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July - August 2008 •
Volume 13, Issue 4
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HBMA is Moving Fast
Message from the President
By Ken Goodin, CHBME
As the saying goes, time flies when you are having fun. I must be having a blast because we are already at the mid point of 2008 and I am not sure that time has ever flown faster. It really has been a lot of fun this year working with so many of you on a variety of creative projects, committees, and events.
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Do the Right Thing
Overpayments Are Never Found Money!
By Bob Burleigh, CHBME
The last issue of Billing provided an article about overpayments that cited the East Tennessee Heart Consultants [ETHC] case (January 2007) and many of the federal laws and regulations that obligate health care providers to return excess payments. One of the key factors in the ETHC case was that it was the result of two employees who became whistleblowers after observing for years that the doctors simply did not believe in issuing refunds.
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HBMA NEWS
News from Around the World of HBMA
Billing Editors
President Ken Goodin Wins Award; Are You Using StateNet?; Going, Going, Gone! HBMA Annual Auction.
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Time to Vote!
Board of Directors Election at the Annual Fall Meeting
Billing Editors
Election time is upon us. Your Board is the driving force behind HBMA.The candidates for the 2008 Board are profiled below and balloting will take place at the Annual Fall Meeting in September. Be sure to vote!
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HBMA and CMS Sit Face-to-Face
Government Relations Committee Holds Second Annual Meeting
Billing Editors
The Government Relations Committee has been extremely active in raising HBMA’s profile with the Centers for Medicare and Medicaid Services (CMS) as well as with both houses of Congress. May 14, 2008, marked the second time HBMA has come to the table for talks with individual CMS officials.
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Lessons Learned
A Conversation about Mergers and Acquisitions
By Randal Roat
In 2006, Randy Roat’s company, Tri-Med, was acquired by Medical Management Professionals. He has continued to work with the acquiring company. Here he shares his advice on the process by answering some typical questions he has received.
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Faster, Brighter, Cleaner, Whiter
Practical Steps to Improve the Speed of Your PC
By Randy Johnston
Many of you have successful operations. You’ve gotten there in part from your business skills, your sales skills, and your management style. Technology may not be one of your strengths, but you know you have to have good technology to service your clients. Most of us pay for outside expertise to take care of our computers, but rarely can we afford to have a person on staff. Are there some practical, simple things that can be done to make our computers run better and faster?
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Beyond Compliance
The Option of Self-Regulation
By Dennis Mock
HBMA has, during the course of its existence, devoted considerable time and energy to the mission of educating its membership as to the meaning and steps required for compliance with Federal and State laws and regulations.
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The Consultation Trap
How to Handle E/M Encounters
By Melody W. Mulaik, MSHS, CPC, CPC-H, RCC, PCS, FCS
One of the hot topics in the coding and compliance world today is the issue of selecting the correct evaluation and management (E/M) category. It would be nice if this were always an easy choice, but unfortunately it is not. It is critical that you provide accurate and appropriate guidance on this topic to your staff and the physicians for whom you are billing. Otherwise, you might find yourself in an uncomfortable situation during an audit.
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Where, Oh Where, Have My Clients Gone?
You’ve Got That Lonesome Feeling
By David F. Jakielo, CHBME
The billing industry is more volatile today than I have seen in many years. Good companies that have been providing excellent service to long-time customers are losing some of those customers. And if a company hasn’t been growing and has not positioned itself so that no one customer makes up more than ten percent of the firms total revenue, a loss of a large customer can have a devastating impact.
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