Kem & Taya
RevDive
Co-hosted by Shawntea (Taya) Gordon, CMPE, CMOM & Kem Tolliver, CMPE, CPC, CMOM. #revenuecyclemanagement #medicalbilling #RCM
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Episodes
#22 - Payment Delays Impacting the Industry as a Whole 12.01.2022 22:35
Chances are, like the rest of the industry, you are seeing significant payer delays. In this episode, Sharon Smith, Practice Manager at Virginia Beach Surgery explains the impact of payer delays and how to tackle these issues with payers. What you’ll get out of this episode: How do untimely payments impact the revenue cycle? The role that clean claims play and how to align payer contract language...
#21 - Tackling Denials Proactively with a Focus on KPIs w/ COO of Physician Services of Einstein Physicians 06.01.2022 20:09
This episode is for revenue cycle leaders, operational leaders and those looking for ways to innovatively approach denial management and operational challenges. In this episode we talk to Lamont Louis, Chief Operating Officer for Physician Services for Einstein Physicians at Jefferson Medical Group in Philadelphia, PA. Mr. Louis talks about identifying financial variances, using the FORM approach...
#20 - MGMA Director of Government Affairs Claire Ernst explains Congress’ last minute passing of waivers and delays to looming reimbursement cuts to Medicare for 2022 16.12.2021 22:59
All practices, hospitals, and health systems this is a critical and timely episode. Claire Ernst, Director of Government Affairs breaks down the legislation passed last night by Congress which waived and delayed several looming cuts to Medicare reimbursement for 2022. She covers the PAYGO 4% cuts, conversion factor changes, sequester delays and phased reinstitution, telehealth coverage for 2022 an...
#19: Staying Ahead of Trending Compliance Concerns 07.12.2021 21:44
Details : Listen in as we hear from Physician and Attorney Reza Ghafoorian on strategies to minimize alarm fatigue while remaining compliant with not so obvious threats that may leave healthcare providers vulnerable to cyberattacks. Our guest gives insight on industry best practices to remain vigilant in protecting your brand and Protected Health Information. Interviewee : Reza Ghafforian, MD,...
#18: Optimizing Technology, Telehealth & HIEs 17.11.2021 19:52
Details : Luigi Leblanc joins us for a discussion right at the intersection of public health and technology. How can we optimize use of technology, how is technology being used for niche services, how are programs changing to drive reimbursement for these? Find out the answers to these and more in this episode of RevDive! Interviewee : Luigi Leblanc, VP of Technology at Zane Networks Find out...
#17: Small Brave RCM Leadership Moves 03.11.2021 16:27
Details : Hi there RevDivers, join us as we learn how to become more brave as leaders with the help of Master Hudson Coach, Nicole Bianchi, author of Small Brave Moves . Interviewee : Nicole Bianchi, Partner at Bravium and author of Small Brave Moves Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive. Sponsored by: ABILITY Network For more information...
#16: Engaging Physicians in Financial Discussions 28.10.2021 15:06
Details : Hi there RevDivers, join us as we chat about engaging physicians in RCM discussions with Jill Arena, noted author of Physician Heal Thy Financial Self & CEO & Founder of Health e Practices. Interviewee : Jill Arena, CEO & Founder of Health e Practices Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive. Sponsored by: ABILITY Netwo...
#15: Enhancing the Patient Payment Process 13.10.2021 26:58
Details : Hi there RevDivers, listen in as Dawn Lunde shares her experience in improving the patient payment experience while integrating patient engagement and health literacy into RCM to develop an informed consumer. Interviewee : Dawn Lunde, Senior Director, Sales Strategy Ability Network Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive. Sponsored...
#14: Prioritize Payer Contracting, With Doral Jacobsen, Founding Partner at Prosper Beyond 05.10.2021 18:14
Hi there RevDivers, join us as we interview Doral Jacobsen, founding partner at Prosper Beyond and co-author of MGMA’s “Transitioning to Alternative Payment Models” guidebook. Doral chats with us about the importance of payer contracting and provides some great tips and tricks for when you reach out to negotiate those agreements! Find out more in this timely episode and subscribe for future #RevCy...
#13: MGMA’s Upcoming Leadership Conference, featuring Craig Wiberg, Senior Editor at MGMA 29.09.2021 11:10
Today's Guest : Craig Wiberg, Senior Editor at MGMA Hi there RevDivers, join us as we interview Craig Wiberg, the legend behind MGMA’s excellent educational content! The October MGMA conference will look very different this year and Craig takes us through all the key things attendees can expect from this in person event! Find out more in this timely episode and subscribe for future #RevCycle...
#12: Emotional Intelligence & Rev Cycle, featuring Susan Childs, Founder & Healthcare Practice Advisor at Evolution Healthcare Consulting 22.09.2021 30:40
Today's Guest : Susan Childs, Founder & Healthcare Practice Advisor at Evolution Healthcare Consulting Hi there RevDivers, join us as we interview Susan Childs, author of Common Nonsense and national practice management consultant. Susan is an expert on revenue cycle, emotional intelligence, and all areas of practice operations. Find out more in this timely episode and subscribe for futur...
#11: Emerging Health Leaders, With Laurie Baedke, Speaker, Author & Educator 15.09.2021 27:12
Today's Guest : Laurie Baedke. A noted speaker for Harvard Medical School and Cleveland Clinic, author of the Emerging Healthcare Leader, Growth/Edge Podcast Host and Assistant Dean of Physician Leadership Education and Director of Healthcare Leadership Programs at Creighton University. Hi there RevDivers, join us as we interview Laurie Baedke. As a powerhouse speaker, author, and educator ded...
#10: Beyond the Whiteboard, with Dr. Eric Bricker 31.08.2021 36:08
Our Guest: Eric Bricker, MD, Chief Medical Officer at First Stop Health Details : Hi there RevDivers, we had the extreme pleasure of chatting with Dr. Eric Bricker, or as he is better know the Whiteboard Doctor! Dr. Bricker talks everything from price transparency to the importance of objectivity. Fun fact, Dr. Bricker started his career in revenue cycle support and is a huge advocate of all of o...
#9: The Spill From the Hill with Claire Ernst, JD 18.08.2021 23:46
Join us as Claire Ernst, JD shares legislative updates on the recently announced CMS 2022 Proposed Rule that includes proposed changes to the Medicare Physician Fee Schedule, Telehealth and Congressional updates. Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive. Sponsored by: it's Healthcare & Medical Revenue Cycle Specialists LLC For more informatio...
#8: CMS Spends July Dropping Proposed Rules 04.08.2021 6:41
Hi there RevDivers, join Taya for a super speedy review of four proposed rules dropped by CMS in July. Changes to payments, documentation, telehealth services, rural hospitals and more, in this quick and informative recap. Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive. Sponsored by: it's Healthcare & Medical Revenue Cycle Specialists LLC For more...
#7: So You Want To Buy Or Sell A Medical Practice? 22.07.2021 25:36
The public health emergency has created new opportunities to buy and sell medical practices. Today we’ll discuss factors to consider on both sides of this type of transaction. Today's guest, Stephen Kaufman, Esq., Partner at Wright, Constable & Skeen, LLP has seen it all and shares some best practices for buying and selling medical practices in this episode of the podcast. Find out more in th...
#6: Surprise Billing Update & OSHA Tackling COVID-19 07.07.2021 13:09
Join us today as we take a look at the interim surprise billing rule issued July 2, 2021 and OSHA’s Emergency Temporary Standard on COVID-19. Both would be mandatory once finalized and both require significant changes to practice workflows. Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive. For more information on critical RCM updates, be sure to follow...
#5: Practice Insights - Prior Authorization at Gastrointestinal Specialists, Inc. (VA) 22.06.2021 19:03
Join us as we chat with Lucien Roberts and gain valuable insights on the challenges facing practices seeking prior authorization and gold-card status. Lucien is the lively practice administrator at Gastrointestinal Specialists in Virginia, former president of the Virginia MGMA chapter, Legislative Advocate Award winner, writer and speaker for Physicians Practice and the AMA. Find out more in this...
#4: The Spill From the Hill with Claire Ernst, JD 09.06.2021 16:59
Join us as legislative and regulatory expert Claire Ernst provides the current Spill from the Hill discussing hot topics in congress including: Potential Prior Authorization changes Telehealth restrictions Sequestration Comprehensive Debt Collection ...and more! Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive. For more information on critical RCM update...
#3: 2021 Clarifications to Evaluation & Management Medical Decision Making (Part 2: Documentation) 25.05.2021 13:17
This episode is a continuation of episode #2, part 1, that focused on activities that may be included in time-based scoring of evaluation and management codes (E & M). We discuss the recent E & M clarifications published by the American Medical Association (AMA) that provide further guidance on the use of Medical Decision Making as a factor for leveling E & M services. These clarificat...
#2: New Evaluation & Management Time-based Coding Clarifications (Part 1: Time) 11.05.2021 14:06
In this part 1 episode, Taya Moheiser and Kem Tolliver dive into the changes related to time-based coding of evaluation and management codes. What time counts? What time doesn't count? When did this change become effective? Find out in this timely episode and subscribe for future #RevCycle updates with RevDive. For more information on critical RCM updates, be sure to follow RevDive on our socia...
#1: Congress Grants a Bigger Delay on 2% Sequestration Cuts, for now 27.04.2021 9:05
In this episode, Taya Moheiser and Kem Tolliver discuss the recent vote by Congress to extend the moratorium on the two percent sequestration cuts to Medicare programs. CMS put a hold on payments in anticipation of the delay and it was approved. So what does this mean long term? How long is the extension? What happens after it expires? Find out in this timely episode and subscribe for future #...
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