For The Love of Revenue Cycle

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.

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

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 the right place.  Let's jump in!

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.

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.

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

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!

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.

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.

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.

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 to this call every other week.  

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. 

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!

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.  Understanding the people around us is the first...

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 doing what they love.  Here is the link to her...

Important podcast announcement.

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.  Understanding the people around us is the first...

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 hands of the coding and charge capture teams.  Cla...

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 the coding and charge capture teams.  Claims revi...

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.

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 the coding and charge capture teams.  Claims revi...

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.

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.  

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 is VP of products.  But you will also find out...