Healthcare Business Management Association - HBMA
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May - June 2017 •
Volume 22, Issue 3

Filing Appeals Electronically: Showing Potential, But a Long Way from Paperless
Feature Article
By Tammy Tipton, President of Appeal Solutions, Inc.
Now the norm in healthcare billing, electronic claim submission is one area in which technology has achieved a win-win. Providers can now more easily and quickly create, submit, correct, and resubmit claim information with payors... Click for more

Discover the Value in HBMA
President's Message
By Michelle Durner, CHBME, HBMA President
2017 has brought big changes for HBMA thus far; one being the steady growth of new members. HBMA has welcomed 38 new members as of the writing of this article, compared to 12 for the previous year—this is considerable growth for HBMA. Welcome, new members! Click for more

HBMA 2017 Compliance Symposium Program
Conference Preview
By Billing Editors
Compliance touches all aspects of the billing and healthcare revenue cycle management industry. The Compliance Symposium is open to all involved in the industry and is a great opportunity to collaborate with others you might not deal with on a regular basis. Click for more

HBMA Members Sound Off on Important Topics
By Billing Editors
Topic: What Strategies Does Your Company Use to Handle Insurance Appeals? Click for more

Safe Data Disposal
Improper Data Disposal Can Open You Up to HIPAA Violations. Stay in Compliance With These Spring Cleaning Tips.
By Noah Dermer, InstaMed Security Officer
This time of year always marks the start of spring cleaning in my household. I love spring cleaning for many reasons. Not only does it give me the chance to make new space in the garage, get the backyard ready for summer barbecues, and rediscover all the books and knickknacks that had been hiding beneath my couch cushions all year... Click for more

Lines of Defense in Reimbursement
Practical Steps to Collect Out-of-Network Money
By Jennifer Kirschenbaum, Esq. and Michael Foster, Esq.
Most of our service agreements stipulate we will receive a percentage fee based on monies actually collected on behalf of our clients, whether that money is from copayments, deductibles, cash payments, or insurance reimbursements. We make plans based on our anticipated right to payment... Click for more

Prior Authorization Reform
The AMA Addresses Patient and Physician Prior Authorization Burdens
By the American Medical Association
Prior authorization (PA)—a health plan administrative process that requires providers to obtain approval before performing a service to qualify for payment—is a growing issue for patients and practices. Click for more

Improve Patient Collections and Stay Compliant with Payor Requirements
Patient Collections Are Vital to Increasing Revenue and Ensuring That Your Billing Service is Adhering to Best Practices
By Michelle Cavanaugh, CPC, RN
Collecting from patients has become increasingly vital to the financial health of most practices, as the patient portion of medical bills continues to rise. With sky-rocketing copays and deductibles, the patient due amount now accounts for approximately 30 percent of the income for practices. Click for more

A Solution to Late Payments from Clients
Lessons Learned [NEW!]
By Cindy Groux, CHBME
Tired of your clients owing you money on your outstanding invoices? Money that you have already collected for them that they choose not to pay you on time? Click for more

CCI Policy Changes, Part 2
Coding Corner
By Jackie Miller, RHIA, CCS-P, CPC
There are numerous additions and revisions to the National Correct Coding Initiative Policy Manual for Medicare Services (usually referred to as the “CCI Manual”) to consider in 2017. Billing’s March/April Coding Corner discussed some of these changes, and the rest are discussed in this month’s column. Click for more

Working with Spreadsheet Tabs, Part 2
By Nate Moore, CPA, MBA, FACMPE
Spreadsheet tabs can turn a complex, unwieldy spreadsheet that reaches across hundreds of columns and rows into a much more manageable data organizer. This article will build on the basics of working with tabs discussed in the March/April 2017 issue of Billing. Click for more

Niche Marketing
From the Road
By Dave Jakielo, CHBME
The healthcare billing marketplace continues to evolve while traditional practices headed by MDs and DOs continue to merge and be acquired; new providers are starting to need our expertise. Click for more

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