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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Medical Billing Automation - Is It Legal with EHRs?
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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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Why are RCM dashboards so rarely done well? With so few people giving highly positive ratings of them? It's not like medical billing dashboards are new. In this podcast we'll walk through what a dashboard, when you should create one, and start to break down what makes great reporting.
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Can EHRs Stop Automated Scraping of Data?
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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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Why is GenAI Taking Off Faster than Analytical AI?
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What is GenAI (like ChatGPT) taking off faster than analytical AI (like machine learning ML) in medical billing? We'll discuss which has more value in RCM, the pluses and minuses of each, and some counterintuitive reasons why it is getting tested and adopted faster than ML AI.
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What options are a good fit for medical billing advertising? We'll explore some of the most common options and whether they would benefit growing your medical billing company.
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Denials, Payer AI, and Assassination
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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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RCM Marketing Strategy - Effective Targeting
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Many still seem to struggle with effective targeting in the medical billing arena. So what are the levers or variables involved? How can you find a good target market to carve out a successful positioning and differentiation? We'll give you some suggestions on how to do this effectively.
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Medical Billing Advertising - Is TikTok Right for Your Business?
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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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Buying Medical Billing Leads - Numbers Deep Dive
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Part 3 of 3 part series on buying medical billing leads. In prior episodes we discussed whether this is a good medical billing marketing strategy, then top tips for improving your results if you are going to do it, and this episode is a deep dive into the numbers. CAC, ROI, CLV, and more.
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What Is The Best Channel for Medical Billing Marketing?
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I frequently get this question. In this podcast we'll dive into what is the "best" channel and what criteria are involved in determining the "best".
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Why Isn't Medical Billing Automation Taking Over?
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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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Buying Medical Billing Leads - 5 Tips to Succeed
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In another podcast we have discussed why buying medical billing leads may not be the marketing strategy slam dunk people think it is. But if you are going to do it, we'll give you the top 5 tips to succeed doing it (or at least significantly improve your results).
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Live Denials Q&A 11/7/24 - DRG Trends, Telehealth Changes + Tech Trends
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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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Improve Trade Show ROI - Top 10 Actionable Tips
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In one of our other podcasts we suggested exhibiting at trade shows may not be the best medical billing marketing strategy. But if you're going to do it, here are the top 10 tips on how to dramatically improve your lead generation rate and ROI.
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A message for those of you in the US...Today is election day.
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10/30/24 Live Q&A Mastering Payer Defense
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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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Is AI Good at Medical Billing Marketing Strategy?
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Gen AI and ChatGPT are getting tons of attention. How good is AI at doing medical billing marketing strategy? We test it and see how it performs and make suggestions.
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Buying Medical Billing Leads - A Good Marketing Strategy?
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Many companies buy medical billing leads, or at least have considered it. The question is whether this is a good marketing strategy. We'll explore the pluses and minues.
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Medical Billing Companies are Rarely Good at Marketing or Sales
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People think medical billing marketing and sales are difficult, but your competition is terrible at this. The reality is it isn't that tough and in this episode I share a story that illustrates why I think most medical billing marketing stinks.
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Tech-Enabled RCM, Live Webinar (Recorded 10/18/24)
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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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Why Targeting Marketing is So Hard for Medical Billing Companies
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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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Live Denials Q&A 10/15/24 - Tips for Denial Beginners
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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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Don't Update Your Website - Sound Crazy?
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When should you update your website or create a new website? If you're thinking about medical billing marketing strategies, will a better website increase your sales? Listen to find out.
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Should Your Medical Billing Business Hire a Salesperson?
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You want to grow your medical billing company. When people think grow they think sales, when they think sales they think salesperson. Is this the right approach for your business? Listen to find out our thoughts.
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Billing Companies, Automation, and AI - Are They Overstating Their Capabilities?
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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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Live Denials Q&A 10/3/24 - Tackling Tough Denials
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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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Should Your Medical Billing Marketing Be Targeted?
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Most medical billing companies take any and all comers, they are opportunistic and will do everything from family practice to pain management to ophthalmology. But is this a good idea from a marketing standpoint if you are trying to grow more quickly? Listen to find out our thoughts.
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Ep. 34 Maximizing Provider Revenue with Payer Contract Insights
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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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Live Denials Q&A 9/17/24 - Utilizing Contracts When Resolving Denials
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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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Medical Billing Company Branding - Good Idea?
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Does your medical billing business need branding? Should you invest in this? I've heard many billing companies tell me they want to be seen by their clients and prospective clients and that this is really important. But is it? We'll dive into what this really means and the benefits and costs of branding.…
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Ep. 33 Insurance AR: Claims with No Response
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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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Live Denials Q&A 9/5/24 - Hospice, SNF, Home Health denials + takebacks
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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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How Smart is Generative AI - an RCM Case Study
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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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Should RCM Exhibit at Clinical Conferences?
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Most medical billing marketing starts with exhibiting at trade shows. But is this a good investment for your medical billing business? We'll explore the pluses and minuses and give you the answer.
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Is generative AI something you should jump into right now? Where is it applicable to RCM? Where could your technology focus be right now to get the most ROI?
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Live Denials Q&A 8/1/24 - Navigating Out of Network Denials
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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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Ep 32 Tech-Enabled RCM: Tips and Solutions with Mike Marshall + Vanessa
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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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Live Denials Q&A 7/16/24 - payer denial trends creating complexity
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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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Ep. 31 Patient Accounts Receivable
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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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Ep. 30 Denials/AR Introduction + FTLORC Announcement
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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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Live Denials Q&A 6/18/24- telehealth billing guidelines, claim rejection challenges, & denial resources
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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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Live Denials Q&A 6/6/24 - timely filing, authorizations & credentialing
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During today's live Q&A we had some great discussion about important denials that you and your organization are probably experiencing. We had some great interaction with 28 attendees. Check out the conversation!
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Extra Episode: Reducing the Denial Headache with Corey Feldman, founder of Covered Health
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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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*Special Episode - Stop Revenue Leakage
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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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Ep. 29 Season 3 Kickoff + Big Announcement
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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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Will Automation Wipe Out RCM Industry?
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There had been a lot of hype and some concern that automation will wipe out the medical billing / RCM industry. We'll explore is that real and what implications are for medical billing companies.
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How does RCM move away from being an industry primarily of body shops? What does performance mean in revenue cycle and how do you get there?
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What's a body shop in rcm? And why are so many cycle management companies and even departments set up as body shops? We'll discuss the implications and eventually get to an alternative.
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If you have comments or suggestions please send them over to us we would love to hear from you.
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