For The Love of Revenue Cycle

Welcome Back! In this episode, I give a preview of what's coming up in Season 2 of For the Love of Revenue Cycle!  I'm so excited to be back and I'm ready to kick off this season!

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 step to compassion and empathy in our relationships. And when we work together with compassion and empathy, we have more efficient and effective revenue cycles.  In today's episode, I am chatting with April Torres.  You probably remember April from our last episode when she talked about her role as a revenue cycle manager.  Well, she is back again today to talk about the medical biller role. Sit back and enjoy this engaging and insightful conversation.

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 master class as mentioned in the podcast.  https://learn.emilyhawkins4u.com/burn2break-masterclass/

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 step to compassion and empathy in our relationships. And when we work together with compassion and empathy, we have more efficient and effective revenue cycles.  In today's episode, I am chatting with April Torres.  April and I met through my Facebook Group, For the Love of Revenue Cycle.  When I reached out for volunteers to be guests on these series, she was my first volunteer.  We will be discussing her role as a revenue cycle manager. Sit back and enjoy this engaging and insightful conversation.

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.  Claims review before submission is the final opportunity to append the appropriate modifier before it gets to the payer.  Unfortunately, most of us learn about modifiers when we are resolving unpaid claims in the outstanding AR.  Well, I think that means we can all learn something from this review of modifiers, right?

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 review before submission is the final opportunity to append the appropriate modifier before it gets to the payer.  Unfortunately, most of us learn about modifiers when we are resolving unpaid claims in the outstanding AR.  Well, I think that means we can all learn something from this review of modifiers, right?  

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 review before submission is the final opportunity to append the appropriate modifier before it gets to the payer.  Unfortunately, most of us learn about modifiers when we are resolving unpaid claims in the outstanding AR.  Well, I think that means we can all learn something from this review of modifiers, right?  Let's waste no time and jump right in!

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 so much more about her and probably figure out why I admire her so much.  She is smart, gracious, and eager to be a part of teaching others about the business of healthcare.  I hope that you enjoy our conversation as much as I did.  Our discussion covers many topics, but mainly we discuss her career path, resources that AAPC offers to further their members careers and education and some coming initiatives.  

Today's episode is part 2 in a series in which Quiana Craig shares with us her journey in growing her company.  If you didn't catch part 1, press pause on this one and go back to listen.  If you have been thinking about starting your own company or are looking for ways to freshen up your current one, stay tuned and get some great tips from a pro. 

Are you feeling overwhelmed with how to properly create and submit an appeal.  Well, In this live Q&A we talked all about appeals.  Be sure to stay tuned to the end because there are a lot of great questions from the attendees.

Today we have a treat for you.  Quiana Craig will be hosting the podcast. She is a certified professional biller, licensed AAPC approved instructor and the owner of Express Medical Billing & Consulting.  Quiana reached out to me last summer to bolster my courage in starting the podcast.  She had so much belief that she agreed to be the first sponsor.  Words cannot express how much I have appreciated her encouragement and excellent promotion on Instagram.  Today she is going to share with us her journey to starting her business in 2008.  If you have been thinking about starting your own company or are looking for ways to freshen up your current one, stay tuned and get some great tips from a pro. 

As the title suggests, today's episode is all about managing the revenue cycle.  I'll share with you the processes that I've used over my career to improve and maintain best practices and KPIs.  You might want to take notes on this one!  I will be sharing the various reports that I use and it might get tough to retain the details.  Let's get to it!

Have you ever been overwhelmed with denial management? Maybe you are responsible for a list of denied claims or maybe you are responsible for reducing the number of denials. In today's episode we will reduce the overwhelm by simplifying common denials by breaking them down into what they are, how they are caused, suggestions for resolution and best practice tips for prevention.

In this live Q&A we had a great conversation about difficulty resolving PTAN issues, emergent denials and is bundling a payment or coding issue.  There are also some big announcements.

Have you ever been overwhelmed with denial management? Maybe you are responsible for a list of denied claims or maybe you are responsible for reducing the number of denials.  In today's episode we will reduce the overwhelm by simplifying common denials by breaking them down into what they are, how they are caused, suggestions for resolution and best practice tips for prevention.

We had some great collaboration on today's live Q&A.  The attendees shared their struggles with being new to billing, billing and coding without a software and some great modifier questions.  Take a minute and listen!

Have you ever been overwhelmed with denial management? Maybe you are responsible for a list of denied claims or maybe you are responsible for reducing the number of denials.  In today's episode we will reduce the overwhelm by simplifying common denials by breaking them down into what they are, how they are caused, suggestions for resolution and best practice tips for prevention.

In today's Live Q&A we had a great discussion regarding operational challenges with the Good Faith Estimate as required by CMS' No Surprise Act.  We also discussed a challenge that Ashley is having with out of network denials on inpatient procedures stating non-emergent.  As referenced in the recording, Stephanie Thebarge and Ashley Szocinski can both be reached through LinkedIn.  If you are interested in being on the No Surprise Act Panel, please contact me.

Hello friends and welcome to episode 10 of For the Love of Revenue Cycle.   Today's episode is a continuation of last week's episode in which my friend Georgi shared with us his experience in starting his own billing company.  This week he is going to share with us how to market a billing company.  The dos and don'ts that he learned firsthand.  If you are thinking about branching out on your own, I think that you will find his tips and resources to be very helpful.  This is not in an interview format.  We decided that due to the nature of the topic, it would be better if he was a solo show.  Is everyone settled in?  Alright, let's get started

I can't tell you how much I've been looking forward to sharing this episode with you. We are taking a little break from our Nuts and Bolts series and will be hearing from a friend of mine.  I met him years ago when I was an officer of the AAPC Des Plaines Local Chapter.  I will let him introduce himself because he will do much better than I.  I'm really looking forward to hearing him tell his story of how he started his billing company.  I personally think it's quite inspiring.  This is not in an interview format.  We decided that due to the nature of the topic, it would be better if he was a solo show.  Is everyone settled in?  Alright, let's get started with part 1 of this 2 part series.

In today's live Q&A we discuss some tips to be on the lookout for when sharing and receiving resources on social media, articles, webinars, documents, etc.  

Hello friends and welcome to episode 9 of For the Love of Revenue Cycle.   I am so excited to be back here again with you.  I would like to thank you for tuning back in and I want to give a big welcome to our new listeners.   This episode is the first segment of part 6 in a 7-part series on the Nuts and Bolts of Revenue Cycle.  Due to the amount of content regarding denials, I decided to split part 6 up into two segments.  Today's episode will be about denial management and then next week's episode will be about how to resolve and prevent top denials. For those of you who may just be joining us, we have been walking through the steps of the physician revenue cycle (more details are in episode 1). The content is focused on how we can streamline processes for better efficiency and to reduce denials. Basically, we're talking about best practices that will bring in the revenue.  Is everyone settled in?  Alright, let's get started!   

In this live Q&A, we discuss in more detail some of the topics that Elisa Garn and I discussed in the most recent episode.  We talked about how to create positivie work environments and how to effectively work with direct reports that we may not see eye-to-eye with. Finally, we discussed the advantages of managing teams with a more "human" approach then "employee" approach.

I am so thrilled that Elisa Garn was willing to share her expertise in human resources and recruiting with us today.  I hope that you find this conversation as interesting and helpful as I did. I learned so much!  Before we get started, let me tell you a little bit about Elisa. Elisa has 15+ years of experience with HR, with an expertise in modern, progressive and human-centric strategy. She specializes in personal branding, employer branding and creating work environments that foster belonging and best-of-class cultures which set people free to do great work.  Here are the books she recommended: Power of Influence by Ty Bennett Range by David Epstein Quiet by Susan Cain    

In this Q&A we discussed the No Surprise Bill Act.

Hello friends and welcome to episode 7 of For the Love of Revenue Cycle.   I am so excited to be back here again with you.  I would like to thank you for tuning back in and I want to give a big welcome to our new listeners.   I can't tell you how much I've been looking forward to sharing this episode with you. We are taking a little break from our Nuts and Bolts series and hosting our first subject matter expert.  So exciting.  Today's expert is Stephanie Thebarge.  I hope that you find this conversation about her career path and about infusion auditing and billing to be as interesting as I did.  We also through a bit about compliance in there, too.  I certainly learned a lot and I hope that you will too. 

In today's Q&A we discuss handling denials, credits and patient balance.

Hello friends and welcome to part 2 of episode 6 of For the Love of Revenue Cycle.   I am so excited to be back here again with you and welcome to our new listeners.   This episode is a continuation of episode 6 in which we discuss AR followup in our series on the Nuts and Bolts of Revenue Cycle. AR followup is kind of our intro into the big one about denial management.  For those of you who may just be joining us, we have been walking through the steps of the physician revenue cycle (more details are in episode 1). The content is focused on how we can streamline processes for better efficiency and to reduce denials. Ultimately, we're trying to figure out best practices that will bring in the revenue.  I like to make this clarification at the beginning, so everyone understands that this is not a tutorial on how to do each function.  Is everyone settled in?  Let's jump in!

Today's scheduled Q&A did not actually take place because of a power outage in my area.  This recorded episode is the planned topic for that day and it is a sneak peek into the top denials.  I dive into COB and duplicate denials.

Hello friends and welcome to episode 6 of For the Love of Revenue Cycle.   I am so excited to be back here again with you and welcome to our new listeners.   This episode about AR followup is another part of our series on the Nuts and Bolts of Revenue Cycle and it will be a little different because it will be split into 2 parts. AR Followup is kind of our intro into the big one about denial management.  For those of you who may just be joining us, we have been walking through the steps of the physician revenue cycle (more details are in episode 1). The content is focused on how we can streamline processes for better efficiency and to reduce denials. Ultimately, we're trying to figure out best practices that will bring in the revenue.  I like to make this clarification at the beginning, so everyone understands that this is not a tutorial on how to do each function. Is everyone settled in?  Let's jump in!

In this Q&A we started off with a great conversation regarding 2022 coding updates and the best practice for distributing this information within an organization. Then we talked about the Medicare surprise billing ruling.  Here is a link to more information on CMS website.  We finished our call by talking about coding departments that are responsible for helping denials.

Hello friends and welcome to episode 5 of For the Love of Revenue Cycle.   I am so excited to be back here again with you and welcome to our new listeners.   Today is part 4 of our 7-part series called Nuts and Bolts and we'll be talking about claims, payment posting and statements.  This is the last episode before we jump into AR follow-up and denial management.  For those of you who may just be joining us, we have been walking through the steps of the physician revenue cycle (more details are in episode 1). The content is focused on how we can streamline processes for better efficiency and to reduce denials. Ultimately, we're trying to figure out best practices that will bring in the revenue.  I like to make this clarification at the beginning, so everyone understands that this is not a tutorial on how to do each function.  Is everyone settled in?  Let's jump in!

In this Q&A, we talked about certifications and career path in revenue cycle.  

Hello friends and welcome to episode 4 of For the Love of Revenue Cycle.   I am so excited to be back here again with you and welcome to our new listeners.   Today is part 3 of our 7-part series called Nuts and Bolts. Today, we'll be talking about coding and charge capture/charge entry.  For those of you who may just be joining us, we have been walking through the steps of the physician revenue cycle (more details are in episode 1. The content is focused on how we can streamline processes for better efficiency and to reduce denials. Ultimately, we're trying to figure out best practices that will bring in the revenue.  I like to make this clarification at the beginning, so everyone understands that this is not a tutorial on how to do each function.  Is everyone settled in?  Let's jump in!

In this Q&A, we discuss federal plans as 2ndary, coding software with annual coding updates, hiring medical billers and advancing in the medical field. Don't forget to send me your email address to be included.

The Nuts and Bolts series breaks down in more detail the steps of the revenue cycle that were talked about in episode one, this will be a six-part series in which we will discuss the impact that each step has on the revenue in the practice. This is the second episode in the nuts and bolts series. In this episode, Vanessa will be covering the front end of physician revenue cycle including appointments, scheduling preregistration, registration, and authorization. She will be focusing on how to streamline processes for better efficiency and to reduce denials. Ultimately this will create best practices that bring in more revenue.

The Nuts and Bolts series breaks down in more detail the steps of the revenue cycle that were talked about in episode one, this will be a six-part series in which we will discuss the impact that each step has on the revenue in the practice. In this first episode in the nuts and bolts series, Vanessa will be covering Credentialing and System Set Up. She will cover the important pieces involved in these two foundational steps of physician revenue cycle and share with you how these pieces can help to bring in revenue much faster and to help prevent denials.

What is the Physician Revenue Cycle? The revenue cycle is the entire life of a patient encounter from creation to resolution.  In this episode of For the Love of Revenue Cycle Vanessa will be discussing the essential components of the revenue cycle and breaking down why each one is important. She covers topics such as credentialing system setup, appointment scheduling, preregistration pre-certification authorization, registration, front desk (check-in checkout patient encounter charge capture, coding, charge entry), Payment posting claims statements, accounts receivable, and revenue cycle management.  Connect with Vanessa and learn more about the Physician Revenue cycle through: Instagram Facebook Group LinkedIn

The For the Love of Revenue Cycle podcast is officially live! This will be your one-stop-shop for all things related to physician revenue cycle. Each week you'll get simple, actionable tips on career, business, and operations of physician revenue cycle. In this first episode, I'm outlining exactly what to expect from For the Love of Revenue Cycle podcast. We're diving deeper into what inspired this podcast and how you can discover the tools, resources, and knowledge that you need in order to be successful in the physician revenue cycle. Connect with Vanessa and learn more about the Physician Revenue cycle through: Instagram Facebook Group LinkedIn