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Podcast about the finance and technology of healthcare. We cover revenue cycle management (RCM), how to grow an RCM business, technology and analytics including artificial intelligence for RCM, as well as general consulting and scalable reliable process design. Written version of these podcasts are available on our blog at https://voyanthealth.io/blog
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Did you ever wish that you had a physician revenue cycle expert and mentor with over 20 years of experience whispering success secrets in your ear? That’s exactly what you will get when you tune into For the Love of Revenue Cycle hosted by me, Vanessa Moldovan. My career and my life have brought me a wealth of knowledge and I can’t wait to share with you. My passion is to help others in the industry to reach their full potential and find success in the wonderful, crazy world of physician rev ...
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Providers are at a disadvantage when it comes to navigating the complex and constantly changing world of revenue cycle. The Revenue Cycle Truth PodCast takes a look at trends and covers engaging content with leaders in the industry! This PodCast is hosted by Parathon.
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Revenue Cycle Management (RCM) is a leading medical billing company committed to assisting healthcare providers in enhancing their revenue cycle and boosting their financial performance. We provide a wide range of comprehensive services for revenue cycle management, as well as advanced healthcare IT products and digital marketing solutions. Our dedicated team of experts is here to support you in optimizing your revenue cycle process to maximize reimbursements and minimize the ratio of denied ...
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show series
 
We recently did a podcast about whether EHR vendors stop you from doing medical billing automation to extract your data. One question was whether it was illegal to scrape data. In this podcast we do a real deep dive on legality and the contract language that may say you cannot extract data. Another question we hit is whether you can push data using…
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A lot of organizations are scraping data (RPA automation) from their practice management PMS / EHR. This includes providers who want their own data and have issues with the system vendor, as well as RCM companies and software vendors like analytics platforms. But are they allowed to do this? Do EHR vendors have contracts that prevent this? Would th…
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The murder of the CEO of United Healthcare has re-ignited a discussion about denials and bad payer / insurance company behavior, and AI is at the center of it. We'll discuss UHC's denials AI, the broader application of AI in denials, whether it is problematic, and why. And finally a little on what you can do about it.…
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TikTok and other media platforms like Discord are really hot. Everyone is on them, right? Is advertising for medical billing on new media platforms a good call for your business? Listen to find out specifically about TikTok, but more broadly how we think about evaluating particular channels and media.…
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Talk about technology, automation, and AI is everywhere in the medical billing industry, including around half the presentations at the HBMA this year. So why hasn't it taken over? Why are so few companies doing it and even then for such a small percent of the processes? Listen to find out, which should lead you to your solution.…
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Episode Overview: In this episode, we dive into the latest trends and challenges in the world of healthcare denials, focusing on payer-driven issues and solutions. The discussion spans denial trends, specifically around inpatient DRG downgrades, and the nuances of navigating denials and claim processes. We also cover technology gaps, regulatory shi…
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Mastering Payer Defense In this episode, Vanessa Moldovan, CEO and founder of 'For the Love of Revenue Cycle,' dives deep into the complexities of downcoding and mastering payer defense strategies. She discusses essential steps including understanding contracts, interacting effectively with payers, and leveraging legal options and state insurance c…
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Transforming Healthcare Revenue Cycle with Technology and Human Expertise Join Vanessa Moldovan, CEO and founder of For the Love of Revenue Cycle as she delves into the intersection of innovative technology and Revenue Cycle Management (RCM). Discover the critical role of technology such as Artificial Intelligence (AI), Large Language Models (LLMs)…
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We did a prior podcast on the benefits of targeted medical billing marketing. For most, this becomes a "duh!" moment after thinking about the pluses and minuses. Then why are so few billing companies doing it and why do some even after hearing the rationale continue to shotgun the market unsuccessfully?…
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Mastering Medical Billing: Overcoming Claim Denials and Utilizing Key Resources In this comprehensive episode, we dive deep into various medical billing challenges and solutions. Key discussions include handling billing issues with UnitedHealthcare, specifically around lab claims and CLIA validation, and addressing billing problems with Medicare Ad…
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I recently attended the HBMA (healthcare billing management association) national conference and heard a bunch of billing companies talk about automation and AI. But how many are really experts in this? How many are really even deploying these technologies in any reasonable scale? Listen to find out.…
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In this engaging podcast episode, participants dive deep into the complexities of denial management and revenue cycle strategies. Led by Vanessa Moldovan, a discussion unfolds around real-world challenges in handling denials and retractions within the healthcare finance sector. Key topics explored include the importance of working in denial managem…
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Maximizing Provider Revenue with Payer Contract Insight In this episode of 'For the Love of Revenue Cycle,' host Vanessa Moldovan shares essential insights on how to maximize provider revenue by understanding and leveraging the nuances of payer contracts. Topics covered include addressing prior authorization denials, navigating payer reimbursement …
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In this episode of the bimonthly Denials Q&A, host Vanessa discusses her extensive experience and expertise in handling denials, focusing on changes and challenges in the field. She emphasizes the importance of understanding contracts, payer guidelines, and exploring new technologies to improve denial management. Vanessa shared insights on leveragi…
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Navigating Insurance AR: Tackling Claims with No Response In this episode, Vanessa Moldovan, CEO and host of 'For The Love of Revenue Cycle,' delves into the intricacies of Insurance Accounts Receivable (AR), focusing on claims with no response. Vanessa explains the significance of managing AR to maintain financial health and provides practical str…
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In this episode, Vanessa Moldovan, CEO and Founder of 'For the Love of Revenue Cycle,' leads a live Q&A session on handling denials in medical billing. Participants from different sectors of the healthcare revenue cycle, including medical billing for home visits, nursing homes, and surgery centers, discuss challenges they face with denial codes, mo…
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We decided to try and experiment and see how smart a generative AI (GAI) application is. In part because this is a hot topic and we get asked about it frequently, we thought it would be fun to test. We asked a LLM/GAI application whether you need generative AI at this point in RCM or even what would be good applications of it. The answer will aston…
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Show notes for today's live denials Q&A session: The differences in denials and appeals processes between in-network and out-of-network providers Strategies for appealing out-of-network denials, including involving patients and leveraging laws like the Arisa law Trends in payer requests for documentation and potential reasons behind sudden increase…
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Tech-Enabled RCM: Tips and Solutions with Mike Marshall + Vanessa In this episode, Vanessa welcomes Mike Marshall to discuss the intricacies of revenue cycle management (RCM) and the challenges faced by healthcare organizations. Mike is currently the Managing Director of the North American division of e5 Workflow, with a rich background in healthca…
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In this episode, Vanessa Moldovan hosts a Q&A session focused on the challenging issues of denials in revenue cycle management. Vanessa, along with the attendees, discusses the complexities around denial prevention, resolution, and best practices. The session covers specific payer issues, including downcoding by Anthem and Humana, as well as rampan…
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n episode 31 of 'For the Love of Revenue Cycle,' the host discusses patient accounts receivable (AR) in a clinic setting, emphasizing the importance of professional billing over facility billing. Key topics include naming conventions in billing systems, the role and definition of a guarantor, and the nuances between insurance processing and payment…
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Get ready for Season 3 of For the Love of Revenue Cycle, premiering tomorrow with Episode 30! I'm back with a deep dive into denials and accounts receivable in the revenue cycle. Listen in, as I unpack the complexities of denials and their impact on healthcare organizations. I'll share insights from recent industry events and personal experiences, …
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In this episode, we dive into effective strategies for preventing and resolving denials in healthcare billing. Our speakers cover essential tips like checking the place of service, sharing experiences, and networking with other professionals. We explore various types of rejections in healthcare claims, emphasizing the need to understand their origi…
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Corey started Covered Health to automate the most challenging element of appealing denied medical claims by streamlining the access to diverse databases and sources to pinpoint denial root causes. I decided to partner with Covered because we share the same vision: preventing patients from getting stuck with bills that should be covered by their ins…
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Dive into the world of healthcare industry in our special episode of PM Symposium where we uncover the many facets of the revenue cycle. Hosted along with Jennifer McNamara, we discuss the impact of practice managers, the importance of understanding the revenue cycle, and how to combat revenue leakage. We explore some of the major challenges includ…
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Hello friends and welcome to episode 28 of For the Love of Revenue Cycle. Thank you so much for tuning in today! A big welcome back to my loyal listeners and a special shout out if today is your first episode. This season is part of the going back to the basics from season 2. I know that it has been about 5 months since Episode 27 was posted. As yo…
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Hello Friends! Welcome to the kickoff of season 3! I am overwhelmed to still be running this podcast after 2 years. Thank you as always for your support. In this episode, I share what the topic of season 3 will be and share a big announcement. Speaking of the big announcement, here is the link that I reference. https://fortheloveofrevenuecycle.aweb…
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