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Was I out of line to tell a physician about a patient with a history of substance abuse?
According to author Nancy J. Brent: When it comes to patient confidentiality and privacy, the [case manager] has an obligation to protect both. However, the protection of privacy and confidentiality are not absolute. One of the things you may want to consider working into your [case management] practice is to discuss with the patient and family at the onset that there are some things that you cannot keep private and confidential and then give general examples — e.g., child abuse, criminal activity, communicable diseases, past medical history that may affect current treatment — and to whom that information would be shared.
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CMS releases fiscal year 2012 report on RAC program
According to a report by the Centers for Medicare and Medicaid, recovery audit contractors denied $2.4 billion in payments to Medicare providers in fiscal year 2012, and more than 90 percent of the denials were for inpatient services. However, a 2012 report by the Office of Inspector General found that hospitals have a 72 percent success rate when they appeal denials. Regardless of the accuracy of the denials, RACs receive a contingency fee of 9 percent to 12.5 percent for each denied claim. CMS's report showed that RACs were paid $142.3 million in contingency fees in fiscal year 2012.
Are you dedicated?
Are you dedicated to case management? Do you hunger for more information to improve your professional practice? Get the knowledge — and the CEUs — you need with ACMA's 2014 Webinar Series. Designed with busy case management professionals in mind, all six of the webinars are recorded so you can learn from industry experts even if you can't watch the session live. To see the dates and abstracts for the webinars, click here.
Registration fee includes up to 10 CE certificates per webinar. Participants may earn up to 1.0 Nursing Contact Hours per webinar — based on 60-minute hour — and up to 1.0 Social Work Contact Hours per webinar. This CE activity is approved by ACMA for ACM™ Certification renewal.
Regular Pricing: $625 member/$700 nonmember for the series — six webinars. Register now at www.acmaweb.org/webinarseries. Please note: Webinars must be purchased as a series. Sessions are not available for individual purchase.
Take pride in your role as an advocate
You're an advocate — for patients, families and your organization. Show your pride in your role as an advocate and support ACMA's public policy efforts by making a donation. When you donate $50 or more to ACMA's public policy efforts, you will receive an "Advocate" T-shirt. Your donation will support fellow ACMA members as they advocate on behalf of case management professionals nationwide in meetings with CMS and Congress. Be an advocate and donate today at www.acmaweb.org/fundraising.
Want to help ACMA reach its fundraising goals but can’t donate at this time? Offer to volunteer at the fundraising booth at the National Conference. For more information, email Kristy Shepherd at firstname.lastname@example.org.
Note: ACMA is a 501(c)3 non-profit organization, your donation is tax deductible. T-shirts will be available for pick-up onsite at the ACMA National Conference and mailed to those who do not attend the conference.
From sea to shining sea
From Alaska to Florida; from New York to Hawaii and all the states in between, we have more than 70 open positions listed in Career Link, our online job center.
If you are looking for the next step in your career, or if you need to find the right person to complete your team, be sure to visit Career Link today.
8, 7, 6, 5, 4...
The countdown to the 2014 ACMA National Conference is on! If you haven't already, go to www.casemanagementconference.com and register today.
You won't want to miss:
- Up to 24 hours of continuing education
- More than 50 case management leaders and health care experts speaking on a variety of timely topics
- 50+ sessions to choose from
- More than 130 sponsors and exhibitors
- 1,000,000 things to do in Chicago
- 1 focus: health care delivery system case management education
Affordable Care Act's deadline day arrives — now what?
By Ross Lancaster
March 31 marked the last day of open enrollment under the Affordable Care Act, President Barack Obama's controversial and signature domestic policy achievement. Despite the well-publicized deadline, the White House announced that those who had started the application process on HealthCare.gov would be granted an extension to complete the process. With a flood of last-minute applications, the day started out as something of a microcosm for the often-maligned law's rollout.
Obama signs SGR patch, delay of 2-midnight rule into law
Becker's Hospital CFO
President Barack Obama has signed legislation into law that will protect physicians from a steep pay cut under Medicare's sustainable growth rate for one year.
The new law protects physicians until the end of March 2015 from a 24 percent reimbursement reduction due to take effect today under the SGR. The patch would be the latest in a series of short-term legislative solutions Congress has enacted every year since 2003 to stave off double-digit Medicare pay cuts for physicians under the SGR.
Health providers holding down costs while better coordinating care
Mankato Free Press
Among all of the clamor over the rocky start to health insurance reform and the long-held perception of out-of-control health care spending, something unique happened without a lot of fanfare.
"Health care costs went up less than inflation the past two years nationally," said Dr. Greg Kutcher, president and CEO of Mayo Clinic Health System in Mankato, Minn.
"And that's not by accident. There's a lot of focus on doing things differently and being more efficient," said Kutcher.
As health system complexities rise, a new industry emerges
By Pamela Lewis Dolan
If you want to learn about the complexities of the modern healthcare delivery system, there's no better person to ask than a physician. Their familiarity with the bureaucracy and tough patient choices associated with medical care is driving many out of clinical practice. And now it's causing some to look into a developing industry that has emerged. As patients now face more choices and assume more financial responsibility for their care than ever before, the navigator concept is emerging as a mainstream industry that is spreading across almost every medical discipline.
||2014 ACMA National Conference
||Indianapolis Advancement Forum
||Minnesota Chapter Conference
||Northern California Chapter Conference
||Georgia Chapter Conference
|July 31-Aug. 1
||Florida Chapter Conference
||MO/IL Gateway Chapter Conference
||South Carolina Chapter Conference
||Maryland Chapter Conference
||Virginia Chapter Conference
||Wisconsin Chapter Conference
||Connecticut Chapter Conference
||Illinois Chapter Conference
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