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CMS updates FAQ on hospital appeals settlement offer
AHA News Now
Just a few days before the deadline for acute care and critical access hospitals to accept a Centers for Medicare & Medicaid Services offer to settle certain patient status claim denials, the agency updated its Frequently Asked Questions document on the offer. Among other changes, FAQs 3, 31 and 32 let hospitals know that they may now submit a request for a "potential list" of eligible claims for the settlement offer, which will be accepted as an intent to participate in the settlement offer.
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ACM application deadline is only 2 weeks away: Last chance to sign up for certification in 2014
Nov. 17, 2014, is the ACM Certification application deadline for the first quarter of 2015. Applications and payment must be received by the ACMA National Office by this date in order to take the exam during January, February or March.

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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A comprehensive hospital-based intervention to reduce readmissions for chronically ill patients: A randomized controlled trial
Stand-alone community hospitals may be unable to prevent readmissions despite the use of comprehensive, evidence-based intervention components that are within their control. Better collaboration between hospitals and community-based providers is needed to ensure continuity of care for discharged patients.
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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.

CE center provides ACMA members access to free CEs
Have you visited the CE Center within the Members Only section of the ACMA website? The CE Center provides members with access to free continuing education opportunities, such as ACMA's bimonthly journal, Collaborative Case Management. There are three issues of Collaborative Case Management available online now, and each offers free CEs to members who read the articles and complete the accompanying quizzes. Check out the CE Center and earn free CEs today at
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Sunshine, CMEs and timely topics
Register now for the 2014 ACMA Medical Director Forum, November 22nd at the Orlando World Center Marriott in Orlando, Florida.

During this full-day event, experienced physician advisors, medical directors and case management leaders will discuss timely topics impacting the unique role of physicians in the case management model. For more details on conference sessions, including speaker information, go to

Earn CMEs - Up to 6 AMA PRA Category 1 CreditsTM

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of Inova and the American Case Management Association (ACMA). Inova accredited by the Medical Society of Virginia (MSV) to provide continuing medical education for physicians.

Credit Designation
Inova designates this live activity for a maximum of 6 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity. For more information on CMEs at this conference, visit

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  We Are The Evidence

MCG became part of Hearst Corporation in 2012 and continues to produce evidence-based clinical guidance as part of the Hearst Health network. We remain committed to our heritage as a leading provider of evidence-based care guidance with an ongoing commitment to help clients drive quality care while controlling costs.

Valuable case management data at your disposal
Do you need information and metrics for benchmarking, resource justification and practice improvement? More than 75 data elements, including average case loads, salary ranges, and scope of services/functions are available to you as part of your ACMA membership. You can download or print ACMA's National Hospital Case Management Survey from the Members Only section of the ACMA website — Simply login and click on the "resources" tab to access the final survey report.

About the Survey
Every two years, ACMA conducts an extensive survey to produce the National Hospital Case Management Survey at a 95 percent confidence level. 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.

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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.

Pondering a poster?
The ACMA Poster Session Committee invites you to submit a poster for the 2015 ACMA National Conference in Phoenix, April 26-29, 2015. The Poster Session provides an informal but professional forum to present and discuss your organization's advances in health care delivery system case management.

ACMA is always looking for new and innovative ways to improve the practice of case management. If you have a program or project that has had a positive outcome or provided a valuable resource to your patients, facility, or agency, we encourage you to submit an application at

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Ebola survivors turn caregivers, testing their immunity
Chicago Tribune
Amie Subah spends her days feeding Ebola patients, giving them medicine and changing children's diapers at a treatment center in Liberia. Her most valuable asset: As an Ebola survivor, she believes she is now immune. That means Subah doesn't need to wear the stifling protective suits that limit doctors' shifts to 45 minutes, and can spend hours caring for her patients protected by only a blue surgical robe, apron, mask, gloves and red boots. "I'm not worried," the 39-year-old midwife said in a telephone interview between shifts. "I know I will not contract the virus even if someone vomits on me."
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To find out how to feature your company in the ACMA briefCASE and other advertising opportunities, Contact Geoffrey Forneret at 469-420-2618.

Two diabetes bills before Congress
Medpage Today
The American Association of Clinical Endocrinologists continued its push for diabetes-related legislation in a recent letter to members of Congress. The letter, signed by AACE president Mack Harrell, M.D., and president-elect George Grunberger, M.D., called for the passage of two bills: the Medicare CGM Access Act and the National Diabetes Clinical Care Commission Act. It also asks Congress to conduct follow-up hearings to examine FDA's pre- and post-marketing surveillance and enforcement activities for medical devices, along with a call for a review of Medicare's competitive bidding practices.
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IRS issues guidance on ACOs and management contracts
AHA News Now
Participation by hospitals or other healthcare organizations in Accountable Care Organizations under the Medicare Shared Savings Program will not result in private business use of tax-exempt bond proceeds, according to interim guidance issued by the Internal Revenue Service. The guidance also expands the safe harbor for five-year general management contracts to allow compensation other than compensation based on net profits or revenues, and specifically authorizes the use of quality performance standards in accordance with MSSP.
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Date Event Location More Info
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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