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Monday Memo
Monday Memo
Monday, June 20, 2016
What's NEW at Athena Forum

VISIT Booth #213 at CMSA Annual Conference June 21-23!

images/CMSA-2016.png

Athena Forum Institute will be exhibiting at the Long Beach Convention Center for the CMSA's Annual Conference. Please visit our booth, #213 and meet members of our team!

Tom Rasmussen, CEO & Publisher, Athena Forum Institute

DRUG Updates to Athena Forum Courses

Diabetes: Important Drug Update

The Diabetes Mellitus course has been updated to include the 5.31.16 FDA approval of Jentadueto® XR (linagliptin and metformin hydrochloride extended-release) tablets for the treatment of type 2 diabetes (T2D) in adults.

www.athenaforum.com

Tips from our featured course

The Critical Role of CM in the Denials and Appeals Processes

"We often refer to denial management but we really need to take a giant step backwards and practice proactive denial prevention. If we do a great job, the extensive resources hospitals dedicate to denial management can be shifted to patient care, or better yet, to population-level disease prevention.

At every touch point the case manager can practice effective denial management, from pre-op scheduling by ensuring documentation of medical necessity to the admission process by ensuring the proper admission status is ordered, during the hospital stay by ensuring that the care provided is optimized and efficient, and throughout the discharge planning process, by starting at admission and adapting to any changes in the patient's post-acute needs."

Ronald L. Hirsch, MD, FACP, CHCQM
Vice President, Regulations and Education Group
Physician Advisory Services
Accretive Health
Chicago, IL

[Sneak peek: Revenue Cycle: Module G, Denials and Appeals]


Community CM Programs Reduce Acute
Encounters for Uninsured

HCMs must develop creative discharge plans and transitions of care to prevent readmissions for the uninsured population.

This is accomplished through many avenues, including:

  • Researching community resources
  • Working with colleagues to identify funding opportunities
  • Providing medication education sessions
  • Assisting patients to apply for pharmacy assistance programs
  • Connecting the patient with available community-based case management programs

Uninsured patients' participation in community case management programs has been associated with statistically significant reductions in both acute outpatient encounters and inpatient admissions along with a concomitant increase in primary care clinic visits.

[Sneak peak: Revenue Cycle: Module H, Cross-Sector Interventions]

Notice from the Publisher

I want to thank our 20,000 healthcare professionals for requesting new topics on Athena Forum.

Thanks,
Thomas A. Rasmussen
CEO & Publisher
Athena Forum Institute

Monday Memo Editor

Cathy Wright, BSN, RN

Clinical Editor

Athena Forum

Contact the Editor

Courses

Online CE for RN, CCM & LSW
7,000 pages of clinical excellence.

Clinical Care Series®
» Asthma
» COPD
» CV Risk: Stroke & MI
» Diabetes Mellitus
» Heart Failure
» Inflammatory Bowel Diseases
» Obesity Management
» Pain Management
» Sepsis Care
» Wound Care & Payments

Care Management Series®

» CM Express®
» Discharge Planning
» Ethics in CM
» Hospital Revenue Cycle
» Palliative & EOL Care
» Patient Advocacy
» Population Health
» Professional Identity
» Utilization Management

Behavioral Health Series®

» Abuse
» Depression
» Harm Risk Behaviors

Help Desk

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Kristin.Hoffman@AthenaForum.com

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Tom Rasmussen, Publisher
Tom@AthenaForum.com





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