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RCM Advisor

Quarter 4 2019 - Volume 24, ISSUE 4

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All Around Engagement

President's Message

By Mick Polo, CHBME, HBMA President

Patient engagement is a concept that combines a patient’s knowledge, skills, ability, and willingness to manage their own health and care with interventions designed to increase activation and promote positive patient behavior.

HBMA News

News from Around the HBMA

By RCM Advisor Editors

Are You Maximizing Your HBMA Membership?; New HBMA Members; CHBME CEU Quiz Questions

Snap Survey on SRA Audits

HBMA News

By RCM Advisor Editors

Conducting a security risk analysis (SRA) is the first step toward meeting the HIPAA security rule and should be part your compliance program. How often do your peers perform an SRA, who conducts it, and how soon do they take corrective actions?

Commercial Payer Portals Survey Results

HBMA News

By RCM Advisor Editors

The Commercial Payer Relations (CPR) Committee’s mission is to be an advocate for our membership and industry by establishing meaningful relationships with payers through cooperative initiatives that strive to reduce costs and administrative burdens, and aid our membership in dealing with the increasing complexity of billing and reimbursement process.

The "Payment Part" of Healthcare

Even under the best scenarios, collections across the board still struggle.

By Tyler Marsh

In the busy world of healthcare, it can seem at times that diagnosis and treatment can be far simpler than managing the many patient engagement initiatives, especially regarding collecting unpaid balances.

Walking the HIPAA Line as the Business Associate

Business associates are regulated under the HIPAA Privacy and Security Rules for patient privacy.

By Jennifer Kirschenbaum, Esq., and Michael Foster, Esq.

As business associates, we are regulated under the HIPAA Privacy and Security Rules, which creates strict operating rules related to patient privacy. How does regulation governing covered entities impact our work? The answer is...

The Next Frontier of Patient Collections - Smart Medical Bills

Not all patients want the same billing and payment experience, and that's where artificial intelligence can help.

By Chris Seib

Very few patients have been left unburdened by the increases in payment responsibility throughout the healthcare industry. More patients are receiving medical bills after provider visits and with larger balances, too.

Let's Get Engaged!

Employee engagement is more vital to healthcare organizations than ever before.

By Jeff Tobe

Today, employee engagement and loyalty are more vital than ever before to a healthcare organization’s sustained success in the marketplace. I believe there is a direct correlation between how engaged your workforce is and the patient experience.

A System Upgrade Leads to More Patient Options

Vituity RCM introduces phone and web portal enhancements.

By Dan Nagy

A key focus in revenue cycle management (RCM) is providing a fast and easy way for patients to pay their bills for medical services. A key component of that capability is the patient call center.

Performing an SRA Is a Must for All Healthcare Organizations

Continually improving the privacy and security of patients PHI.

By Healthcare Compliance Pros

Conducting and reviewing a security risk analysis (SRA) is perhaps one of the most important requirements your organization will undertake. An SRA should be thought of as an ongoing process for your organization...

Coding Without Proper Documentation

War Stories

By Kyle Tucker

For seasoned professionals, coding problems with clients are just part of business as usual in the RCM industry. The issues can run the gamut from simple coding issues and incomplete information to demands for outright fraud.

2020 and Beyond

Coding Corner

By Melody W. Mulaik, MSHS, RCC, CPC, CPC-H

The specialties you bill for will likely dictate your familiarity with the upcoming requirements associated with ordering and/or billing for advanced diagnostic imaging exams. These new requirements go all the way back to the Protecting Access to Medicare Act of 2014 (PAMA).

Arrays Part VI

Software Talk

By Nate Moore, CPA, MBA, FACMPE

Welcome back to the next installment in our continuing discussion about using arrays in Excel formulas. This article builds on the complexity introduced in Part V and uses the same data.

The Importance of Growth

From the Road

By Dave Jakielo, CHBME

It goes without saying that these are turbulent times in the healthcare industry, and even well-established companies that have enjoyed a stable client base for decades may find themselves traveling in unfamiliar waters.

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