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RCM Advisor

Quarter 2 2025 - Volume 30, ISSUE 2

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Staying Ahead of the Technology and Regulation Curves

President's Message

By Kirk Reinitz, HBMA President

As we can all agree, the revenue cycle management (RCM) industry has outsized complexities when compared to other industries. Hence, operating a small to medium-sized RCM business is incredibly challenging.

SOUND OFF!

HBMA Members SOUND OFF! on industry topics

By RCM Advisor Editors

Topic: As an RCM company owner or manager, tell us what business resolutions you are making for 2025 and your SWOT or strategic analyses in order to achieve them.

Spotlight on the Membership Committee

Around the HBMA

By Joshua Klinge, Chair

The HBMA is committed to supporting professionals in the healthcare revenue cycle management (RCM) industry. A key element in this mission is ensuring that its members receive the value, resources, and engagement necessary to thrive in an ever-evolving healthcare space.

Happy Anniversary, RCM Advisor!

Around the HBMA

By Madelon Berger, MPH, MA, CCS-P, CPC, Editor

2025 marks the 30th anniversary of RCM Advisor, HBMA’s journal. This publication has gone through a number of iterations, editors, and a name change over the span of three decades.

SNAPSHOTS!

Around the HBMA

By HBMA Staff

Outtakes from HBMA's 2025 Spring Innovation Conference in Atlanta, Georgia - March 12-13.

Navigating Cultural Differences in the Workplace

Feature Story

By Cristina Amyot and Michael Kairios, MHRM, SHRM-CP

In a continuously expanding global economy, more U.S. based employees are regularly engaging with colleagues from diverse regions around the globe. Some of the most common partners include India, Mexico, and the UK, amongst many others, bringing their own distinct cultural values into the workplace.

Going Beyond Chargemaster Rates

Innovations in Healthcare Revenue

By Steve Rolfes

Historically, healthcare providers have relied heavily on chargemaster rates as a primary method for revenue generation. But in the healthcare industry, one constant remains: the need for financial stability and growth.

Adopting AI in Healthcare Organizations Can Solve Staffing Challenges

Feature Story

By James Wood

As a leader of a healthcare organization, you are acutely aware of the staffing challenges that these organizations face. The shortage of qualified professionals, high turnover rates, and mounting administrative burdens can strain your resources and impact the quality of work for your clients.

6 Reasons to Rethink Patient Billing Support

...and Unlock a Hidden Advantage

By Blake Walker

Motivating patients to pay their medical bills is an uphill battle, and it has been that way for decades. This year, providers and RCM companies face another barrier. In January, the CFPB banned the inclusion of medical bills on credit reports.

Want Happier Doctors? Restoring Their Practice Autonomy Is a Must

Printed with Permission by AMA

By Georgia Garvey

A new survey shows a link: when physicians lack control over their work environments, they are more likely to have burnout, quit or cut back on hours.

Understanding the State of Medicare Telehealth Coverage

Government Affairs

By Matt Reiter

Rahm Emanuel... once said, “Never let a serious crisis go to waste. And what I mean by that it’s an opportunity to do things you think you could not do before.” A crisis often forces innovations that outlast the crisis itself.

HIPAA or State Laws – Which One Holds the Gavel?

Compliance Issues

By Chad Schiffman

On December 23, 2024, all covered entities and business associates were required to comply with the applicable requirements under a Final Rule to modify the HIPAA Privacy Rule to support Reproductive Health Care privacy issued by the HHS.

How to Protect Yourself from PayPal Invoice Scams

The Tech Guy

By Burton Kelso

PayPal invoice scams are the latest growing threat targeting you and your finances. Falling victim to these scams can result in stolen identity and depletion of your bank accounts. But there is good news...

Is it Really Incident-To?

Coding Corner

By Melody W. Mulaik, MSHS, CRA, RCC, RCC-IR, CPC, COC, FAHRA

Billing companies face many challenges in terms of educating physicians and providing appropriate and accurate guidance for documentation and billing practices. One such continuing challenge is the appropriate billing for NPPs/APPs.

The Past is the Past – Decide Your Future

From the Road

By Dave Jakielo

The origin and evolution of the medical billing industry over the decades is an interesting story and there are some similarities as to how many companies have gotten to where they are today.
Quarter 2 2025 - Volume 30, ISSUE 2 Cover
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Staying Ahead of the Technology and Regulation Curves
Spotlight on the Membership Committee
Happy Anniversary, RCM Advisor!
Navigating Cultural Differences in the Workplace
Going Beyond Chargemaster Rates
Adopting AI in Healthcare Organizations Can Solve Staffing Challenges
6 Reasons to Rethink Patient Billing Support
Want Happier Doctors? Restoring Their Practice Autonomy Is a Must
Understanding the State of Medicare Telehealth Coverage
HIPAA or State Laws – Which One Holds the Gavel?
How to Protect Yourself from PayPal Invoice Scams
Is it Really Incident-To?
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