 ACMA Leadership Conference:
Sessions and event information now available

Make plans now to join us for the 2014 ACMA Leadership Conference and Medical Director forum in Orlando, Fla. These events will be held at the Orlando World Center Marriott, Nov. 19-22, 2014. Leadership Conference information is now available online and registration will open soon at

The ACMA Leadership Conference is a two-day event designed specifically for healthcare delivery system case management and transitions of care professionals in leadership positions. The theme of this year's conference is, "2015 and Beyond: Case Management's 3-Year Plan." A faculty comprised of practice leaders and healthcare experts will present sessions on the strategies and plans case management leaders should develop and employ in order to efficiently deliver effective care and position themselves, their department and their organization for success in this changing healthcare system.

  • Session 1: A Map for a Changing Landscape: Case Management's Three-Year Strategic Plan
  • Session 2: Be the Change You Wish to See in Case Management
  • Session 3: Numbers Speak Volumes, But what are They Saying? Public Reporting and Its Implications for Case Management
  • Session 4: Using Data to Define MS-DRG Cost Outliers and Develop Strategies to Manage Reimbursement
  • Session 5: Care Coordination Alignment and Healthcare of the Future
  • Session 6: Managing Hospital and Physician Services Jointly for Organizational Success
  • Session 7: Proactive Strategies for Success: Leading Health Care into the Next Three Years
For more information on conference sessions, including speakers, abstracts and learning objectives, visit

Watch briefCASE and the ACMA website for updates on the Medical Director Forum, including session and CME information.

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  Join Excellence and Innovation

• Are you a Case Manager looking for opportunities to develop your career?
• Are you a Case management leader committed to helping change the future of healthcare?
You belong here!

Begin the journey of a lifetime with a Pioneer ACO who is participating in the Bundled Payments initiative.

Hospitalists as physician advisors
ACP Hospitalist
As the director of the hospitalist service at Philadelphia's Pennsylvania Hospital, Mindi Roeser, MD, ACP member, frequently was asked to take on administrative work that went beyond her job description. Roeser watched the amount of time she spent on direct patient care decrease, while time devoted to utilization management, quality improvement and documentation increased. Eventually, she cut back to half time as a hospitalist in order to become the 520-bed hospital's first physician advisor (PA). As she juggled both jobs, Roeser realized that hospitalists are ideally suited to fill the increasingly necessary PA position.
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'Since You Asked' Committee update
Q: What are the basics of Medicare?
This the first in a series of articles examining Medicare basics. These articles will discuss Medicare eligibility and enrollment, coverage available under parts A, B, C and D, benefit periods and coverage of SNF vs. acute rehab vs. LTAC.

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Advocating for case management
ACMA will return to Washington, D.C., Sept. 30-Oct. 2 for its annual Advocacy on Capitol Hill event. ACMA members will meet with key lawmakers to advocate on behalf of case management and discuss the issues impacting our practice and adversely affecting patient care.

ACMA is working to ensure case management has a seat at the table when decisions are being made and legislation and regulations are developed that will impact your daily practice. But in order to continue to make a difference and ensure your voice is heard, we need your assistance. Be an advocate and donate today.

Your donation will help send case management professionals to Capitol Hill to represent case management's interests and ACMA's legislative priorities. Note: ACMA is a 501(c)3 non-profit organization, your donation is tax deductible.

Click here to support case management advocacy.

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A leader in clinical consulting
McBee Associates, Inc. delivers case management, medical necessity review, and appeals services to hospitals across the country. Call 800.767.6203 for case management shift coverage. MORE

Our unique blend of expertise and experience makes PhoenixMed the premier choice as your hospital case management partner offering solutions for contemporary case management redesign and education.


Human-like robots create patient-centered healthcare environment
Hospital Impact
In a famous 1927 essay titled "The Care of the Patient," Francis Peabody states that the personal bond between the doctor and the patient is the source of the "greatest satisfaction of the practice of medicine." Many providers who balk at the rapid transformation of the American healthcare delivery system complain that electronic medical records and other interventions interfere with this central relationship. It is always assumed the interaction between two living human beings is central to the care of patients.
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MACPAC issues brief on ED use by Medicaid patients
AHA News Now
The Medicaid and CHIP Payment and Advisory Commission recently released an issue brief aimed at clarifying the facts about emergency department use by Medicaid patients based on the latest research. "Medicaid enrollees use the emergency department more than privately insured or uninsured people, although there is little evidence of widespread inappropriate use of the [emergency department]," the report concludes.
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Almost 1 in 6 doctor visits will be virtual this year
With an aging "Baby Boomer" population and broadband bandwidth improved a hundredfold from a decade ago, telemedicine is exploding as a convenient and less costly alternative to the traditional visit to the doctors' office. This year in the U.S. and Canada, 75 million of 600 million appointments with general practitioners will involve electronic visits, or eVisits, according to new research from Deloitte.
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Date Event Location More Info
Aug. 23 MO/IL Gateway Chapter Conference St. Louis Details
Sept. 6 Kentucky/Tennessee Chapter Conference Nashville, Tenn. Details
Sept. 11-12 South Carolina Chapter Conference Columbia, S.C. Details
Sept. 18 Missouri-Kansas Chapter Conference Kansas City, Mo. Details
Sept. 29 North Carolina Chapter Conference Winston-Salem, N.C. Details
Sept. 27 Maryland Chapter Conference Baltimore Details
Oct. 3 Great Lakes Chapter Conference Novi, Mich. Details
Oct. 4 Western Pennsylvania Chapter Conference Pittsburgh Details
Oct. 11 Virginia Chapter Conference Richmond, Va. Details
Oct. 14 Wisconsin Chapter Conference Waukesha, Wis. Details
Oct. 25 Connecticut Chapter Conference Uncasville, Conn. Details
Oct. 28 Illinois Chapter Conference Rosemont, Ill. Details
Nov. 19-22 Leadership Conference and Medical Director Forum Orlando, Fla. 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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