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Quarter 1 2020 •
Volume 25, Issue 1

Redefining the Claims Process: Getting the Payment Faster
Feature Story
By Chris Seib
To get paid, billing services must prioritize the payment and streamline the claims submission process as much as possible. Click for more

New Year, New Decade, New Challenges, and New Opportunities With HBMA
President's Message
By Cindy Pittmon, RCC, CHBME, FRBMA
It’s an exciting time in our industry as we move into the new Roaring Twenties! Exciting might be an overused adjective, but we should remember there are different sources of excitement: fear, dread, and terror are just as likely to cause excitement as reward, anticipation, and victory. Click for more

HBMA News
News from Around HBMA
By RCM Advisor Editors
Are You Maximizing Your HBMA Membership?; New HBMA Members; CHBME Quiz Questions Click for more

A Day in the Life of a Medical Billing Executive
News from Around HBMA
By Kyle Tucker
8 a.m. Took call from telemarketer offering BPO services.; 8:05 a.m. Had morning coffee with problem employee. They want a raise. Click for more

6 Steps to Cleaner Claims
Feature Story
By Cher Knebel
Industry experts share the steps to cleaner claims and increased revenue in 2020. Click for more

The Power of Data and Analytic Tools Within Denials Management
Feature Story
By Nancy Trace
It’s time to enhance our denials management workflows and leverage data analysis to decrease our denial rate, reduce our claim rework dollars, and improve our insurance payment velocity. Click for more

Maximizing Revenue for You and Your Clients Through MIPS Compliance Optimization
Feature Story
By Sarah Reiter
It’s critical to understand the ever-changing compliance landscape and know how to guide and advise your clients to select the right MIPS partner. Click for more

When Does a Request for Records from Law Enforcement Meet HIPAA Requirements?
Compliance Issues
By Chad Schiffman
Occasionally, questions of whether or not a request for records from law enforcement meets HIPAA requirements comes up. Consider the following scenario.... Click for more

Understanding Critical Care
Coding Corner
By Debbie Ellis
Over the last 20 years of training, teaching, and auditing coding/documentation, critical care is the most talked about, questioned, and, at times, confusing code captured. Click for more

Adding Power to Excel Logical Formulas, Part I: IFS
Software Talk
By Nate Moore, CPA, MBA, FACMPE
Eight years ago, one my earliest articles for RCM Advisor (this publication was then called Billing) was an introduction to the IF function in Excel. IF is a powerful way to add conditional logic to your spreadsheet. Click for more

Goodbye to Another Decade
From the Road
By Dave Jakielo, CHBME
As we embark on another year, it is a great time to step back, catch our breath, and take a hard look at our businesses. It may be a cliché to say that the older we get the faster time seems to speed by – when I was a child, a day seemed an eternity – but it’s true. Click for more

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