HBMA Logo
Leading the Business of Healthcare
Menu
RCM Advisor

Quarter 1 2025 - Volume 30, ISSUE 1

RCM Advisor Header

Setting Goals and Using HBMA Resources

President's Message

By Kirk Reinitz, HBMA President

Just as HBMA presidents have done in the past, I tasked myself with developing goals to guide my new term as HBMA president. After considering the HBMA, its mission, its diverse membership, and its place in this industry, I have concluded that there really is not a “one size fits all” goal.

SOUND OFF!

HBMA Members SOUND OFF! on industry topics

By RCM Advisor Editors

Topic: Tell us how you feel about networking at HBMA and other conferences.

Meet HBMA President, Kirk Reinitz

Around the HBMA

By RCM Advisor Editor

HBMA interviews incoming HBMA President, Kirk Reinitz, to learn more about him and his vision for HBMA.

Spotlight on the Compliance and Ethics Committee

Around the HBMA

By Bob Trotta, Chair

In the complex landscape of the United States healthcare system, the importance of compliance and ethics cannot be overstated.

Highlights of HBMA’s 2024 Accomplishments with More to Come in 2025

Around the HBMA

By Brad Lund, Executive Director, HBMA

In recent years, HBMA struggled a bit to find the appropriate “value proposition” for its members and the Revenue Cycle Management (RCM) industry. That difficulty began to unwind in 2022 with the emergence of several visionary members who brought forth high quality information and education which HBMA members found valuable to enhance the success of their companies.

How RCM Companies Should Evolve in the AI Revolution Era

Feature Story

By James Wood

As a healthcare revenue cycle leader, the question people constantly ask me is, “What is all the fuss about implementing AI in revenue cycle management companies?” Well, if you are a revenue cycle leader and curious about implementing AI in your company, then this article will be a valuable educational piece.

Move Beyond Coding with CAC

Dramatically Increase Coder Productivity with AI Computer-Assisted ICD-10 Coding Capture.

By Mark Anderson

Payors are becoming increasingly concerned about the issue of medical necessity. Medicare generally defines medically necessary services as those that are “reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.”

Building Effective Retention Strategies in Healthcare Through Training and Development

Feature Story

By Nicola Hawkinson, DNP, RN, RNFA, CPC

Employee retention is a pressing concern across industries, but in healthcare – and particularly within revenue cycle management (RCM) – it has become crucial to long-term success. The healthcare sector faces a dual challenge: a growing demand for services and an increasing shortage of skilled professionals.

What Is Denials Management?

Feature Story

By AAPC’s Thought Leadership Team. Printed with Permission by AAPC

Medical billing denials management is the process of investigating, analyzing, resolving, and preventing denied insurance claims for medical services provided by a physician or other qualified healthcare professional.

Bipartisan Call for Medicare Payment Reform Paves Path for Action

Feature Story

By Bruce A. Scott, MD / Printed with Permission by AMA

Growing bipartisan support for Medicare reform in the U.S. House of Representatives is clear evidence that our sustained physician advocacy is moving us closer to fixing our badly broken physician payment system.

How the 2024 Election Results Impact the RCM Industry

Government Affairs

By Matt Reiter

After months of a dramatic and exciting campaign season, the 2024 presidential and congressional election is now in the rear-view mirror. Control of the White House and both chambers of Congress were up for grabs in a highly competitive election.

The Importance of HIPAA-Compliant Safeguards

Compliance Issues

By Chad Schiffman

Several months ago, the U.S. Department of HHS Office for Civil Rights (OCR) announced a settlement with Bryan County Ambulance Authority (BCAA) in Oklahoma over a ransomware incident due to a significant cybersecurity vulnerability in healthcare.

How to Protect Your Facebook Account from Hacking and Cloning

The Tech Guy

By Burton Kelso

Did you know that about 300,000 Facebook accounts are hacked or cloned daily? A day does not go by without someone messaging me on Facebook, looking for help with their hacked or cloned Facebook account. In today’s digital age, protecting your Facebook account from cloning and hacking is more crucial than ever.

Introducing the New Telemedicine Codes

Coding Corner

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

On April 30, 2020, the Centers for Medicare and Medicaid Services (CMS) issued a second Interim Final Rule in response to the COVID-19 pandemic. This expanded the extensions and waivers related to the use of telemedicine services and was predominantly in response to stakeholder feedback

Innovation and Creativity – It’s Everyone’s Responsibility

From the Road

By Dave Jakielo

Today’s business environment changes by the hour, and you need to be willing to change right along with it, so remember – status quo is no, no, no. In the past, experience meant everything, but not anymore. For continued success, you will need a combination of experience and wisdom.
Quarter 1 2025 - Volume 30, ISSUE 1 Cover
Listen to this Issue
Loading
0:00
0:00
Setting Goals and Using HBMA Resources
Spotlight on the Compliance and Ethics Committee
Highlights of HBMA’s 2024 Accomplishments with More to Come in 2025
How RCM Companies Should Evolve in the AI Revolution Era
Move Beyond Coding with CAC
Building Effective Retention Strategies in Healthcare Through Training and Development
How the 2024 Election Results Impact the RCM Industry
The Importance of HIPAA-Compliant Safeguards
How to Protect Your Facebook Account from Hacking and Cloning
Introducing the New Telemedicine Codes
Innovation and Creativity – It’s Everyone’s Responsibility
Access Back Issues of RCM Advisor
Quarter 1 2025 - Volume 30, ISSUE 1
HTML version