Welcome back RevDivers! Tune in to hear Paola Turchi, the RCM Solutions Lead at Notable. Highlights: Key challenges in revenue cycle management within the healthcare sector. In-depth discussion on managing prior authorizations effectively. Strategies to improve patient collections and satisfaction. The role of technology in streamlining healthcare …

Welcome back RevDivers! Tune in to hear Anne Saulnier, CEO, and John Hobart, Co-Founder, of HexIQ. Discussion on healthcare payment data transparency with Anne and John from Hex IQ. Insights into the Transparency in Coverage Rule and its impact on the healthcare industry. The role of accessible data in empowering healthcare providers and practices.…

Welcome back RevDivers! Tune in to hear Kim Grana, Chief Executive Officer, and Marie Price, Vice President of Operations, at Valley Oaks Medical Group. Discusses the rapid growth and innovative patient-centered care approach of Valley Oaks. Insights into their unique strategy in healthcare management and value-based care. Lessons in leadership and…

Welcome back RevDivers! Tune in to hear Craig Wiberg, Senior Manager, Digital Events at MGMA as he gives a sneak peek of the MGMA Leaders Conference 2023. Elevate Your Leadership Skills Network with Industry Experts Access Valuable Resources Participate in Workshops & Sessions Book Launch Party: "Advanced Strategies for Financial Management" How to…

Welcome back to RevDive! Listen to hear Charles Gellman, CEO and Chief Patient Advocate of HIDO Health as they talk about AI-assisted robotics, remote patient montoring, and tech that can reshape the healthcare system. What you’ll get out of this episode: Dive deep with Kem Tolliver & Charles Gellman. Discover the future of healthcare with HIDO's A…

Welcome back to RevDive! Listen to hear Russ Thomas, Chief Executive Officer at Availity discuss proactive revenue cycle management, reducing denials and overpayments, and the critical importance of payer-provider collaboration in healthcare What you’ll get out of this episode: - Latest episode features Russ Thomas from Availity discussing future o…

Welcome back to RevDive! Listen to hear Ed Marx, Chief Executive Officer at Marx Advisory discuss healthcare technology advancements and philanthropy. What you'll get out of this episode: - "Voices of Innovation" is a book featuring inspiring stories of healthcare technology advancements. - The book showcases a practical innovation framework with r…

Welcome back to RevDive! Listen to hear Andrew Lockhart, Co-Founder and CEO at Fathom Health discuss AI and it's implications in the coding world. What you'll get out of this episode: AI is enhancing medical coding efficiency and workflows Tackling coder shortages, allowing staff to focus on challenging tasks How AI's predictive insights are improv…

Welcome back to RevDive! Listen to hear Matthew McCreith, Strategic Partner at Schooley Mitchel discusses how organizations can save money and address overlooked costs. What you'll get out of this episode: Billing errors and frequency Client perspective on scrutinizing invoices Challenges with managing invoices and contracts Impact of incremental c…

Welcome back to RevDive! Join as Dr. Mary Awuonda, Associate Professor at Howard University College of Pharmacy discusses how she's pioneering a revenue cycle curriculum to prepare a public informatics workforce. What you'll get out of this episode: Dr. Awuonda’s background Preparing a public informatics workforce at Howard University The PHIT4DC p…

Welcome back to RevDive! Join as Jeffrey Miller, JD, Director in Charge at Granite GRC & Vidal Lupian, Director of Information Technology at Granite GRC join RevDive to discuss data & data security in healthcare. What you'll get out of this episode: Financial data elements in healthcare that matter How to keep your data protected, and what makes da…

Welcome back to RevDive! Join as Richard Palarea, CEO at Kermit joins RevDive to discuss challenges & solutions in supply chain management. What you'll get out of this episode: His background & the background of Kermit The trending supply chain challenges including high margins, staffing shortages, and more What work flow optimization is looking li…

Welcome back to RevDive! Join as Dr. Jonathan Baktari, MD - Healthcare CEO, Preventative Medicine Expert, Host of Baktari MD joins RevDive to discuss Healthcare's Balancing Act - Navigating Consolidation, Reimbursements, and Non-Physician Providers. Episode Summary: In this episode, we discuss care delivery evolution and the impact of consolidation…

Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. In this episode Taya & Kem focus on the topics that are critical for success in 2023 including professional development, recruiting talented staff, maintaining company culture and mor…

Welcome back to RevDive! Join as Eric Demers, CEO at Madaket Health joins RevDive to discuss the intersection of technology & healthcare management. Eric Demers is the CEO of Madaket Health. He believes we can transform healthcare delivery through the power of data and interoperability. With more than 25 years of global healthcare experience, Eric …

Welcome back to RevDive! Join as Claire Ernst, JD, Director of Government Affairs at MGMA joins RevDive to give another Spill from the Hill. The healthcare industry awaits publication of the 2023 CMS Final Rule later this year. As we await what's to come, our guest sheds light on anticipated changes expected within the payment formula which will im…

Episode Details: Join in as Rae Jimenez discusses important updates to coding, effective in 2023. Say goodbye to components of 1995 and 1997 documentation guidelines, and say hello to standardized documentation. Rae expresses that an important metric for efficiency and quality of care is the proper understanding and application of coding guidelines…

Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is answering a question directly from our RevDivers! Julie Collins, Innovation Consultant & Lead Faculty for National Science Foundation (NSF) & National Institutes of…

Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is Scott Becker of Becker’s Healthcare and McGuire Woods, LLP. Join in as healthcare celebrity Scott Becker talks about how he and his team created the Becker's Health…

Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is James Lineberger, Executive Director for Anesthesia Associates of Boise. Join in as James talks about the top four pitfalls that leaders fall into when assessing da…

Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is Kevin Mulcahy, Senior Director of Payer Relations, Special Billing & Provider Enrollment for Mass General Physician Organization. Kevin discusses the trickle-down e…

Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is Kevin Dedner, Founder and CEO of Hurdle Health. Mr. Dedner talks about the revolutions his company has been making in virtual therapy services, publishing “The Joy …

Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is Amy Weiser, lead project coordinator at Quality Insights for the QPP service project. Ms. Weiser explains what a Quality Improvement Organization (QIOs) is and how …

Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is Alexandra Pecci, freelance writer for Health Leader Media and other top health news outlets. Ms. Pecci takes her experience from interviewing health industry leader…

What you’ll get out of this episode: What is “cyber hygiene” and how do we achieve good cyber hygiene? How is employee burnout impacting cybersecurity risk? Are cybersecurity policies worth the expense? How do we protect ourselves from third-party breaches? Quotables “Bad Actors are targeting healthcare providers and systems because they know it ha…

Chances are, like the rest of the industry, you are seeing significant payer delays. In this episode, Sharon Smith, Practice Manager at Virginia Beach Surgery explains the impact of payer delays and how to tackle these issues with payers. What you’ll get out of this episode: How do untimely payments impact the revenue cycle? The role that clean cla…

This episode is for revenue cycle leaders, operational leaders and those looking for ways to innovatively approach denial management and operational challenges. In this episode we talk to Lamont Louis, Chief Operating Officer for Physician Services for Einstein Physicians at Jefferson Medical Group in Philadelphia, PA. Mr. Louis talks about identif…

All practices, hospitals, and health systems this is a critical and timely episode. Claire Ernst, Director of Government Affairs breaks down the legislation passed last night by Congress which waived and delayed several looming cuts to Medicare reimbursement for 2022. She covers the PAYGO 4% cuts, conversion factor changes, sequester delays and pha…

Details: Listen in as we hear from Physician and Attorney Reza Ghafoorian on strategies to minimize alarm fatigue while remaining compliant with not so obvious threats that may leave healthcare providers vulnerable to cyberattacks. Our guest gives insight on industry best practices to remain vigilant in protecting your brand and Protected Health In…

Details: Luigi Leblanc joins us for a discussion right at the intersection of public health and technology. How can we optimize use of technology, how is technology being used for niche services, how are programs changing to drive reimbursement for these? Find out the answers to these and more in this episode of RevDive! Interviewee: Luigi Leblanc,…

Details: Hi there RevDivers, join us as we learn how to become more brave as leaders with the help of Master Hudson Coach, Nicole Bianchi, author of Small Brave Moves. Interviewee: Nicole Bianchi, Partner at Bravium and author of Small Brave Moves Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive. Sponsore…

Details: Hi there RevDivers, join us as we chat about engaging physicians in RCM discussions with Jill Arena, noted author of Physician Heal Thy Financial Self & CEO & Founder of Health e Practices. Interviewee: Jill Arena, CEO & Founder of Health e Practices Find out more in this timely episode and subscribe for future #RevCycle updates with RevDi…

Details: Hi there RevDivers, listen in as Dawn Lunde shares her experience in improving the patient payment experience while integrating patient engagement and health literacy into RCM to develop an informed consumer. Interviewee: Dawn Lunde, Senior Director, Sales Strategy Ability Network Find out more in this timely episode and subscribe for futu…

Hi there RevDivers, join us as we interview Doral Jacobsen, founding partner at Prosper Beyond and co-author of MGMA’s “Transitioning to Alternative Payment Models” guidebook. Doral chats with us about the importance of payer contracting and provides some great tips and tricks for when you reach out to negotiate those agreements! Find out more in t…

Today's Guest: Craig Wiberg, Senior Editor at MGMA Hi there RevDivers, join us as we interview Craig Wiberg, the legend behind MGMA’s excellent educational content! The October MGMA conference will look very different this year and Craig takes us through all the key things attendees can expect from this in person event! Find out more in this timely…

Today's Guest: Susan Childs, Founder & Healthcare Practice Advisor at Evolution Healthcare Consulting Hi there RevDivers, join us as we interview Susan Childs, author of Common Nonsense and national practice management consultant. Susan is an expert on revenue cycle, emotional intelligence, and all areas of practice operations. Find out more in thi…

Today's Guest: Laurie Baedke. A noted speaker for Harvard Medical School and Cleveland Clinic, author of the Emerging Healthcare Leader, Growth/Edge Podcast Host and Assistant Dean of Physician Leadership Education and Director of Healthcare Leadership Programs at Creighton University. Hi there RevDivers, join us as we interview Laurie Baedke. As a…

Our Guest: Eric Bricker, MD, Chief Medical Officer at First Stop Health Details: Hi there RevDivers, we had the extreme pleasure of chatting with Dr. Eric Bricker, or as he is better know the Whiteboard Doctor! Dr. Bricker talks everything from price transparency to the importance of objectivity. Fun fact, Dr. Bricker started his career in revenue …

Join us as Claire Ernst, JD shares legislative updates on the recently announced CMS 2022 Proposed Rule that includes proposed changes to the Medicare Physician Fee Schedule, Telehealth and Congressional updates. Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive. Sponsored by: it's Healthcare & Medical Rev…

Hi there RevDivers, join Taya for a super speedy review of four proposed rules dropped by CMS in July. Changes to payments, documentation, telehealth services, rural hospitals and more, in this quick and informative recap. Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive. Sponsored by: it's Healthcare & M…

The public health emergency has created new opportunities to buy and sell medical practices. Today we’ll discuss factors to consider on both sides of this type of transaction. Today's guest, Stephen Kaufman, Esq., Partner at Wright, Constable & Skeen, LLP has seen it all and shares some best practices for buying and selling medical practices in thi…

Join us today as we take a look at the interim surprise billing rule issued July 2, 2021 and OSHA’s Emergency Temporary Standard on COVID-19. Both would be mandatory once finalized and both require significant changes to practice workflows. Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive. For more inform…

Join us as we chat with Lucien Roberts and gain valuable insights on the challenges facing practices seeking prior authorization and gold-card status. Lucien is the lively practice administrator at Gastrointestinal Specialists in Virginia, former president of the Virginia MGMA chapter, Legislative Advocate Award winner, writer and speaker for Physi…

Join us as legislative and regulatory expert Claire Ernst provides the current Spill from the Hill discussing hot topics in congress including: Potential Prior Authorization changes Telehealth restrictions Sequestration Comprehensive Debt Collection ...and more! Find out more in this timely episode and subscribe for future #RevCycle updates with Re…

This episode is a continuation of episode #2, part 1, that focused on activities that may be included in time-based scoring of evaluation and management codes (E & M). We discuss the recent E & M clarifications published by the American Medical Association (AMA) that provide further guidance on the use of Medical Decision Making as a factor for lev…

In this part 1 episode, Taya Moheiser and Kem Tolliver dive into the changes related to time-based coding of evaluation and management codes. What time counts? What time doesn't count? When did this change become effective? Find out in this timely episode and subscribe for future #RevCycle updates with RevDive. For more information on critical RCM …

In this episode, Taya Moheiser and Kem Tolliver discuss the recent vote by Congress to extend the moratorium on the two percent sequestration cuts to Medicare programs. CMS put a hold on payments in anticipation of the delay and it was approved. So what does this mean long term? How long is the extension? What happens after it expires? Find out in …