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RCM Advisor: The Journal of the Healthcare Business and Management Association

Q1 2020

The Denial Management Issue

RCM AdvisorThe Q1 issue of RCM Advisor is focused on denial management. The cover story, "Redefining the Claims Process," talks about how billing services must do everything possible to get to the payment faster, and they can start with streamlining the claim submissions and ultimately the entire payments process, by fully adopting electronic transactions, verifying eligibility, and integrating all transactions in one place. You'll also see updates from recurring columns Coding Corner, Software Talk, From the Road, and even a humor column. (HBMA member? Access the digital edition.)

From the latest issue of RCM Advisor.

Redefining the Claims Process
By Chris Seib
For payments from payers, billing services must rely on a process of claim submissions, which takes time and resources to complete. However, that claim doesn’t always end in a payment from the payer.
Read this article.

The Power of Data and Analytic Tools Within Denial Management
By Nancy Trace
It’s time to enhance our denials management workflows and leverage data analysis to decrease our denial rate, reduce our claim rework dollars, and improve our insurance payment velocity.
Read this article.

Maximizing Revenue for You and Your Clients Through MIPS Compliance Optimization
By Sarah Reiter
It’s critical to understand the ever-changing compliance landscape and know how to guide and advise your clients to select the right MIPS partner.​​​​​​​
Read this article.

Want to learn more? Download the Table of Contents for the current issue of RCM Advisor.

About RCM Advisor
RCM Advisor is the official member publication of HBMA. Its mission is to publish timely, industry-leading articles that HBMA members and non-members can put to work. It is a valuable communication tool for healthcare billing and management professionals, with articles written by industry experts on the latest billing and healthcare management topics, as well as general management issues relevant to healthcare business owners.

HBMA members receive six print issues of RCM Advisor each year and have access to the digital editions and archives available online.

Not a Member? Subscribe to RCM Advisor
Now all healthcare professionals can benefit from the best practices, thought leadership, tools and actionable tips featured in each issue of RCM Advisor. HBMA offers both print + digital and digital-only subscriptions to non-members.

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Editorial Contributions
We are always looking for relevant, timely, industry-focused content to publish in upcoming issues of RCM Advisor. If you are interested in contributing to RCM Advisor, email the RCM Advisor editor at

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