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9/4/13 Edition:
CMS Should Improve Contractor Performance
Register for Leadership Conference
Do You Have Article Ideas?
Apply for the 2014 Franklin Award
Health Care News & Public Policy Update
Health Care News & Public Policy Update
GAO and OIG Call for Improved Contractor Performance
In a recent report, the Government Accountability Office (GAO) states that the Centers for Medicare and Medicaid Services (CMS) should make post-payment review more efficient for health care providers by improving consistency across the four Medicare private contractors. "Having inefficient processes that complicate compliance can reduce effectiveness of claims reviews, and is inconsistent with executive-agency guidelines to streamline service delivery and with having a strong internal control environment," the report states. GAO found that Recovery Audit Contractors (RACs) - which are paid contingency fees on the amount of claims recouped - conducted almost five times as many reviews as all other Medicare auditors combined in fiscal year 2012 - read more...

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Case Management Jobs

Emergency Department Case Manager
Citrus Valley Health Partners
West Covina, California
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Sr. Supervisor Managed Care Programs
BlueCross BlueShield
Albuquerque, New Mexico
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Register Now for the 2013 Leadership Conference

Transitions between care settings is not a new concept for case management professionals. Case managers understand that a safe, efficient transition can make all the difference for a patient. However, with increased scrutiny and penalties for excessive readmissions, organizations nationwide are reevaluating existing models and implementing innovative programs to help ensure patients transition safely and remain out of the hospital.

A two-day intensive workshop November 6-7 in Las Vegas, the 2013 ACMA Leadership Conference is focused specifically on Transitions of Care. The event's experienced faculty consists of industry experts and health care leaders who will discuss community partnerships, provide tools, and present examples and successful models that can be replicated and incorporated into your current practice.

The conference is designed for hospital/health system case management professionals in leadership positions. The conference is a two-day intensive workshop focused on transitions of care. Sessions will focus on a variety of issues affecting case management leaders, including:
  • Building new community relationships
  • Addressing health insurance exchanges
  • Helping patients grasp transitions of care
  • Maintaining the integrity and distinction of the role of case managers
To learn more about the leadership conference and register, click here.

Submit Article Ideas for Collaborative Case Management
ACMA is now accepting article and author suggestions for Collaborative Case Management. See your name in print, gain recognition for your department or organization, and make your mother proud by authoring an article for ACMA's peer-reviewed publication. If you want to author an article but lack the time, ACMA offers ghost writing services to accommodate case management professionals with busy schedules.

Unsure of what topics to suggest or address? Collaborative Case Management articles focus on solutions to current issues, successful strategies, innovative interventions and effective tools needed by hospital case managers to enhance their practice.

Don't let this opportunity slip away - submit your ideas by Friday, September 27.

To let us know what you want to read or write, click here.

Franklin Award of Distinction for Transitions of Care
2014 Application Now Available

Newly redesigned to account for recent changes in health care, the Franklin Award now extends its focus to recognize exemplary transitions of care in case management.

The Franklin Award is presented annually by ACMA and The Joint Commission to an organization that exhibits excellence and distinction in hospital/health system case management and transitions of care. Pursuing this national award for excellence in hospital case management and transitions of care provides a unique opportunity to promote the advancement and recognition of case management within your organization, as well as an opportunity to scrutinize your model and processes.

To learn more about the Franklin Award and download the 2014 application, click here

Applications must be received by the ACMA National Office by 5 p.m. CST on Friday, November 29 in order to be considered for this year's award.
Upcoming Events

Missouri-Illinois Gateway Chapter Conference
St. Louis, MO - click here
Maryland Chapter Conference
Baltimore, MD - click here
South Carolina Chapter Conference
Columbia, SC - click here
Great Lakes Chapter Conference
Dearborn, MI - click here
Western Pennsylvania Chapter Conference
Pittsburgh, PA - click here
Missouri-Kansas Chapter Conference
North Kansas City, MO - click here
Wisconsin Chapter Conference
Pewaukee, WI - click here
Virginia Chapter Conference
Richmond, VA - click here
North Carolina Chapter Conference
Concord, NC - click here
Illinois Chapter Conference
Rosemont, IL - click here
Connecticut Chapter Conference
Uncasville, CT - click here
2013 Leadership Conference
Las Vegas, NV - click here
Greater Houston Chapter Conference
Houston, TX
2014 ACMA National Conference
Chicago, IL - click here
For more information on ACMA meetings and events visit the online Calendar of Events.
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