Healthcare Business Management Association - HBMA
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March - April 2010 •
Volume 15, Issue 2
A Perfect Storm?
Billing Companies Preparing for Sweeping Changes in Coming Years
By Scott Everson, CHBME
Over the next few years, the healthcare billing environment will undergo some of the most sweeping regulatory changes our industry has faced in decades. Our industry will be forced to wrestle with the significant implications of the HITECH Act, the adoption of ICD-10 and the 5010 transaction standards. New mandates will alter the way virtually every healthcare service is documented, billed and reimbursed, potentially creating a “perfect storm” for healthcare reimbursement. Click for more

Publications Committee
Meet the committee responsible for bringing you each issue of Billing
By Don Rodden, CPA, CHBME
One of the outstanding characteristics of the HBMA association is its unusual level of members who volunteer their time to carry HBMA initiatives and serve the billing industry. The cooperation and collaboration with each other (also our competitors!) is truly remarkable. Click for more

Hot Topics
at the HBMA Spring Edcuational Conference
By Billing Editors
With Healthcare Reform becoming a reality and the ever evolving technology’s impact on the industry, this year’s HBMA Spring Conference will be more topical than ever. Check out our preview of what’s in store for those who will be in attendance. Click for more

Recession? What Recession?
Ascertain Your Growth Plan
By Steve Mirande and Matt Ostrum
The recession hasn’t hurt your business too much right? Ok, maybe a little? The healthcare industry, with the exception of some very hard hit areas, has, for the most part, escaped the sting of double-digit layoffs or dramatic revenue drops experienced in other industries. And while volume has dipped in some areas, things have clearly not mirrored the level of economic woes felt in say, the auto industry. Click for more

Are You Separate and Distinct?
Coding Corner
By Melody W. Mulaik, MSHS, PCS, FCS, RCC, CPC, CPC-H
One of the first articles that I wrote for the Coding Corner of Billing specifically talked about the assignment of modifiers. I will borrow the first couple of paragraphs from that article to make a new point about a different set of modifiers. Click for more

The Increasing Value of the Patient Statement
Third party billers focus on coding and compliance for good reason.
By Nels Peterson
Public and private payer requirements make receiving a timely and correct reimbursement for their customers a challenge. Add the prospect of penalties or even criminal allegations from either payers or regulatory agencies and the reason is clear. This focus highlights the third-party biller’s value proposition of cutting costs, risks and liabilities for providers. Click for more

What You Should Know About Payment Card Industry Regulations
A Focus on Payment Cards and Why You Should Care
By Bill Marvin
The pursuit to manage compliance started for most of us in the 1990’s with HIPAA. The initial experience was filled with panic. Then, a lot of vendors and consulting firms capitalized on the fear, uncertainty and general confusion. Click for more

Trailblazing Recognition on Capitol Hil
Past President Project
By Sherri Dumford
In 2007, I had the honor and privilege of being president of HBMA. Although my term as president occurred only three years ago, I am astonished at the rate of growth, influence and credibility our organization continues to achieve in the ever changing and complex world of healthcare. Click for more

Create Effective Leadership
Investing in Your Most Important Asset
By Dave Jakielo, CHBME
My career spans over 40 years in the healthcare arena and I feel that today is the most exciting time to be involved in the Medical Billing industry. There isn’t a day that goes by without a news report or a discussion on talk radio about the “Healthcare Crisis.” Click for more

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