Mar. 18, 2015

Appeals court invalidates CMS contract with RACs
Fierce HealthFinance
It may be back to square one in the Centers for Medicare & Medicaid Services' bid to create new pacts with recovery audit contractors. The U.S. Court of Federal Appeals has invalidated the current proposed contract with RACs, primarily due to their violation of U.S. acquisition regulations. The violation is based on a provision in the contract that would not allow RACs to collect contingency fees for their work until a clawback that has been appealed by a hospital reaches the second of a five-stage appeals process.More

Celebrate Social Work Month
March is Social Work Month, and this year's theme is "Social Work Paves the Way for Change." We hope that you use this month to celebrate with colleagues and friends and recognize the hard work and commitment of social workers in your organization. For more information on Social Work month, click here. More

OIG presses CMS to cut hospital payments for surgeries on low-risk outpatients
Modern Healthcare
HHS' Office of Inspector General is using a congressionally mandated report to repeat its call for Medicare to pay hospitals the same as it pays ambulatory surgery centers for procedures on low-risk patients. But the CMS and hospital trade groups think the OIG is on the wrong track. Even the national association representing ASCs is wary. More

Webinar recording: Case Management Certification Strategies, Successes and Best Practices
We received such an overwhelming response to our March 12 webinar that we exceeded the webinar system's attendee capacity. If you were unable to login to the webinar due to the meeting room being closed, we apologize for the inconvenience. But don't worry, you can access the recording online — click here.

Moderated by ACMA, the webinar will feature a panel of case management leaders from across the country who will discuss:

Panelists included:

VP, System Care Coordination
Carolinas HealthCare System

Kathy Nipper Johnson, RN, BSN, CCM
Director of Case Management and Social Services
Memorial Hermann Memorial City Medical Center

Angie Roberson, RN, MSN, ACM
Director of Case Management
Spartanburg Regional Healthcare System

Valuable education and CEs from your home or office
ACMA is pleased to announce the launch of its new E-Learning Center, which offers a variety of recorded sessions for purchase on-demand. The E-Learning Center is a cost-effective option for continuing education. Here are just a few of the topics explored in our on-demand sessions:

Content can be accessed 24/7 from any location - all you need is an internet connection.

Discounts for Multiple Users
Purchase 5 users for 1 session and you will automatically receive the fifth session free at check out. Simply enter a quantity of 5 and you will see a discount appear for the amount of 1 user. This discount is not limited, so you may purchase multiple groups of 5 users for one session, or multiple sessions for 5 users each and you will receive one free session every time!

Please Note: This discount does not apply when purchasing a session series where you already receive one session free when purchasing the entire series.


Improve your department's efficiency with Compare
ACMA's Compare provides powerful tools and benchmarking to facilitate change related to avoidable delays, readmissions and denials.

If you would like to know more about Compare and evaluate it for your organization, please contact James Nickerson at

Recording, handouts and continuing education credit: ACMA members-only public policy webinar
The online evaluation to earn CEs and handouts for the the ACMA Public Policy Committee's February 24th members-only webinar are now available in the Members Only section of the ACMA website. The webinar was recorded, so if you were unable to join us on Feb. 24, you can also access the recording in the Members Only section.

To access the recording, download handouts and earn continuing education credit:

    1. Login to the Members Only section of the ACMA website —
    2. Click the "CE Center" tab
    3. Scroll down and locate the presentation titled, "Public Policy Update"

    Developed by members of the Public Policy Committee, the presentation addresses pertinent topics in health care delivery system case management and transitions of care, such as: readmissions, the Affordable Care Act, RACs, observation and the three-day stay requirement and more.

Follow us on YouTube to learn more about the 2015 ACMA National Conference and explore Phoenix
Follow ACMACaseMgmt on YouTube to learn more about the 2015 ACMA National Conference, as well as the host city for this year's event — Phoenix, Arizona. Find out why members of ACMA's National Board of Directors are excited for this year's conference and explore Phoenix-area attractions.

Watch the video now More

Support ACMA's fundraising efforts
In order to continue to make a difference and ensure your voice is heard, we need your assistance.

Be an advocate and support ACMA today.More

Emerging 'doc fix' deal includes only a partial cost offset
Modern Healthcare
A proposed congressional "doc fix" deal will include a permanent repeal of Medicare's sustainable growth-rate formula and a two-year extension of the Children's Health Insurance Program with a total cost exceeding $200 billion. Only a portion of the cost will be offset by spending cuts, said four lobbyists familiar with the negotiations. Funding a permanent fix has stymied Congress during past attempts to move beyond a temporary patch for the issue, as was done last year.More

Hospital staff injuries will go public with OSHA rule
Modern Healthcare
Operating room nurse Bernadette Haskins, who weighs 125 pounds, says lifting immobile patients who are sometimes nearly three times her size makes the risk of injury a constant worry for her and her colleagues. "I love what I do, but the average weight of patients we take care of is about 300 pounds, and sometimes there's no extra help available," said Haskins, who works at Swedish Medical Center in Seattle.More

16.4 million have gotten insurance under Affordable Care Act in past 5 years
Over the past five years, about 16.4 million previously uninsured people have gained insurance under the Affordable Care Act, the Obama Administration announced. The Department of Health and Human Services released new figures on the insured population one week ahead of the fifth anniversary of the Act's passage. HHS Secretary Sylvia Burwell said Monday it's the "largest reduction in the uninsured in four decades."More

AHA report details challenges threatening hospitals' critical 24/7 role
AHA News Now
The AHA released a new report detailing the 24/7 role of America's hospitals and the challenges threatening this essential part of the nation's health care infrastructure. Rising demand for emergency care and disaster readiness; a shortage of resources and funding; a move to equalize payment across care settings without regard to the cost of maintaining 24/7 capacity; and the continued migration of care out of the full-service hospital setting pose credible threats to the hospital's ability to maintain its role as a community asset, the report concludes.More