Leading the Business of Healthcare
Login
About
Membership
Certification & Accreditation
Government Affairs
Education & Events
News
Resources
Job Board
Need CEUs?
Click here to earn CEUs
for this issue of 'RCM Advisor'!
March - April 2016 •
Volume 21, Issue 2
Download PDF
What's New in 2016? A Focus on Value
Message from the President
By Holly Louie, RN, CHBME
Education is undergoing a major overhaul. HBMA's new Educational Task Force, facilitated by Michelle Durner, is confirming final presentations for our new fall conference – HBMA 2016: The Healthcare Revenue Cycle Conference. In addition, they are revamping our webinar offerings.
Click for more
SOUND OFF!
HBMA Members Sound Off on Hot Topics
By Billing Editors
Topic: Which recent government healthcare policy or regulation has affected your business most and why?
Click for more
2016 HBMA Compliance Conference
HBMA News
By Holly Louie, RN, CHBME
If there is one sentence that describes the 2016 Compliance Conference, held May 3-5 in Atlanta, it is "Pay attention, even when you think you already do." Did you know the HBMA Compliance Conference is the only conference dedicated to compliance in our industry?
Click for more
2016: The Year of the Regulation
Physician Payment is Getting Trickier
By Bill Finerfrock
In Chinese culture, 2016 is the "Year of the Monkey." For those involved in healthcare, 2016 will be the year of the regulation!
Click for more
Get the Most Out of Value-Based Reimbursement
Treat Your Negotiations Like Chess
By Steve Selbst and Susan E. Charkin
It's the biggest trend in healthcare this century: value-based reimbursement, which bases provider reimbursements on quality and value components instead of the standard fee-for-service model.
Click for more
Medicare Advantage Plans and Risk Score Fraud
Allegations of Fraud Bring Increased Audits
By Julia Leo
Medicare Advantage Plans (MA Plans) are a "type of Medicare health plan offered by a private company that contracts with Medicare" to provide beneficiaries with all Part A and Part B benefits for which they are eligible. Beneficiaries must be enrolled in Medicare Part A and Part B in order to join an MA Plan. These plans can take several forms, including health maintenance organizations, preferred provider organizations, and private fee-for-service plans, as well as medical savings account plans and special needs plans.
Click for more
Navigating the Insurance Claim Process
Approval Is in the Details
By Jeffrey L. Greyber, Esq.
I had a great discussion with a few billing company owners at HBMA's Fall Annual Conference regarding how important it is to approach the insurance claim process in detailed, organized fashion. These folks realized that the oft bumpy insurance claim process can be smoothed out if approached thoughtfully and thoroughly.
Click for more
A Conversation with CAQH Deputy Director Gwen Lohse
HBMA Interview
By Billing Editors
For many of you, the CAQH Committee on Operating Rules for Information Exchange (CORE) is an important entity for revenue cycle management. CAQH recently awarded 200 CORE certifications to health plans, hospitals and health systems, clearinghouses, and vendors.
Click for more
Make Your Electronic Claims More Efficient
Tips for Before, During, and After Claim Submission
By the American Medical Association
In order to improve the efficiency of physicians' healthcare claims submissions, HIPAA mandated use of a standardized electronic claim throughout the healthcare industry. Since then, the standardized electronic claim has been widely adopted throughout the industry, with over 92 percent of health plans and providers utilizing the transaction in 2013.
Click for more
Percutaneous Urinary Procedures Reporting in 2016
Coding Corner
By Jackie Miller, RHIA, CCS-P, CPC
There were major changes to the CPT codes for percutaneous urinary procedures in 2016. Code assignment for these procedures has historically posed challenges regardless of whether the codes were assigned by a coder or by the physician. This column will review the new and revised codes for diagnostic antegrade imaging and drainage procedures.
Click for more
Excel Charting Tips: Part Two
Software
By Nate Moore, CPA, MBA, CMPE
This article continues the January/February 2016 issue's introduction to Excel 2013 chart tools. In part one we discussed the new interface for building charts, focusing on the Chart Elements tool (a plus-sign icon). This article covers the paintbrush icon that controls Chart Styles and the filter icon that controls Chart Filters.
Click for more
How to Code Complications
ICD-10
By Valerie Fernandez, MBA, CPC, CPC-H, AHIMA ICD-10 Trainer
Complications are an unfortunate outcome for some patients who receive medical treatment. This article provides an overview of how to properly determine and code complications.
Click for more
Virtual Credit Cards (Or: One More Kick in the Pants
From the Road
By Dave Jakielo
I'm sure by now some of your clients have received a surprise in the mail from a third-party payor, known as a virtual credit card payment. Although a physical plastic card is never issued, the card information is printed on paper and mailed to the provider with the explanation of payment.
Click for more
Access Back Issues of RCM Advisor
Quarter 1 2021 |
HTML version
|
PDF version
Quarter 4 2020 |
HTML version
|
PDF version
Quarter 3 2020 |
HTML version
|
PDF version
Quarter 2 2020 |
HTML version
|
PDF version
Quarter 1 2020 |
HTML version
|
PDF version
Quarter 4 2019 |
HTML version
|
PDF version
Quarter 3 2019 |
HTML version
|
PDF version
Quarter 2 2019 |
HTML version
|
PDF version
Quarter 1 2019 |
HTML version
|
PDF version
November - December 2018 |
HTML version
|
PDF version
September - October 2018 |
HTML version
|
PDF version
July - August 2018 |
HTML version
|
PDF version
May - June 2018 |
HTML version
|
PDF version
March - April 2018 |
HTML version
|
PDF version
January - February 2018 |
HTML version
|
PDF version
November - December 2017 |
HTML version
|
PDF version
September - October 2017 |
HTML version
|
PDF version
July - August 2017 |
HTML version
|
PDF version
May - June 2017 |
HTML version
|
PDF version
March - April 2017 |
HTML version
|
PDF version
January - February 2017 |
HTML version
|
PDF version
November - December 2016 |
HTML version
|
PDF version
September - October 2016 |
HTML version
|
PDF version
July - August 2016 |
HTML version
|
PDF version
May - June 2016 |
HTML version
|
PDF version
March - April 2016 |
HTML version
|
PDF version
January - February 2016 |
HTML version
|
PDF version
November - December 2015 |
HTML version
|
PDF version
September - October 2015 |
HTML version
|
PDF version
July - August 2015 |
HTML version
|
PDF version
May - June 2015 |
HTML version
|
PDF version
March - April 2015 |
HTML version
|
PDF version
January - February 2015 |
HTML version
|
PDF version
November - December 2014 |
HTML version
|
PDF version
September - October 2014 |
HTML version
|
PDF version
July - August 2014 |
HTML version
|
PDF version
May - June 2014 |
HTML version
|
PDF version
March - April 2014 |
HTML version
|
PDF version
January - February 2014 |
HTML version
|
PDF version
November - December 2013 |
HTML version
|
PDF version
September - October 2013 |
HTML version
|
PDF version
July - August 2013 |
HTML version
|
PDF version
May - June 2013 |
HTML version
|
PDF version
March - April 2013 |
HTML version
|
PDF version
January - February 2013 |
HTML version
|
PDF version
November - December 2012 |
HTML version
|
PDF version
September - October 2012 |
HTML version
|
PDF version
July - August 2012 |
HTML version
|
PDF version
May - June 2012 |
HTML version
|
PDF version
March - April 2012 |
HTML version
|
PDF version
January - February 2012 |
HTML version
|
PDF version
November - December 2011 |
HTML version
|
PDF version
September - October 2011 |
HTML version
|
PDF version
July - August 2011 |
HTML version
|
PDF version
May - June 2011 |
HTML version
|
PDF version
March - April 2011 |
HTML version
|
PDF version
January - February 2011 |
HTML version
|
PDF version
November - December 2010 |
HTML version
|
PDF version
September - October 2010 |
HTML version
|
PDF version
July - August 2010 |
HTML version
|
PDF version
May - June 2010 |
HTML version
|
PDF version
March - April 2010 |
HTML version
|
PDF version
January - February 2010 |
HTML version
|
PDF version
November - December 2009 |
HTML version
|
PDF version
September - October 2009 |
HTML version
|
PDF version
July - August 2009 |
HTML version
|
PDF version
May - June 2009 |
HTML version
|
PDF version
March - April 2009 |
HTML version
|
PDF version
January - February 2009 |
HTML version
|
PDF version
November - December 2008 |
HTML version
|
PDF version
September - October 2008 |
HTML version
|
PDF version
July - August 2008 |
HTML version
|
PDF version
May - June 2008 |
HTML version
|
PDF version
March - April 2008 |
HTML version
|
PDF version
January - February 2008 |
PDF version
November - December 2007 |
PDF version
September - October 2007 |
PDF version
July - August 2007 |
PDF version
May - June 2007 |
PDF version
March - April 2007 |
PDF version
January - February 2007 |
PDF version
November - December 2006 |
PDF version
September - October 2006 |
HTML version
|
PDF version
July - August 2006 |
PDF version
May - June 2006 |
PDF version
March - April 2006 |
PDF version
January - February 2006 |
PDF version
November - December 2005 |
PDF version
September - October 2005 |
PDF version
July - August 2005 |
PDF version
May - June 2005 |
PDF version
March - April 2005 |
PDF version
January - February 2005 |
PDF version
November - December 2004 |
PDF version
September - October 2004 |
PDF version
July - August 2004 |
PDF version
May - June 2004 |
PDF version
March - April 2004 |
PDF version
January - February 2004 |
PDF version
November - December 2003 |
PDF version
September - October 2003 |
PDF version
July - August 2003 |
PDF version
May - June 2003 |
PDF version
March - April 2003 |
PDF version
January - February 2003 |
PDF version
November - December 2002 |
PDF version
September - October 2002 |
PDF version
July - August 2002 |
PDF version
May - June 2002 |
PDF version
March - April 2002 |
PDF version
January - February 2002 |
PDF version
November - December 2001 |
PDF version
September - October 2001 |
PDF version
2021
|
2020
|
2019
|
2018
|
2017
|
2016
|
2015
|
2014
|
2013
|
2012
|
2011
|
2010
|
2009
|
2008
|
2007
Access the digital edition:
Click here for PDF
Download PDF Reader
Search the
Journal
Archives for:
HBMA
BOD
About RCM Advisor
Education Resources
Upcoming Events
About HBMA
Committees
Annual Reports
Contact HBMA
HBMA Awards
Past Award Winners
Join HBMA
Member Benefits
Dues Structure
Photo Gallery
Testimonials
Membership Directory
RCM Advisor Journal
About the CHBME
Value of Certification
Exam Requirements
Exam Content & Resources
Maintenance of Certification
HBMA Compliance Accreditation Program
Accredited Companies
Government Resources
Government News
Meeting Calendar
2022 HBMA Fall Conference
Schedule At A Glance
Exhibitor & Sponsor Prospectus
Call For Speakers
Education on Demand
Webinars
Coronavirus/COVID-19 Resources
Member News
HBMA NewsWire
Commercial Payer News
Government News
Press Releases
HBMA News
News Archive
Coronavirus/COVID-19 Resources
Member Message Boards
Affinity/Member Value Programs
Document Library
Vendor Marketplace
eBridge Technology
Kareo
Waystar
Store
Recommended Links
Compliance Resources
MIPS Resources
Payor Reporting Tool
Newsletter Tool
Find a Medical Biller
HBMA Polls and Surveys
HBMA Live
Job Board