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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Ep. 39 Mastering Payment Analysis with Stacy Calvaruso
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33:41Mastering Payment Analysis: Best Practices with Stacy Calvaruso In this episode of 'For The Love of Revenue Cycle,' host Vanessa Moldovan and expert Stacy Calvaruso discuss the often-overlooked yet crucial topic of payment analysis. The episode differentiates between contract modeling and payment analysis, addressing common issues like underpayment…
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FTLORC Live! – 4/8/25 Episode: Q&A Kickoff | Denials, Technology, and RCM Strategy
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30:23In this inaugural live Q&A episode, Vanessa Moldovan, CEO of For the Love of Revenue Cycle, answers real-time questions on denials, RCM technology gaps, billing strategies, and more. Tune in for practical insights on tech adoption, denial resolution, and how to evaluate in-house vs. outsourced billing. [00:03:00] – Where do you think the biggest ga…
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Ep. 38 AI in Coding: A Conversation with Dr. Greg Hobbs
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23:01In this episode of 'For the Love of Revenue Cycle,' host Vanessa welcomes Dr. Greg Hobbs, the Chief Medical Officer and co-founder of Milagro, a provider of autonomous coding solutions for healthcare. Dr. Hobbs discusses his background as an emergency physician, his journey through the academic and IT sectors, and his subsequent focus on healthcare…
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Ep. 37 Revolutionizing Patient AR with Dugan Winkie
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21:52In this episode, Vanessa is joined by Dugan Winkie with Cedar to explore the integration of innovation within the revenue cycle. The discussion focuses on patient accounts receivable (AR) and the transformative role of technology in making patient financial experiences more efficient and personalized. Dugan shares insights from his career and Cedar…
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Ep. 36 Conferences: The Game-Changer for Your Career & Business
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29:33Episode Summary: Conferences can be a game-changer for your career, whether you attend in person or virtually. In this episode, we dive into how to maximize your return on investment (ROI) from industry conferences, choose the right events, and make the most of opportunities—even if you can’t attend in person. 🔥 What You’ll Learn in This Episode: •…
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Live Denials Q&A 1/21/25
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1:00:16Navigating Denial Management and Best Practices in Medical Billing In this episode, our host addresses common issues and questions related to claims denial in the healthcare industry. The session kicks off with a briefing about the recording process and the host’s recent absence due to business commitments in Europe. The conversation delves into to…
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Live Denials Q&A 11/7/24 - DRG Trends, Telehealth Changes + Tech Trends
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41:39Episode 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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10/30/24 Live Q&A Mastering Payer Defense
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57:27Mastering 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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Tech-Enabled RCM, Live Webinar (Recorded 10/18/24)
1:11:23
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1:11:23Transforming 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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Live Denials Q&A 10/15/24 - Tips for Denial Beginners
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53:36Mastering 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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Live Denials Q&A 10/3/24 - Tackling Tough Denials
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53:38In 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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Ep. 34 Maximizing Provider Revenue with Payer Contract Insights
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32:51Maximizing 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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52:49In 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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Ep. 33 Insurance AR: Claims with No Response
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27:49Navigating 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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50:10In 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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Live Denials Q&A 8/1/24 - Navigating Out of Network Denials
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57:12Show 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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50:35Tech-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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1:00:39In 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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36:16n 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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27:12Get 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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58:33In 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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1:00:58During 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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19:56Corey 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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43:51Dive 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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Ep. 29 Season 3 Kickoff + Big Announcement
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12:10Hello 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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Ep. 28 Reporting + Analytics
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10:16Hello 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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6/5/23 Live Q&A - End of PHE; State of the industry; Operational challenges & more
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42:42Hello 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…
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Revenue Cycle Management Company, 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 …
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Ep. 27: Prior Auth, Referrals, Precertification, etc.
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16:45In 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.
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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.
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This is an announcement regarding upcoming changes to the podcast schedule.
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Ep. 26: Revenue Cycle Management with 2022 challenges
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32:27The 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…
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Ep. 25: Institutional vs. Professional Billing
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16:42Today, 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.
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Ep. 24: Medicare A, B, C and D
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18:14Today, 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.
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Today, we are going to discuss appeals. What are they? What is their purpose? What makes a great appeal?
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Live Q&A 10/4/22 - Free CEUs, accessing payer policies, and more
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55:11During 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!
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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.
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Ep. 21: Edits, Rejections, Status and Denials
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20:17Today, 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.
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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.
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Zoom Live Q&A 9/20/22 - Welcome back
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42:54This 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 …
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Ep. 19: Credentialing, Contracting, Enrollment
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15:27Welcome 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.
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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!
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Ep. 18: Day in the Life of a Medical Biller
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19:18Today 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…
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Ep. 17: Boost Your Career with Emily Hawkins
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1:09:29Are 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…
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Important podcast announcement.
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Ep. 16: Day in the Life of a Revenue Cycle Manager
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30:22Today 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…
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Ep. 15.3: Common Modifiers, Part 3
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27:51Today’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…
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Ep. 15.2: Common Modifiers Part 2
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29:34Today’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…
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Zoom Live Q&A 4/5/22 Breaking Down Billing for New Drugs with Stephanie Thebarge
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1:27:02In 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 [email protected].
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