CASE MANAGEMENT CONFERENCE

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1 10th Annual Greater Houston Chapter CASE MANAGEMENT CONFERENCE Saturday, November 16, 2013 Royal Sonesta Hotel Houston, TX 2 FOR 1 REGISTRATION OFFER!

2 CONFERENCE SCHEDULE NOVEMBER 16, :00 am 8:00 am Registration & Networking Breakfast with Sponsors & Exhibitors 8:00 am 8:15 am Welcome Announcements & Chapter Business Meeting 8:15 am 9:45 am Keynote Address: Mastering the Chaos: Audit Updates & Better Practice Ideas to Reduce Vulnerabilities RAC, MAC & Medicaid 9:45 am 10:30 am Networking Break with Sponsors & Exhibitors 10:30 am 11:30 am Session 2: Medicaid Update: Preparing for :30 am 12:00 pm Lunch Transition 12:00 pm 1:00 pm Working Lunch Session 3: s Tool Kit: Strengthening Medical Necessity Knowledge 1:00 pm 1:45 pm Networking Break with Sponsors & Exhibitors 1:45 pm 2:45 pm Session 4: Ethical Dilemmas in and Social Work 2:45 pm 3:00 pm Transition Break 3:00 pm 4:15 pm Session 5: Enhancing Your Business Image 4:15 pm Closing Remarks CHAPTER BOARD OF DIRECTORS & CONFERENCE PLANNING COMMITTEE President/ Margaret Sokol, LCSW, ACM Manager and Social Work Houston Methodist Houston, TX Membership Chair Carmen Duque, BSN, RN, ACM, CCM President-Elect/ Paula Lenhart, MSN, RNC, CNS, FAACM, FABC System Director Care Management Memorial Hermann System Services Houston, TX Education Chair/ Stella Bussey, BSN, RN, MBA, ACM Associate Director Secretary/ Cynthia Gomes, BSN, RN, MBA/HCM, ACM Senior Clinical Nurse Ben Taub Hospital Houston, TX Treasurer Kathy Nipper-Johnson, BSN, RN, CCM Director Memorial Hermann Memorial City Houston, TX Past President/Nominating Chair/ Johanna Bing, BSN, RN, ACM Supervisor Member-at-Large Angela Tyler, BSN, RN, COHHS Member-at-Large Detra Sylvester, RN /Social Services Chair Donna Ukanowicz, MS, RN, ACM Director Patricia Velky, MSN, RN, MBA, CPHQ, FAACM, FABC, ACM System Director Care Management Memorial Hermann System Services Houston, TX Karen Askew, MSN, RN, ACM Director Quality Care Management San Jacinto Methodist Hospital Baytown, TX Alanda Phillips, BSN, RN, MS, ACM Debbie Hartgraves, LCSW Advanced Clinical Practice Social Worker Center for Integrated Care/Social Services St. Luke s Episcopal Hospital Houston, TX

3 KEYNOTE ADDRESS: Mastering the Chaos: Audit Updates & Better Practice Ideas to Reduce Vulnerabilities RAC, MAC, & Medicaid Day Egusquiza President AR Systems, Inc. Hansen, ID SESSION ABSTRACT: This session will outline better case management practices to improve billing compliance with Medicare and Medicaid patients. The presentation will highlight emerging areas of Recovery Audit focus and discuss current trends in federal and state audits. Finally, the speaker will describe the tool used to engage all areas of compliance in documentation. 1. Examine better practice ideas from provider audit results 2. Discuss updates in the world of federal and state government audits 3. Describe the tool used to engage all areas of compliance with regard to documentation to support patient status SESSION 2: Medicaid Update: Preparing for 2014 John Berta Senior Director, Policy Analysis Texas Hospital Association Austin, TX Michelle Apodaca Waller, JD Attorney Waller, Lansden, Dortch & Davis, LLP Austin, TX SESSION ABSTRACT: Patient Protection and Accountable Care Act legislation will impact state Medicaid programs in This session will describe the effect on state Medicaid programs, specifically Texas legislation governing Texas Medicaid. Programs at Texas organizations will be discussed, as well as reform activities underway within the hospital industry. 1. Identify key state and federal legislative initiatives influencing the Texas Medicaid program 2. Explain key activities underway at Texas Health and Human Services Commission, Texas Department of Insurance and Texas Department of State Health Services that are related to the legislation 3. Describe Medicaid reform activities underway within the hospital industry WORKING LUNCH SESSION 3: s Toolkit: Strengthening Medical Necessity Knowledge Patricia Metzger, MHA, RN, FABC, ACM Chief of Care Management Memorial Hermann Health System Houston, TX SESSION ABSTRACT: CMS recovery auditors continue to scrutinize the medical necessity of short stay inpatient accounts. This session will focus on the elements of medical necessity, correct application of clinical appropriateness criteria and denial

4 SESSION 3 (CONTIUED) mitigation techniques. The speaker will provide practical knowledge to enhance attendees daily case management practice. 1. Discuss the elements of medical necessity that support inpatient hospital care 2. Correctly apply clinical appropriateness criteria to identify case referral to secondary physician review 3. Describe case management techniques to address potential inpatient payment denials SESSION 4: Ethical Dilemmas in and Social Work Arline Worsham, JD Attorney Memorial Hermann Texas Medical Center Houston, TX SESSION ABSTRACT: Knowledge of common ethical dilemmas in hospital settings and strategies to address them will help attendees increase their competence in addressing ethical questions in medical care. This session will describe the key segments of an ethical dilemma. A case study involving an ethical dilemma will be analyzed and a plan will be created to implement. Finally, the speaker will explain the major ethical issues related to hospital case management and social work. 1. Recognize an ethical dilemma, identify the problem and define the roles of the various parties involved 2. Analyze a case involving an ethical dilemma and create a systematic plan to deal with the issue at hand 3. Describe the major ethical issues related to hospital case management and social work SESSION 5: Enhancing Your Business Image Suzie Wilson, AICI, CIP Image Consultant SuzieWilsonOnline.com Houston, TX SESSION ABSTRACT: This interactive session will guide participants to optimize their professional presentation. By using examples and demonstrations, participants will develop their skills to dress and present themselves appropriately for their desired career path. A large portion of a case manager s effectiveness depends upon his or her credibility, and professional presentation is a significant part of one s credibility. The speaker will provide practical tips on how to enhance attendees visual credentials. 1. Explain the relationship between professional presentation, personal credibility and career advancement 2. Describe the key elements of developing and maintaining personal image 3. Develop the skills to make a daily positive impact through dress and appearance

5 For a hard copy registration form, complete online registration and print to mail. There will be no refunds for cancellations; however, fees may be transferred to another participant for the same event. ONLINE: MAIL: West 36th Street Little Rock, AR FAX: For more information and questions, please call IMPORTANT DATES HOTEL DISCOUNT DEADLINE October 16 EARLY REGISTRATION DEADLINE November 1 LATE REGISTRATION BEGINS November 2 CHAPTER CONFERENCE DATE November 16 REGISTRATION PRICING EARLY REGISTRATION ACMA must receive payment and registration by November 1, ACMA MEMBER + 2ND ATTENDEE:... $99 NON-MEMBER + 2ND ATTENDEE:...$115 MEMBERSHIP PACKAGE*:...$259 *Includes 1-year ACMA & Chapter Membership. Membership application required. May not be combined with 2 for 1 offer. STUDENT** (ID REQUIRED):... $59 **May not be combined with 2 for 1 offer. LATE REGISTRATION Received on or after November 2, ACMA MEMBER:...$140 NON-MEMBER:...$165 MEMBERSHIP PACKAGE*:...$300 *Includes 1-year ACMA & Chapter Membership. Membership application required. STUDENT (ID REQUIRED):... $59 CONTINUING EDUCATION Participants may earn up to the following continuing education (CE) hours: 6.90 Nursing Contact Hours (based on 50-minute hour) 5.75 Nursing Contact Hours (based on 60-minute hour) 5.75 Social Work Contact Hours 5.75 ACM

6 10th Annual Greater Houston Chapter CASE MANAGEMENT CONFERENCE Saturday, November 16, 2013 CONFERENCE LOCATION: Royal Sonesta Hotel 2222 West Loop South Houston, TX PARKING INFORMATION: Onsite Parking: $8/daily Valet: $16/daily HOTEL ACCOMMODATIONS: Royal Sonesta Hotel is offering a limited number of guest rooms at a discounted rate of $129 per night for the night of Friday, November 15, Discounted rate is available until all rooms in the block have been filled or until the hotel reservation deadline of October 16, whichever comes first. To make your reservation, call the hotel directly at and ask for the ACMA group rate West 36th Street Little Rock, AR FIRST-CLASS U.S. POSTAGE PAID LITTLE ROCK, AR PERMIT #1105

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