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We hope you enjoy the updated version of ACMA's weekly briefCASE newsletter. Although the look has changed, briefCASE will still provide you with information relevant to your daily practice. In fact, the content has expanded so that we can share even more healthcare news, public policy updates and ACMA announcements!
Congressman urges HHS to modify RAC program
AHA News Now
Rep. Jim McDermott, D-Wash., ranking member of the House Ways and Means Health Subcommittee, yesterday urged the Department of Health and Human Services to require enhanced accountability for Medicare recovery audit contractors rather than implement its two-midnight policy for inpatient admissions and medical review criteria. "I continue to have serious reservations about this policy and believe that it will only exacerbate the appeals backlog," McDermott said in a letter to HHS Secretary Kathleen Sebelius. He added, "I suggest that there needs to be some financial penalty associated with RA collections that are overturned on appeal. If providers are winning these appeals by large margins, which seems to be the case, this seems only fair. ... I also suggest that going forward, the contracts include performance standards for accuracy of collections from providers."
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Calling all pet and ACMA lovers
The ACMA Pet Rate Off is off to a great start! To upload your pet's photo, vote for your favorite pet or check out the gallery of pets, go to www.acmaweb.org.
Don't forget: the winner receives a pet store gift card, recognition at the 2014 National Conference and bragging rights. Right now Finnigan, the Irish Setter-Golden Retriever; Dominick the Golden Retriever; and Maxie the Maltipoo are in the lead!
It's easy to enter:
- Go to www.acmaweb.org/pets
- Click "Enter Your Pet" and donate $10 to ACMA's fundraising efforts in order to upload a photo of your pet
- Choose the cutest, funniest, most artistic, or simply your favorite photo(s) of your pet
- Upload your photo(s)
- Click "Buy Votes" to vote for your pet and your other favorites (or least favorite)
Learn from experts and earn CEs at your convenience
We understand that case managers have busy schedules. That's why we are offering six webinars that you can watch at your convenience. We are recording these webinars so that you can still learn from these industry experts even if you can't watch their presentations live. To view the topics 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 non-member for the series — 6 webinars. Register now at www.acmaweb.org/webinarseries.
Please note: Webinars must be purchased as a series. Sessions are not available for individual purchase.
The time is NOW
You are good at advocating for others — now it's time to advocate for yourself. Join in ACMA's efforts to promote public policy that will help your professional practice. Watch for notices coming soon from ACMA regarding our public policy initiatives.
Contact your senators and representative today, and tell them why they should support H.R. 1179/S. 569 and H.R. 1250/S. 1012. For a list of current co-sponsors, go to www.thomas.gov and enter the House or Senate bill number.
To learn more about these initiatives, go to www.acmaweb.org/action.
- H.R. 1179/S. 569: Improving Access to Medicare Coverage Act
allows the time patients spend under "observation status" to count toward the requisite three-day hospital stay for coverage at a skilled nursing facility
- H.R. 1250/S. 1012: Medicare Audit Improvement Act
Amends the Medicare Modernization Act of 2003 to rectify problems identified since the creation of the Recovery Audit Contractor (RAC) program as part of that law.
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. Specifically, these funds will help send case management professionals to Capitol Hill to represent case management's interests and ACMA's legislative priorities.
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 at www.acmaweb.org/fundraising.
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.
Helping veterans find footholds: How social workers make a difference
From 2002 to 2012, there were 1.6 million service people who left active duty and became eligible for veterans' healthcare. By the start of 2013, however, only 56 percent of all veterans sought treatment.
Depression, post-traumatic stress disorder and higher rates of suicide mean that accessing treatment can be imperative for many of the service men and women reintegrating into civilian life. And reaching out to them to offer assistance is a responsibility that’s increasingly falling into the hands of those in the social work industry.
Progress made in patient privacy, but criminal attacks increasing
By Pamela Lewis Dolan
The number of data breaches has declined slightly over the past year. But the state of patient privacy and data protection is not good, according to the Fourth Annual Benchmark Study on Patient Privacy and Data Security. Data breaches cost healthcare organizations an average of $2 million over a two-year period, according to the survey. This is down from $2.4 million a year ago. While employee negligence is responsible for the largest number of breach incidents, the number of breaches caused by malicious attacks has increased 100 percent over the past four years.
||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
||Virginia Chapter Conference
||Wisconsin Chapter Conference
||Connecticut Chapter Conference
||Illinois Chapter Conference
For the full ACMA event map, click here.
Electronic health record sharing evolving
In response to the conundrum raised by Dr. Joel Saland in the Business Outlook Executive's Desk, "Electronic health records rife with flaws," it is important to note the ongoing development of New Mexico Health Information Exchange, the state-designated health information exchange.
LCF Research is currently in the process of developing a robust HIE that physicians and other health-care providers could use in an efficient and effective manner to share health information, which can assist in managing their patients despite having disparate electronic health records.
As ICD-10 deadline nears, system testing is key
Tech Page One
There's only about six months left before the ICD-9 code sets — used to report medical diagnoses and inpatient procedures — are replaced by the new ICD-10 code, a change that's required by the Centers for Medicare and Medicaid Services for everyone covered by the Health Insurance Portability Accountability Act. Healthcare practices everywhere are working toward transitioning coding systems before Oct. 1.
Delaying can be costly. Those providers who miss the deadline can expect headaches like cash flow interruption, delayed claims payments, and additional costs associated with non-conformance.
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