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Congressional Delay Could Cost Providers Millions




LAGUNA BEACH, CA., December 13, 2012 — The Healthcare Billing & Management Association ( is urging Congress to avert the pending 26.5% reduction in the Medicare physician fee schedule (MPFS) Conversion Factor on January 1, 2013, and impose the longest possible Medicare sustainable growth rate (SGR) fix immediately this year, in 2012.

HBMA members believe that should this cut occur as scheduled, thousands of physicians will either dramatically curtail the number of Medicare patients they will see in their practice, or in the most extreme cases, no longer accept Medicare patients.

HBMA is the premiere, non-profit educational resource and advocacy group representing third-party medical billing companies and billing professionals. HBMA President, Don Rodden said, “Either way, millions of Medicare beneficiaries will surely see a precipitous drop in the availability of medical care they have come to expect and deserve.”

Medical billing companies, such as those which are members of HBMA, are retained by physicians to handle the business aspects of a busy medical practice. These medical business experts, or member companies, are intimately familiar with what it costs a physician to submit a medical claim and get paid for the services they render. If Congress decided to retroactively “fix” the SGR problem , as they have done in the past, the costs of the retroactive adjudication would add to the already high cost of doing business.

Whether Congress decides on a long-term or short-term fix, HBMA urges Congress to act now, prior to January 1, 2013, and not to postpone action.

HBMA recognizes that new payment methodologies may be necessary to maintain the long-term viability of the Medicare Trust Fund. However, the more steps a claim must go through, the higher the cost of getting a medical claim processed. In many cases the cost of processing the claim could become higher than the value of the claim.

Rodden added, “Medicare beneficiaries deserve to know that the quality healthcare they have come to rely upon will be there when they need it.”

To learn more about the critical nature of this issue, go to or call 1-800.640.4262.

About HBMA

A non-profit, member-led trade association celebrating its twentieth anniversary in 2013, the Healthcare Billing & Management Association ( represents more than 30,000 employees at well over 700 third-party medical billing firms. Annually, HBMA companies submit more than 350 million initial claims on behalf of hospital-based physicians, office-based physicians and other allied healthcare providers.

Since its inception in 1993, HBMA and its members have encouraged personal development and adherence to the HBMA Code of Ethics, advocated on behalf of the profession, and promoted business development through a wide range of affiliated vendor resources, educational events, networking opportunities, and certification programs. As the only trade association representing the interests of medical billing companies, HBMA works with legislative stakeholders and federal agencies in Washington, D.C. to improve the business of medical billing and the practice of healthcare. Learn more about how HBMA is elevating the medical billing profession at


Press contact information:

Fran Cashen, HBMA Public Relations, 949.735.5641

Brad Lund, Executive Director, HBMA, 877-640-4262

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