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July - August 2014 •
Volume 19, Issue 4
Delegated Credentialing for ACOs and Other Integrated Delivery Models
Is Delegated Credentialing in Your Future?
By Jackie Mayer, MHA
As groups merge to create large, clinically integrated delivery models, such as independent practice associations (IPAs), accountable care organizations (ACOs), and patient-centered medical homes, clinical and technological integration to improve outcomes and reporting are at the forefront of discussion. Click for more

A Vision Realized
New Educational Executive Symposium a Success
By Jeanne A Gilreath, CHBME, HBMA President
HBMA's Educational Executive Symposium, held April 7-9 in Naples, Florida, was a tremendous success. Keynote speaker Jackie Freiberg shared the quote above with us in her speech, and everyone who attended was indeed a learner during this changing time in our industry. Click for more

A Leader's Focus
Q&A with HBMA Executive Director Andre Williams
By Emily Schmitt, Billing Assistant Editor
When Andre Williams joined HBMA as its new executive director in March, he arrived with more than 20 years of experience in association leadership, healthcare administration, billing management, consulting, and accounting. Williams joined with a mission to help HBMA grow and flourish in the long term. Click for more

Sound Off!
HBMA Members Sound Off on Hot Topics
By Billing Editors
Tell us how HBMA can help you to grow and achieve success throughout all of the changes in healthcare. Click for more

Strategies for Negotiating Cloud Software Deals
They Are Not the Same as Software Licensing Deals
By Mark Grossman, Esq.
Healthcare billing and management companies are increasingly turning to data storage "in the cloud" or software as a service (SaaS) tools. Both options represent significant changes from more traditional models, where data is stored locally and companies license the software they use. Click for more

Healthcare Reform: Driving Change or Driving Providers Out of Business?
Manage the Business Needs That Are Causing Your Providers Pain
By Mary Rita Hyland, RN, BS, MBA, CHP
For providers, change has been occurring at a very rapid pace. Medical practices are heavily involved in completing system and process upgrades for Meaningful Use, changing from paper to electronic medical records, implementing updates to accommodate future ICD-10 coding requirements, and more. Click for more

How to Tackle Insurers' "Takeback" Requests
Appealing a Request is Easier Than You Think
By David Doyle
For many billing companies, the following scenario may be all too familiar. You receive a letter from Medicare or another insurer stating that payment for services your client's practice provided was made in error. The doctor must now refund the money he or she mistakenly received from the insurer or see all future payments withheld until the insurance company recoups its money. Click for more

Clean and Clear: Colorado Initiative Pushes Transparent Claims Processes
AMA Perspective
Published with permission of the American Medical Association (AMA)
In the physician practice, the claims management revenue cycle consumes up to 14 percent of practice revenue. The complexity and lack of transparency in the existing system has also become increasingly problematic for patients who are asked to shoulder greater financial responsibility for healthcare services. Click for more

Move to an End-to-End Electronic Services Solution
Take Advantage of the Benefits Electronic Services Offer You and Your Clients
By Laurie Robinson
No matter how you look at it, electronic services are a benefit to your business. They save you and your clients time and money, provide you access to patient information when and how you need it, and help streamline office workflows to increase productivity. Click for more

Trends in Healthcare Payments
Learn These Best Practices to Meet Patient Payment Challenges
By Bill Marvin
The healthcare payments industry is growing at a rapid pace; however, 25 to 40 cents of every healthcare dollar is spent on administrative expenses. These costs are only poised to increase as changes due to reform and consumerism continue to reshape the industry – impacting the way billing services do business. Click for more

Company for Sale?
Why Some Owners Choose Not to Sell Their Businesses
By Stephen Klein, CPA
Like every major decision we make in our lifetimes, choosing whether or not to sell your company is significant and life changing. While many business owners ultimately decide to sell their business, some owners make the choice not to sell their company for very legitimate reasons. Click for more

Medicare Colorectal Cancer Screening Services
Coding Corner
By Jackie Miller, RHIA, CCS-P, CPC
According to the Centers for Disease Control and Prevention, more than 50,000 people died of colorectal cancer in the US during 2010, the most recent year for which statistics are available. Medicare covers a number of different tests for early detection of this devastating disease, and in this month's column, we will review the screening options and the coverage restrictions. Click for more

Excel Shortcuts to Cut, Copy, and Paste Data
Software
By Nate Moore, CPA, MBA, CMPE
Cutting, copying, and pasting data are some of the most common Excel tasks. This article will discuss four shortcuts to do each of these functions in Excel – helping you uncover the fastest ways to enter data. Click for more

Technology Levers to Pull for Your Practice
Technology
By Randy Johnston
Client service with innovative offerings and deliverables are great ways to improve the profitability of your business. Having the right people with the most efficient tools is another. Click for more

Want to Be Successful?
From the Road
By Dave Jakielo, CHBME
The only measure of success that really matters is your own personal definition. Too many people allow themselves to be influenced by other people's characterizations or expectations. Trying to fulfill the dreams of others can lead to a feeling of failure, even when we are successful. Click for more

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