Accredited and compliant.
See how we work with top accredited organizations to keep your practice HIPAA compliant.
HBMA Congratulates Advanced Pacific Medical on Compliance Reaccreditation
01/28/2023 Advanced Pacific Medical Billing, LLC recognized for program to protect patient privacy, prevent medical billing fraud, and comply with federal regulations.
(Washington) – Today the Healthcare Business Management Association (HBMA) announced that Advanced Pacific Medical, LLC has earned re-accreditation under the HBMA Compliance Accreditation Program for revenue cycle management (RCM) companies (a.k.a., medical billing and medical practice management companies) and offered its congratulations. The HBMA Compliance Accreditation Program is designed to assess compliance with a range of federal healthcare industry regulations, including provisions to protect patient privacy under HIPAA, promote cybersecurity, and prevent fraud, waste, and abuse in medical billing.
Advanced Pacific Medical just completed the re-accreditation process for 2023. “Having already completed the course last year, made the re-credential process a breeze”, stated Roxanne Smith-Kovac CEO/Owner. “We updated anything that was new and with the guidance of the HMBA program, we are now starting off the new year being compliant in all of our processes. “
“HBMA recognizes that in medical billing and revenue cycle management the security threats and federal regulations are continually expanding and evolving. There are severe consequences for not staying current in this environment. When a company earns HBMA Compliance Accreditation by independent evaluation, it is only valid for one year. To renew their accreditation, Advanced Pacific Medical, LLC had to pass another independent evaluation to verify that it still surpasses federal regulations and employs best practices to protect confidential patient medical information, safeguard their data systems, and prevent fraud,” said Emily Osetek, CHBME, FRBMA, president of HBMA.
Healthcare providers trust and rely on RCM companies to ensure the privacy and security of their protected health information (PHI) and to operate with billing policies and practices that meet regulatory requirements. The HBMA Compliance Accreditation Program independently assesses the participating company’s program to fulfill those obligations. Because change in healthcare and its regulatory environment are constant, accreditation must be earned annually to meet new guidelines and requirements.
The HBMA Compliance Accreditation Program assesses compliance with HIPAA and with Health and Human Service Office of Inspector General compliance standards on fraud, waste and abuse; the Stark Law, which is designed to prevent conflicts of interest by medical providers in their prescribed patient care; federal Anti-kickback law; and the OIG work plan. The assessment under the HBMA Compliance Accreditation Program includes an annual comprehensive evaluation of the policies and practices of RCM companies with respect to employee training; security risks, including the security of confidential patient health information; documentation storage and handling; practices to promote compliance with federal regulations; disaster and emergency preparedness plans; and human resources practices, including background check procedures and onboarding.
About Advanced Pacific Medical, LLC
Advanced Pacific Medical is a Healthcare Management/RCM company based in San Diego, CA. We serve practices in Hawaii and California and specialize in Behavioral Health, Internal Medicine, Physical Therapy, Rheumatology and Pulmonary Critical Care. “Our focus is on payer trends, financial outcomes and a dedication to personalized customer service,” said Roxanne Smith Kovac, CEO/Owner of Advanced.
About the Healthcare Business Management Association (HBMA)
HBMA is a non-profit, member-led trade association of companies that support doctors and other medical providers by handling their medical billing and revenue collection processes, services known as revenue cycle management (RCM). HBMA works with legislative stakeholders and federal agencies in Washington, D.C. to improve the business of medical billing and the practice of healthcare. Since its inception in 1993, HBMA and its members have encouraged professional development and adherence to the HBMA Code of Ethics, advocated on behalf of the RCM profession, and promoted business development through educational events, networking opportunities, certification programs, and a wide range of affiliated vendor resources. For more information about HBMA, visit the www.hbma.org.
HBMA was formed in 1993 by a core group of individuals who had a vision of a forum, rich in resources, to guide their collective efforts towards a highly professional image within the medical community.
Over the past decade HBMA has responded to the many challenges facing our industry. No longer does this industry live in a world of super bills and paper claims, but rather in a world of electronic claims and remittance. Technology now rules the world of medical claims processing and HBMA is central to not only managing the adjudication of claims, but the rules that govern the process.
(Washington) – Today the Healthcare Business Management Association (HBMA) announced that Advanced Pacific Medical, LLC has earned re-accreditation under the HBMA Compliance Accreditation Program for revenue cycle management (RCM) companies (a.k.a., medical billing and medical practice management companies) and offered its congratulations. The HBMA Compliance Accreditation Program is designed to assess compliance with a range of federal healthcare industry regulations, including provisions to protect patient privacy under HIPAA, promote cybersecurity, and prevent fraud, waste, and abuse in medical billing.
Advanced Pacific Medical just completed the re-accreditation process for 2023. “Having already completed the course last year, made the re-credential process a breeze”, stated Roxanne Smith-Kovac CEO/Owner. “We updated anything that was new and with the guidance of the HMBA program, we are now starting off the new year being compliant in all of our processes. “
“HBMA recognizes that in medical billing and revenue cycle management the security threats and federal regulations are continually expanding and evolving. There are severe consequences for not staying current in this environment. When a company earns HBMA Compliance Accreditation by independent evaluation, it is only valid for one year. To renew their accreditation, Advanced Pacific Medical, LLC had to pass another independent evaluation to verify that it still surpasses federal regulations and employs best practices to protect confidential patient medical information, safeguard their data systems, and prevent fraud,” said Emily Osetek, CHBME, FRBMA, president of HBMA.
Healthcare providers trust and rely on RCM companies to ensure the privacy and security of their protected health information (PHI) and to operate with billing policies and practices that meet regulatory requirements. The HBMA Compliance Accreditation Program independently assesses the participating company’s program to fulfill those obligations. Because change in healthcare and its regulatory environment are constant, accreditation must be earned annually to meet new guidelines and requirements.
The HBMA Compliance Accreditation Program assesses compliance with HIPAA and with Health and Human Service Office of Inspector General compliance standards on fraud, waste and abuse; the Stark Law, which is designed to prevent conflicts of interest by medical providers in their prescribed patient care; federal Anti-kickback law; and the OIG work plan. The assessment under the HBMA Compliance Accreditation Program includes an annual comprehensive evaluation of the policies and practices of RCM companies with respect to employee training; security risks, including the security of confidential patient health information; documentation storage and handling; practices to promote compliance with federal regulations; disaster and emergency preparedness plans; and human resources practices, including background check procedures and onboarding.
About Advanced Pacific Medical, LLC
Advanced Pacific Medical is a Healthcare Management/RCM company based in San Diego, CA. We serve practices in Hawaii and California and specialize in Behavioral Health, Internal Medicine, Physical Therapy, Rheumatology and Pulmonary Critical Care. “Our focus is on payer trends, financial outcomes and a dedication to personalized customer service,” said Roxanne Smith Kovac, CEO/Owner of Advanced.
About the Healthcare Business Management Association (HBMA)
HBMA is a non-profit, member-led trade association of companies that support doctors and other medical providers by handling their medical billing and revenue collection processes, services known as revenue cycle management (RCM). HBMA works with legislative stakeholders and federal agencies in Washington, D.C. to improve the business of medical billing and the practice of healthcare. Since its inception in 1993, HBMA and its members have encouraged professional development and adherence to the HBMA Code of Ethics, advocated on behalf of the RCM profession, and promoted business development through educational events, networking opportunities, certification programs, and a wide range of affiliated vendor resources. For more information about HBMA, visit the www.hbma.org.
HBMA was formed in 1993 by a core group of individuals who had a vision of a forum, rich in resources, to guide their collective efforts towards a highly professional image within the medical community.
Over the past decade HBMA has responded to the many challenges facing our industry. No longer does this industry live in a world of super bills and paper claims, but rather in a world of electronic claims and remittance. Technology now rules the world of medical claims processing and HBMA is central to not only managing the adjudication of claims, but the rules that govern the process.
HBMA Goes to Washington!
Eighty HBMA members traveled to the Hill to hold meetings with their congressional representatives or aides, for a total of 120 meetings. Key topics discussed were: a) the strong possibility of a 27% cut in Medicare reimbursement effective January 1 due to the Sustainable Growth Rate (SGR) index as a payment foundation, and ramifications of such, and b) Administrative Simplification – with so much duplication in the credentialing and enrollment processes.
The Opening Keynote for the HBMA conference was given by Speaker Newt Gingrich. He emphasized how we live in a fast-paced electronic world, yet CMS still conducts paper based audits. He spoke about the need for “intelligent innovation,” going to the people outside of Washington with the most knowledge in a given area. He referred to innovators in this country such as Henry Ford, Thomas Edison, the Wright brothers, and others, and all the failures they endured before achieving their successes. Speaker Gingrich stressed the importance of trying out new ideas, experimenting, and the need of having citizens bring answers to Washington rather than looking to Washington for answers. He stated, “I always believe you walk in with solutions.” Washington can implement solutions rather than address problems; there are always too many issues and no time to find answers.
The Opening Keynote for the HBMA conference was given by Speaker Newt Gingrich. He emphasized how we live in a fast-paced electronic world, yet CMS still conducts paper based audits. He spoke about the need for “intelligent innovation,” going to the people outside of Washington with the most knowledge in a given area. He referred to innovators in this country such as Henry Ford, Thomas Edison, the Wright brothers, and others, and all the failures they endured before achieving their successes. Speaker Gingrich stressed the importance of trying out new ideas, experimenting, and the need of having citizens bring answers to Washington rather than looking to Washington for answers. He stated, “I always believe you walk in with solutions.” Washington can implement solutions rather than address problems; there are always too many issues and no time to find answers.
Roxanne is a Certified Healthcare Business Management Executive
CHBME Certification through HBMA is committed to the development and delivery of the highest quality educational program in the industry. As the professionals in the third party medical billing industry continue to strive for excellence, HBMA offers the opportunity for its Members to participate in the Certified Healthcare Business Management Executive (CHBME) Program, aimed at demonstrating to your peers - and most of all, your current and prospective clients - that you are dedicated to continuing professional education in this fast-changing, challenging industry. This rigorous program not only enhances the healthcare billing and management industry's image within the wider healthcare community, but it also offers HBMA members an additional way to differentiate themselves from other billers, boosting their edge in this increasingly competitive field.The Certified Healthcare Business Management Executive (CHBME) is designed for owners, senior management and compliance professionals of HBMA Member Companies. Participants in the CHBME Program have 3 years to earn the CEU's necessary to re-certify. HBMA offers a variety of educational programs annually that offer credit toward this program.
Advanced Pacific Medical, LLC
Toll Free (866) 284-2771
Fax (800) 334-1041
Toll Free (866) 284-2771
Fax (800) 334-1041