Podcasts by Healthcare Analytics
What makes for success in healthcare? Can we create a repeatable widely accepted framework for analyzing success and comparing in order to benchmark?
Further podcasts by Sean McSweeney
Podcast on the topic Wirtschaft
All episodes
Will Automation Wipe Out RCM Industry? from 2023-07-10T21:35:17
There had been a lot of hype and some concern that automation will wipe out the medical billing / RCM industry. We'll explore is that real and what implications are for medical billing companies.
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RCM Body Shops pt 2 from 2023-07-03T20:27:35
How does RCM move away from being an industry primarily of body shops? What does performance mean in revenue cycle and how do you get there?
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RCM Body Shops from 2023-06-30T21:14:30
What's a body shop in rcm? And why are so many cycle management companies and even departments set up as body shops? We'll discuss the implications and eventually get to an alternative.
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We're back from 2023-06-30T20:59:01
If you have comments or suggestions please send them over to us we would love to hear from you.
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Is AI Taking Over? from 2023-06-22T20:15:32
Many are asking about AI in healthcare and about its application ave future or imminent dominance. Are the robots taking over?
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Automation Isn't the Solution from 2022-12-05T20:59
What?!?! Voyant's core technology is based on automation, how can we dare to be saying this? Listen to find out what we counsel.
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Kareo Data Integrity from 2022-10-31T16:32:06
Is there something wonky happening with the data in Kareo? What does bad data mean? Listen to find out for a significant issue with this system.
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AdvancedMD "AI" from 2022-10-21T01:03
AdvancedMD has an AI tool, but is it really AI i.e. artificial intelligence? We'll dive into this product and offer some thoughts on its capabilities and limitations.
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Go Big or Go Home? from 2022-09-30T01:35:10
What's better - more planning and detail or winging it... Err, I meant "agile". All jokes aside, which path is better - larger scope and more detailed specifications or the opposite?
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Nightmare Getting Everything from 2022-09-27T01:19:38
What information would you want in order to run analytics? If you're like other practices or billing (RCM) companies, you want to answer a lot of questions and this means lots of information that i...
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Clearinghouse Data Integrity from 2022-09-22T19:50:20
Do we need data from clearinghouses and why? Can they provide this information accurately and export it in order to use it in analytics? We'll find out.
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Clinix Data Integrity from 2022-09-20T18:57:17
Many systems have problems with their data. Listed to some issues we going with Clinix and why this makes reporting and even workflow difficult.
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Time Travel is Possible...with Some Systems from 2022-09-19T19:04:27
Net you didn't know time travel was possible. With some healthcare (HCIT) systems it is. As fun as this sounds, this creates some real headaches.
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Evaluating AI Vendors from 2022-03-02T05:19:12
What's a good way to evacuate the capabilities of a vendor offering RCM AI/ML? We'll tell you one expert's suggestion and explain whether it would be effective.
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What is Data Science vs AI vs Analytics? from 2022-02-24T20:26:10
Machine learning, artificial intelligence, statistics, data science, analytics - what do all these mean? What do we need it use for financial data in healthcare (RCM)?
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Detailed Data Discussion from 2022-02-23T18:32:06
What limitations do you encounter when pulling data from billing systems? What works better as a data source for analysis? This is a detailed explanation of where to get data and where to analyze i...
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Benchmarks, MGMA, and Navel Gazing from 2022-02-16T22:53:37
The MGMA had benchmarking data for a large number of practices. Listen to find out what they share in a webinar about benchmarks, as well as other esteemed presenters.
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Do Robots Get Tired? from 2022-02-16T01:49:05
Robotic process automation is really hot right now. But do robots get tired? Listen to hear about the challenges of getting access to your data, the robot apocalypse (just kidding), and lazy robots...
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I Don't Want to Know Anything from 2022-02-11T22:51:34
Is there value in "knowing" things? Listen to my contrarian point of view. I think you'll agree after listening.
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A Painful Webinar to Avoid from 2022-02-10T03:01:33
We'll tip you off on a webinar to avoid by a very well known and respected expert in the field. Why Is it so bad and a waste of your time? Listen to find out and what you should do instead.
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What's the Best Analytics Platform? from 2022-02-08T00:51:03
Ever wondered if Oracle BI is better than SiSense or the other platforms out there? What is "the best"? What criteria would you use to evaluate? And what does a top rating organization have to say ...
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How Bad is Kareo Reporting? from 2022-02-07T05:44:59
I don't want to give it away. You'll have to listen to the podcast to find out our impressions of the reporting and "analytics" for Kareo.
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Bet You Didn't Know from 2022-02-03T00:23:05
How much do you or your managers know about your healthcare business or revenue cycle management? If you're good, the answer is a lot. But no one knows everything. Listen to hear a discussion of kn...
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835s Screwing Up Analysis from 2022-02-01T15:50:33
Remittances often have errors or other issues that make doing analysis difficult. In particular practice name / entity name is a disaster. We'll explain this problem and tell you a very simple and ...
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Overwriting Data - Solution from 2022-01-28T18:22:50
Most billing and practice management systems overwrite data when something changes, which means you lose your ability to analyse and solve problems. We offer a simple(ish) solution.
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Denials Definition Standard from 2022-01-26T19:30:55
How are denials defined? Can we all standardize? Why isn't there already a standard from one of the financial or billing associations? We have an answer.
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Denials Rate Made Up? from 2022-01-24T20:37:55
Why do so many supposed experts who talk about analytics not provide actual data? Are they making up numbers? What is going on?
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Lions, Wolves, and Analytics from 2022-01-21T20:36:18
Have you ever thought about when is the best time to work? To do analysis? Strategic thinking? Did you realize it depends on your genetics? Listen to find out how to be a better analyst and problem...
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Hierarchy of Analytics from 2022-01-20T02:47:49
What's the worst, the bottom, the Nada land of analytics? And where is the top, what should everyone be striving towards? We'll talk about the hierarchy and what each level means so you can see whe...
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Priesthood and Medicine from 2022-01-15T00:34:22
What does healthcare in the United States have in common with the Catholic priesthood? Listen to find out.
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Denials Definition - Part 3 Deep Dive from 2022-01-12T23:46:13
We've discussed in RCM a definition of denials, discussed that there isn't a good definition, and why a definition is so important. Today we'll dive into some really specific examples of actual den...
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OpenPM Denials Reporting - Part 2 from 2022-01-10T22:43:39
This is a follow up to the information and review we provided about OpenPM / Open Practice Solutions and their reporting capability with respect to denials. We dive in more deeply here to the probl...
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Clearinghouse Problems from 2022-01-07T21:00:31
It never ceases to amaze us how many obstacles there are to successful analytics. We'll recount one of the problems you are likely to encounter. And a secret way to ensure you have success in getti...
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Denials Definition - Part 2 from 2022-01-06T20:00:47
In a prior podcast we talked about why it is so important you define what is a denial and what problems you encounter if you do not have one. In this podcast we dive in more deeply to discuss what ...
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OpenPM Denials Reporting from 2022-01-05T03:49:23
We often do reviews of individual systems and their reporting capability. We'll discuss OpenPM (Open Practice Solutions), give you a bunch of positive things and discuss one really important flaw i...
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Denials, the Supreme Court, and Porn from 2021-12-28T00:14:15
Hard as it is to accomplish, we managed to link revenue cycle management, denials, the US Supreme Court, and pornography all in one podcast (don't worry, nothing distasteful). Sound ridiculous? Thu...
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Problem Solving Methodology Problem Gets Dwarfed from 2021-12-15T02:35:54
We recently reviewed a client billing analysis that concluded that alternate CPTs should be billed in order to reduce denials. This is NOT about compliance. Listen to hear about what to watch out f...
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The Problem With Reporting from 2021-12-08T17:14:23
Are you looking at a flat file report when working on your medical billing? How does this relate to the relational database and its structure? Is anything being lost? Are we somehow being misled be...
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Shark Attacks, Spider Bites, and RCM Analytics from 2021-12-06T20:44:13
What do these seemingly unrelated things have in common? Have you ever heard of Freakonomics? Listen to hear discussing human behavior, data, and how it drives our decisions and business in revenue...
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eCW and Dashboard Tips from 2021-12-03T18:47:50
What makes a good dashboard? We'll discuss a key element for making a great dashboard and how it relates to eCW (eClinicalWorks) dashboard.
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Missing Denials? from 2021-11-30T01:06:30
Are you capturing all your denial information in order to do analysis and solve problems? If you're like the overwhelming majority of providers and billing companies the answer is no and one thing ...
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Non-Destructive Transformation from 2021-11-24T17:19:31
What is Destructive Transformation such a big issue? We'll explain how this creates huge problems even while it solves a pressing problem with Excel analysis.
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AR Recovery - Part 2: the Nitty Gritty from 2021-11-23T00:25:16
What should you do in AR Recovery, or what should you expect if you are a provider? We'll dive into some details and talk about how to make this work and have that cash register ring.
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Make Sure You Have "Problems" from 2021-11-19T22:55:52
Does your billing department or billing company have regular problem solving meetings designed to tackle problems in medical billing? We'll discuss how one of these went recently and what you can d...
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Destruction and Transformation from 2021-11-18T22:04:15
Are you a destructive analyst? We've all been there. We'll discuss what is destructive transformation and why it occurs so frequently in data science and analysis.
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eClinicalWorks Reports Review from 2021-11-17T05:42:39
How good is the reporting for eCW? We'll review some of their reports and discuss what is broken, what works, and what could be improved.
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Kitchen Toasters and RCM Reporting Systems from 2021-11-13T03:06:59
What do toasters and medical billing reporting have to do with each other? Listen to find out. I think this highlights a huge problem we have in the revenue cycle management industry.
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Don't Build Data Warehouse - Do This from 2021-11-12T00:09:30
In a prior podcast we outlined why not to do a data warehouse. In this one we'll expand on that a little and provide a very specific and detailed solution on what you should do instead. And it will...
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Real Estate, iBuyers, and RCM Data from 2021-11-10T15:39:33
What do Zillow and billing analytics have in common? We'll talk about why Zillow, who is famous for their algorithm, data, and analytics, and others have a problem in real estate and how to avoid t...
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Successful RCM Analytics Implementations from 2021-11-08T18:05
What challenges come up on implementations of medical billing analytics? Not just overcoming resistance, we'll discuss a key challenge and give you the solution that works every time.
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Resistance is Futile from 2021-11-05T16:10:17
OK...Start Trek references aside...how do we overcome resistance to using analytics in billing departments in order to improve profitability and customer satisfaction? We discuss some problems we'v...
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eCW eClinicalWorks "Analytics" Review from 2021-11-01T22:32:47
We will review eCW eClinicalWorks "Analytics" module in their cloud based application. We'll tell you exactly what it does and does not do. I thin you'll be surprised. We certainly were.
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Data Science Trends from 2021-10-28T15:01:59
What's happening with data science and specifically in healthcare? Where are the data scientists most in demand? We'll give you a little update on this and talk about an opportunity. I'll also shar...
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Top Medical Billing KPIs - NOT from 2021-10-28T02:44:05
What are medical billing KPIs? I think this is often confusing and misunderstood. We'll explore what constitutes medical billing KPIs, and what does not.
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Knuckle-draggers, Sports Fans, and "Analytics" from 2021-10-26T03:57:29
I'm going to on a rant, so watch out. I feel strongly about this. It's all editorial BTW with a little "analysis" thrown in for good measure. (Tongue firmly in cheek)
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Overcoming Resistance from 2021-10-23T19:59:06
Why do so many projects never get started? Or completed? Or are never used? Or fail? Is it the technology? Is it the specification, scoping, or implementation? Or is it something else entirely? Lis...
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Clearinghouse Update - What's sFTP? from 2021-10-22T14:28:58
We'll give you an update on how it is going with getting data from a big clearinghouse. Also explain what FTP is and how it can be critical to your analytics program.
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More Dashboard Best Practices from 2021-10-21T22:04:10
More suggestions and some real specifics on dashboard design that will make them more utilized and more effective.
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Smooth Operator - Clearinghouses Update from 2021-10-16T01:11:13
This is a follow on podcast about the challenges of getting access to your data, just do you can actually do analytics. I'm update you on the journey to go through the clearinghouse to get 835s/ERAs.
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Top 10 KPI - Cash Receipts from 2021-10-14T21:25:46
A frequent member of Top 10 KPI lists for medical billing is "cash receipts". But what does this mean? How do you calculate it? How often should you monitor it - daily? We'll cut through the BS, te...
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I Hate Consultant Speak from 2021-10-11T18:51:26
Do you ever have people talk to you in a way that seems really profound but actually has absolutely no value? This is the art of consultant speak. Billing managers do it too. Listen to hear an exam...
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Moving Backwards? from 2021-10-09T02:31:37
We seem to find ourselves simplifying things and implementing less complex solutions. Why? Shouldn't the world be progressing towards more sophisticated and larger implementations?
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Ever Heard of Simpson's Paradox? from 2021-10-06T20:13
If you haven't heard of Simpson's Paradox you're probably getting hurt by it. Not knowing makes you look bad. We'll explain what it is, how it impacts on you, and what to do to make sure people see...
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Benchmarking from Associations from 2021-10-05T20:14:53
Don't you want benchmarking around RCM performance? Where can you get it? Where should or be available? What should it accomplish? And do any of these match up to the expectations?
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Clearinghouses Won't Save You from 2021-10-01T16:02:34
The follow-up podcast to the last one about accessing data in order to do data warehousing and analytics in healthcare revenue cycle management. Think clearinghouses are your salvation? Guess again.
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Getting Data When PMS Isn't Doing It from 2021-10-01T02:25:39
Where do you go when you can't get the data you want to do revenue cycle analytics? To the source, of course! But where is that? And can you get it?
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Caribbean Islands and Data from 2021-09-27T23:29:57
Why talk about a Caribbean island and data? Listen to find out.
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Lies, Damn Lies, and..."Idiocracy"? from 2021-09-24T13:51:31
What does a dystopian sci-fi political satire have to do with statistics, intelligence, and revenue cycle management?
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Baseball, Game Theory, And Surprise Billing from 2021-09-22T14:35:48
What do baseball and surprise biking laws have in common. It isn't "Moneyball". Listen to learn a little about game theory, surprise billing, and arbitration in out of network medical billing.
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Coin Flips, Gambling, and Healthcare from 2021-09-16T14:33:39
What do coin flips and gambling have to do with checking in patients? We'll explain expected value and discuss why it is important in healthcare revenue cycle management.
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OK, So I'm Not Normal from 2021-09-15T14:56:03
I think about things differently than the average person. I'm a quant. In economics we used to think everyone behaved rationally, but with the advent of behavioral economics we know that's not true...
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Reporting Lag Time Secret - Denials from 2021-09-14T03:44:28
What's the solution to the reporting lag time issue? For denials it's easier than you think. I'm share my incredibly valuable Secret on what you do to avoid having to wait 6 to 9 months to know wha...
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Don't Build a Data Warehouse from 2021-09-11T15:21:19
Everyone suddenly wants data warehousing. We'll discuss whether this is a good idea (wait...what? Sean you love data warehousing) and for who and when.
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Surprise Billing Law and UCR from 2021-09-10T03:32:20
The new federal surprise billing law is complicated and has some interesting aspects to it. Data had always been a key part of determining reimbursement and we explore how this new law changes thin...
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Average Denial Rate from 2021-09-03T23:23:21
What is the average rate of denials on a percentage basis? What is the top quartile? How good can you actually get? What are the key things to implement a successful denials management program?
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Kill Your Dashboard from 2021-09-02T00:55:37
A few more best practices about healthcare financial dashboards...including when you should just scrap it.
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No Appetite for Analytics from 2021-08-31T20:45:22
Follow up to HBMA podcast about lack of data and analytics at the conference. I discuss why it isn't there with recent revelations about the revenue cycle management industry.
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Benchmarking Catch-22 from 2021-08-25T23:55:48
How can providers benchmark financial performance without exposing sensitive competitive information? We tackle this problem and offer a solution.
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Interoperability and 21st Century Cures Act from 2021-08-18T01:28:33
The solution is nigh...or is it?
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Are Denials 99% Avoidable? from 2021-08-16T22:50:38
What kind of target is achievable or even realistic in avoiding medical billing denials? What is "normal" and what is exceptional? And can it be replicated? Listen to find out what we just ran into.
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Denials Reporting Lag from 2021-08-13T17:46:22
Denials reporting is among many in healthcare finance and revenue cycle management where we are forced to look at really old data instead of current. Why? Does it really have to be this way? We hav...
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No Data and Analytics at HBMA Conference? from 2021-08-11T00:32:48
Looking at the agenda for the upcoming HBMA Conference I was floored to see there is nothing about analytics or data going on there. What is happening?
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How Long Is Long Enough To Wait? from 2021-08-07T23:52:50
How long do you need to wait in order to get financial results? Should you have to wait a day? A week? A month? A year? What about other information? What about RCM performance results? Listen to h...
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Denial Recovery Rate from 2021-08-04T04:04:59
What is denial recovery rate, how do you calculate it, and what is it good for? We'll discuss whether this is a good RCM KPI (spoiler: it isn't) and why.
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Staffing Problems from 2021-08-02T21:08:02
What is a healthcare provider or a medical billing company to do when you're short staffed and are having a hard time hiring enough employees? The consequences can be dire. Listen to hear what this...
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AR Recovery from 2021-07-29T22:33:12
What is AR recovery and why should everyone be doing it? We'll explain what it is and why it's the best thing since sliced bread.
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Dashboard Best Practices from 2021-07-28T01:20:09
What are the Do's and Don't's for creating a healthcare financial dashboard? Best practices and common mistakes are discussed in this podcast.
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ETL Module - Beta Testers Sought from 2021-07-26T15:33:49
If you are interested in our denials management application for beta testing, it comes with the ETL module that extracts, cleans up, and joins data from your system(s). Please contact us if you are...
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Real Estate Side Hustle - Part 2 from 2021-07-19T21:04:47
Money I save I often put into real estate to diversify and this is the second part of the story about how I used data and analytics to make money in my personal life.
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Dashboards vs Reports from 2021-07-16T23:03:09
What's the difference between a dashboard and a set of reports? Most people find them indistinguishable, and yet that destroys the value of dashboards. Listen to our take on this.
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Denials Management Software - Seeking Beta Testers from 2021-07-15T21:57:31
We are offering a limited number of organizations free usage of our new denials management software. Listen to find out some of the features of what it does, as well as benefits, and how to apply a...
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Data is Everywhere, Use It And Make Money from 2021-07-14T16:54:57
This isn't even about healthcare. It's about a personal story of looking at how I approach things analytically and modifying and improving that approach. And then making a bunch of money.
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Denials Management 100 from 2021-06-30T18:25:57
What comes before denials management 101...denials management 100. In order to do basic denials management in any way, whether it is analytics or basic medical billing denials workflow, you need da...
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Denials Management 101 from 2021-06-28T17:44:48
What is the first thing to do in implementing a denials management process? What gives the greatest bang for the buck in time to implement and cost? Listen to find out what should be step 1.
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Top Practice Management KPI's from 2021-06-24T03:14:44
Who has good practice management KPI's? While we usually slam organizations for poor, non-existent, or fictitious metrics, we'll share with you an organization that has come up with a good list...a...
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Good vs Bad KPI's from 2021-06-21T17:00:24
Is everything bad in RCM metrics? Are we just hypercritical? There have to be good medical billing KPI's right? Listen to find out.
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Charge Recon Labor Savings from 2021-06-18T23:47:03
How many hours of a high level analytical resource does it take to do charge reconciliation every month? We've gotten a quantification from a client where we deployed our Charge Recon application. ...
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Automating Charge Recon from 2021-06-16T02:33:17
How much time is saved by automating charge reconciliation? Not doing it or doing it on excel? Charge recon is finding encounters clinical missing from billing.
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Our Job is Never Done from 2021-06-12T20:58:03
Why can't it be that we just do a quick analysis and we're done? We explore the operational challenges that make this a pipe dream or dare I say fantasy in RCM analytics.
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Denials Definition from 2021-06-10T21:49
What constitutes a denial? Does everyone agree on this definition? Why does it matter what we include? Check in to hear our thoughts on medical billing denial definition.
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Traction Gap from 2021-06-08T02:07:39
What can we learn from venture backed startups (like Slack) that applies to healthcare providers? Are there any frameworks that could make them more successful and how do these relate to analytics?
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Charge Recon and Business Rules from 2021-06-05T01:21:58
What issues can you run into doing charge reconciliation? Errors can undermine your ability to find missing charges. Listen in to find a key tip for success.
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Idiosyncrasies of Cultures from 2021-06-03T00:41:30
Wyatt do idiosyncrasies of cultures have to do with medical billing and performance? Listen to find out and hear some tips to improve RCM ave your analytics.
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Another Rant About Stupid Metrics from 2021-06-01T04:14:09
You won't believe the dumb things on this massive RCM company's website. It kind of makes you cringe. They should either fire their entire marketing department or operations team...it's not clear w...
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The Future of Compliance from 2021-05-27T04:13:48
What do you need to be doing now in order to ensure regulatory compliance? We'll talk about data, analytics, penalties, and audits.
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What Does Basketball and RCM Have to Do With Each Other? from 2021-05-24T23:29:17
We'll take you through some fun examples of what to consider in making a good basketball team and what this has to do with medical billing.
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Patient Balances from 2021-05-21T19:04:33
Is there an easy way to collect more money from patients? Here is one SECRET we have implemented for clients that significantly improves patient collections.
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Conditional Logic Solutions from 2021-05-20T15:37:47
We put some real effort into finding resources for teaching conditional logic. Listen to find out why this is so important in medical billing and where to get some FREE courses.
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Alice in Puzzleland from 2021-05-17T19:24:15
What does the great Raymond Smullyan have to do with revenue cycle management analytics? Listen to find out (and learn about my goofy childhood).
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What is conditional logic? from 2021-05-13T17:49:12
What the heck is this thing? Why does it matter in medical billing? Is it only for analysis or does it impact anything else?
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Rules in Heads - Part 3 from 2021-05-11T22:41:47
Why are there so many problems and so much resistance to codifying rules in medical billing so they can be analyzed and measured? Let's look at why and what to do about it.
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Medical Billing Rules in Heads - part 2 from 2021-05-05T22:34:23
What happens to those medical billing rules that are in everyone's heads? Your company needs those and there are competing reasons fighting to get those out or keep them secret.
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Rules in Heads from 2021-05-03T18:06:57
There are a ton of little nuances to billing that everyone in the industry know exist. What does this do to your analysis?
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Routing Remittances from 2021-05-01T00:53:43
Which claim remittances and correspondence go to which departments in the medical billing company or division? It depends. Listen to find out about a huge productivity boosting analytics setup for ...
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Analysis or Quality Control - Which is More Important? from 2021-04-29T20:48:03
Ever find a mistake or a problem in an analysis? Who hasn't. The question is not how to prevent it, but how much time and effort needs to be devoted to finding mistakes in RCM analytics compared to...
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Contact Compliance - Part 2 - Finding Problems from 2021-04-26T21:38:35
Are you ready to do the quality control to figure out if all those incorrect payment flags are actually incorrect payments or just an error in the system? We'll dive in so you can know what you'll ...
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Are Payers Underpaying You? from 2021-04-24T03:38:25
How can you tell if you're getting taken advantage of by insurance companies? Are they underpaying you according to your contract? What are your options for catching this?
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GIGO Insurance Name from 2021-04-22T01:09:33
Running into problems where you have lots of different payer names fire the exact same insurance company? Why does this happen? What kind of problems does it create? And how can you fix it?
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Tiers of Reporting from 2021-04-19T22:21:01
What do different people in the organization need for data and reporting? What kind of analysis is appropriate for a biller compared to a CFO of a system? And how can that be obtained for all those...
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How to Control Your Data from 2021-04-16T23:22:46
If you want a medical billing company to bill for you, how do you ensure that you keep your data or control the data so that you are safe in the event something happens? We walk you through the typ...
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Figuring Out What is Needed - Ugh! from 2021-04-14T15:47:12
Trying to define exactly what software you need built or what you need analyzed can be extraordinarily difficult. Here are some of the issues typically encountered and a suggestion on how to improv...
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Missing Encounters - the Why from 2021-04-12T17:26:43
If this is such a quantifiably large problem, why are so few organizations doing charge reconciliation to find all the missing encounters? Let's walk through the issues so we can set them up to be ...
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Scope Creep in Analytics from 2021-04-09T16:02:58
What is scope creep? Why does it occur? What can you do to mitigate it? These are difficult questions when it comes to analysis and software development. We'll talk through some of these issues.
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Seems Like Charges Are Missing? It's a Safe Bet They Are. from 2021-04-07T23:50:01
Ever feel like not everything is getting billed but just can't put your finger on the problem? This can be complex, especially because no one may know how to quantify the problem. Listen to hear ab...
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Multiple Systems for Medical Billing Companies from 2021-04-05T20:44:35
Billing companies are often forced to use many practice management or EMR systems in order to do billing, but this poses some huge challenges in data, reporting, and analytics.
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Customized Reports from 2021-04-03T04:30:55
Why are custom reports needed so often and yet few get them? Big systems are notorious for not charging a ton of money for every module, feature, and report. Listen to hear our thoughts on this.
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AR Aging Buckets is Antiquated - Possible Solution from 2021-04-01T18:13:14
If AR aging buckets isn't the best way, what should medical billing teams do to prioritize and work claims most efficiently? Listen to find out.
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AR Aging Buckets is Antiquated from 2021-03-26T18:31:53
This is one of the most common tools used in medical billing and yet it has limited use and lots of issues. We'll examining some factors involved and discuss what is better.
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Out With The Good, In With The Bad from 2021-03-24T16:29:57
Sometimes we have problems with our data and it's because we made good data into bad data. Listen to find out about what we found in the operational workflow when we were automating charge reconcil...
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Patient Net Collection Rate >100%? from 2021-03-22T20:56:03
How is it possible that you can have more than a 100% patient net collection rate in medical billing? Listen to find out how this sometimes happens, what it means, and what you need to do to addres...
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Calculating Patient Net Collection Rate from 2021-03-19T17:06:19
What is patient net collection rate in medical billing? How do you calculate it? What is a good performance level to achieve? What are some tips and nuances in this arena?
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Vague Answers and Promises - Part 3 from 2021-03-17T15:53:54
Sick of promises that aren't kept? Vague statements that seem to answer the question but don't really commit to anything in medical billing, software, or RCM vendors? Here are some detailed methods...
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Promises and Vague Answers? - Here Are Solutions from 2021-03-15T17:17:05
In a prior podcast we talked about healthcare vendors, employees, and software companies that make vague promises or try to make things look great without much substance. Here is the meat on how to...
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Sick of Promises and Vague Answers? from 2021-03-12T18:10:45
Vendor promising something that you want? Trying to figure out if you will get results or just a headache and a hole in your wallet? How can you distinguish fact from fantasy or deception? Software...
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Fields You Can't Report from 2021-03-10T23:33:38
Why are there so many fields you can't report from healthcare revenue cycle management systems (practice management systems, medical billing systems, HIS, RIS, LIS, etc.)? Don't you want this infor...
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Denials, Hard to Collect Claims, and Economies of Scale from 2021-03-09T02:42
Why do economies of scale matter so much in medical billing when it comes to hard to collect claims? Shouldn't it just be that it is a question of hard work, being detailed and thorough, and having...
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Insiders Tip - Saved Reports from 2021-03-05T18:24:19
There are not a lot of free lunches out there, but saved reports are one of the most important in healthcare revenue cycle management and medical practice management.
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Fraud or Incompetence in AR Analysis? from 2021-03-03T19:40:43
Looking at the spreadsheet calculating net collection, medical billing performance, and accounts receivable balance, we found massive problems. Don't make these mistakes like they did.
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Bank Reconciliation Part 2 - Action Plan from 2021-03-01T22:25:55
Missing money? What specifically needs to be done in order to reconcile medical billing collections to deposits in the bank account? Here is the detail.
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#1 Fake Medical Billing KPI from 2021-02-26T21:59:22
What's the #1 fake metric or KPI in revenue cycle management / medical billing? Listen in to find out.
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Simple Compliance Analysis You Can Do from 2021-02-25T17:14:26
If someone in your organization is billing something incorrectly, whether accidentally or intentionally, you may face huge legal and financial consequences. In this podcast were show one simple way...
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Bank Deposits Not Matching Collections? from 2021-02-24T04:14:23
Have you ever tried matching bank deposits to a connections report? Beer it didn't line up. Now what? What are the problems that can lead to significant mismatches? We'll talk about why bank reconc...
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Missing Deposits - Not Matching Collections? from 2021-02-24T03:14:23
Have you ever tried matching bank deposits to a collections report? Bet it didn't line up. Now what? What are the problems that can lead to significant mismatches? We'll talk about why bank reconci...
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Denials - A Reporting Problem from 2021-02-22T18:04:22
Certain issues like understanding how your system stores data is critical. Especially whether data is overwritten or stored as a separate record. There is often a problem that prevents a lot of ana...
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Medical Billing Charge Reports - More Than Meets The Eye from 2021-02-18T04:17:33
Isn't it simple - just run a "charge report"? But what if the question you are trying to answer is not the same as your colleague? How many different types of medical billing charge reports are the...
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Medicare for All...Again? from 2021-02-16T20:20:52
Once again Medicare For All has resurfaced since Democrats have taken control of the White House. In this non-partisan discussion we look at whether this is a sound financial policy.
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Do Insurance Companies Tell the Truth? Part 2 - Some Results from 2021-02-12T23:06:56
Medical claim denials contain information from insurance companies. Are they telling the truth? Listen in to find out as we analyze the data to find the truth.
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Reviews of Reporting Capabilities in Billing Systems from 2021-02-11T04:33:45
Do medical billing systems have good reporting? What do user reviews indicate? We look at the average rating (positive or negative) of reviews that comment specifically about the capability of repo...
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Can You Trust Insurance Companies To Tell the Truth? from 2021-02-08T20:56:08
Can you rely on the information in a medical billing remittance (EOB / ERA) from health insurers that tell you what to do to modify, resubmit, or appeal claims in order to get paid?
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Average Reimbursement Analysis - Part 2 from 2021-02-05T02:59:05
We dive in more deeply here to look at how this is calculated and what went wrong. Is the medical billing company trying to pull a fast one on its client? Listen in to find out.
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Average Reimbursement Analysis from Billing Company from 2021-02-03T20:16:24
Caveat emptor when it comes to getting analysis done for you. Listen here to find out all the problems we see in what should be a simple analysis of average reimbursement from a medical billing com...
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Office Ally Reports from 2021-02-02T04:13:49
Office Ally is free medical billing software (clearinghouse, practice management system PMS / EMR). We briefly review be reporting capability.
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Secret Denials Management Tip from 2021-01-28T21:10:17
Not going to give this one away in the description. You'll have to listen to find out this tip on how to improve your medical billing denials management process using an analytical trick.
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Correlation and Causation from 2021-01-28T01:16:26
A fun little episode about the difference between correlation and causation and some spurious correlations for entertainment.
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Worst Insurance Payors - Part 2 from 2021-01-27T04:38:26
There are other metrics on which you can evaluate whether a payor is bad, other than just denials. We'll take you through a couple and suggest what to do.
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The Worst Insurance Payers for Denials from 2021-01-23T00:11:03
Who are the worst payers? How do you identify your "worst" list? And what do you do about it once you have this naughty list?
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Gross Collections Rate Metric from 2021-01-21T22:00:20
What is gross collections in medical billing, how do you calculate it, is it valuable, and what are the pros and cons of this metric? We'll break it down for you.
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How to Know if Your Billing (Company) Is Good from 2021-01-20T00:17:27
How do you know if your billing or billing company is performing well? Do you just ask them?
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"Payment Velocity" is a BS Metric from 2021-01-16T00:30:29
I'll going to go off again on one of my favorite targets Kareo. They have a metric that is called Payment Velocity and it is complete and utter garbage. Listen to find out why.
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Data in Eligibility Verification Problems from 2021-01-14T23:00:14
Eligibility verification problems in medical billing can really destroy the financial success of a provider. This is the story of a catastrophe because of eligibility problems, finger pointing, con...
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How do you calculate denials rate? from 2021-01-13T19:32:43
What counts as a denial? How can you actually calculate, what fields are you going to use, what unique key will allow you to figure out what counts and what doesn't and are your denials getting bet...
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Billing Company Pricing and Perverse Incentives from 2021-01-12T04:25:07
What's wrong with flat rate pricing from a medical billing company? Everything. Incentives drive behavior and we'll discuss how this undermines performance.
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Why Are Hard to Collect Claims Not Worked? from 2021-01-08T21:07:53
Notice we didn't say collected. Why are they not even worked frequently or at the level they should be to maximize revenue for a provider? We show you the answers and you may be surprised.
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Happy New Year, making data-driven decisions, and a mea culpa from 2021-01-07T18:18:45
Where can we be more data driven? How can we make decisions that are better informed? This year we should be making a commitment to improving our business and profitability through data. And that i...
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Measuring RCM Productivity Part 2 - Solutions from 2020-12-24T02:51:57
We provide you some simple solutions on how to measure the productivity of medical billing team members for various different parts of the revenue cycle including patient registration, charge entry...
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Surprise Medical Bills No More? from 2020-12-22T00:29:54
Congress looks set to pass a bill that will eliminate surprise medical bills for patients.
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RCM Productivity Metrics from 2020-12-19T19:12:55
What should you measure to figure out productivity in medical billing? What do you do to make sure the people don't be in the system or do you want to create incentives that actually result in good...
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Medical billing service and medical billing software - one-stop-shop good? from 2020-12-18T00:12:28
Is the trend towards practice management / medical billing software companies offering outsourced medical billing service a good one? And for who exactly?
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Are health insurance companies screwing doctors with underpayments? from 2020-12-16T17:33:52
How do you know if you're getting underpaid and are insurance companies doing it intentionally? Is there a way to know conclusively? (We use "doctors" as a symbol of all providers, whether it is ho...
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Medical Billing Blame Game Part 2 from 2020-12-11T22:11:22
When finger pointing happens in medical billing, whether it is with an external billing company or in-house department, what do you do? How do you know who is responsible for claims not getting pai...
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The Blame Game in Medical Billing from 2020-12-09T19:05:48
What do you do with the inherent problems of the blame game? Who is responsible when claims don't get paid or there is a problem? Billing blames insurance, insurance blames billing. Now what?
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Dethroning AR Days from 2020-12-09T00:05:54
Why AR days should NOT be the gold standard in measuring accounts receivable and medical billing performance.
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Medical Billing Company References from 2020-12-07T23:15:38
How do you evaluate and select a medical billing company to perform you billing? Reference are the number one method and we'll discuss whether that is a good criterion.
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Defining Metrics, KPIs, Data, Analytics from 2020-12-04T16:54:37
Defining and getting through the marketing BS on RCM and medical billing terms and acronyms.
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RCM visualization tools, "analytics", and...dynamite from 2020-12-03T01:03:21
What do medical billing, financial data, analytics, and visualization tools have to do with dynamite? Listen in to hear about Xifin Revenue Cycle Management "business intelligence" solution.
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ASCs, EMRs, and Data Mining from 2020-12-02T06:10:16
Why do so many ambulatory surgery centers not have EMR? Will it change? We look at a hypothesis on why, what the impact is, as what you can do with data mining until it is implemented.
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What to Pivot to Find Payer Problems from 2020-12-01T04:23:22
How do you figure out what payers are unwilling to pay? What CPTs are going to get denied in medical billing? What's the right question and what's the right way to analyze to identify and prevent p...
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What's a Good Use of Time in the Pandemic? from 2020-11-24T22:31:42
What can you do when you're alone in your home office?
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Bridging the Medical Billing and Technical Teams from 2020-11-24T05:13:47
How can people who don't understand each other communicate? Billers don't know software, database structures, etc. and IT people / analysts don't know billing. What's an organization to do when you...
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athenahealth Review from 2020-11-21T06:11:56
Does athenahealth have a good medical billing system or is it just an EMR/EHR and is their reporting good? What are the major pros and cons?
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Epic Software from 2020-11-19T23:15:01
Is Epic Software really epic when it comes to reporting? Find out in this podcast discussing the reporting capabilities of one of the largest hospital and EMR software companies on the planet.
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Revenue Cycle Management is the wrong name from 2020-11-17T20:31:18
What are we focused on in our industry? Seems like our target is off the mark in medical billing and we're looking at metrics and KPIs that are not in alignment with our financial goals.
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Most Important Denials Metric from 2020-11-15T05:17:40
I'm giving you one of our most secret Secrets for RCM Denials Metrics. The most important KPI there is for your medical billing appeals process.
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Data is sexy from 2020-11-13T05:37:36
What does Guy Kawasaki have to do with revenue cycle management? Listen to find out.
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RCM Analytics Learning Loops from 2020-11-11T18:38:18
Often when you do revenue cycle management (RCM) analysis, you and up not getting the answer you were going for. And suddenly you need to look at why, are there different questions, and how does th...
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Rushing to Analysis from 2020-11-10T17:51:07
Let's be honest...Data prep sucks. Wouldn't you rather just do denials analysis? Hear what happens when analysts focus on analysis instead of what is even more important...
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Top 10 Medical Billing KPI's...That Aren't Actually KPI's At All from 2020-10-24T05:04:25
Why is it that so many consultants, billing companies, and software platforms in RCM / revenue cycle management / medical billing give you such garbage advice? They after even actual performance me...
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Analytics and Calling BS from 2020-10-22T05:05:49
How many times have you heard the buzzword analytics in healthcare and revenue cycle management? Seems like at what conference and in tons of articles we're being bombarded. But is it really analyt...
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Reason codes extracted - now what? from 2020-10-21T03:53:21
Now that we extracted reason codes from the text field Notes in the medical billing system (aka EMR), can we figure out the top problems to solve?
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Extracting denial reason codes from 2020-10-20T00:11:40
When it's ugly just trying to get the information you want. How do you solve medical billing problems when you can't get good data on what is being rejected ir denied and why?
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Clearinghouse rejection reports from 2020-10-18T03:55:06
Diving into denials reporting for medical billing for one of our clients takes me to a clearinghouse rejection report and the result is surprising.
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The RCM Journey from 2020-10-16T04:14:33
What's the best way to tackle the entire healthcare reimbursement system problems? I'm going to find out.
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