พอดคาสท์ REVENUE LOVE ชั้นนำ (2024)

1
Live Denials Q&A 10/3/24 - Tackling Tough Denials 53:38

20h ago53:38

53:38

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…

1
Ep. 34 Maximizing Provider Revenue with Payer Contract Insights 32:51

12d ago32:51

32:51

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 …

1
Live Denials Q&A 9/17/24 - Utilizing Contracts When Resolving Denials 52:49

16d ago52:49

52:49

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…

1
Ep. 33 Insurance AR: Claims with No Response 27:49

25d ago27:49

27:49

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…

1
Live Denials Q&A 9/5/24 - Hospice, SNF, Home Health denials + takebacks 50:10

29d ago50:10

50:10

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…

1
Live Denials Q&A 8/1/24 - Navigating Out of Network Denials 57:12

2M ago57:12

57:12

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…

1
Ep 32 Tech-Enabled RCM: Tips and Solutions with Mike Marshall + Vanessa 50:35

2M ago50:35

50:35

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…

1
Live Denials Q&A 7/16/24 - payer denial trends creating complexity 1:00:39

3M ago1:00:39

1:00:39

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…

1
Ep. 31 Patient Accounts Receivable 36:16

3M ago36:16

36:16

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…

1
Ep. 30 Denials/AR Introduction + FTLORC Announcement 27:12

3M ago27:12

27:12

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, …

1
Live Denials Q&A 6/18/24- telehealth billing guidelines, claim rejection challenges, & denial resources 58:33

4M ago58:33

58:33

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…

1
Live Denials Q&A 6/6/24 - timely filing, authorizations & credentialing 1:00:58

4M ago1:00:58

1:00:58

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!

1
Extra Episode: Reducing the Denial Headache with Corey Feldman, founder of Covered Health 19:56

5M ago19:56

19:56

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…

1
*Special Episode - Stop Revenue Leakage 43:51

8M ago43:51

43:51

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…

1
Ep. 29 Season 3 Kickoff + Big Announcement 12:10

11M ago12:10

12:10

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…

1
Ep. 28 Reporting + Analytics 10:16

11M ago10:16

10:16

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…

1
6/5/23 Live Q&A - End of PHE; State of the industry; Operational challenges & more 42:42

1+ y ago42:42

42:42

Hello Rev Cycle Lovers! This episode is a recording of our live Q&A session today. It is raw and unedited, but that does not diminish the great conversation. We discussed some challenges with the end of PHE, operational challeges that cause denials and also different options for assigning individuals within the revenue cycle. We also spent some tim…

1
Ep. 27: Prior Auth, Referrals, Precertification, etc. 16:45

1+ y ago16:45

16:45

In today's episode, we go back to the "Language of Revenue Cycle" to discuss the differences between the concepts of prior auth, referrals, precertification and predeterminations.

1
Technical Difficulties - no episode 4/3/23 0:19

1+ y ago0:19

0:19

1
Thank You For Your Patience... 3:06

1+ y ago3:06

3:06

In this short episode I thank the listeners for their patience while I took some time off and announce the new podcast schedule with new episodes.

1
Announcement 4:33

2y ago4:33

4:33

This is an announcement regarding upcoming changes to the podcast schedule.

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Ep. 26: Revenue Cycle Management with 2022 challenges 32:27

2y ago32:27

32:27

The topic I have today kind of covers several topics. I had a hard time coming up with the title of this episode because it isn’t about just one thing. But let’s just say that if you are struggling with most of the country to run your revenue cycle with staff shortages, crazy payer expectations and the patient as a consumer, then you have come to t…

1
Ep. 25: Institutional vs. Professional Billing 16:42

2y ago16:42

16:42

Today, we are going to talk about some of the differences between institutional vs. professional billing or hospital vs. physician billing. I want to remind you this is very high level and basic. But I think it’s a good introductory into those differences.

1
Ep. 24: Medicare A, B, C and D 18:14

2y ago18:14

18:14

Today, we are going to talk about the various part of Medicare: A, B, C, and D. I’ll share with you what each part is and then share some of the payment or reimbursement models for Medicare.

1
Ep. 23: Appeals 24:57

2y ago24:57

24:57

Today, we are going to discuss appeals. What are they? What is their purpose? What makes a great appeal?

1
Live Q&A 10/4/22 - Free CEUs, accessing payer policies, and more 55:11

2y ago55:11

55:11

During today's live Q&A, we talked about billing emergency visits with procedures in the inpatient setting, options for free CEUs, how to access payer policies and how we can integrate the topic of specialties into the podcast. Great conversation!

1
Ep. 22: Revenue Cycle KPIs 16:54

2y ago16:54

16:54

Today, we are going to discuss five KPIs. Common key performance indicators in physician revenue cycle. We’ll discuss how the KPIs are formulated and how they can be used to maintain an efficient and effective revenue cycle.

1
Ep. 21: Edits, Rejections, Status and Denials 20:17

2y ago20:17

20:17

Today, we are going to discuss edits, rejections, claim statuses and denials. We’ll be taking a look at each concept to understand their differences and how it is so easy to confuse them.

1
Ep. 20: Quick Hit Acronyms HIS, HIM, HIE, HIT 8:04

2y ago8:04

8:04

If you have been in healthcare for more than 10 seconds you know that we love our acronyms. I’ll be sporadically talking about acronyms over the coming weeks. Today’s episode is about the acronyms HIS, HIT, HIE and HIM (and we are throwing a few others in there). Let’s jump in.

1
Zoom Live Q&A 9/20/22 - Welcome back 42:54

2y ago42:54

42:54

This is a recording of our Live Q&A from 9/20/22. We are back after several months off. This is an open forum time to discuss anything with me or between those who attend. Today's discussion was some catching up and getting to know you and discussing some of the challenges of billing. Please send me your email address if you would like to be added …

1
Ep. 19: Credentialing, Contracting, Enrollment 15:27

2y ago15:27

15:27

Welcome to the first episode of Season 2! Today’s episode is about credentialing, contracting, and enrollment. These are very different concepts, but often get confused. Hopefully, I’ll be able to sort out some of the confusion.

1
Season 2 Teaser 12:31

2y ago12:31

12:31

I am thrilled to be back! Thank you for your patience and support. As the title would indicate, this episode is a teader of what is coming up in Season 2. First episode of the season will be streaming on September 12th!

1
Ep. 18: Day in the Life of a Medical Biller 19:18

2+ y ago19:18

19:18

Today is the second episode in our Day in the Life Series. I’ve been really looking forward to bringing you this series. In the next few episodes, we will be talking about the various roles within the revenue cycle. I believe that it is important for all of us to understand the responsibilities, pressures and expectations involved in these roles. U…

1
Ep. 17: Boost Your Career with Emily Hawkins 1:09:29

2+ y ago1:09:29

1:09:29

Are you stuck in a job that you are desperate to get out of? Do you feel like your loyalty is holding you back? Have you been searching for a job and just not getting anywhere? Today's episode is the one for you. Emily Hawkins mission is empowering the unfulfilled and unrecognized to amplify their job search and career to make a salary they deserve…

1
Announcement 1:16

2+ y ago1:16

1:16

Important podcast announcement.

1
Ep. 16: Day in the Life of a Revenue Cycle Manager 30:22

2+ y ago30:22

30:22

Today is the first episode in our Day in the Life Series. I’ve been really looking forward to bringing you this series. In the next few episodes, we will be talking about the various roles within the revenue cycle. I believe that it is important for all of us to understand the responsibilities, pressures and expectations involved in these roles. Un…

1
Ep. 15.3: Common Modifiers, Part 3 27:51

2+ y ago27:51

27:51

Today’s episode is the final part in our 3-part series on modifiers in the clinical or office setting. As many of you know, modifiers are an essential part of the revenue cycle. They have a direct effect on the revenue flow of the organization. Decisions on appending the correct modifier starts with the provider’s documentation, then it’s in the ha…

1
Ep. 15.2: Common Modifiers Part 2 29:34

2+ y ago29:34

29:34

Today’s episode is part 2 in our 3-part series on modifiers in the clinical or office setting. As many of you know, modifiers are an essential part of the revenue cycle. They have a direct effect on the revenue flow of the organization. Decisions on appending the correct modifier starts with the provider’s documentation, then it’s in the hands of t…

1
Zoom Live Q&A 4/5/22 Breaking Down Billing for New Drugs with Stephanie Thebarge 1:27:02

2+ y ago1:27:02

1:27:02

In this live Q&A, Stephanie Thebarge CPC, CPMA, CPPM, CPB, CEMC, CHONC, PESC shares with us her extensive knowledge of drug billing. If you have any further questions or would like a copy of the presentation, please reach out to her at sthebarge@gmail.com.

1
Ep. 15.1: Common Modifiers Part 1 30:06

2+ y ago30:06

30:06

Today’s episode is part 1 in our 3-part series on modifiers in the clinical or office setting. As many of you know, modifiers are an essential part of the revenue cycle. They have a direct effect on the revenue flow of the organization. Decisions on appending the correct modifier starts with the provider’s documentation, then it’s in the hands of t…

1
Zoom Live Q&A 3/22/22 - Modifier intro 21:18

2+ y ago21:18

21:18

In this live Q&A we have a sneak peek into the modifier series. We discuss modifiers 24, 25 and 79. If you love it, check out the next 3 episodes as we dive into common modifiers.

1
3/17/22 No Surprises Act Live Q&A Panel 1:03:33

2+ y ago1:03:33

1:03:33

The No Surprises Act has definitely been a surprise to many of us! Do you still struggle with details in the policy and how to be compliant when applying them to operations? This is a recording of the Live Q&A Panel we held today with our subject matter experts. I have no doubt that you will find helpful information within this great conversation.…

1
Ep. 14: AAPC and Careers with Rae Jimenez 59:22

2+ y ago59:22

59:22

I am so excited to introduce the guest in this episode. I have to admit that I was fangirling a little bit. If you are involved with AAPC or have taken advantage of their educational opportunities, you have probably heard of her. So without further ado, my guest today is Rae Jimenez. In our conversation you will learn that her current role at AAPC …

1
Ep. 13.2: Marketing a Billing Company with Quiana Craig 21:50

2+ y ago21:50

21:50

Today’s episode is part 2 in a series in which Quiana Craig shares with us her journey in growing her company. If you didn’t catch part 1, press pause on this one and go back to listen. If you have been thinking about starting your own company or are looking for ways to freshen up your current one, stay tuned and get some great tips from a pro.…

1
Zoom Live Q&A 3/8/22- Appeals 55:02

2+ y ago55:02

55:02

Are you feeling overwhelmed with how to properly create and submit an appeal. Well, In this live Q&A we talked all about appeals. Be sure to stay tuned to the end because there are a lot of great questions from the attendees.

1
Ep. 13.1: Starting a Billing Company with Quiana Craig 20:29

2+ y ago20:29

20:29

Today we have a treat for you. Quiana Craig will be hosting the podcast. She is a certified professional biller, licensed AAPC approved instructor and the owner of Express Medical Billing & Consulting. Quiana reached out to me last summer to bolster my courage in starting the podcast. She had so much belief that she agreed to be the first sponsor. …

1
Ep. 12: Revenue Cycle Management 45:07

2+ y ago45:07

45:07

As the title suggests, today's episode is all about managing the revenue cycle. I'll share with you the processes that I've used over my career to improve and maintain best practices and KPIs. You might want to take notes on this one! I will be sharing the various reports that I use and it might get tough to retain the details. Let's get to it!…

1
Ep. 11.3: Common Denials, Part 3 30:48

2+ y ago30:48

30:48

Have you ever been overwhelmed with denial management? Maybe you are responsible for a list of denied claims or maybe you are responsible for reducing the number of denials. In today's episode we will reduce the overwhelm by simplifying common denials by breaking them down into what they are, how they are caused, suggestions for resolution and best…

1
Zoom Live Q&A 2/16/22 46:25

2+ y ago46:25

46:25

In this live Q&A we had a great conversation about difficulty resolving PTAN issues, emergent denials and is bundling a payment or coding issue. There are also some big announcements.

1
Ep. 11.2: Common Denials, Part 2 41:36

2+ y ago41:36

41:36

Have you ever been overwhelmed with denial management? Maybe you are responsible for a list of denied claims or maybe you are responsible for reducing the number of denials. In today's episode we will reduce the overwhelm by simplifying common denials by breaking them down into what they are, how they are caused, suggestions for resolution and best…

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