President's Message
By Landon Tooke, CPCO, CHC
Medical billing, a critical and complex component in the healthcare industry, often presents as an intricate puzzle to both healthcare providers and patients. On one side, healthcare providers dedicate their time and skills to deliver essential services.
Around the HBMA
By Susan Bailie, CHBME, Chair
HBMA developed the CHBME program in 1994 to encourage billing and management professionals to continuously update their knowledge base of the complicated governmental regulations and business requirements of the healthcare billing industry.
Topic: Share with us your best practices on dealing with inconsistent information from payors and getting issues resolved.
Topic: Share with us your best practices on dealing with inconsistent information from payors and getting issues resolved.
Around the HBMA
Photo highlights from the Spring 2023 O&M Meeting in scenic Dana Point, California.
Around the HBMA
On April 26th, HBMA participated in a meeting with the GAO to provide feedback on the No Surprises Act (NSA) Independent Dispute Resolution (IDR) process.
September 26-28, 2023
HBMA's annual Revenue Cycle Management conference is back and celebrating our 30th year! Join HBMA's current leadership and past presidents for an event to remember!
Feature Story
Financial and operational challenges are plentiful within today’s healthcare organizations. Consequently, billing companies are feeling the pain downstream as provider margins are squeezed.
Considering Artificial Intelligence in the RCM Industry
Is it imperative that RCM businesses adapt to the future of Artificial Intelligence (AI), Robotic Process Automation (RPA), and machine learning? For RCM billing owners, this includes reviewing AI tools, RPA, machine learning, predictive analytics, and other new coding tools coming to market every year.
Feature Story
In the world of choral music, success comes not from the power of individual voices but rather from the collective harmony and coordination of all its members... This is not dissimilar to the challenges and opportunities that healthcare managers face when trying to cultivate an engaged and committed workforce.
How to Protect Yourself
Deepfake or synthetic videos are a scary new form of technology that criminals use to commit blackmail and identity theft cyber scams. Deepfakes have been around for a while, with people using them for entertainment purposes...
Feature Story
This article will explore a new paradigm developing within the universe of the patient/provider experience, and how healthcare providers and organizations are responding to compete for market share.
Press Release
By Reprinted from the American Medical Association
New AMA survey results illustrate a critical need to streamline the prior authorization process and eliminate low-value requirements to minimize waste, delays, and disruptions in care delivery.
Government Affairs
Site-neutral payments for outpatient services have resurfaced as a potential bipartisan priority for Congress. This is the most significant legislative activity on this topic since Congress passed legislation that would reduce payments for off-campus hospital outpatient departments established after the legislation became law in 2015.
Compliance Issues
There are several opportunities and areas within the healthcare industry where artificial intelligence (AI) is rapidly growing. For example, Microsoft and Epic recently announced plans to integrate generative AI into Epic’s electronic health record (EHR) software.
Coding Corner
By Melody W. Mulaik, MSHS, RCC, RCC-IR, CPC, COC
After three long years, the COVID-19 Public Health Emergency (PHE) officially ended on May 11, 2023. This ending starts the transition back to many pre-COVID regulations; some went into effect immediately on May 12th, while others will phase out at the end of 2023 or 2024.
From the Road
In my article in the January issue of RCM Advisor, I outlined four ideas that could help streamline our complex healthcare system. In this article, I have some additional recommendations to lower costs, bring further efficiencies to the system, and reduce administrative burdens.
Around the HBMA
Current list of all HBMA Vendor Members.
