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Learn use of current tools and emerging best practices to elevate your case management “Superpower!”

A Case Manager’s practice is filled with challenges, especially when managing complex patients, from admission to readmissions associated with compromised chronic conditions. These challenges are further impacted by the current regulatory landscapes, ethical, systems, and policy challenges.

National and local speakers will share their expertise to meet your case management learning needs. They will discuss hospital capacity challenges, take you on a journey through the Medicare Maze in 2025, address effective readmission strategies, discuss meeting the complex discharge needs of patients with chronic respiratory failure and hepatic encephalopathy, and finally, provide the evidence-based practice strategies and ethical issues for overturning Medicare Advantage post-acute denials. All these critical lectures prepare you to meet the new year’s challenges.

Learning Objectives:

• Incorporate the readmission avoidance actionable plans into your clinical practice and within your organization.
• Discuss effective care coordination principles and the strategies shared to minimize or prevent readmissions in patients with chronic respiratory failure and hepatic encephalopathy, promoting patient satisfaction and quality of care.
• Describe how to navigate the Medicare changes in 2025 while remaining compliant and protecting patient’s benefits.
• Apply innovative hospital throughput plan(s) to address hospital capacity issues, improving your community’s access to hospital beds.
• Implement appeal strategies to overturn Medicare Advantage post-acute denials, capturing a patient’s healthcare coverage rights and maximizing hospital throughput.

Registration:
2 Days 1/25 & 2/8/25 – 9 RN, SW & CCM credits
CMSNE members $95, CMSA members not part of CMSNE $105, Non-members $120
Register here for both days

1 Day either 1/25/25 or 2/8/25 – 4.5 RN, SW & CCM credits
CMSNE members $60, CMSA members not part of CMSNE $65, Non-members $75
Register here for 1/25/25       Register here for 2/8/25

Day 2 – February 8, 2025:
Session I - Understanding the Medicare Maze, what you need to understand about Medicare in 2025
Speaker: Ronald Hirsch, MD, FACP, CHCQM, CHRI

Session II - Hospital Capacity and Strategies for Clearing the ED: The Case Manager’s Role!
Speakers: Kimberly Barry, FACHE, MS, RN and Greg Martin

Session III - Best Practices in 2025 for Successful Appeal of Medicare Advantage Inpatient Post-Acute Denials!
Speakers: June Stark, RN, BSN, MEd and Joanne Kinlay, BSN