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3/19/14 Edition:
Financial Impact of 2 MN Rule
Earn CEs with the Webinar Series
CEs in Collaborative Case Management
Calling All Pet and ACMA Lovers...
"Since You Asked" Update
Health Care News & Public Policy Update
Health Care News & Public Policy Update
Report Finds 'Two-Midnight' Rule Negatively Impacts Hospital Volumes, Earnings
A recent report from Moody's Investor Service predicts that the "two-midnight" rule will negatively impact hospital earnings. The hospitals that will be hardest hit will most likely be community providers with a less acute case mix. Moody's anticipates that the average reimbursement per case will decrease by $3,000-$4,000 despite the prediction by the Centers for Medicare and Medicaid Services (CMS) that the rule will generate $220 million in additional Medicare expenses. The report forecasts that the two-midnight rule will not accomplish the goal to stem the growth of observation cases - read more...

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CAREER LINK
Case Management Jobs

Evening ED RN Case Manager
Lawrence Memorial Hospital
Lawrence, Kansas
More Information...

Case Manager
St. Mary Medical Center
Hobart, Indiana
More Information...

Case/Utilization Management Nurse
AllCare IPA
Modesto, California
More Information...

Director of Case Management
Health Talent Solutions
Los Angeles, California
More Information...

To access complete Career Link listings
click here...

Learn from Industry Leaders and Earn CEs
without Leaving Your Desk
 
Register now for the 2014 ACMA Webinar Series. These sessions provide case management professionals with a valuable, cost-effective opportunity to earn CEs and hear from colleagues and industry experts on relevant, timely topics without ever having to leave the hospital. Register now at www.acmaweb.org/webinarseries.

Continuing Education
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-min hour) and up to 1.0 Social Work Contact Hours per webinar. This CE activity is approved by ACMA for ACM™ Certification renewal.

Pricing
Early Pricing: $425 member/$500 non-member for the series (6 webinars) if registered by March 24, 2014
Regular Pricing: $625 member/$700 non-member for the series (6 webinars) if registered after March 24, 2014
Please Note: Webinars must be purchased as a series. Sessions are not available for individual purchase.

Click here to view the topics and abstracts for the six webinars.

CEs Now Available in Collaborative Case Management
 
The current issue of Collaborative Case Management is now available online in the ACMA Members Only section and set to arrive in your mailbox soon.

You will notice that continuing education credits are now available starting with this issue. Instructions for obtaining CEs through Collaborative Case Management are found on page 4 in the publication.

This issue includes:
  • Tearing Down Barriers: Case Management without Walls Program Targets High-Risk Individuals
  • How to Establish and Advance a Career in Case Management
  • Partners in Healing: Doctors, Lawyers and Case Managers
  • The Implications of Bagnall v. Sebelius on the Practice of Case Management
  • Building a Bridge with Post-Acute Providers
To access the current issue and earn CEs, go to www.acmaweb.org/login.

Calling All Pet and ACMA Lovers
You love your pet and you love ACMA. Now it's time to put those words into action!

Enter ACMA's Pet Rate Off fundraising initiative and upload a photo of your pet for a chance to win a pet store gift card, recognition at the 2014 ACMA National Conference, and the ultimate prize: bragging rights.

It's easy to enter:
  1. Go to www.acmaweb.org/pets
  2. Click "Enter Your Pet" and donate $10 to ACMA's fundraising efforts in order to upload a photo of your pet
  3. Choose the cutest, funniest, most artistic, or simply your favorite photo(s) of your pet
  4. Upload your photo(s)
  5. Click "Buy Votes" to vote for your pet and your other favorites (or least favorite)
Don't have a pet but still want to support ACMA? Click here to make a donation to support ACMA's advocacy efforts.

All proceeds support ACMA's fundraising efforts. ACMA is a 501(c)3 non-profit organization; your donation is tax deductible.

"Since You Asked" Committee Update
 
What is an NCD or LCD, and why does it matter?

Payers establish benefit coverage documents as a means to communicate to providers the items and services covered and the supporting clinical criteria required for compliant billing. Medicare coverage is limited to items and services that are considered reasonable and necessary for the diagnosis or treatment of an illness or injury (and within the scope of a Medicare benefit category).1 Medicare's benefit coverage documents are referred to as National Coverage Determinations (NCDs). NCDs are developed through an evidence-based process and include a public comment period before the final NCD is published. There are items and services that may not have a published NCD. In those instances, a Local Coverage Determinations (LCDs) may provide guidance. An LCD is developed at the discretion of Medicare contractors.

Medicare monitors providers to detect fraud and abuse activity. Generally, fraud is defined as making false statements or misrepresentations of material facts to obtain some benefit or payment for which no entitlement would otherwise exist.2 Examples of Medicare fraud may include knowingly billing Medicare for an item or service that was not furnished or knowingly altering claim forms and/or receipts to receive a higher payment - read more...

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