10th AnnualGreater Houston Chapter

CASE MANAGEMENT CONFERENCE

Saturday, November 16, 2013Royal Sonesta Hotel

Houston, TXwww.acmaweb.org/gh

2 FOR 1 REGISTRATION OFFER!

7:00am – 8:00am Registration&NetworkingBreakfastwithSponsors&Exhibitors8:00am – 8:15am WelcomeAnnouncements&ChapterBusinessMeeting8:15am – 9:45am KeynoteAddress:MasteringtheChaos:AuditUpdates&BetterPractice IdeastoReduceVulnerabilities–RAC,MAC&Medicaid9:45am –10:30am NetworkingBreakwithSponsors&Exhibitors10:30am–11:30am Session2:MedicaidUpdate:Preparingfor201411:30am–12:00pm LunchTransition12:00pm– 1:00pm WorkingLunchSession3:CaseManagersToolKit:Strengthening MedicalNecessityKnowledge1:00pm – 1:45pm NetworkingBreakwithSponsors&Exhibitors1:45pm – 2:45pm Session4:EthicalDilemmasinCaseManagementandSocialWork2:45pm – 3:00pm TransitionBreak3:00pm – 4:15pm Session5:EnhancingYourBusinessImage 4:15pm ClosingRemarks

President/PlanningCommitteeMargaret Sokol, LCSW, ACMManagerCaseManagementandSocialWorkHoustonMethodist•Houston,TX

President-Elect/PlanningCommitteePaula Lenhart, MSN, RNC, CNS, FAACM, FABCSystemDirectorCareManagementMemorialHermannSystemServices•Houston,TX

Secretary/PlanningCommitteeCynthia Gomes, BSN, RN, MBA/HCM, ACMSeniorClinicalNurseCaseManagerCaseManagementBenTaubHospital•Houston,TX

TreasurerKathy Nipper-Johnson, BSN, RN, CCMDirectorCaseManagementMemorialHermannMemorialCity•Houston,TX

PastPresident/NominatingChair/PlanningCommitteeJohanna Bing, BSN, RN, ACMSupervisorCaseManagementMDAndersonCancerCenter•Houston,TX

Member-at-LargeAngela Tyler, BSN, RN, COHHSCaseManagerCaseManagementMDAndersonCancerCenter•Houston,TX

Member-at-LargeDetra Sylvester, RNCaseManagerCaseManagement/SocialServicesMDAndersonCancerCenter•Houston,TX

MembershipChairCarmen Duque, BSN, RN, ACM, CCMCaseManagerCaseManagementMDAndersonCancerCenter•Houston,TX

EducationChair/PlanningCommitteeStella Bussey, BSN, RN, MBA, ACMAssociateDirectorCaseManagementMDAndersonCancerCenter•Houston,TX

PlanningCommitteeChairDonna Ukanowicz, MS, RN, ACMDirectorCaseManagementMDAndersonCancerCenter•Houston,TX

PlanningCommitteePatricia Velky, MSN, RN, MBA, CPHQ, FAACM, FABC, ACMSystemDirectorCareManagementMemorialHermannSystemServices•Houston,TX

PlanningCommitteeKaren Askew, MSN, RN, ACMDirectorQualityCareManagementSanJacintoMethodistHospital•Baytown,TX

PlanningCommitteeAlanda Phillips, BSN, RN, MS, ACMCaseManagerCaseManagementMDAndersonCancerCenter•Houston,TX

PlanningCommitteeDebbie Hartgraves, LCSWAdvancedClinicalPracticeSocialWorkerCenterforIntegratedCare/SocialServicesSt.Luke’sEpiscopalHospital•Houston,TX

CONFERENCE SCHEDULENOVEMBER 16, 2013

CHAPTER BOARD OF DIRECTORS & CONFERENCE PLANNING COMMITTEE

KEYN O TE A DDRESS :

Mastering the Chaos: Audit Updates & Better Practice Ideas to Reduce Vulnerabilities – RAC, MAC, & MedicaidDay EgusquizaPresidentAR 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.

LEARNING OBJECTIVES:

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

SESS I O N 2 :

Medicaid Update: Preparing for 2014John Berta Michelle Apodaca Waller, JDSenior Director, Policy Analysis AttorneyTexas Hospital Association Waller, Lansden, Dortch & Davis, LLPAustin, TX Austin, TX

SESSION ABSTRACT: Patient Protection and Accountable Care Act legislation will impact state Medicaid programs in 2014. 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.

LEARNING OBJECTIVES:

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

WO RKI N G LUNCH SESS ION 3 :

Case Manager’s Toolkit: Strengthening Medical Necessity KnowledgePatricia Metzger, MHA, RN, FABC, ACMChief of Care ManagementMemorial 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

SESSION 3 (CONTIUED)

mitigation techniques. The speaker will provide practical knowledge to enhance attendees’ daily case management practice.

LEARNING OBJECTIVES:

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

SESS ION 4 :

Ethical Dilemmas in Case Management and Social WorkArline Worsham, JDAttorneyMemorial Hermann – Texas Medical CenterHouston, 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.

LEARNING OBJECTIVES:

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

SESS ION 5 :

Enhancing Your Business ImageSuzie Wilson, AICI, CIPImage ConsultantSuzieWilsonOnline.comHouston, 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.”

LEARNING OBJECTIVES:

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

IMPORTANT DATES

ONLINE:www.acmaweb.org/gh

MAIL:11701 West 36th StreetLittle Rock, AR 72211

FAX:501-227-4247

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.

For more information and questions, please call 501-907-2262.

EARLY REGISTRATION

DEADLINENovember 1

HOTEL DISCOUNT DEADLINEOctober 16

LATE REGISTRATION

BEGINSNovember 2

CHAPTER CONFERENCE

DATENovember 16

ACMA MEMBER + 2ND ATTENDEE: ................ $99NON-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.

ACMA MEMBER: ..............................................$140NON-MEMBER: .................................................$165

MEMBERSHIP PACKAGE*: ............................$300*Includes 1-year ACMA & Chapter Membership. Membership application required.

STUDENT (ID REQUIRED): ................................. $59

EARLY REGISTRATIONACMA must receive payment and registration by November 1, 2013.

REGISTRATION PRICING

LATE REGISTRATIONReceived on or after November 2, 2013.

CONTINUING EDUCATIONParticipants 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™

FIR

ST

-CL

AS

S

U.S

. P

OS

TA

GE

PAID

LIT

TL

E R

OC

K,

AR

PE

RM

IT #

110

511

701

Wes

t 36t

h St

reet

• L

ittle

Roc

k, A

R 72

211

10th

An

nu

al

Gre

ate

r H

oust

on C

ha

pte

r

CA

SE M

AN

AG

EMEN

T C

ON

FERE

NC

ESa

turd

ay

, Nov

emb

er 1

6, 2

013

CO

NFE

REN

CE

LOC

ATI

ON

:Ro

yal S

ones

ta H

otel

2222

Wes

t Loo

p S

outh

Hou

ston

, TX

770

2771

3-62

7-76

00h

ttp:/

/ww

w.s

ones

ta.c

om/R

oya

lHou

ston

/

PARK

ING

INFO

RMA

TIO

N: O

nsi

te P

arki

ng:

$8/

daily

• V

alet

: $16

/dai

ly

HO

TEL

AC

CO

MM

OD

ATI

ON

S: R

oyal

Son

esta

Hot

el is

off

erin

g a

limit

ed

num

ber o

f gue

st ro

oms

at a

dis

coun

ted

rate

of $

129

per n

ight

for t

he n

ight

of

Fri

day,

Nov

embe

r 15,

201

3. D

isco

unte

d ra

te is

ava

ilabl

e un

til a

ll ro

oms

in

the

bloc

k ha

ve b

een

fille

d or

un

til t

he h

otel

rese

rvat

ion

dea

dlin

e of

Oct

ober

16

, whi

chev

er c

omes

firs

t. To

mak

e yo

ur re

serv

atio

n, c

all t

he h

otel

dir

ectly

at

713

-627

-600

0 an

d as

k fo

r the

AC

MA

gro

up ra

te.