Healthcare Business Management Association - HBMA
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May - June 2018 •
Volume 23, Issue 3

Lifelong Learning
President's Message
By Ginger Ryder, CMPE, CHBME, CPC
The days are finally longer and brighter, and we look ahead to summer and all that matters most to each of us. My younger son graduates from college this May, and I look forward to having him come home before he begins the learning that will occur for the rest of his life. You see, most of us, by a certain age, know that lifelong learning is essential to success. Click for more

News from Around the HBMA
By RCM Advisor Editors
Are You Maximizing Your HBMA?Membership?; CHBME Quiz; HBMA 2018 Healthcare Revenue Cycle Conference Click for more

Chasing Self-Pay Revenue in Emergency Medicine
Main Feature
By Tyler Williams
During the American College of Emergency Physicians (ACEP) January 2018 Reimbursement and Coding Conference held in Nashville, three emergency physician billing hurdles were discussed. This article explores these obstacles and presents practical strategies to improve self-pay revenue and patient deductible management in emergency medicine. Click for more

Prior Authorization Headache: Prognosis and Treatment
Feature Story
Contributed by the American Medical Association (AMA)
Prior authorization is a challenge that needs to be addressed through a multifaceted approach—including research, advocacy, and education—to reduce burdens on physicians and patients. Click for more

Are You Leaving Money on the Table?
Feature Story
By Jeff Lin
Utilizing automation, it is possible for billing services to remain profitable without ensuring a return on their work. Click for more

Case Study of a Compliance Breach
Feature Story
By Ginger Ryder, CMPE, CHBME, CPC
HBMA President Ginger Ryder details how her company’s IT firm devised a phishing plan to test employees. Click for more

Targeted Probe and Educate: The End of Insanity
Feature Story
By Christine Hall, CPC, CPB, CPMA, CRC, CPC-I
Last year, the Center for Medicare and Medicaid Services replaced the traditional form of selecting targets of complex medical reviews with a new strategy called Targeted Probe and Educate and handed the task of review to Medicare Administrative Contractors. Click for more

Blockchain, Data Economics, and Healthcare
Feature Story
By Tony Little
How does blockchain change the current economics of data systems? Click for more

Services Revisited
Coding Corner
By Jackie Miller, RHIA, CCS-P, CPC
We last addressed prolonged services in the September/October 2013 issue of this journal, and since that time, there have been some significant changes. In 2013, there were only two CPT® code categories for prolonged service, but, in 2016, a third category was added... Click for more

HBMA and Healthcare Compliance Pros Launch Healthcare Business Management Compliance Accreditation for Revenue Cycle Management Companies
By RCM Advisor Editors
HBMA has collaborated with Healthcare Compliance Pros (HCP) to develop the Healthcare Business Management Compliance Accreditation for revenue cycle management (RCM) companies, medical practice management organizations and healthcare software vendors. Click for more

Excel Functions Every Excel User Should Know, Pt. 5
Software Talk
By Nate Moore, CPA, MBA, FACMPE
The March/April 2018 issue described SUMIF and SUMIFS, two powerful ways to sum cells that meet given criteria. In this issue, we will cover four functions that operate in very similar ways. Click for more

Leadership Begins Within
By Michelle Durner, CHBME
Are you a leader? Henry Givray of Leadership’s Calling® says: “Leadership is not something bestowed upon you or granted to you by virtue of your lofty title or set of responsibilities... Click for more

7 Factors of a Successful Medical Billing Company
From the Road
By Dave Jakielo, CHBME
Take these steps in your business to avoid becoming obsolete Click for more

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