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September - October 2010 •
Volume 15, Issue 5
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HITECH Breach Notification
Are the Rules About to Get Harder?
By Karen Collier
In August of 2009, one day after the statutory deadline set by Congress in the American Recovery and Reinvestment Act (ARRA), HHS released its interim final regulations on patient notification of breaches of unsecured Protected Health Information (PHI). These regulations were required under a part of the ARRA known as HITECH – the Health Information Technology for Economic and Clinical Health Act.
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Observations from Our 2010 Fall Conference
Letter from the President
By Scott Everson, CHBME, HBMA President
Having just spent 4 days with many of you in St. Louis at our 2010 Fall Conference and Business Meeting, I had the opportunity to do a lot of watching. And I liked what I saw.
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HBMA News
News from Around the World of HBMA
Billing Editors
Congratulations New HBMA Board Members; New HBMA Bylaws; HBMA Calls Upon its Own to Guide New Initiatives; HBMA 2011 Compliance Conference.
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HBMA Presents Testimony at NCVHS Sub-Committee Meeting
Government Affairs
By Jerry Killough and Bill Finerfrock
HBMA, represented by Bill Finerfrock, the HBMA Legislative Liaison, and Jerry Killough, President of Clinix and a member of the HBMA ICD10 Committee, presented testimony to the National Committee on Vital and Health Statistics' (NCVHS) Sub-Committee on Standards on Tuesday, July 20th in Washington, DC. The focus of the Sub-Committee hearing was ANSI transaction code sets for eligibility (270/271) and claim status (276/277) inquiry.
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Value of Membership in HBMA
HBMA News
By Brad Lund, HBMA Executive Director
The Health Billing Management Association (HBMA) was originally founded 18 years ago to unify third party billers and propel the profession to a recognized industry and credible source of knowledge within the Healthcare services field. Today, with the advent of technology and the complexities of the healthcare industry, HBMA's functions have evolved and the Association's role is more important than ever.
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Q&A
with William F. Jessee, MD, FACMPE, FACPM
Rita Goldberg
After 12 years as the force behind MGMA's consistent growth in membership and prominence, Dr. William Jessee will be retiring from his post as President and Chief Executive Officer. As he winds down from an illustrious career in the healthcare field which also encompasses appointments and board posts in prestigious organizations such as the...
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Billing Companies Can Advise Physicians on Medicare Pay Problem and Protect Themselves
Usually Devoted to Healing, Doctors Want to Kill the SGR
By Rex Stanley, RN, CMM, CPC, CHBC, CRS, CHCC, PCS
The Sustainable Growth Rate (SGR) is a major part of the Medicare payment formula, threatening to devastate physician pay. To continue to meet their clients' needs and maintain their own viability, savvy third-party medical billing companies must understand this issue and help their clients find ways to deal with it.
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Fall 2010 Conference Wrap Up
Good Times in St. Louis
Billing Editors
What do you get when you combine a glistening silver architectural marvel and a stadium that is home to one of baseball's most exciting teams with a stellar lineup of healthcare billing and management professionals? An experience to remember! This year's HBMA Annual Fall Conference, held at the Hilton St. Louis at the Ballpark from September 12-14, brought together 250 returning and new attendees, as well as a vast array of vendors, for three days of education, information sharing and good old fashioned fun.
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Thanks to Gateway EDI for a Fabulous Event
Gateway at the Arch Special Event Was a Hit!
Billing Editors
Gateway EDI welcomed HBMA guests to their hometown in a uniquely Midwestern hospitable style. On Monday evening, all conference participants and their guests were treated to an exclusive off-site event at the iconic Gateway Arch.
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Spotlight On: Public Relations Committee
Committee Profile
Billing Editors
One of the many hardworking committees that has been instrumental in the success of HBMA is the Public Relations (PR) committee. The PR committee, headed up by Chair Andrew P. Kokosa, is primarily responsible for promoting HBMA for the benefit of the membership. The committee is actively involved in media relations, the Newsletter tool, and the HBMA website.
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Radiopharmaceutical Billing
Coding Corner
By Jackie Miller, RHIA, CCS-P, CPC, PCS
If your clients include radiologists who own an imaging center or cardiologists who do myocardial perfusion scans in the office, you may get questions about how to bill for radiopharmaceuticals (RPs). This month's column is an overview of the basics you need to know in order to submit correct claims for RPs used in the office setting.
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Your Leadership Abilities are Directly Tied to Your Success
From the Road
By Dave Jakielo, CHBME
There are many variables that contribute to the success of a company but one of the most important is the leadership of the management team. People at the top of any organization must realize that management's key responsibility is the accomplishment of the company's goals.
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