Sep. 3, 2014

CMS offers to settle disputed short-term hospital claims
The Centers for Medicare & Medicaid Services wants to end the long wrangling with hospitals over short-term inpatient stays. The CMS offered to pay hospitals to settle the cases that are in dispute or under appeal, which may total as many as 800,000. The total sum represents 68 percent of what the hospitals say they are owed, according to a notice posted on the CMS website and could run into the hundreds of millions of dollars, the New York Times reported. More

Hospitalists and care transitions: The divorce of inpatient, outpatient care
Health Affairs
According to author Hoangmai Pham: We interviewed hospitalist and nonhospitalist respondents as part of the Community Tracking Study site visits to examine how the growing use of hospitalists has affected care delivery systems. The growth of hospitalist programs contributes to a loss of physicians’ participation on hospital medical staffs, which increases the burden of coordination and blurs accountability for the quality of postdischarge care.More

Register for 2014 ACMA Leadership Conference and Medical Director Forum
Online registration is now available 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. For more information, a brochure for the events, and online registration, visit and

AHA again urges HHS to halt flawed and redundant OIG audits
AHA News Now
In a letter to HHS Secretary Sylvia Burwell, AHA again asked the Department of Health and Human Services to immediately stop flawed and redundant audits by its Office of Inspector General. "On June 2, I sent the attached letter to Secretary Sebelius expressing serious concerns about OIG audits that have used extrapolation to estimate Medicare overpayments, which CMS contractors have then sought to recover from hospitals," wrote AHA Executive Vice President Rick Pollack.More

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 support 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. More

Return to ED common for heart failure patients
HealthDay News
A study in the journal Circulation: Cardiovascular Quality and Outcomes found that many patients suffering from acute heart failure visit emergency departments repeatedly, suggesting the need for better outpatient management of heart failure symptoms. Of 113,000 adults with heart failure who visited emergency departments in Florida and California in 2010, 30 percent made at least one return emergency visit within a year.More

Hospital groups detail QIO contractor concerns in letter to CMS
AHA News Now
The transition to two new contractors for Quality Improvement Organization Beneficiary and Family Centered Care "is not working as it should for patients and hospitals, and will require ongoing leadership attention until it is working well," the AHA and Federation of American Hospitals told the Centers for Medicare & Medicaid Services recently. More

Panel calls for greater transparency in health costs
Hospitals & Health Networks
An Institute for Healthcare Improvement panel has called on physicians not only to discuss treatment options with patients but also to promote greater cost transparency and information on the value of treatment options. Experts said evaluating factors that hinder discussion of health costs may help hospital leaders and providers initiate conversations with patients. More