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February 2016 In This Issue
Special Announcement
Featured Events
Member Announcements
Featured Article
Articles and Links
Industry Events
CareerSmart Learning
Right at Home, Inc.
Special Announcement
Wed., Mar 2, 2016 at Noon Central
Join Shelly Bernardini RN, BSN, CPHM; Medicare - Lead Home Health Consultant; Provider Outreach & Education for this educational CMS webinar.
CE Hours pending for CCM, SW, and RN. 
This webinar will not be recorded.

National Government Services Provider Outreach & Education Lead Consultant will be providing in depth information regarding clinical documentation requirements of the referring and community physicians when patients are referred/discharged to home health services. This informational session will highlight the importance of collaboration of the documentation between the referring/ordering physician office or acute/post-acute facility with the home health agency. Certification and recertification of the five home health eligibility criteria will be outlined in detail, CMS resources delivered and a question and answer period will be available at the end of the session.
Featured Events

Did your most recent education experience get to the heart of the case management topics that matter to you?

Register today for CMSA's Annual Conference & Expo in Long Beach to make sure you get to experience events like our opening keynote - Let's Get Right to the Heart of the Matter! - featuring healthcare thought leaders, Dr. Eric Coleman, MD, MPH, AGSF and Josh Luke, FACHE. Click below to read more about this session, explore the full program and register!

American Sentinel University
CCMC (Comm. For CM Cert.)
Nielsen Healthcare Group
Member Announcements

CMSA is dedicated to providing the resources, services and support that enable case management professionals like you to be more effective, efficient and competitive throughout your career. As an active member of CMSA, you have the unique and important opportunity to elect the future leaders who will determine the direction and strategic initiatives of your association.

We invite you to make your voice heard in CMSA's 2016 Board of Directors Election. To ensure you feel comfortable making informed decisions in this election, we have provided not only details about the candidates and their backgrounds, but also an audio recording from each candidate which will provide insights into their passions and qualifications as health care professionals. Candidate information can be found at

Ballots were emailed to members beginning Monday, Feb 14. Voting is done through a 3rd party program. Your email would have come from with your own personalized registration code. If you are a current member as of Jan 31, 2015 and did not receive a ballot, please contact Michele Lee, for support.

Supported by funding from NACDS FOUNDATION, a new eight-hour e-learning program, Comprehensive Motivational Interviewing Training for Health Professionals is now available. This training uses a sense-making approach (Berger BA and Villaume WA, Motivational Interviewing for Health Care Professionals: A Sensible Approach, APhA Press, Washington, D.C., 2013) to motivational interviewing. The program can be completed within a three-month window and is approved for 8 hours of nurse, pharmacist and physician continuing education credit. It is based on the authors' 25 years of experience in teaching motivational interviewing to health care professionals. It costs $225.
CMSA members can receive a 10 percent rebate check by e-mailing their receipt to along with their mailing address. Go to: to register. For more information, contact To view an excerpt from the program, follow this link:

The CMSA awards program was established to pay special tribute to those individuals or organizations that have demonstrated distinguished service to the case management profession or association management.

Each year, recipients are recognized at CMSA’s Annual Conference. Visit to learn more about the following awards and others, as well as the nominations process.

Case Management Research Award (CMRA) & Case Management Practice Improvement Award (CMPI) - Deadline: March 15


You asked, we listened!

CMSA now offers extra payment options including monthly installments, auto-renewals and two-year memberships. At the time of your next renewal, check out these alternative payment options under Adjust My Membership on the Community Portal. if you're interested in joining for the first time, simply choose your preferred payment plan at the time of joining. For more information, click the link below.
Featured Article
Pat Stricker, RN, MEd
Senior Vice President, TCS Healthcare Technologies

Reviewing the multitude of healthcare articles and blogs that discuss trends and offer predictions is one of my favorite things to do at the beginning of each year. I know that may sound a little boring, but I like to keep up on what is happening in the healthcare industry and where it may be going in the near future. Since I spent the time to review the articles, I thought I would summarize them here for you.

2016 Technology Trends and Predictions

The following are the trends and predictions related to technology.

The Size of Digital Technology. The size of the cloud is getting to be enormous. In 2015, the world produced data equal to 120,000 times the total of all previously written words in history! This data will be stored in the "cloud" and accessible to a growing range of devices. Click below to read more.

Capella University
AeroCare Medical Transport Systems, Inc.
Articles and Links
Did you know? Heart disease is the leading cause of death for men and women. While Americans of all backgrounds can be at risk for heart disease, African American men, especially those who live in the southeast region of the United States, are at the highest risk for heart disease. During American Heart Month, read more from the CDC about even small lifestyle changes that can make a big difference.
Source: Centers for Disease Control and Prevention
On January 31, Open Enrollment for 2016 coverage ended, with about 12.7 million consumers selecting plans or being automatically re-enrolled across all states, either through the platform or a State-based Marketplace, HHS Secretary Sylvia M. Burwell announced on February 4. This does not include about 400,000 people who signed up on the New York and Minnesota Marketplaces for coverage through the Basic Health Program during this Open Enrollment.
Source: U.S. Department of Health and Human Services 
The Utilization Management Regulatory & Market Trends: 2016 Annual Report released by RegQuest illuminates the complex web of rules, policies and practices that affect how medical care is actually paid for and who is impacted in the process. Importantly, the report highlights how patients and attending providers appeal adverse benefit determinations. As the first update on this topic in over a decade, the report is a must-read for health care professionals, compliance staff, benefit administrators, case managers and other stakeholders who require a comprehensive understanding of medial management regulations, such as utilization management. For a complimentary report preview and more information on RegQuest, please click here. CMSA members are eligible for discounted pricing.
Industry Events

CMSA members: Save $300 on any of the events below when you use promo code CMSA300.

The 9th Annual Medicaid Managed Care Summit
Feb 23-24 Washington, DC
The 9th Annual Medicaid Managed Care Summit will bring together executives from managed care plans, health plans and government Medicaid programs to discuss strategies for creating more seamless transitions of care, understand how the new CMS regulations impact their organizations,and learn ways to integrate LTSS and behavioral health services while managing the costs of care. Learn more and register here.

Managed Long Term Services and Supports
Feb 23-24 Arlington, VA
This summit brings together a variety of stakeholders including state Medicaid program officials, representatives from managed care companies and LTSS providers to discuss innovative strategies to address the challenges in the shift to managed care. Learn more and register here.

The 13th Annual Physician Advisor Summit
March 14-15 Orlando, FL
Join the National Association of Physician Advisors (NAPA) in Orlando for the 13th Annual Physician Advisor Summit as it brings together professionals from across the nation to strengthen the roles of Physician Advisors, Medical Directors, and Case Managers. At this year's summit, we will review current regulations that impact your practice, examine audit trends and structure, and discuss strategies for collaboration between roles. Learn more and register here.



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