Episoder

  • Welcome back RevDivers! Tune in to hear Paola Turchi, the RCM Solutions Lead at Notable.

    Highlights:

    Key challenges in revenue cycle management within the healthcare sector.In-depth discussion on managing prior authorizations effectively.Strategies to improve patient collections and satisfaction.The role of technology in streamlining healthcare RCM processes.Expert insights and practical tips for healthcare professionals.


    Learn more about Notable here: https://www.notablehealth.com/
    Guests LinkedIn: https://www.linkedin.com/in/paola-turchi-mshca-fhfma-facmpe-cpc-4836727/
    Company LinkedIn: https://www.linkedin.com/company/notablehealth/

    Thanks to our sponsor Boston Software Systems, find more about them here for: https://www.bostonsoftwaresystems.com/Home

    Subscribe to the Slice of Healthcare Network to be notified for new episodes: https://youtube.com/@sliceofhealthcare?feature=shared

  • Welcome back RevDivers! Tune in to hear Anne Saulnier, CEO, and John Hobart, Co-Founder, of HexIQ.

    Discussion on healthcare payment data transparency with Anne and John from Hex IQ.Insights into the Transparency in Coverage Rule and its impact on the healthcare industry.The role of accessible data in empowering healthcare providers and practices.The significance of data transparency in creating equitable healthcare systems.How Hex IQ's Pulse Medical platform is transforming access to healthcare data.


    Learn more about HexIQ here: https://hexiq.com/

    Thanks to our sponsor Boston Software Systems, find more about them here for: https://www.bostonsoftwaresystems.com/Home

    Subscribe to the Slice of Healthcare Network to be notified for new episodes: https://youtube.com/@sliceofhealthcare?feature=shared

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  • Welcome back RevDivers! Tune in to hear Kim Grana, Chief Executive Officer, and Marie Price, Vice President of Operations, at Valley Oaks Medical Group.

    Discusses the rapid growth and innovative patient-centered care approach of Valley Oaks.Insights into their unique strategy in healthcare management and value-based care.Lessons in leadership and the importance of teamwork in healthcare settings.Challenges faced during their expansion and how they turned them into opportunities for growth.Essential listening for anyone interested in healthcare innovation and management.


    Learn more about Valley Oaks Medical Group here: https://valleyoaksmed.com/

    Thanks to our sponsor Boston Software Systems, find more about them here for: https://www.bostonsoftwaresystems.com/Home

    Subscribe to the Slice of Healthcare Network to be notified for new episodes: https://youtube.com/@sliceofhealthcare?feature=shared

  • Welcome back RevDivers! Tune in to hear Craig Wiberg, Senior Manager, Digital Events at MGMA as he gives a sneak peek of the MGMA Leaders Conference 2023.

    Elevate Your Leadership SkillsNetwork with Industry ExpertsAccess Valuable ResourcesParticipate in Workshops & SessionsBook Launch Party: "Advanced Strategies for Financial Management"How to grow, learn, and connect


    Learn more about MGMA here: https://www.mgma.com/conferences/leaders/overview

    Thanks to our sponsor Boston Software Systems, find more about them here for: https://www.bostonsoftwaresystems.com/Home

    Subscribe to the Slice of Healthcare Network to be notified for new episodes: https://youtube.com/@sliceofhealthcare?feature=shared

  • Welcome back to RevDive! Listen to hear Charles Gellman, CEO and Chief Patient Advocate of HIDO Health as they talk about AI-assisted robotics, remote patient montoring, and tech that can reshape the healthcare system.

    What you’ll get out of this episode:

    Dive deep with Kem Tolliver & Charles Gellman.Discover the future of healthcare with HIDO's AI-assisted robotics.Unravel the mysteries of remote patient monitoring (RPM).Understand the true power of patient satisfaction in healthcare transformation.Insights into how technology can reshape the healthcare system.


    Learn more about HiDO Health here: https://us.hidohealth.com/

    Subscribe to the Slice of Healthcare Network to be notified for new episodes: / @sliceofhealthcare

  • Welcome back to RevDive! Listen to hear Russ Thomas, Chief Executive Officer at Availity discuss proactive revenue cycle management, reducing denials and overpayments, and the critical importance of payer-provider collaboration in healthcare

    What you’ll get out of this episode:

    - Latest episode features Russ Thomas from Availity discussing future of healthcare.
    - Critical insights into proactive revenue cycle management and reducing denials and overpayments.
    - Deep dive into the complexities and solutions in payer-provider collaboration.
    - Russ Thomas introduces AuthAI, technology that reduces denials by 7%.
    - Clearinghouses play a pivotal role in efficient revenue cycle management.

    Learn more about Availity here: https://www.availity.com/

    And make sure to subscribe to the Slice of Healthcare Network:

    / @sliceofhealthcare

  • Welcome back to RevDive! Listen to hear Ed Marx, Chief Executive Officer at Marx Advisory discuss healthcare technology advancements and philanthropy.

    What you'll get out of this episode:

    - "Voices of Innovation" is a book featuring inspiring stories of healthcare technology advancements.
    - The book showcases a practical innovation framework with real-life examples from 35 contributors.
    - By being part of the book, healthcare practices and hospitals gain recognition and elevate their brand.
    - All author proceeds from the book are donated to the Mary Crowley Cancer Research Center.
    - To overcome technology aversion, individuals are advised to embrace technology in their personal lives first.
    - "Scrappy innovation" highlights the power of simplicity in driving groundbreaking results in healthcare technology.

    Learn more about Ed Marx here: https://www.marxadvisory.com/

    And make sure to subscribe to the Slice of Healthcare Network:

    / @sliceofhealthcare

  • Welcome back to RevDive! Listen to hear Andrew Lockhart, Co-Founder and CEO at Fathom Health discuss AI and it's implications in the coding world.


    What you'll get out of this episode:

    AI is enhancing medical coding efficiency and workflowsTackling coder shortages, allowing staff to focus on challenging tasksHow AI's predictive insights are improving coding audits, chart reviews, and business decisionsAI's future role could include complex decision support and autonomous scribingAI use can boost job satisfaction, retention, and provide a competitive advantage in healthcare.


    To learn more about Andrew Lockhart please use the link below:
    - LinkedIn

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    Taya https://www.linkedin.com/in/tayagordon/

    Kem https://www.linkedin.com/in/kem-tolliver-bs-cmpe-cpc-cmom-1225b115/

  • Welcome back to RevDive! Listen to hear Matthew McCreith, Strategic Partner at Schooley Mitchel discusses how organizations can save money and address overlooked costs.

    What you'll get out of this episode:

    Billing errors and frequencyClient perspective on scrutinizing invoicesChallenges with managing invoices and contractsImpact of incremental cost increases and right-sizingVendor selection and negotiationReview frequency for invoices and contracts

    To learn more about Matthew McCreith please use the link below:
    - LinkedIn

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    Taya https://www.linkedin.com/in/tayagordon/

    Kem https://www.linkedin.com/in/kem-tolliver-bs-cmpe-cpc-cmom-1225b115/

  • Welcome back to RevDive! Join as Dr. Mary Awuonda, Associate Professor at Howard University College of Pharmacy discusses how she's pioneering a revenue cycle curriculum to prepare a public informatics workforce.

    What you'll get out of this episode:

    Dr. Awuonda’s backgroundPreparing a public informatics workforce at Howard University The PHIT4DC programDeveloping the curriculum with Zane Networks, DC Primary Care Association, Crisp DC & more How the industry can replicate this effort nationally

    To learn more about Dr. Awuonda please use the link below:
    - LinkedIn

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    Taya https://www.linkedin.com/in/tayagordon/

    Kem https://www.linkedin.com/in/kem-tolliver-bs-cmpe-cpc-cmom-1225b115/

  • Welcome back to RevDive! Join as Jeffrey Miller, JD, Director in Charge at Granite GRC & Vidal Lupian, Director of Information Technology at Granite GRC join RevDive to discuss data & data security in healthcare.

    What you'll get out of this episode:

    Financial data elements in healthcare that matter How to keep your data protected, and what makes data vulnerable How to prevent data breaches & identify phishing scams

    To learn more about Granite GRC please use the links below:
    - Website - LinkedIn

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    Taya https://www.linkedin.com/in/tayagordon/

    Kem https://www.linkedin.com/in/kem-tolliver-bs-cmpe-cpc-cmom-1225b115/

  • Welcome back to RevDive! Join as Richard Palarea, CEO at Kermit joins RevDive to discuss challenges & solutions in supply chain management.

    What you'll get out of this episode:

    His background & the background of Kermit The trending supply chain challenges including high margins, staffing shortages, and moreWhat work flow optimization is looking like in the supply change industry What to do to prioritize supply chain management

    To learn more about Kermit please use the links below:
    - Website - LinkedIn

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    Taya https://www.linkedin.com/in/tayagordon/

    Kem https://www.linkedin.com/in/kem-tolliver-bs-cmpe-cpc-cmom-1225b115/

  • Welcome back to RevDive! Join as Dr. Jonathan Baktari, MD - Healthcare CEO, Preventative Medicine Expert, Host of Baktari MD joins RevDive to discuss Healthcare's Balancing Act - Navigating Consolidation, Reimbursements, and Non-Physician Providers.

    Episode Summary:

    In this episode, we discuss care delivery evolution and the impact of consolidation. As care options impact quality scores, healthcare providers are forced to integrate metrics into care delivery while taking inflation into consideration.

    Dr. Baktari discusses healthcare service enhancers, such as ultrasounds, nerve conduction studies, vitamins, and Botox - which are becoming commonplace.

    With the need to expand the reach of healthcare providers, there has been a rise in utilization of non-physician clinicians, such as physician assistants and nurse practitioners. Dr. Baktari discusses this rise the need for balance in provider relations. The podcast also delves into the pendulum swing of care delivery modalities, with patients' preference of telehealth even as we exit the COVID-19 Public Health Emergency on May 11, 2023.

    What you'll get out of this episode:

    The healthcare industry is evolving, and healthcare consolidation is becoming more common.Reimbursement fluctuation and Pay for Performance has led to healthcare providers to evolve care delivery methodologies.The rise of Non-physician providers as the primary healthcare deliverers.

    To learn more about e7Health please use the links below:
    - Website - LinkedIn

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    Taya https://www.linkedin.com/in/tayagordon/

    Kem https://www.linkedin.com/in/kem-tolliver-bs-cmpe-cpc-cmom-1225b115/

  • Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. In this episode Taya & Kem focus on the topics that are critical for success in 2023 including professional development, recruiting talented staff, maintaining company culture and more!

    What you’ll get out of this episode:

    Outside the box recruiting strategiesThe importance of skill gap assessmentsMaintaining direction by increasing collaborationThe power of transparent communication and team development

    Join the Conversation

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    Taya https://www.linkedin.com/in/tayagordon/

    Kem https://www.linkedin.com/in/kem-tolliver-bs-cmpe-cpc-cmom-1225b115/

  • Welcome back to RevDive! Join as Eric Demers, CEO at Madaket Health joins RevDive to discuss the intersection of technology & healthcare management.

    Eric Demers is the CEO of Madaket Health. He believes we can transform healthcare delivery through the power of data and interoperability. With more than 25 years of global healthcare experience, Eric has built and scaled leading technology and service companies, from early stage to Fortune 100. He is highly sought-after for speaking and consulting on international health, having advised global entities and governments on critical issues facing healthcare. A growth-minded leader, Eric has founded three companies and exited two. Eric previously served in strategy-focused executive roles at IBM, Accreon, MEDecision and Orion Health. He is a graduate of Brandeis University and The George Washington University School of Medicine and Health Sciences.

    What you’ll get out of this episode:

    The intersection of technology and healthcare managementThe pros and cons of automation as it relates to provider data managementTop tips for reducing administrative burden through automationDemers' favorite book recommendation

    To learn more about Madaket Health please use the links below:
    - Website - LinkedIn

    Join the Conversation

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    Taya https://www.linkedin.com/in/tayagordon/

    Kem https://www.linkedin.com/in/kem-tolliver-bs-cmpe-cpc-cmom-1225b115/

  • Welcome back to RevDive! Join as Claire Ernst, JD, Director of Government Affairs at MGMA joins RevDive to give another Spill from the Hill.

    The healthcare industry awaits publication of the 2023 CMS Final Rule later this year. As we await what's to come, our guest sheds light on anticipated changes expected within the payment formula which will impact reimbursement to healthcare organizations and providers dependent upon CMS for funding.

    In this episode, we also discuss recent Presidential comments made regarding the national perception of our Public Health Emergency; which leaves many stakeholders scratching their heads and others bracing for current 1135 waivers to come to an end.

    Not only are we thrilled to have Claire share her unique "crystal ball" projections for CMS' activities next year, we're excited to bring her back to unpack the 2023 CMS Final Rule after its publication later this year.

    What you’ll get out of this episode:

    Insights into the Sustainable Growth RateLively discussion on what's happening on, "The Hill"Preparation strategies for the end of the Public Health Emergency

    Join the Conversation

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    Taya https://www.linkedin.com/in/tayagordon/

    Kem https://www.linkedin.com/in/kem-tolliver-bs-cmpe-cpc-cmom-1225b115/

  • Episode Details:
    Join in as Rae Jimenez discusses important updates to coding, effective in 2023. Say goodbye to components of 1995 and 1997 documentation guidelines, and say hello to standardized documentation.

    Rae expresses that an important metric for efficiency and quality of care is the proper understanding and application of coding guidelines. We discuss the importance of becoming familiar with 2023's guideline modifications.

    Coding has evolved into the vast pool of data analytics, in which we can gain accurate information and branch into unique career trajectories. Rae, working for AAPC for 15 years, shares takeaways from her career. Starting off as a clinic assistant, she conveys that an important mindset for healthcare career longevity is that, “there is no small job”.

    What you’ll get out of this episode:

    Summary of key 2023 coding updates Evolution and branching out of the coding profession supports multiple facets of the healthcare industryImportant mindsets for career longevity in healthcare

    Join the Conversation

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    Taya https://www.linkedin.com/in/tayagordon/

    Kem https://www.linkedin.com/in/kem-tolliver-bs-cmpe-cpc-cmom-1225b115/

    Learn More About Our Guest
    Rae Jimenez - AAPC Website - AAPC LinkedIn

  • Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is answering a question directly from our RevDivers!

    Julie Collins, Innovation Consultant & Lead Faculty for National Science Foundation (NSF) & National Institutes of Health (NIH). Join in as Julie tells our RevDivers how to get into an innovative mindset, what customer discovery means, and how to learn more about the Innovation Corps at NIH where many revenue cycle product leaders got the foundation to succeed. We encourage you to apply these strategies to your process improvements, revenue cycle integrity programs, and general professional outlook.

    What You’ll get out of this episode:

    The importance of seeking disconfirmationWhy leaning into your skill set can take you placesHow to find out more about the resources available at NIH

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    Taya https://www.linkedin.com/in/tayamoheiser/

    Kem https://www.linkedin.com/in/kem-tolliver-bs-cmpe-cpc-cmom-1225b115/

    Follow our Guest on LinkedIn
    Julie Collins

  • Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is Scott Becker of Becker’s Healthcare and McGuire Woods, LLP. Join in as healthcare celebrity Scott Becker talks about how he and his team created the Becker's Health universe, trends he is seeing in the industry today, and the achievements and failures he navigated on his road to success.

    What you’ll get out of this episode:

    How Becker’s Healthcare became what it is todayRising costs, staffing shortages and other industry trends that are seriously affecting the industry todayThe highs and lows of leadership and self-improvement as a factor of success

    Join the Conversation

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    Taya https://www.linkedin.com/in/tayamoheiser/

    Kem https://www.linkedin.com/in/kem-tolliver-bs-cmpe-cpc-cmom-1225b115/

    Follow our Guest on LinkedIn:
    Scott Becker

  • Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is James Lineberger, Executive Director for Anesthesia Associates of Boise. Join in as James talks about the top four pitfalls that leaders fall into when assessing data and transforming internal processes.

    What You’ll get out of this episode:

    Why the rule of thumb can be guiding toward failureThe importance of seeking disconfirmationWhy too much confidence can be badHow are you trapping yourself into a bad situation

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    Taya https://www.linkedin.com/in/tayamoheiser/

    Kem https://www.linkedin.com/in/kem-tolliver-bs-cmpe-cpc-cmom-1225b115/

    Follow our Guest on LinkedIn:
    James Lineberger