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American Case Management Association 

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1/15/14 Edition:
Inpatient v. Observation
Support Your Practice
"Since You Asked" Update
Chicago: Behind the Scenes
Health Care News & Public Policy Update
Health Care News & Public Policy Update
"Inpatient" and "Observation" in Layman's Terms
Recently NBC Nightly News discussed some of the differences between patients who are inpatients and patients who are under observation in the hospital. The segment reports from a variety of perspectives, including a patient, the executive director of the Center for Medicare Advocacy and the president of the American Hospital Association - read more...

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Support Advocacy that Supports Your Practice
As provisions of the Affordable Care Act continue to impact the practice of health care delivery system case management, ACMA is establishing an active voice for the practice in legislation and regulations. In meetings with CMS and Congress, ACMA leadership, members of the Public Policy Committee and your fellow ACMA members from across the country have advocated on behalf of case management professionals on issues including: the home health face-to-face requirement, observation services and the three-day stay requirement, RACs, readmissions, transitions of care and more.

As recognition of case management and its vital role in the care process grows, so does the need for advocacy 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. Help support ACMA's public policy efforts by making a donation today. The Fundraising Committee has set a public policy goal of $10,000 for this fiscal year. These funds will aid our association in pursuing relevant policy initiatives and sending members to Capitol Hill to represent case management's interests and ACMA's legislative priorities. ACMA is a 501(c)3 non-profit organization, your donation is tax deductible. Donors will be recognized in Collaborative Case Management and on the ACMA website.

Help us reach our goal and provide a voice for case management. Donate today - click here.

"Since You Asked" Committee Update
What is prepayment review, and what does it mean for me?

The RAC Prepayment Review is a RAC Demonstration Project that is still ongoing. The purpose of the project is to prevent improper payments before they are made, in contrast to the standard RAC process where money already is paid but will be recouped after retrospective review. This is expected to lower the payment error rate with the focus being on claims with higher improper payment rates.

The states selected for the project are the seven states identified as fraud and error prone. Those states identified are California, Florida, Illinois, Louisiana, Michigan, New York, and Texas. There are four states with the highest volume of short inpatient stays defined as two days or less. Those states are identified as Michigan, North Carolina, Ohio, and Pennsylvania - read more...

Go Behind the Scenes of the 2014 ACMA National Conference
 
Visit www.casemanagementconference.com for a series of videos taking you behind the scenes of the 2014 National Conference planning process with ACMA's onsite correspondent, Chris DeRose. In this lighthearted series, Chris speaks with ACMA leadership, the planning committee, hotel staff and a few other special guests as they work to make this year's event the biggest and best yet.

The second installment in the series of four videos is now available at www.casemanagementconference.com under the "Videos" section of the homepage. Be sure to watch ACMA announcements and the Conference website as more videos are released from "behind the scenes."

About the Conference
Held April 10-13, 2014 at McCormick Place in Chicago, the ACMA National Conference is a resource designed specifically for you. The goal of this event is to provide you with the tools and knowledge necessary to overcome barriers and navigate this changing health care system. Join us this April, and return to your organization inspired and equipped with new ideas, knowledge and tools you can immediately put into practice.

Register Now
For online registration and more information on Conference sessions, speakers and events, go to www.casemanagementconference.com.

Continuing Education
Nursing: Up to 24 Nursing Contact Hours (60-min. hour)
Social Work: Up to 24 Social Work Contact Hours, including 2.5 Ethics Hour(s)(60-min. hour)
ACM: Up to 24.0 ACM Certification renewal credits
CCM: Up to 24 CCM (approval pending)

Upcoming Events

Advancement Forum - One-Day Conference
Dallas/Fort Worth, TX - click here
CHA Center for Post-Acute Care Annual Meeting
Huntington Beach, CA - click here
Southern California Chapter Conference
San Diego, CA - click here
Advancement Forum - One-Day Conference
Seattle, WA - click here
Ohio Chapter Conference
Columbus, OH - click here
Eastern Pennsylvania Chapter Conference
King of Prussia, PA - click here
Arizona Chapter Conference
Phoenix, AZ - click here
Advancement Forum - One-Day Conference
Mobile, AL - click here
2014 ACMA National Conference
Chicago, IL - click here
Advancement Forum - One-Day Conference
Indianapolis, IN - click here
Northern California Chapter Conference
Napa, CA - click here
Florida Chapter Conference
Orlando, FL - click here
Wisconsin Chapter Conference
Napa, CA - click here
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