Healthcare Business Management Association - HBMA
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July - August 2017 •
Volume 22, Issue 4

New HBMA Logo? Check!
President's Message
By Michelle Durner, CHBME, HBMA President
Those attending the Compliance Symposium in Alexandria, VA, received a first glimpse of the new HBMA logo that brings full circle the “On Pace” initiative started in 2014 to position HBMA for the new era of healthcare. The check mark in the “M” symbolizes the role our members and the revenue cycle management (RCM) industry holds within the healthcare landscape as they thoroughly investigate and check claims while ensuring they follow high ethical and professional standards. Click for more

Get Ready for the HBMA 2017 Healthcare Revenue Cycle Conference
Conference Preview
By Billing Editors
The HBMA 2017 Healthcare Revenue Cycle Conference is kicking off Sept. 14-16, 2017 at the Arizona Grand Resort & Spa in Phoenix, AZ. The Healthcare Revenue Cycle Conference features an exciting array of sessions focused on the very best educational content around successful operations and exceptional performance for individuals in the RCM industry and billing companies of all sizes. Click for more

HBMA 2017 Compliance Symposium Program
Conference Wrapup
By Billing Editors
HBMA Event of the year photo album Click for more

HIPAA... How Is Your Program Evolving?
Feature Story
By Carrie Aiken, CHC
Concepts associated with HIPAA privacy and security have continued to evolve from the initial inception of the rules and HITECH, Affordable Care Act, and Omnibus updates over the last several years. This means that if your HIPAA program is stale, unchecked, or unchanged, you are at risk for enforcement or data compromise. Click for more

12 Steps to Better Billing Compliance
Don’t let the details of a compliance plan overcome these important goals
By Olga Khabinskay, Chief Operating Officer, WCH Service Bureau
Just as doctors take the Hippocratic Oath to uphold ethical practice standards, RCM companies make a commitment to represent them and, frankly, do no harm. Yet every day, providers lose thousands of dollars due to inaccurate and erroneous billing. Negligent billing errors can even cause a practitioner to lose... Click for more

Avoiding the Wide Net of Fraud Conspiracy Investigation
Protecting your company from a potential exposure, whether on the civil or criminal end, from the outside or from insiders, requires dedication to compliance.
By Jennifer Kirschenbaum, Esq. and Michael Foster, Esq.
The word is out. There is money to be made in healthcare fraud—and not just in schemes by providers to steal payor funds, but by the government under federal and state statutes busting fraudulent conduct. How an action starts is really quite simple... Click for more

Compliance Has Changed
Feature Story
By Holly Louie, RN, CHBME
In March 2017, the Office of Inspector General (OIG) of Health and Human Services collaborated with the Health Care Compliance Association (HCCA) to provide what is arguably the most important compliance document for our industry since 1998... Click for more

What You Need to Know About Telemedicine
Feature Story
By Calvin B. Marshall, Jr., JD
You have undoubtedly observed and experienced the rapid, and relatively recent, rise of the healthcare industry phenomenon commonly referred to as "telemedicine" or, more broadly, "telehealth," concurrent with rapid advances in technology. Click for more

Medicare Hospital Inpatient Payment
Coding Corner
By Stephanie Albright, RHIA, CPC
Medicare Hospital Inpatient Payment By Stephanie Albright, RHIA, CPC Billing professionals often receive questions from their clients regarding how the hospital’s payment for services differs from their own. For example, a physician may want to know whether the hospital is going to be paid more if a procedure is performed using a different technique. Click for more

Working with Spreadsheet Tabs, Part 3
By Nate Moore, CPA, MBA, FACMPE
The last two issues of Billing introduced tabs, an efficient way to organize data in spreadsheets. This article will build on the concepts in those two articles and use the same sample spreadsheet you built as you followed along with the earlier articles. Click for more

You Can’t Do It All by Yourself
From the Road
By Dave Jakielo, CHBME
I'm sure you’d agree that the complexity of the medical billing industry seems to be growing exponentially. If you want to continue to be successful, you can no longer be the smartest person in your company, nor can you function as a "Super Clerk." Click for more

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