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May - June 2015 •
Volume 20, Issue 3
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Is It Time to Sell?
If Selling's Right for You, Make the Most of It
By Jim Sholeff
It's no secret that medical billing and reimbursement gets more complex and challenging every year. So it should also be no surprise that the majority of practices are looking at outsourcing as the best solution to maintain their independence and continue to thrive.
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Energy, Optimism, Progress: What HBMA Brings to Mind
President's Message
By Curt Cvikota, CHBME, Chair
Educate. Advocate. Collaborate. This slogan, which sits at the top of the HBMA website homepage, not only highlights HBMA's mission, it defines what we aim to do as an association. Let's explore the different ways that HBMA is working to bring better value to our members.
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SOUND OFF!
HBMA Members Sound Off on Hot Topics
By Billing Editors
Topic: In our Reader Survey, we heard from many of you that you wanted to learn more about benchmarking. So we want to know: What are you doing for benchmarks?
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Double Dipping
Avoid Common Dual-Eligible Reimbursement Mistakes
By Julia Leo
Dual-eligible beneficiaries qualify for coverage under both the federal Medicare program as well as their state Medicaid programs. These beneficiaries face a variety of healthcare issues and many require long-term care for chronic illnesses or severe disabilities.
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Where to Begin with Compliance
Ensure Your Clients Follow the Rules
By Michelle Ann Richards, CPC, CPCO, CPMA, CPPM
Some of my clients believe that providing annual OSHA and HIPAA training to employees and keeping policies in a binder constitutes a compliance plan. This is a good start; however, HIPAA and OSHA aren't the only components of a compliance program.
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Are You Feeling Overwhelmed?
Tips and Tricks for Big Data Management
By Lauren Collins
Many industries, including healthcare, have spent decades collecting massive amounts of data from multiple sources. But what is being done with it?
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To Fee or Not to Fee
State and Federal Laws Blur the Lines on Collection Fees
By Pam Long
It's a simple question: Should you add collection fees to delinquent patient accounts? Unfortunately, there is no simple answer.
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Three Ways to Increase Claims and Save Time
Physicians Expect Efficient Medical Billing Services
By Richard Milam
In the last three years medical billing companies have seen an unprecedented rise in the number of insured Americans along with similar growth in the number of patients who have received treatment but cannot pay for it. In light of this, billing companies are facing a crisis of efficiency.
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The Path to Paperless
An Overview of Today's Document Management Options
By Leslie Haywood
The benefits of going paperless are well-known by now: more manageable document storage, better efficiency, less time spent hunting down files, and more time spent running a business. When planning a move to electronic document storage, however, it can be overwhelming to face the array of options available in today's marketplace.
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Five Ways to Make the EFT Standard Enrollment Process Easier
Solve the EFT Enrollment Challenge for Providers
By Priscilla Holland
The HIPAA healthcare electronic funds transfer (EFT) standard for claims reimbursement is EFT via ACH (NACHA CCD+Addenda), which is similar to direct deposit.
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Clinical Documentation Improvements to Make for ICD-10
ICD-10
By Valerie Fernandez, MBA, CPC, CPC-H, AHIMA ICD-10 Trainer
Strategies to improve clinical documentation for ICD-10 need to start now. Education related to improved documentation can be focused on the requirements needed to attain a robust ICD-10 diagnosis code. It is important to demonstrate to the physicians that better clinical documentation promotes better patient care and accurate capture of acuity, severity, and risk of mortality data.
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Global Surgery in Transition
Coding Corner
By Jackie Miller, RHIA, CCS-P, CPC
A global surgery package is a collection of services that are included in the payment for the surgical procedure because they are integral to it. The Current Procedural Terminology (CPT) manual contains a definition of a global surgical package, but Medicare uses a different definition, and some other payors have their own versions.
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Excel's Insert Function Tool
Software
By Nate Moore, CPA, MBA, CMPE
A great way to learn how to use a function in Excel is to use the Insert Function (IF) tool. This tool is like a wizard that guides you through the syntax of functions. In this article we will examine the Insert Function tool to show how it can help you with your next spreadsheet.
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Accomplish More Every Day
From the Road
By Dave Jakielo
A big part of my mission in life is to help people and companies be successful. I am always amazed by how much more successful people accomplish in life than unsuccessful people.
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