Zotec Answers - A Healthcare Podcast

Ed Gaines, JD, CCP has been keeping a close eye on the latest developments around the TMA litigation and the TMA III decision. In this podcast, he shares the updates on the litigation from August 24, 2023. This is important as you continue to navigate IDR and the interpretations of the NSA.

Medicare physician payment is NOT keeping up with inflation. Tune into this episode, where Ed Gaines and Mohak Dave' talk about what's needed to fix Medicare physician payment NOW.

In this episode, Ed Gaines keeps you updated on the TMA litigation and the TMA IV decision regarding the No Surprises Act. Tune in to be in the know on these important regulatory issues.

Zotec has been actively involved in roundtable discussions with CMS and CMS contractors for several years. We've provided helpful feedback to them pertaining to various elements of the process to better the experience for the entire billing and provider community. 

In this episode, Ed Gaines, JD, CCP digs into developments on Virginia Medicaid's new downcoding policy. Are patients still protected in Virginia and other states? To find out what may happen next, listen to Ed's answer.

Ed Gaines, JD, CCP continues his updates around the No Surprises Act in this podcast, sharing highlights and statistics from two key reports, giving clinicians and healthcare professionals more insights as they continue to navigate changes around the IDR process in 2023.

In this episode, Mark Isenberg reveals ways physicians can help their patients navigate Medicaid benefits, sharing key insights about government provisions at the onset of the COVID-19 pandemic and beyond.

In this Zotec Answers episode, emergency medicine groups hear from Mohak Dave', MD, FACEP on ways they can maintain their revenue by closely analyzing the right data sets.

In this episode, listeners will understand how they can determine, under the NSA, if they are receiving IDR determinations based on ineligible grounds.

On March 17, 2023, CMS issued guidance on the resumption of IDR Payment Determinations, and in this episode of Zotec Answers, Ed Gaines, JD, CCP helps listeners understand the history of the decisions and when to resume IDR payment determinations.

In this five-part Zotec Answers series, Ed Gaines, JD CCP continues to break down complex information about the No Surprises Act. Here he discusses a few "known, unknowns" of the Act that will help clinicians continue to navigate this important regulation.

In this episode, Mark Isenberg, Zotec's EVP of Healthcare Advocacy talks about how high deductible health plans are having a negative impact on clinician reimbursement and physician shortages, and how healthcare organizations can work with payers and RCM partners to prevent the impact while also raising the quality and availability of care nationwide.

In this final Zotec Answers series around the NSA and IDR, Ed Gaines details the most common, non-compliance issues physician groups are experiencing from health plans and NSA/IDR process, and ways they can address them.

In this latest episode, Ed Gaines talks about objective sources and sets of data that clinicians and healthcare professionals can refer to in the Independent Dispute Resolution Process.

In this Zotec Answers podcast, Ed Gaines dives deeper into government reports on the No Surprises Act and Independent Dispute Resolution Act.

In this Zotec Answers, Ed Gaines, JD, CCP gives a thorough update on the latest litigation over the NSA, including a brief recap about the Texas Medical Association ruling.

In this episode, Zotec's EVP of Healthcare Advocacy, breaks down how inflation and Medicare compensation are currently impacting physicians and healthcare organizations, and why reform is needed. He shares which bills are negatively impacting physicians across the country, and the ways you can participate in the advocacy process as they continue to evolve.

In this Zotec Answers, Ed Gaines explores some legislative history behind the No Surprises Act and reasons why the TMA filed yet another NSA lawsuit, alleging the mechanisms for arbitrating payments unfairly favor insurers.

This Zotec Answers episode digs deep into ways to enhance the patient experience while also making sure providers get paid what they are owed. Listen as Dan Simile, Zotec's EVP of Client Relationships, outlines ways healthcare organizations can incorporate an omni-channel approach for happier patients.

Troy Purcell, Practice Administrator with Lake Medical Imaging, details how his radiology practice has increased co-pays and deductibles by more than 4x since employing new collections strategies.

Diane Kaiser, DO, FACEP, President of Farmington Emergency Medicine Associates suggests there's one major thing leaders can do to improve leadership potential among women and ALL employees in the healthcare setting. Tune into this Zotec Answers podcast to learn what it is.

Tom Hustead, CEO and Co-Founder of the Referent Group believes there are three things leaders can do to combat burnout and create teams that thrive together. Walk away motivated in this Zotec Answers podcast.

Hear what new credit policies around medical debt reporting has to do with meeting your patients where they are, in this podcast featuring Mike Conklin, Zotec's RVP of Business Development.

In this Zotec Answers episode, Tom Cavanaugh, VP of Product Management, answers the question of why moving guarantor responsibility to the payor is so important.

Hear Jeff Fowler, Zotec's NVP, Business Development in Emergency Medicine and Anesthesiology, provide an answer for medical groups seeking to optimize cashflow when transitioning to a new RCM partner or system.