about Billing Billing is published bimonthly for the members of the Healthcare Billing and Management Association, Inc. (HBMA). Editorial offices are located at the following address: 2025 M Street, NW, Suite 800 Washington, DC 20036 202-367-1177 202-367-2177 Fax billing@hbma.org www.hbma.org Andre Williams, Executive Director EDITOR ■ Madelon Berger, MPH, MA, CCS-P, CPC, CHBME ASSISTANT EDITOR ■ Emily Schmitt GRAPHIC DESIGN ■ Rocket Graphic Design PUBLICATIONS COMMITTEE CHAIR ■ Cindy Groux, CHBME Articles in Billing are the work of the authors and do not reflect the position or opinion of HBMA. No part of Billing may be reproduced without the permission of HBMA. Advertising of products or services in Billing does not constitute an endorsement by HBMA of those products or services. HBMA BOARD OF DIRECTORS PRESIDENT ■ Jeanne A. Gilreath, CHBME PRESIDENT ELECT/VICE PRESIDENT ■ Phil Ellis SECRETARY ■ Ron Decker, CHBME TREASURER ■ Curt Cvikota, CHBME PAST PRESIDENT ■ Jud Neal, CHBME HBMA BOARD MEMBERS ■ Cindy Groux, CHBME ■ Dorothy Henslee, CHBME ■ Holly Louie, CHBME ■ John R. Outlaw, CHBME ■ Rich Papperman, CHBME ■ Mick Polo, CHBME ■ Don Rodden, CHBME LEGAL COUNSEL ■ Jim Wieland, Esq. DIRECTOR OF GOVERNMENT AFFAIRS ■ Bill Finerfrock Table of Contents AROUND THE HBMA 3 . . . . . President’s Message By Jeanne Gilreath, CHBME 6 . . . . . A Leader’s Focus: Q&A with HBMA Executive Director Andre Williams By Emily Schmitt 7 . . . . . Sound Off! 10 . . . . New HBMA Members FEATURE ARTICLES 8 . . . . . Delegated Credentialing for ACOs and Other Integrated Delivery Models By Jackie Mayer 14 . . . . Strategies for Negotiating Cloud Software Deals By Mark Grossman, Esq. 17 . . . . Healthcare Reform: Driving Change or Driving Providers Out of Business? By Mary Rita Hyland 18 . . . . How to Tackle Insurers’ “Takeback” Requests By David Doyle 20 . . . . Clean and Clear: Colorado Initiative Pushes Transparent Claims Processes By the American Medical Association 22 . . . . Move to an End-to-End Electronic Services Solution By Laurie Robinson 25 . . . . Trends in Healthcare Payments By Bill Marvin 27 . . . . Company for Sale? By Stephen Klein DEPARTMENTS 28 . . . . CODING CORNER: Medicare Colorectal Cancer Screening Services By Jackie Miller 31 . . . . ICD-10: Electronic Solutions for Transitioning to ICD-10 By Valerie Fernandez 33 . . . . CHBME CEU Quiz Questions 34 . . . . SOFTWARE: Excel Shortcuts to Cut, Copy, and Paste Data By Nate Moore 36 . . . . Technology: Technology Levers to Pull for Your Practice By Randy Johnston 38 . . . . FROM THE ROAD:Want to Be Successful? By Dave Jakielo, CHBME 4 HBMA BILLING • JULY.AUGUST.2014
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