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Legislation would factor patient finances into readmission penalties for hospitals
Fierce Healthcare
The Senate introduced legislation that would require Medicare to consider patients' finances when deciding whether to punish a hospital for readmission numbers. The bill, sponsored by both democrats and republicans, aims to help hospitals that serve large numbers of low-income patients. It does not specify how to revise the penalty program — leaving it up to Medicare.
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ACMA NEWS


Public Policy Committee update: Upcoming changes to payments for short hospital inpatient stays
ACMA
The recently released FY 2015 IPPS Proposed Rule from the Centers for Medicare and Medicaid Services includes a section requesting provider comment on changes in payment for short, two-day, inpatient stays — Section IV: Other Decisions & Proposed Changes to the IPPS for Operating Costs & GME Costs, N. Medicare Payment for Short Inpatient Hospital Stays.

The rule proposes an alternative payment methodology under the Medicare program that includes the option of creating an additional payment for the same case that would be very different from payment under the OPPS and IPPS depending on whether the patient has been formally admitted to the hospital pursuant to a physician's order. The new rules would define short or low-cost inpatient stays — e.g. MS-DRG 313 (Chest Pain) — that historically have a length of stay of two days and determine the appropriate payment for short inpatient hospital stays. Comments can be entered at Regulations.gov and must be received no later than 5 p.m. Eastern, on June 30. For more information, download the May 15 Federal Register.

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Save the date: 2014 Leadership Conference and Medical Director Forum
ACMA
Mark your calendar and make plans to join us for the 2014 ACMA Leadership Conference and Medical Director forum in Orlando, Florida. These events will be held at the Orlando World Center Marriott, Nov. 19-22.

Leadership Conference: Nov. 19 and 20
The ACMA Leadership Conference is a two-day event designed specifically for health care delivery system case management and transitions of care professionals in leadership positions. A faculty comprised of practice leaders and health care experts will address pertinent issues impacting case management and care delivery.

Medical Director Forum: Nov. 22 Initially planned for April 10, in Chicago, this intensive workshop has been rescheduled to occur in conjunction with the 2014 ACMA Leadership Conference on Nov. 22 in Orlando.

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.

More information and online registration will soon be available. Watch www.acmaweb.org and ACMA email notifications for updates and announcements.

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Educational opportunities near you
ACMA
The conference season is about to start, so make plans to attend your chapter's upcoming conference. For a full list of conferences through the end of this year, scroll down to the calendar of events at the bottom of briefCASE. Dates, locations and links to the brochure are provided.
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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.
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INDUSTRY NEWS


Report: Claims rubber stamped by Social Security judges
MSN News
Nearly 200 administrative judges have been rubber-stamping claims, approving billions of dollars in lifetime payments from Social Security, say congressional investigators amid complaints about long waits for Social Security disability benefits.
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More than 750 hospitals face Medicare crackdown on patient injuries
Kaiser Health News
During a hernia operation, Dorothea Handron's surgeon unknowingly pierced her bowel. It took five days for doctors to determine Handron had an infection. By the time they operated on her again, she was so weakened that she was placed in a medically induced coma at Vidant Medical Center in Greenville, North Carolina. Comatose and on a respirator for six weeks, she contracted pneumonia. "When they stopped the sedation and I woke up, I had no idea what had happened to me," said Handron. "I kind of felt like Rip Van Winkle."
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Transfers of disabled out of state-run hospitals into community homes still proves to be a problem
The Augusta Chronicle
Almost 10 percent of the 480 people with developmental disabilities who have moved out of state hospitals since July 2010 have died after their placement in community residences. Chris Bailey, a spokesman with the Georgia Department of Behavioral Health and Developmental Disabilities, when asked about deaths after hospital transfers, told GHN that 44 occurred from mid-2010 to early May of this year.
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Report diagnoses 4 types of EHR patient safety problems
MedCity News
A new study, published in the Journal of Medical Information Association, highlights patient safety concerns arising from the massive push to shift hospitals from paper to electronic health records or updating these systems. The causes vary from the way EHR systems display data to insufficient training and modification errors.
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EVENT CALENDAR

Date Event Location More Info
June 30 Northern California Chapter Conference Napa, Calif. Details
July 19 Georgia Chapter Conference Atlanta Details
July 31-Aug. 1 Florida Chapter Conference ChampionsGate, Fla. Details
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.

 



briefCASE

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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