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: 1540 s. coast hwy., suite 203 laguna beach, ca 92651 877-640-4262 949-376-3456 fax billing@hbma.org www.hbma.org brad lund, executive director, ext. 203 EDITOR madelon berger, mPh, ma, ccs-P, cPc, chbme ASSISTANT EDITOR sarah conner, ms GRAPHIC DESIGN rocket 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 jud neal, chbme PRESIDENT ELECT/VICE PRESIDENT jeanne a. gilreath, chbme SECRETARY cindy groux, chbme TREASURER curt cvikota, chbme PAST PRESIDENT don rodden, chbme HBMA BOARD MEMBERS madelon i. berger, chbme bill carns, chbme Phil ellis dorothy henslee, chbme holly louie, chbme john r. outlaw, chbme rich Papperman, chbme LEGAL COUNSEL jim Wieland, esq. DIRECTOR OF GOVERNMENT RELATIONS bill finerfrock 4 hbma billing • november.december.2013 HBMA neWs Table of Contents AROUND THE HBMA 3 . . . . . President’s Letter By Jud Neal, CHBME 6 . . . . . Sound Off! 7 . . . . . New CHBME Members 8 . . . . . HBMA Benefit: Five Ways Social Media Provides Value to HBMA Members By Fran Cashen 8 . . . . . New HBMA Members 9 . . . . . HBMA Calendar of Events FEATURE ARTICLES 10 . . . . Open Enrollment Is Open... Now What? By Jennifer Searfoss, JD, CMPE 16 . . . . The Good, the Bad, and the Ugly: Third-Party Billing Company Payment Models By Robert Liles, Esq. 22 . . . . You Need to Adapt in Order to Survive By Patrick Phillips 25 . . . . Help Physician Practices “Heal That Claim”™ by Taking Advantage of ERAs and EFTs By the American Medical Association 26 . . . . If You Can Measure It, You Can Manage It By Michael K. Farmer 28 . . . . The Non-Leader in Each of Us By Kevin Herring 30 . . . . Save Costs Through Technology: New Ways to Connect to Patients Without Statements By Bill Marvin 32 . . . . Eight Ways to Exit Your Company By Stephen Klein DEPARTMENTS 34 . . . . COdING CORNER: Transitional Care Management By Jackie Miller 38 . . . . ICd-10: Benefits of ICd-10 By Valerie Fernandez 40 . . . . SOFTWARE: Excel’s Financial Functions By Nate Moore 42 . . . . CHBME CEU Quiz Questions 44 . . . . EHRs: Will EHRs Solve Your Clients’ ICd-10 Challenges? By Ron Sterling 46 . . . . FROM THE ROAd: Innovation and Creativity: Today They Are a Must By Dave Jakielo, CHBME
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