| February 2016
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In This Issue |
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Special Announcement
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Featured Events
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Member Announcements
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Featured Article
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Articles and Links
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Industry Events
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Special Announcement
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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.
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Featured Events
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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!
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Member Announcements
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 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 www.cmsa.org/vote.
Ballots were emailed to members
beginning Monday, Feb 14. Voting is done through a 3rd party
program. Your email would have come from elections@vote-now.com 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, mlee@cm-innovators.com for support.
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 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.
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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 www.cmsa.org/awards 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
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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.
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Featured Article
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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.
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Articles and Links
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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
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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 HealthCare.gov 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
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 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.
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Industry Events
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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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