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MedAxiom HeartTalk: Transforming Cardiovascular Care Together
In this "Meet the Experts" HeartTalk, host Melanie Lawson, MS, sits down with Nicole Knight, LPN, CPC, CCS-P, executive vice president of Revenue Cycle Solutions and Care Transformation Services at MedAxiom. Known for her deep expertise in cardiovascular operations, revenue cycle optimization, and LEAN process improvement, Nicole shares highlights from her decades-long journey in healthcare leadership. Beyond the professional achievements, Melanie dives into the personal side of Nicole's story—exploring the experiences that shaped her career, her passion for transforming care delivery, and what drives her commitment to advancing cardiovascular health.Watch video here: https://hubs.li/Q03nCFR30
Nicole Knight is the Executive Director of the English Language Learner and Multilingual Achievement Office at Oakland Unified School District. She is honored to have served Oakland students for the last 24 years as a teacher, teacher leader and instructional leader at the site and district levels. A National Board Certified Teacher in English as a New Language, Nicole has expertise in language and literacy development of multilingual learners, professional development for teachers and leaders, and equity-centered systems of continuous improvement. She is also the mother of two bicultural and bilingual children, both students in Oakland public schools. Resources OUSD Roadmap to ELL Achievement, 2021-24 https://drive.google.com/file/d/1Osl0ySTl-djnGXj_LnjS5q254nPKlgZO/view?usp=sharing OUSD Language and Literacy Framework, TK-5 https://docs.google.com/document/d/10lcL9PItdYsdd8TBjlf42P2rKf-SwSfImHHpVr-N2Mg/edit OUSD Language and Literacy Framework, HS https://docs.google.com/document/d/1Be9qyGYVplAwc8jzA-0HzKJP2NCvgO-8caMFlb5eKyg/edit
MedAxiom HeartTalk: Transforming Cardiovascular Care Together
Cardiac device techs are in hot demand, but gaps in staffing and education are causing difficulties for this role. On MedAxiom HeartTalk, host Melanie Lawson talks with Kelli Shifflett, MHA, FACMPE, AVP of Revenue Growth and Business Development, HCA Physician Services, Sirena Bridges, MSPH, MSN, FNP-BC, CCDS, Clinical Director, Melissa Hauck Center for Device Therapy at Centennial Heart, and Nicole Knight, LPN, CPC, CCS-P, SVP of Revenue Cycle Solutions and Care Transformation, Medaxiom. Together, they discuss innovative strategies that your organization can use to help address this growing issue. Guest BiosKelli Shifflett, MHA, FACMPE, AVP of Revenue Growth and Business Development, HCA Physician Services – Kelli has been with HCA Physician Services for 20 years in a variety of practice operation roles from Practice Manager to Division Vice President. She resides in Austin with her family and is passionate about process improvement and finding practice efficiencies in a constantly changing healthcare environment. She enjoys her current role of partnering with companies whose products improve the daily workflows and needs patients, providers and healthcare teams. Sirena Bridges, MSPH, MSN, FNP-BC, CCDS, Clinical Director, Melissa Hauck Center for Device Therapy at Centennial Heart – Sirena has worked in the healthcare field for over 20 years; with the last 10 years working as a Nurse Practitioner in Cardiac Electrophysiology with a focus on device management of Cardiac implantable electronic devices at Centennial Heart. She became the inaugural Clinical Director of the Melissa Hauck Center for Device Therapy at Centennial Heart in Nashville in November 2021. In her role as the Clinical Director, she brings a wealth of clinical and technical expertise on interpretations, programming and troubleshooting of cardiac implantable electronic devices and remote transmissions. She also serves as a clinical resource for patients, peers and colleagues. Sirena has a Bachelor's Degree in Cardio-respiratory Care Sciences from Tennessee State University and a Master's Degree in Public Health from Meharry Medical College in addition to a Master's Degree in Nursing from Vanderbilt University. She is also a Certified Cardiac Device Specialist (CCDS) through the IBHRE (International Board of Heart Rhythm Examiners). Nicole Knight, LPN, CPC, CCS-P, EVP of Revenue Cycle Solutions and Care Transformation, Medaxiom - Nicole's decades of healthcare experience include cardiovascular and neurology practice operations, clinical management, business office management and consulting. The most recent years have been devoted to cardiovascular consulting in operations, LEAN process improvement and the revenue cycle. Prior to joining MedAxiom, Nicole served as Practice Administrator for Baptist Neurology and Northeast Florida Cardiology and Director of Operations for Jacksonville Heart Center and Louisiana Cardiology Associates. She has extensive expertise in coding, compliance and education for various specialties including cardiology, neurology, radiology, hematology/oncology, orthopedic, ENT, gastroenterology and internal medicine. Nicole has provided physician and staff coding and compliance education sessions nationally. Nicole has completed numerous education hours towards a B.S. in Health Care Administration. In addition, she maintains her LPN licensure in Louisiana and Florida. She is a member of the American Academy of Professional Coders and the American Health Information Management Association. She received her Advanced Cardiovascular Coding Certification with the Board of Medical Specialty Coding and completed the AAPC inpatient coding and reimbursement course. Nicole is a certified AHIMA ICD-10-CM Trainer and completed a LEAN Healthcare training course at Johns Hopkins University. She also serves on the Physician Practice Council for AHIMA. This episode is supported by an independent educational grant from Medtronic.
Tune in as we speak with Lacey about her new modeling endeavors and how she plans to #UniteKC with her new business venture. Lacey is full of fun and unapologetic genuineness. This is a must listen I hope you enjoy! --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/tambmodel/message Support this podcast: https://anchor.fm/tambmodel/support
MedAxiom HeartTalk: Transforming Cardiovascular Care Together
We can see COVID-19's seismic impact on CV patient care, but what’s happening beneath the surface? Revenue cycle teams report massive shifts as well. Nicole Knight, MedAxiom’s VP of Revenue Cycle Solutions and Consulting, explains how to make the most of these changes, embrace virtual technologies and prepare for what’s coming in 2021.
MedAxiom HeartTalk: Transforming Cardiovascular Care Together
MedAxiom’s Nicole Knight, LPN, CPC, CCS-P, Vice President of Revenue Cycle Solutions and Consulting, shares the latest information on the COVID-19 crisis, covering top-of-mind issues for MedAxiom members and her pick for Story of the Week – an uplifting experience in the face of this unprecedented pandemic.
MedAxiom HeartTalk: Transforming Cardiovascular Care Together
MedAxiom's Lori Walsh, MHSA, Executive Vice President of Membership and Operations, and Nicole Knight, LPN, CPC, CCS-P, Vice President of Revenue Cycle Solutions and Consulting, share the latest information on the COVID-19 crisis. They cover top-of-mind issues for MedAxiom members, legislative updates from Capitol Hill, and their picks for Story of the Week - innovation and courageous leadership in the face of this unprecedented pandemic.
MedAxiom HeartTalk: Transforming Cardiovascular Care Together
"Let's face it - people are scared," says Dr. Geoffrey Rose, President of Sanger Heart & Vascular Institute. "We thought we were ready, but the reality is we cannot find masks," says Cathie Biga, President and CEO of Cardiovascular Management of Illinois. "For coders and billing staff, it's wanting those black and white answers that are just not out there right now," says Nicole Knight, VP of MedAxiom Revenue Cycle Solutions and Consulting. In this episode, these three experts who've been handling COVID-19 from the front lines share their unique perspectives on how to manage the human impact this pandemic is having on care teams and offer advice on "Staying Calm in the Storm."
MedAxiom HeartTalk: Transforming Cardiovascular Care Together
If you’ve been thinking about outsourcing revenue cycle services, you are not alone. According to Black Book Market Research, demand for outsourcing these services grew 48% from 2015 to 2019. But is outsourcing right for your program? In this episode, Nicole Knight, LPN, CPC, CCS-P, Vice President of MedAxiom’s Revenue Cycle Solutions and Consulting, shares the ins and outs of outsourcing and the two questions you should ask before deciding.
MedAxiom HeartTalk: Transforming Cardiovascular Care Together
Are you wondering about CPT code changes for cardiology for 2020? Looking for clarity on E/M codes, NCCI edits, MCCs, and risk adjustment? In this episode, we feature the experts of MedAxiom's Revenue Cycle Consulting team – Nicole Knight, Joline Bruder, and Jammie Quimby – for their insights about what to expect and how to prepare for 2020 coding and reimbursement changes.
Join the Awakening Educator as we interview Nicole Knight, a school district leader who oversees the district's sanctuary program and the multi-language learning needs of students in Oakland, California.This show is brought to you by Your 3 Eyes:https://www.your3eyes.com/join-the-movement.html
MedAxiom HeartTalk: Transforming Cardiovascular Care Together
Patient access has become one of the hottest topics across the country in the majority of CV programs. Nicole Knight, LPN, CPC, CCS-P, ACS-CA, Director of Revenue Cycle Solutions at MedAxiom, shares how patients define access and what we consider to be the attributes to a high performing CV program.
MedAxiom HeartTalk: Transforming Cardiovascular Care Together
Time is central to the Evaluation and Management (E/M) coding system and changes from CMS and the American Medical Association (AMA) could impact documentation requirements in this area. Nicole Knight provides a few things you may want to look at as you evaluate your time-based coding effectiveness, training needs and future opportunities. Nicole Knight, LPN, CPC, CCS-P, ACS-CA, is Director of Revenue Cycle Solutions at MedAxiom Consulting.
MedAxiom HeartTalk: Transforming Cardiovascular Care Together
Hierarchical Condition Categories (HCCs) have been included in Medicare's methodology for risk adjusting provider payment since 2004. And while not new, they continue to be a topic of concern. This video answers: what do physicians need to focus on regarding HCCs, how should HCCs be handled on the outpatient side, and what are some strategies to improve documentation and to best incorporate HCCs into the physician workflow? Linda Gates-Striby, CCS-P, ACS-CA is Director Quality Assurance, SVMG Ascension Indiana. Nicole Knight, LPN, CPC, CCS-P, is Director of Revenue Cycle Solutions and Senior Consultant, for MedAxiom, an ACC Company. For more information, email HeartTalk@medaxiom.com or visit https://www.medaxiom.com
MedAxiom HeartTalk: Transforming Cardiovascular Care Together
MedAxiom's revenue-cycle team shares the latest coding changes and documentation guidelines for: structural heart programs, TAVR, EP studies, device implants, E&M services and surgical procedures. Nicole Knight, LPN, CPC, CCS-P, is Director of Revenue Cycle Solutions and Senior Consultant, for MedAxiom. Joline Bruder, CPC, CPMA, CCVTC, CGSC, and Jammie Quimby, CPC, CCC, CEMC, CCS-P, CPMA, CRC, are Revenue Cycle Solutions Consultants, for MedAxiom. Register for their next webinar at www.medaxiom.com/events
MedAxiom HeartTalk: Transforming Cardiovascular Care Together
We are hearing that patient collections can be a struggle from estimating cost up front to collecting at time of visit. Nicole Knight provides ten best practices for developing a proactive collection plan for 2019.In a few weeks the calendar flips to 2019 and that means patient deductibles will reset. How prepared is your practice to collect?Many programs tell me that their patient balances are out of control. In my experience, it's usually because we lack proactive systems to facilitate patient collections.With the new year you have an opportunity to evaluate and set up these systems. Here are ten best practices to help you achieve this goal.1. Update your collection policy and get providers on the same page."You are responsible for paying your portion of the bill" is a common but vague statement that is difficult to operationalize and enforce. Update your policy language to provide details. Focus on things such as patient education, rules about establishing payment plans, and how staff should handle patients who can't pay their balance.Remember the regulatory guidelines and avoid "professional courtesy."2. Set expectations up front.The biggest complaint we hear from staff when they have trouble collecting is that patients weren't told they would have to pay, so they aren't prepared to pay. Schedulers are your first touch in the collection effort. Train them to explain your policy and provide a range of fees as well as payment options. For instance: "Mr. Johnson, in addition to the visit fee, Dr. Jones may conduct a study or test during your visit. A typical fee range for most patients is $300 - $500, and we ask that you be prepared to pay your visit copay plus any unmet deductible and coinsurance..."3. Designate a financial counselor.Practices that are most successful at collecting patient balances are the ones that have a designated person available to speak privately with patients about what they owe. Ideally, this conversation is held in-person, in a private office.I recognize the challenges of bringing on a new FTE. But if you look at the actual dollars that this person can collect against the cost of sending out months (sometimes years) of statements, plus the amount you are currently writing off to bad debt or collections, you can justify the financial case.4. Equip staff with the right data.A first step in staff knowing the amount to collect from patients is creating a reference of fee schedules for the most common office visits procedures and testing, for your top contracted plans and Medicare. Put the information in a table or spreadsheet so staff can quickly calculate what patients owe if they have not met their deductible.The batch eligibility report is another great resource. It shows who is ineligible for coverage on the date of service, and often provides copay and remaining deductible information for each patient on the schedule. I suggest running batch eligibility at least two days prior to the date of service so staff can contact patients with information and options. Communicating in advance is important to overall patient satisfaction and also will assist with managing access to fill an open slot if the patient chooses to reschedule.5. Collect pre-procedure deposits.Some practices have adapted the modern practice of giving patients a written estimate of what they will owe for procedures. Many payors offer online cost estimators that calculate the patient's out of pocket responsibility based on unmet deductible, non-covered services, and coinsurance. Enter the CPT billing codes and the estimate is quickly customized for the patient.6. Train front desk staff how to ask for money.When I'm conducting an assessment of the front desk, I often hear staff say, "Are you going to pay your copay today?" and "I'm so sorry but I have to ask you to pay today."Training and role playing are vital to building staff confidence about asking for money. Provide scripts that help them handle objections and sensitive subjects such as what to do when a patient arrives for an appointment and can't pay.7. Offer multiple payment options.I've started hearing more and more patients ask staff whether they can set up an auto payment on their credit card to pay off the balance. Patient financing is an option that's becoming popular for patients who have $1,500+ deductibles but no room left on their credit card to pay them. Typically, the practice pays a small service fee and the balance is paid in full and off the A/R; no more statements or staff calls. And, online bill pay is a convenience that can encourage patients to pay past due balances.8. Offer a discount if the patient pays in full.To clear up large, past due balances, send patients to speak with the financial counselor, who can discuss multiple payment options that include a discount when the patient opts to pay the balance in full.9. Have a plan for financial hardship.Obviously, there will be patients who cannot afford to pay their bill. Instead of letting that money languish in the A/R, offer assistance to patients who meet certain requirements, such as a household income that is a certain threshold above the U.S. Poverty Guidelines. Consider adopting the hospital's policy for a sliding payment scale. And for those patients who are indigent or unable to pay anything, don't wait: facilitate a process for "Charity Care" instead of letting the account inflate the A/R.10. Set collections goals and reward success.Staff perform better when they know someone is monitoring their work. Set metrics for collecting a specific percentage of collectible copays each quarter or reducing patient A/R over 90 days old. When the incentive is reached, reward staff with gift certificates, pizza, or an ice cream party. If you have multiple sites, make it a friendly competition to see who collects the most, and update all teams at the end of each week to keep everyone engaged.Don't wait until the end of March for uncollected high deductibles and coinsurances to show up in the A/R. Be prepared and put a plan in place before the holidays so you can hit the ground running in 2019.Nicole Knight, LPN, CPC, CCS-P, ACS-CA, is director of Revenue Cycle Solutions at MedAxiom Consulting. Her decades of hands-on health care experience includes cardiology and neurology practice operations, clinical management, business office management, and consulting for coding and compliance. Nicole maintains her LPN licensure in Louisiana and Florida. She is a member of the American Academy of Professional Coders and the American Health Information Management Association. She received her Advanced Coding Certification with the Board of Medical Specialty Coding. Nicole is a certified AHIMA ICD-10-CM Trainer and completed a Lean Sigma Healthcare training course at Johns Hopkins University. She also serves on the Physician Practice Council for AHIMA.For more information, contact: HeartTalk@medaxiom.com or visit https://www.medaxiom.com
MedAxiom HeartTalk: Transforming Cardiovascular Care Together
Are you overwhelmed by device clinic management? Too much data? Complex processes? Take a deep breath. Nicole Knight offers great tips for optimizing your device management system. Nicole Knight, LPN, CPC, CCS-P, ACS-CA, is director of Revenue Cycle Solutions at MedAxiom Consulting.
MedAxiom HeartTalk: Transforming Cardiovascular Care Together
If your revenue cycle management is all about putting out fires, there is relief in sight. Nicole Knight helps you focus on six key areas to create a more successful revenue cycle.Nicole Knight, LPN, CPC, CCS-P, ACS-CA, is Director of Revenue Cycle Solutions at MedAxiom. Her decades of hands-on health care experience includes cardiology and neurology practice operations, clinical management, business office management, and consulting for coding and compliance. Nicole maintains her LPN licensure in Louisiana and Florida. She is a member of the American Academy of Professional Coders and the American Health Information Management Association. She received her Advanced Coding Certification with the Board of Medical Specialty Coding. Nicole is a certified AHIMA ICD-10-CM Trainer and completed a Lean Sigma Healthcare training course at Johns Hopkins University. She also serves on the Physician Practice Council for AHIMA.
Chad and Scott come at you...LIVE FROM EVERCON 2018!! Chad and Scott sit down with Special Guest Artist Samantha Gorel and Nicole Knight and they talk about what it means to be in love with a geek. More specifically, they discuss love and how gaming brings them closer together with their loved ones...or does it. Listen and find out. Check out Samantha's work below. Find Samantha's work here: https://www.mireielle.com/gallery Find Samantha's book here: https://www.amazon.com/Samantha-Gorel/e/B01MSWJMY3 Samantha's Deviant Art here: https://mireielle.deviantart.com/ Want to reach out to me? There are a few ways to do that. First send us an email at whosepodcastisit@gmail.com or if your more into social media you can find me, like me and share me @poinetwork or @whosepodcastisitanyway either way you reach out, I look forward to hearing from you.
Frederick Advice Givers | Interview Frederick's Brightest Minds | Eric Verdi
ENJOY THIS EPISODE: Nicole Knight grew up in Frederick County, went to Mount St Mary’s and then began her teaching career. Nicole found her passion with makeup and products during the summers which swiftly led to 15 years in the salon industry. It wasn’t until much later that she took her expertise in the salon and...
Welcome to Whiskey Babble - Episode # 8Our guest today is Nicole KnightNicole is an RN, awesome mother, and Jake's sister.Get ready for some hard hitting interview questions followed by slurred speech, bad jokes, and getting hopelessly off topic.Thank you all so much for watching. If you enjoyed our show please subscribe and give us a like.See you next time. Cheers!----Did you enjoy our show? Would you like to be our next guest on Whiskey Babble? Send us an email at whiskeybabble@gmail.com with [...]