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 ...
…
continue reading
Change Healthcare is a leading healthcare technology company, focused on accelerating the transformation of the healthcare system through the power of the Change Healthcare Platform. We provide data and analytics-driven solutions to improve clinical, financial, administrative, and patient engagement outcomes in the U.S. healthcare system. Learn more at changehealthcare.com. *
…
continue reading
1
Tech-Enabled RCM, Live Webinar (Recorded 10/18/24)
1:11:23
1:11:23
Afspil senere
Afspil senere
Lister
Like
Liked
1:11:23
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)…
…
continue reading
1
Live Denials Q&A 10/15/24 - Tips for Denial Beginners
53:36
53:36
Afspil senere
Afspil senere
Lister
Like
Liked
53:36
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…
…
continue reading
1
Live Denials Q&A 10/3/24 - Tackling Tough Denials
53:38
53:38
Afspil senere
Afspil senere
Lister
Like
Liked
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…
…
continue reading
1
Ep. 34 Maximizing Provider Revenue with Payer Contract Insights
32:51
32:51
Afspil senere
Afspil senere
Lister
Like
Liked
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 …
…
continue reading
1
Live Denials Q&A 9/17/24 - Utilizing Contracts When Resolving Denials
52:49
52:49
Afspil senere
Afspil senere
Lister
Like
Liked
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…
…
continue reading
1
Ep. 33 Insurance AR: Claims with No Response
27:49
27:49
Afspil senere
Afspil senere
Lister
Like
Liked
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…
…
continue reading
1
Live Denials Q&A 9/5/24 - Hospice, SNF, Home Health denials + takebacks
50:10
50:10
Afspil senere
Afspil senere
Lister
Like
Liked
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…
…
continue reading
1
Live Denials Q&A 8/1/24 - Navigating Out of Network Denials
57:12
57:12
Afspil senere
Afspil senere
Lister
Like
Liked
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…
…
continue reading
1
Ep 32 Tech-Enabled RCM: Tips and Solutions with Mike Marshall + Vanessa
50:35
50:35
Afspil senere
Afspil senere
Lister
Like
Liked
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…
…
continue reading
1
Live Denials Q&A 7/16/24 - payer denial trends creating complexity
1:00:39
1:00:39
Afspil senere
Afspil senere
Lister
Like
Liked
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…
…
continue reading
1
Ep. 31 Patient Accounts Receivable
36:16
36:16
Afspil senere
Afspil senere
Lister
Like
Liked
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…
…
continue reading
1
Ep. 30 Denials/AR Introduction + FTLORC Announcement
27:12
27:12
Afspil senere
Afspil senere
Lister
Like
Liked
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, …
…
continue reading
1
Live Denials Q&A 6/18/24- telehealth billing guidelines, claim rejection challenges, & denial resources
58:33
58:33
Afspil senere
Afspil senere
Lister
Like
Liked
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…
…
continue reading
1
Live Denials Q&A 6/6/24 - timely filing, authorizations & credentialing
1:00:58
1:00:58
Afspil senere
Afspil senere
Lister
Like
Liked
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!
…
continue reading
1
Extra Episode: Reducing the Denial Headache with Corey Feldman, founder of Covered Health
19:56
19:56
Afspil senere
Afspil senere
Lister
Like
Liked
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…
…
continue reading
1
*Special Episode - Stop Revenue Leakage
43:51
43:51
Afspil senere
Afspil senere
Lister
Like
Liked
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…
…
continue reading
1
Ep. 29 Season 3 Kickoff + Big Announcement
12:10
12:10
Afspil senere
Afspil senere
Lister
Like
Liked
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…
…
continue reading
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…
…
continue reading
1
6/5/23 Live Q&A - End of PHE; State of the industry; Operational challenges & more
42:42
42:42
Afspil senere
Afspil senere
Lister
Like
Liked
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…
…
continue reading
1
Ep. 27: Prior Auth, Referrals, Precertification, etc.
16:45
16:45
Afspil senere
Afspil senere
Lister
Like
Liked
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.
…
continue reading
1
Technical Difficulties - no episode 4/3/23
0:19
0:19
Afspil senere
Afspil senere
Lister
Like
Liked
0:19
…
continue reading
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.
…
continue reading
1
Partnering for Change: The Benefits of Value-Based Care Models
23:23
23:23
Afspil senere
Afspil senere
Lister
Like
Liked
23:23
VP and Head of Solutions at Nuna, Parag Patel, chats about how the Prometheus Episode Grouper from Change Healthcare has helped Nuna better serve all. Learn More Follow Serrah Linares, vice president of partnerships at Change Healthcare Follow Parag Patel, VP and Head of Solutions at Nuna nuna.com changehealthcare.com/value-based-care/prometheus-an…
…
continue reading
1
Patient Experience: Social Determinants of Health in Cancer Care
31:10
31:10
Afspil senere
Afspil senere
Lister
Like
Liked
31:10
Thyme Care Co-Founder, President, and CMO, Dr. Bobby Green, joins host Yousuf Zafar, MD, to discuss how his team at Thyme Care are working to provide personalized care guidance to help cancer patients through their journey. Dr. Green also shares the importance of combining a human touch with technology to help improve lives and reduce care costs. L…
…
continue reading
1
Partnering for Change: Improving Access to Care Through Transportation
21:55
21:55
Afspil senere
Afspil senere
Lister
Like
Liked
21:55
Safr Care CEO, Syed Gilani, joins host Serrah Linares to discuss how Safr Care approaches the unique challenges they face, and how Change Healthcare helps Safr Care achieve its mission. Learn More Follow Serrah Linares, vice president of partnerships at Change Healthcare Follow Syed Gilani, President and CEO of Safr Care safrcare.com marketplace.ch…
…
continue reading
This is an announcement regarding upcoming changes to the podcast schedule.
…
continue reading
1
Ep. 26: Revenue Cycle Management with 2022 challenges
32:27
32:27
Afspil senere
Afspil senere
Lister
Like
Liked
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…
…
continue reading
1
Health Care Mandates: Implementing a DSNP
28:52
28:52
Afspil senere
Afspil senere
Lister
Like
Liked
28:52
Quartz Health Solutions director of accreditation and quality insurance, Amy Bachhuber and senior director of Medicare operations, Mark Kirchberg join host Shelley Stevenson to discuss how they implement dual eligible special needs plans. Learn More Follow Shelley Stevenson, director government programs practice at Change Healthcare Consulting Foll…
…
continue reading
1
Ep. 25: Institutional vs. Professional Billing
16:42
16:42
Afspil senere
Afspil senere
Lister
Like
Liked
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.
…
continue reading
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.
…
continue reading
Today, we are going to discuss appeals. What are they? What is their purpose? What makes a great appeal?
…
continue reading
1
Live Q&A 10/4/22 - Free CEUs, accessing payer policies, and more
55:11
55:11
Afspil senere
Afspil senere
Lister
Like
Liked
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!
…
continue reading
1
Capitol Connection: Marching to the Midterms
40:14
40:14
Afspil senere
Afspil senere
Lister
Like
Liked
40:14
Sirona Strategies Partner Kristen Ratcliff McGovern joins host Deanne Kasim to discuss policy and legislative trends leading up to the midterm elections. McGovern shares the key issues Congress needs to focus on before the end of the year, as well as some pre- and post-election considerations. Learn More Follow Deanne Kasim, vice president of healt…
…
continue reading
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.
…
continue reading
1
Ep. 21: Edits, Rejections, Status and Denials
20:17
20:17
Afspil senere
Afspil senere
Lister
Like
Liked
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.
…
continue reading
1
Ep. 20: Quick Hit Acronyms HIS, HIM, HIE, HIT
8:04
8:04
Afspil senere
Afspil senere
Lister
Like
Liked
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.
…
continue reading
1
Zoom Live Q&A 9/20/22 - Welcome back
42:54
42:54
Afspil senere
Afspil senere
Lister
Like
Liked
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 …
…
continue reading
1
Ep. 19: Credentialing, Contracting, Enrollment
15:27
15:27
Afspil senere
Afspil senere
Lister
Like
Liked
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.
…
continue reading
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!
…
continue reading
1
Patient Experience: An Evolved Approach to Digital Engagement
32:14
32:14
Afspil senere
Afspil senere
Lister
Like
Liked
32:14
Luma Health Co-Founder and CEO Adnan Iqbal joins host Patrick Drewry to discuss how and why his company created a digital patient engagement platform and why Luma Health chose to partner with Change Healthcare to create a singular patient journey across healthcare. Learn More Follow Patrick Drewry, VP of product RCM at Change Healthcare Follow Adna…
…
continue reading
1
Partnering for Change: Wedding Health Technology with Indigenous Wisdom
19:41
19:41
Afspil senere
Afspil senere
Lister
Like
Liked
19:41
Sustain Hawaii Founder and Executive Director Kevin Vaccarello joins host Serrah Linares to discuss the work being done to support vulnerable Hawaiians using both technology and indigenous wisdom. Vaccarello shares how Sustain Hawaii was able to use technology to expand its operation and support its mission of transforming the islands’ capacity for…
…
continue reading
1
Ep. 18: Day in the Life of a Medical Biller
19:18
19:18
Afspil senere
Afspil senere
Lister
Like
Liked
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…
…
continue reading
1
Ep. 17: Boost Your Career with Emily Hawkins
1:09:29
1:09:29
Afspil senere
Afspil senere
Lister
Like
Liked
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…
…
continue reading
Important podcast announcement.
…
continue reading
1
Healthcare Mandates: Consent and Data Segmentation
32:48
32:48
Afspil senere
Afspil senere
Lister
Like
Liked
32:48
Cambridge Health Alliance Chief Medical Information Officer Hannah Galvin and OneRecord Co-Founder and CEO Jennifer Blumenthal join host Genevieve Morris to discuss how technology can support consent capture and revocation, consent sharing, and the standardization of segment-sensitive data. Learn More Follow Genevieve Morris, senior director of int…
…
continue reading
1
Ep. 16: Day in the Life of a Revenue Cycle Manager
30:22
30:22
Afspil senere
Afspil senere
Lister
Like
Liked
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…
…
continue reading
1
Ep. 15.3: Common Modifiers, Part 3
27:51
27:51
Afspil senere
Afspil senere
Lister
Like
Liked
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…
…
continue reading
1
Capitol Connection: Post-Pandemic Healthcare Policy
47:46
47:46
Afspil senere
Afspil senere
Lister
Like
Liked
47:46
Alliance of Community Health Plans President and CEO Ceci Connolly joins host Deanne Kasim and colleagues to chat about the current status of Medicaid and possible safeguards for vulnerable populations. Learn More Follow Ceci Connolly, president and CEO at Alliance of Community Health Plans Follow Deanne Kasim, VP of health policy at Change Healthc…
…
continue reading
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…
…
continue reading
1
Zoom Live Q&A 4/5/22 Breaking Down Billing for New Drugs with Stephanie Thebarge
1:27:02
1:27:02
Afspil senere
Afspil senere
Lister
Like
Liked
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.
…
continue reading