What makes for success in healthcare RCM? Can we create a repeatable widely accepted framework for analyzing success and comparing in order to benchmark?
RM Process Documentation -Why So Bad
Leadership and Culture Issues in Medical Billing
What is EOM reporting that closes after the end of the month? Why do people still do this and why is this no longer a good solution? Listen to find out a modern data and reporting way of doing things that works much better.
Everyone focuses on getting clients paid faster, but what about your company getting paid by your clients? All RCM companies have had issues not getting paid or having to chase clients. We will take you through everything you need to know to have all your client invoices created, sent, paid and in your bank account - in 10 days.
Your medical billing operations team thinks something is being done offshore and suddenly it comes back or there are constantly questions or clarifications. Holdups, delays, problems that keep work from getting done or impact on client performance and productivity. Why is this happening and what should you do about it?
What is the Red Flags Rule? Are medical billing companies subject to it? How big a deal is it, what are you risks, and the impact if you have a problem? What should you do to make sure you don't have a giant financial liability? We'll walk you through all of this and you may be shocked at what you need to change to avoid a major problem.
Should your company cold call in order to generate leads and new sales? We'll walk through whether it works and specific steps to take to maximize results.
Amid all the hype around AI in healthcare RCM, there has been relatively little discussion around the challenges, or more specifically warnings about true adverse effects. Learn about how AI behaves including lying. You'll be shocked. And then we'll tell you what to do.
Some PMS and EHR are better than others on reporting and data access. We'll walk through a few things that make some better than others and go through a specific use case regarding eCW and why it is so problematic for most users.
Most people just assume they need analytics. But what if I told you that might not be what your company needed right now? We'll walk through some scenarios on medical billing companies and their need for data-driven answers, how to get them, and what they really need right now. We'll also cover some other important factors like who you need in your organization to be successful with data warehousing or analytics.
What to improve you profitability? It starts in your RCM marketing and sales and most people don't think about contracts and statements of work (SOWs) and how they impact on client satisfaction, retention, and profitability. We'll take you through exactly what you need to do and why to ensure you have satisfied clients, keep them long term, and increase you profitability significantly
AI is so hot right now. Everyone is feeling the pressure to implement it or be left behind. But what do you do? We'll walk through what you need to do to get real value, specifically return on investment (ROI) out of any medical billing AI.
What do you do if you don't have good options for positioning and differentiation of your company in your medical billing marketing? You can't just go without it or you'll waste tons of money on unsuccessful campaigns. In this podcast we'll discuss why this might be the case, and what to do if this is where you're stuck.
We've discussed the importance of strategy and targeting in particular in success in medical billing marketing. But what do you do if you don't have any good options? We'll discuss some scenarios you may find yourself in, as well as what you can do to solve this for successful lead generation campaigns.
In a prior podcast we talked about how to develop medical billing KPIs. In this one, we'll get really detailed and walk through how to break down company and operational goals and put them into KPIs that you can track and improve upon. We'll also give you a framework for how to evaluate if a KPI you have developed or selected is good.
Player: "How do we win more games, Coach?"Coach: "Score more points than the other team!"It is confusing, because sometimes these consultants' articles or vendor white papers are really detailed and seem like we should be learning something. But are they really actionable on how to improve your medical billing or just vague platitudes, and how can you tell the difference? We'll walk through one example and break it down. Not just a rant, this is a guaranteed feel-better piece for RCM.
What does data integrity mean - basically can you trust the information in your system or systems? Medical billing data isn't complex, but if you can't trust the numbers, or worse your clients can't trust you because of your numbers, now what? Is this just a reporting problem or something much deeper? What practice management systems have a problem and what should you do about it?
If you want medical billing KPIs, how do you create them? We'll dive into whether you should use HFMA or MGMA or similar types of metrics. You'll be surprised at our approach, because it throws out conventional wisdom, but will result in much more success for your organization.
I'm a huge proponent of medical billing AI, RCM automation, and all things technology. But what are you hoping the technology will do...magic? We'll discuss what is are realistic expectations for medical billing technology, and a sustainable and realistic approach to implementing medical billing automation and AI.
Your marketing is working, yay! Medical billing leads are starting to come in and what do you do with them? This is solidly sales, but is critical to your success. We'll walk through a specific scenario recently encountered by one of our clients and tell you what specifically you should do maximize your changes of closing the deal.
There is so much investment in AI right now. Microsoft investing $80 billion, Google $75 billion - is this just real, just hype, or dare I say it...a bubble? We'll discuss how it relates to medical billing AI and what you should do.
The annual HBMA Innovation Conference is next month. I'll discuss the sessions and speakers, as well as whether you should attend based on your goals.
There were a couple ads for AI during the Superbowl from titans of technology. And both went really badly for different reasons. We'll discuss what happened and what it means for the use of AI in revenue cycle management.
Most medical billing companies find marketing and sales to be difficult. Part of this problem may be due to their messaging, which incorporates positioning and differentiation (or it should). But what happens when this is done badly? What words should you avoid using that will all but guarantee failure in the market? And what is the absolute #1 word you should never use in medical billing marketing and why? I'll share all of this with you in this podcast.
AI is all the rage, but is the ecosystem is evolving incredibly rapidly. Generational AI was the hot subject, but where is this all going? We'll discuss what Agentic AI is and how it fits into medical billing and with other types of AI. Then tell you what you should be doing now.
Oddly enough, I don't often get this question, but I should. People ask what we charge instead of asking... You'll have to listen to this podcast to find out what people should be asking. I'll walk you through a process that will help you set a marketing budget if you don't already have one. And help you figure out if the budget is the right one for your medical billing company if you already have one.
What are common KPIs for acquiring a medical billing company? Should you use them? What is the #1 KPI you should use in evaluating an RCM acquisition? In this podcast, we'll go through all of this and you'll get my closest kept secret for RCM M&A.
Is social media marketing a good investment for medical billing companies? We'll talk about goals for this channel for marketing, whether it is likely to success, go through a specific example of a company dealing with this determination, what I recommended, and what you should do to determine if this is a good channel for your medical billing service.
Part 3 of a comprehensive discussion around medical billing pricing, including pricing models, factors that influence pricing, trends, and forecasting future pricing. We even include some things rarely considered that are critical to pricing effectively and profitably. This is so long we needed to break it up into 3 parts. Spoiler - there will eventually be a Part 4.
Most medical billing companies do not look at profitability by client or by specialty. In this podcast we'll discuss an analysis I recently did for a client looking at both of these measures of profitability. The results were shocking and kind of appalling. Listen to find out how your RCM company might do this type of analysis and what to do when you don't like the results.
Part 2 of a comprehensive discussion around medical billing pricing, including pricing models, factors that influence pricing, trends, and forecasting future pricing. We even include some things rarely considered that are critical to pricing effectively and profitably. This is so long we needed to break it up into 3 parts.
The is a comprehensive discussion around medical billing pricing, including pricing models, factors that influence pricing, trends, and forecasting future pricing. We even include some things rarely considered that are critical to pricing effectively and profitably. This is so long we needed to break it up into 3 parts, this is Part 1.
In our first part of this 3 part series, we discussed what dashboards are and when to make them. In this episode we'll get into the real nitty gritty details of what you need to do to make great RCM dashboards.
We recently did a podcast about whether EHR vendors stop you from doing medical billing automation to extract your data. One question was whether it was illegal to scrape data. In this podcast we do a real deep dive on legality and the contract language that may say you cannot extract data. Another question we hit is whether you can push data using medical billing automation. Check out our articles and automation capabilities at https://voyanthealth.io.
Why are RCM dashboards so rarely done well? With so few people giving highly positive ratings of them? It's not like medical billing dashboards are new. In this podcast we'll walk through what a dashboard, when you should create one, and start to break down what makes great reporting.
A lot of organizations are scraping data (RPA automation) from their practice management PMS / EHR. This includes providers who want their own data and have issues with the system vendor, as well as RCM companies and software vendors like analytics platforms. But are they allowed to do this? Do EHR vendors have contracts that prevent this? Would that even be legal? Who owns the data legally and can an EHR company block access? We'll discuss these things and look at specific examples.
What is GenAI (like ChatGPT) taking off faster than analytical AI (like machine learning ML) in medical billing? We'll discuss which has more value in RCM, the pluses and minuses of each, and some counterintuitive reasons why it is getting tested and adopted faster than ML AI.
What options are a good fit for medical billing advertising? We'll explore some of the most common options and whether they would benefit growing your medical billing company.
The murder of the CEO of United Healthcare has re-ignited a discussion about denials and bad payer / insurance company behavior, and AI is at the center of it. We'll discuss UHC's denials AI, the broader application of AI in denials, whether it is problematic, and why. And finally a little on what you can do about it.
Many still seem to struggle with effective targeting in the medical billing arena. So what are the levers or variables involved? How can you find a good target market to carve out a successful positioning and differentiation? We'll give you some suggestions on how to do this effectively.
TikTok and other media platforms like Discord are really hot. Everyone is on them, right? Is advertising for medical billing on new media platforms a good call for your business? Listen to find out specifically about TikTok, but more broadly how we think about evaluating particular channels and media.
Part 3 of 3 part series on buying medical billing leads. In prior episodes we discussed whether this is a good medical billing marketing strategy, then top tips for improving your results if you are going to do it, and this episode is a deep dive into the numbers. CAC, ROI, CLV, and more.
I frequently get this question. In this podcast we'll dive into what is the "best" channel and what criteria are involved in determining the "best".
Talk about technology, automation, and AI is everywhere in the medical billing industry, including around half the presentations at the HBMA this year. So why hasn't it taken over? Why are so few companies doing it and even then for such a small percent of the processes? Listen to find out, which should lead you to your solution.
In another podcast we have discussed why buying medical billing leads may not be the marketing strategy slam dunk people think it is. But if you are going to do it, we'll give you the top 5 tips to succeed doing it (or at least significantly improve your results).
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