Podcasts about Payer

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Best podcasts about Payer

Show all podcasts related to payer

Latest podcast episodes about Payer

Les Grandes Gueules
Le combat du jour - Caroline, agent Enedis : "Moi, tous les mois je suis à découvert. Si on me dit de payer l'électricité, je ne sais pas comment je vais faire financièrement. C'est un avantage acquis" - 20/07

Les Grandes Gueules

Play Episode Listen Later Jul 20, 2026 2:51


Aujourd'hui, Bruno Poncet, cheminot, Laura Warton Martinez, sophrologue, et Charles Consigny, avocat, débattent de l'actualité autour d'Olivier Truchot.

Becker’s Healthcare Podcast
Dr. Ben Kornitzer on AI, Prior Authorization Reform, and the Future of Payer Provider Collaboration

Becker’s Healthcare Podcast

Play Episode Listen Later Jul 18, 2026 18:53 Transcription Available


In this episode, Dr. Ben Kornitzer, Senior Vice President, Chief Medical Officer at Aetna, discusses how AI, real-time data exchange, and prior authorization reform can strengthen payer-provider partnerships and improve patient outcomes.

Becker’s Payer Issues Podcast
Dr. Ben Kornitzer on AI, Prior Authorization Reform, and the Future of Payer Provider Collaboration

Becker’s Payer Issues Podcast

Play Episode Listen Later Jul 17, 2026 18:53 Transcription Available


In this episode, Dr. Ben Kornitzer, Senior Vice President, Chief Medical Officer at Aetna, discusses how AI, real-time data exchange, and prior authorization reform can strengthen payer-provider partnerships and improve patient outcomes.

Les Grandes Gueules
Agnès Pannier-Runacher : "On croit en l'économie de marché, en l'Europe, au fait que le salaire doit payer plus" / Didier Giraud : "Vous avez le discours d'une personne qui a passé 10 ans dans l'opposition" - 16

Les Grandes Gueules

Play Episode Listen Later Jul 16, 2026 2:42


Aujourd'hui, Flora Ghebali, entrepreneure dans la transition écologique, Barbara Lefebvre, prof d'histoire-géo, et Didier Giraud, éleveur de bovins, débattent de l'actualité autour d'Olivier Truchot.

Les Grandes Gueules
L'aberration du jour - Charles Consigny : "On donne des aides aux gens pour payer des impôts. Ça, c'est génial ! C'est vraiment le système français" - 15/07

Les Grandes Gueules

Play Episode Listen Later Jul 15, 2026 0:46


Aujourd'hui, Charles Consigny, avocat, Joëlle Dago-Serry, coach de vie, et Ophélie Roque, prof de lettres et essayiste, débattent de l'actualité autour d'Alain Marschall et Olivier Truchot.

Ici c'est France Bleu Paris
"La conviction de Didier Deschamps va payer" - 100% Coupe du Monde

Ici c'est France Bleu Paris

Play Episode Listen Later Jul 14, 2026 4:37


durée : 00:04:37 - Jour de demi-finale de Coupe du Monde. L'équipe de France affronte l'Espagne pour une place en finale de la plus prestigieuse des compétitions de nations. Les Bleus avancent sûrs de leur force et la conviction de Didier Deschamps peut être récompensée face à la Roja. Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France

Tout savoir en 24 minutes
Détroit d'Ormuz: «Donald Corleone veut les faire payer!», dit Alexandre Dubé

Tout savoir en 24 minutes

Play Episode Listen Later Jul 14, 2026 17:18


- L’Iran attaque un pétrolier et fait un mort et plusieurs blessés, les USA et les Émirats Arabes Unis promettent une réponse… - Un autre exemple de trafic et travaux absurdes à terrebonne et Mascouche - Montréal relance un appel d’offre pour du colmatage de nids-de-poule automatisé - Encore 5 noyades en eau libre en fin de semaine, les appels à la prudence se multiplient - Un procès hors de l’ordinaire pour des menaces contre l’ONU s’ouvre à Québec - Les médecins québécois de plus en plus nombreux à utiliser un assistant IA - Excès de cas d’un parasite intestinal au Québec - Les agents de l’ICE tue une autre personne par balles - Rumeurs sur l’état de santé d’Yvon Deschamps - Premier des 2 chocs de titans en demi-finale à la Coupe du monde aujourd’hui! Ça va brasser! Tout savoir en quelques minutes avec Alexandre Dubé, Isabelle Perron et Alexandre Moranville-Ouellet. Regardez aussi cette discussion en vidéo via https://www.qub.ca/videos ou en vous abonnant à QUB télé : https://www.tvaplus.ca/qub ou sur la chaîne YouTube QUB https://www.youtube.com/@qub_radio Pour de l'information concernant l'utilisation de vos données personnelles - https://omnystudio.com/policies/listener/fr

Monitor Mondays
Preventing Denials: The Role of Facility-Based Clinical Definitions

Monitor Mondays

Play Episode Listen Later Jul 13, 2026 31:04


Payer-driven clinical validation is a common reason given by payers to remove ICD-10-CM/PCS diagnosis and procedure codes affecting reimbursement or quality-based payment models (e.g., the Centers for Medicare & Medicaid Services/CMS Hospital-Acquired Conditions), even though these codes are based on the documentation of licensed providers.During the next Internet broadcast of the venerable Monitor Monday, Dr. James S. Kennedy of CDIMD will propose a strategy that engages payers in how patient conditions or treatments should be defined, diagnosed, and documented, elevating the practice of medicine and confronting denials that are often based on misinterpretations of current clinical literature.Broadcast segments will also include these instantly recognizable features:• Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds.• The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.• Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.• Legislative Update: Cate Brantley, legislative affairs liaison for Zelis, will report on current healthcare legislation.

Estelle Midi
Le témoignage du jour - Bruno, auditeur : "Je suis au chômage depuis plus de 3 ans mais je ne râle pas parce que je ne peux pas me payer de vacances ! J'ai 2 enfants, je reçois 900€ d'aides pour partir en vacances" - 13/07

Estelle Midi

Play Episode Listen Later Jul 13, 2026 1:58


Avec : Jérôme Lavrilleux, propriétaire de gîtes. Élise Goldfarb, entrepreneure. Et Pierre Rondeau, économiste. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Pascal Praud et vous
Quand Karine Le Marchand déclarait après les violences à Paris lors de la finale de la Ligue des champions : « Je n'ai pas à payer pour ces cassos »

Pascal Praud et vous

Play Episode Listen Later Jul 9, 2026 2:59


Tous les matins dans Europe 1 Bonjour, Laurent Tessier revient sur un sujet qui fait l'actualité. Aujourd'hui, il revient sur les propos de Karine Le Marchand à la suite de la victoire du PSG en marge de la Ligue des champions.Vous voulez réagir ? Appelez-le 01.80.20.39.21 (numéro non surtaxé) ou rendez-vous sur les réseaux sociaux d'Europe 1 pour livrer votre opinion et débattre sur grandes thématiques développées dans l'émission du jour.Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

Entrepreneur Mindset-Reset with Tracy Cherpeski
“I Take What I Get” — And Other Costly Myths About Your Payer Contracts Featuring Brett Spark, EP 267

Entrepreneur Mindset-Reset with Tracy Cherpeski

Play Episode Listen Later Jul 8, 2026 43:01 Transcription Available


Most private practice owners have a feeling they're not being paid what they're owed by insurance payers — but very few can prove it. In this episode, Tracy Cherpeski talks with Brett Spark of Aroris Healthabout why payer underpayment is so common, and why visibility into your payer contracts might be the most overlooked lever for practice profitability.  Brett's path is unique: he spent the first half of his career inside a large regional health system before being recruited into a private practice CEO role. That shift exposed him to how differently independent practices operate — and to a problem almost every one of them shares: not one of his clients has ever had their own contracts, amendments, and fee schedules fully organized in one place.  You'll hear how underpayment happens, what Aroris Health's software does to catch it, and why Brett believes doing something is always better than doing nothing when it comes to your payer relationships.  Read the full show notes, memorable quotes, and key takeaways.  Connect With Us:  Be a Guest on the Show  Thriving Practice Community  Schedule Strategy Session with Tracy  Tracy's LinkedIn  Business LinkedIn Page 

Rothen s'enflamme
Nasser Larguet, ancien DTN de la fédération marocaine : "Quelle fierté de voir le travail débuté en 2007 payer au Maroc !" – 08/07

Rothen s'enflamme

Play Episode Listen Later Jul 8, 2026 4:58


Jérôme Rothen se chauffe contre un autre consultant, un éditorialiste ou un acteur du foot.

To Be a Christian: The Anglican Catechism in a Year
Day 188. What is the fourth petition? (2026)

To Be a Christian: The Anglican Catechism in a Year

Play Episode Listen Later Jul 7, 2026 2:34


Today is day 188 and we are on the section on The Fourth Petition: "Give us this day our daily bread". 188. What is the fourth petition? The fourth petition is “Give us this day our daily bread.” (Matthew 6:11; see also Luke 11:3) We will conclude today with the Lord's Payer. If you would like to buy or download To Be a Christian, head to anglicanchurch.net/catechism. Produced by Holy Trinity Anglican Church in Madison, MS. Original music from Matthew Clark. Daily collects and Psalms are taken from Book of Common Prayer (2019), created by the Anglican Church in North America and published by the Anglican Liturgical Press. Used by permission. All rights reserved. Scripture quotations are from The ESV® Bible (The Holy Bible, English Standard Version®), copyright © 2001 by Crossway, a publishing ministry of Good News Publishers. Used by permission. All rights reserved. Catechism readings are taken from To Be a Christian - An Anglican Catechism Approved Edition, copyright © 2020 by The Anglican Church in North America by Crossway a publishing ministry of Good News Publishers. Used by permission. All rights reserved.

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More
Revenue Cycle Optimized: The Payer Provider Temperature Check, KLAS K2 Summit Takeaways

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More

Play Episode Listen Later Jul 6, 2026 32:03


The KLAS K2 Summit brought together payers, providers, and technology leaders to talk about collaboration, prior authorization, interoperability, AI, and administrative burden. In this Office Hours session, Stuart Newsome shares his top takeaways from the summit and what they mean for revenue cycle leaders trying to reduce friction, prevent avoidable denials, and make payer-provider collaboration work inside real healthcare workflows. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Maintenant, vous savez
Qu'est-ce que l'euro numérique, qui pourrait changer notre façon de payer ?

Maintenant, vous savez

Play Episode Listen Later Jul 6, 2026 5:27


Le 23 juin 2026, la commission des affaires économiques et monétaires du Parlement européen a voté en faveur de la mise en place d'un nouveau moyen de paiement électronique : l'Euro numérique. Porté depuis plusieurs années par la Banque centrale européenne, ce projet pourrait désormais entrer dans une nouvelle phase de son développement et transformer progressivement nos habitudes de paiement. Qu'est-ce que l'euro numérique exactement ? En quoi se distingue-t-il d'une carte bancaire ou des moyens de paiement actuels ? Quelles sont les chances de voir ce projet aboutir dans les prochaines années ? Écoutez la suite de cet épisode de "Maintenant, vous savez". Un podcast Bababam Originals écrit et réalisé par Magalie Bertet. À écouter ensuite : L'argent liquide va-t-il disparaître ? L'euro pourrait-il vraiment devenir une cryptomonnaie ? L'argent fait-il le bonheur ? Retrouvez tous les épisodes de "Maintenant vous savez". Suivez Bababam sur Instagram. Learn more about your ad choices. Visit megaphone.fm/adchoices

Estelle Midi
Tu préfères : Payer par carte ou en espèces ? - 01/07

Estelle Midi

Play Episode Listen Later Jul 1, 2026 5:17


Avec : Cécile Duflot, ancienne ministre et directrice générale de Oxfam France. Élise Goldfarb, ancienne avocate. Et Fred Hermel, journaliste RMC. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

soci carte payer accompagn avec c rmc goldfarb duflot actualités rmc story estelle midi estelle denis charles magnien
Revenue Cycle Optimized
The Payer-Provider Temperature Check, KLAS K2 Summit Takeaways

Revenue Cycle Optimized

Play Episode Listen Later Jun 30, 2026 32:03


Stuart Newsome shares his top takeaways from the KLAS K2 Summit on payer-provider collaboration, prior auth, interoperability, and AI—and what they mean for revenue cycle leaders working to reduce friction, prevent denials, and improve real-world workflows.Brought to you by www.infinx.com

Les Grandes Gueules
La désolation du jour - Sabine, cariste, au 3216 : "Je suis pour ne pas payer mon loyer de 500 €. Je me lève le matin, il fait 27 degrés et le soir 39. J'ai demandé à ma proprio de mettre 1 volet, mais elle est tellement radine" - 30

Les Grandes Gueules

Play Episode Listen Later Jun 30, 2026 3:02


Aujourd'hui, Antoine Diers, consultant auprès des entreprises, Didier Giraud, éleveur de bovins, et Sandrine Pégand, avocate, débattent de l'actualité autour d'Alain Marschall et Olivier Truchot.

Les Grandes Gueules
Antoine Diers : "C'est encore les gauchistes qui trouvent des occasions pour ne pas payer. Les gens n'ont qu'à aller bosser et louer une maison avec des volets" - 30/06

Les Grandes Gueules

Play Episode Listen Later Jun 30, 2026 1:07


Aujourd'hui, Antoine Diers, consultant auprès des entreprises, Didier Giraud, éleveur de bovins, et Sandrine Pégand, avocate, débattent de l'actualité autour d'Alain Marschall et Olivier Truchot.

Camille passe au vert
Et si on demandait aux compagnies pétrolières de payer pour les vagues de chaleur ?

Camille passe au vert

Play Episode Listen Later Jun 30, 2026 2:24


durée : 00:02:24 - Debout la Terre - par : Anne-Claire Poirier - Faire payer les compagnies pétrolières pour les vagues de chaleur, c'est une piste explorée aux États-Unis pour financer l'adaptation au changement climatique. Est-ce que ce serait possible chez nous ? Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France

Estelle Midi
La colère du jour - Laurent, auditeur : "Qui va encore payer ? Ce sont ceux qui bossent ! Ça va encore bénéficier aux retraités... Qui a le pouvoir d'achat le plus important depuis 30 ans ? Les retraités" - 29/06

Estelle Midi

Play Episode Listen Later Jun 29, 2026 2:55


Avec : Jean-Philippe Doux, journaliste et libraire. Yael Mellul, ancienne avocate. Et Ilan Gabet, étudiant en droit. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

The Situation with Michael Brown
6-26-26 - 11am - Tax Payer Relief Shots

The Situation with Michael Brown

Play Episode Listen Later Jun 26, 2026 31:03 Transcription Available


This episode is a stark reminder that the right to self-defense is a fundamental aspect of American society, and it's a topic that's often misunderstood or misrepresented in the media. From a single mother defending her children to a store owner protecting his business, we're seeing a trend of law-abiding citizens exercising their Second Amendment rights to protect themselves and their loved ones.This episode delves into several high-profile cases where individuals have used their firearms to defend themselves against intruders, with varying degrees of success. We'll explore the nuances of self-defense laws in different states, including Colorado, where the rules are more restrictive than in some other parts of the country. You'll hear from a sheriff who's passionate about educating citizens on their rights and responsibilities when it comes to defending themselves and their property.One of the most striking cases we'll examine is that of a homeowner who shot and killed an armed intruder in his own home. We'll also look at a situation where a woman hid in a closet with her child and shot a suspected home invader, and a case where a store owner defended himself against two armed robbers. These stories highlight the complexities of self-defense and the importance of understanding the laws that govern it.Join us as we explore these and other cases, and hear from experts and individuals who've been directly impacted by these events. We'll discuss the implications of these stories and what they reveal about our society's attitudes towards self-defense and the Second Amendment.See omnystudio.com/listener for privacy information.

Ça peut vous arriver
L'INTÉGRALE - Assistante administrative, elle ne parvient pas à se faire payer

Ça peut vous arriver

Play Episode Listen Later Jun 26, 2026 75:22


Dans le podcast « Ça peut vous arriver » sur RTL, Julien Courbet et son équipe distribuent conseils conso et astuces juridiques pour lutter contre les arnaques dans la bonne humeur. Ecoutez Ça peut vous arriver avec Julien Courbet du 26 juin 2026.Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

Estelle Midi
L'augmentation du jour - Jean-Luc, auditeur : "Ce n'est pas normal qu'on doive payer encore plus cher... Et si je ne peux pas payer, ils vont faire comment mes enfants" - 26/06

Estelle Midi

Play Episode Listen Later Jun 26, 2026 2:18


Avec : Frédéric Hermel, journaliste RMC. Yael Mellul, ancienne avocate. Et Jacques Legros, journaliste. - Accompagnée de Charles Magnien et sa bande, Estelle Denis s'invite à la table des français pour traiter des sujets qui font leur quotidien. Société, conso, actualité, débats, coup de gueule, coups de cœurs… En simultané sur RMC Story.

Les matins
Maxime Chan : "La France doit payer pour son ambition atomique !"

Les matins

Play Episode Listen Later Jun 25, 2026 4:27


durée : 00:04:27 - Les Matins de France Culture - À 86 ans, Frère Maxime Chan se bat depuis trente ans pour que la France reconnaisse sa responsabilité et répare les conséquences des 193 essais nucléaires menés en Polynésie entre 1966 et 1996. Un combat pour la mémoire, la justice et l'avenir d'un peuple marqué à vie. - équipe : La Rédaction de France Culture Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France

Le Reportage de la rédaction
Maxime Chan : "La France doit payer pour son ambition atomique !"

Le Reportage de la rédaction

Play Episode Listen Later Jun 25, 2026 4:27


durée : 00:04:27 - Le Reportage de la rédaction - À 86 ans, Frère Maxime Chan se bat depuis trente ans pour que la France reconnaisse sa responsabilité et répare les conséquences des 193 essais nucléaires menés en Polynésie entre 1966 et 1996. Un combat pour la mémoire, la justice et l'avenir d'un peuple marqué à vie. - équipe : La Rédaction de France Culture Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France

Marceau refait l'info
Jean-Pierre Foucault va devoir payer 450.000 euros au fisc

Marceau refait l'info

Play Episode Listen Later Jun 24, 2026 0:55


Il demandait l'annulation d'un important redressement fiscal

Les Grandes Gueules
Le chiffre du jour - David, chef d'entreprise : "Mon chef d'équipe, je lui ai donné 3.228 € net et ça a coûté à l'entreprise 6.600 €. Moi je préfère lui donner 4.200 et payer 1000 balles de charges en moins" - 23/06

Les Grandes Gueules

Play Episode Listen Later Jun 23, 2026 1:05


Aujourd'hui, Abel Boyi, éducateur, Jean-Philippe Cartier, chef d'entreprise et investisseur, et Barbara Lefebvre, professeur d'histoire-géographie, débattent de l'actualité autour d'Alain Marschall et Olivier Truchot.

Les Grandes Gueules
La solution du jour - Jean-Philippe Cartier, chef d'entreprise : "Mon combat absolu, c'est comment mieux payer les gens. Il faut impérativement augmenter les salaires de 20%. C'est une obligation" - 23/06

Les Grandes Gueules

Play Episode Listen Later Jun 23, 2026 4:13


Aujourd'hui, Abel Boyi, éducateur, Jean-Philippe Cartier, chef d'entreprise et investisseur, et Barbara Lefebvre, professeur d'histoire-géographie, débattent de l'actualité autour d'Alain Marschall et Olivier Truchot.

Mon Carnet, l'actu numérique
Plateformes numériques : qui devrait payer la facture?

Mon Carnet, l'actu numérique

Play Episode Listen Later Jun 22, 2026 7:58


Dans cette chronique, Stéphane Ricoul réagit à la décision du gouvernement canadien de renoncer à augmenter la contribution financière des grandes plateformes de diffusion comme Netflix, Prime Video et Disney+ au financement du contenu canadien. Selon lui, cette décision relance une question fondamentale : comment les États peuvent-ils récupérer une partie de la valeur créée localement par les géants du numérique ?

Vacarme - La 1ere
Prison pour femmes 5/5 - Le prix à payer

Vacarme - La 1ere

Play Episode Listen Later Jun 21, 2026 24:43


Avoir purgé sa peine ne signifie pas pour autant avoir payé sa dette. À la sortie de prison, la facture est salée: les frais de justice et de procédure, les dommages et intérêts peuvent atteindre des centaines de milliers de francs. Comment se réinsérer et trouver un hébergement quand on a des poursuites, un casier et une étiquette d'ancien détenu? Comment trouver un travail et éponger sa dette? La société est-elle prête à accepter ceux qui sortent de prison? Première diffusion du 19 mars 2020. Reportage de Katia Bitsch Réalisation Yves Roulin Production Véronique Marti

The Situation with Michael Brown
6-19-26 - 11am - Tax Payer Relief Shots

The Situation with Michael Brown

Play Episode Listen Later Jun 19, 2026 29:59 Transcription Available


This episode is a must-listen for anyone who's ever wondered what it means to be a responsible gun owner or how law enforcement handles high-pressure situations. The speaker shares a series of taxpayer relief shots, highlighting real-life scenarios where citizens have defended themselves against intruders, and the consequences that follow. From a homeowner who shot and killed an armed suspect in their driveway to a neighbor who took down a convicted child sex offender, these stories are a sobering reminder of the importance of being prepared and knowing one's rights.This episode delves into the world of self-defense, where the lines between right and wrong can be blurred. The speaker discusses the recent string of officer-involved shootings, where police officers have used deadly force to subdue suspects. We hear from a sheriff who emphasizes the importance of citizens knowing their Second Amendment rights and being prepared to defend themselves. The conversation also touches on the role of law enforcement and the need for accountability in high-pressure situations.One of the most striking stories in this episode is that of a homeowner who shot and killed an intruder in their home. The homeowner's quick thinking and bravery are a testament to the importance of being prepared and knowing one's rights. Another story that stands out is that of a neighbor who took down a convicted child sex offender, highlighting the need for citizens to be aware of their surroundings and to take action when necessary.If you're interested in learning more about self-defense, the importance of knowing your rights, and the role of law enforcement in high-pressure situations, this episode is a must-listen. Join the speaker as they explore these topics and share real-life stories that will leave you thinking.See omnystudio.com/listener for privacy information.

RevMD
#188 17 OB Codes Just Got Deleted. Your Real Deadline Is Not 2027

RevMD

Play Episode Listen Later Jun 19, 2026 17:39 Transcription Available


Send us Fan MailShow notes On January 1, 2027, every global OB code your practice has billed for the last thirty years is being deleted. Seventeen CPT codes. Gone. Replaced with a completely new structure for how every dollar of maternity revenue is earned, attributed, and collected. And the real deadline for your practice is not January 1, 2027. The real deadline is right now. What is actually going away For over thirty years, OB practices have lived in a bundled global world: one patient, one pregnancy, one code. Effective January 1, 2027, 17 global obstetric CPT codes (including 59400 for a global vaginal delivery and 59510 for a global C-section) are being deleted entirely. The AMA and ACOG determined the global model no longer reflects modern OB standard of care, and so the structure is being fully replaced, not patched. The four new phases of maternity billing Phase 1, Antepartum care. All bundled antepartum codes deleted. Every prenatal visit billed as individual E/M with TH modifier (99202 through 99215). Phase 2, Labor management. New dedicated code category for the first time in CPT history. Reported per calendar day, with straightforward vs complex management distinction. Phase 3, Delivery. Vaginal vs cesarean restructured. VBAC coded differently than first-time vaginal. Add-on procedures (3rd/4th degree laceration repair, uterine tamponade) now separately billable. Phase 4, Postpartum care. All existing postpartum codes deleted. Hospital care codes for inpatient day-after-delivery. Office E/M for outpatient follow-up. Same-date postpartum bundled into delivery. Why the real deadline is Q3 and Q4 2026 Cash flow in January 2027 will be decided this Q3 and Q4. Payer contracts reference CPT codes by number, so contracts that reference deleted codes need renegotiation now. Documentation habits have to change before the new codes go live, because every prenatal visit now needs to support E/M level selection. A 200-patient OB practice undercoding prenatal visits by even $40 each is leaving close to $100,000 a year on the table from day one. The multi-provider attribution problem Under the global model, attribution was easy: one practice, one fee, regardless of which provider saw which visit. Under the new model, every encounter is attributed to the individual provider who performed it. Practices with midlevels, hospitalists, or shared call need a clear protocol for labor management billing, on-call coverage, and cross-coverage now, or they will either double-bill (compliance risk) or miss charges (phantom revenue) from day one. Three actions this week Pull a payer contract audit. List every commercial contract referencing global OB codes that needs renegotiation before January 1. Run a prenatal documentation review. Pull 10 recent prenatal charts per provider and assess them against current 99213 and 99214 E/M standards. The gap is your single biggest revenue risk. Map your provider attribution workflow. Write out exactly how labor management, on-call coverage, cross-coverage, and same-day postpartum care will be tracked when every encounter is attributed individually. Episode breakdown 1. The 17 deleted codes 2. The four new phases of maternity billing 3. Why Q3 and Q4 of this year is your real deadline 4. The multi-provider attribution gap 5. What patients will see on their EOBs 6. Your 90-day action plan 7. What is ahead in the rest of the OB Global Coding Series Resources → Live OB Global Updates Webinar (PRIMARY): eligibility.natrevmd.com/obgyn-global-updates-webinar → Book a call with Heather: calendly.com/heather-natrevmd → Payment Posting Audit Checklist: eligibility.natrevmd.com/payment-posting-checklist → Practice Revenue Leak Scorecard: eligibility.natrevmd.com/nrm-revenue-scorecard-v3 → Coming next in the series: EP189 — How to Bill Antepartum Care Under the New E/M Model 

Bruno dans la radio
Le Tribunaze de Karina du 18 juin - Il arnaque 235.000 euros à des prêtres à la retraite et utilise l'argent pour payer ses soirées et ses bières

Bruno dans la radio

Play Episode Listen Later Jun 18, 2026 2:22


Karina vous dévoile les décisions de justice les plus improbables. Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

RevMD
#187 How to Set Your Fee Schedule and When to Raise It

RevMD

Play Episode Listen Later Jun 16, 2026 16:45 Transcription Available


Show Notes Your fee schedule is a revenue ceiling. And for most independent practices doing over $3 million a year, that ceiling is set too low in ways that never generate a denial and never appear on a standard report. EP186 covers the five gaps that are quietly capping your revenue, the exact fix for each one, and three actions to run this week. Gap 1 — Billing Below Your Own Allowables: You negotiate a better payer contract. The billing system does not get updated. The payer pays what you billed, not what you are owed. A practice with 20 high-volume CPT codes averaging a $10 billing gap across 800 monthly claims is losing $8,000 a month, $96,000 a year, from a contract they already won. Gap 2 — Inconsistent Fee Schedules Across Locations: A secondary location runs on its legacy fee schedule from before acquisition. Location A bills $210 for a procedure. Location B bills $165 for the same code. A site doing 400 visits a month with a $35 average billing gap is under-billing $14,000 a month, $168,000 a year. Gap 3 — No Medicare Multiplier Anchor: Fees set by instinct drift downward every year while costs move in the opposite direction. The fix: anchor to 200–300% of the current Medicare allowable and recalculate every November when CMS publishes updated rates. Gap 4 — Suppressing Global Fees for Self-Pay Patients: A practice protecting 15% self-pay volume by keeping fees low inadvertently discounts 100% of encounters. 850 commercial patients billed $40 below the correct rate: $34,000 a month, $408,000 a year. The fix: raise the global fee schedule and implement a separate documented sliding fee scale for uninsured patients. Gap 5 — No Annual Fee Schedule Review: A fee schedule that is right in year one becomes the revenue leak of year five. A $4 million practice drifting 3% below where it should be loses $120,000 a year in collectible revenue. Over five years: $600,000. The Five Fee Schedule Gaps at a Glance: Billing below allowable → Payer pays billed charge, no alert → up to $8K/month Location fee inconsistency → Lower site appears compliant on reports → $3K–$15K/month No Medicare multiplier anchor → Fees drift, no logical update trigger → Compounds annually Artificially low global fee → Self-pay policy masks commercial discount loss → $5K–$20K/month No annual review → Costs rise, billed charges flat → 3–5% margin erosion per year Three actions this week: Run the top-20 CPT code comparison — billed charge vs. highest commercial contract allowable Anchor your fee schedule to the Medicare multiplier — recalculate for this year Put the annual fee schedule review on the Q4 calendar today — first week of November, billing manager named as owner Episode breakdown: 00:00 The fee schedule is a revenue ceiling 02:30 Why silence in billing costs more than denials 05:00 Gap 1: Billing below your own allowables 09:00 Gap 2: Inconsistent fee schedules across locations 13:00 Gap 3: No Medicare multiplier anchor 17:00 Gap 4: Suppressing global fees for self-pay patients 21:30 Gap 5: No annual fee schedule review 25:00 Three actions this week 29:00 Free resource + EP187 tease Resources Mentioned NEW LEAD MAGNET  Primary resource this episode: 30-Day Revenue Recovery Plan. Payment Posting Audit Checklist is tertiary. 30-Day Revenue Recovery Plan (free): eligibility.natrevmd.com/nrc/-30day-revenue-recovery-plan Book a free 30-minute call: calendly.com/heather-natrevmd Practice Revenue Leak Scorecard (free): eligibility.natrevmd.com/nrm-revenue-scorecard-v3 Payment Posting Audit Checklist (tertiary): eligibility.natrevmd.com/payment-posting-checklist CMS Medicare Physician Fee Schedule: cms.gov (updated annually each November) 

Les Grandes Gueules
L'aberration du jour - Sam Zirah : "On crée une loi pour faire appliquer une loi. On demande aux citoyens de respecter les lois, de payer ses impôts. Et à chaque drame, on découvre que l'auteur était connu" - 16/06

Les Grandes Gueules

Play Episode Listen Later Jun 16, 2026 0:45


Aujourd'hui, Emmanuel de Villiers, entrepreneur, Barbara Lefebvre, prof d'histoire-géo, et Sam Zirah, créateur de contenu, débattent de l'actualité autour d'Alain Marschall et Olivier Truchot.

La retraite à 40 ans par Victor Lora
#264 - Héritage, comment payer 0 €

La retraite à 40 ans par Victor Lora

Play Episode Listen Later Jun 16, 2026 30:37


#264 - Héritage, comment payer 0 €Masterclass dimanche 5 avril à 18h : https://www.fireclub.training/reussirmonpremierinvestlocatif-a09213a1-2Rejoindre le coaching : https://app.iclosed.io/e/fire/fireclub-inscriptionLes workshops : https://firefrance.substack.comHébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

The Situation with Michael Brown
6-12-26 - 11am - Tax Payer Relief Shots

The Situation with Michael Brown

Play Episode Listen Later Jun 12, 2026 30:34 Transcription Available


This week's Taxpayer Relief Shots episode is a sobering reminder of the importance of self-defense and the consequences of not taking matters into one's own hands. We're diving into a series of disturbing stories where individuals have been met with tragic ends after choosing not to defend themselves against home invaders or other threats.This episode covers a range of topics, from a homeowner in Florida who shot and killed an intruder to a couple in Australia who defended themselves against a knife-wielding attacker. We also explore a domestic violence situation in Ohio where police officers responded to a call and ended up fatally shooting the suspect. Additionally, we touch on a hostage situation in California where an FBI strike team neutralized a suspect who had taken multiple hostages.Throughout these stories, we see the importance of being prepared and knowing when to take action. We're not advocating for vigilantism, but rather highlighting the consequences of not taking responsibility for one's own safety. These situations are a stark reminder that sometimes, the best defense is a good offense.If you're interested in learning more about these stories and the importance of self-defense, be sure to tune in to this week's episode of Taxpayer Relief Shots. Join us as we explore the complexities of these situations and discuss the role of self-defense in keeping ourselves and our loved ones safe.See omnystudio.com/listener for privacy information.

Urology Coding and Reimbursement Podcast
UCR 292: Downcoding, Record Requests, and Takebacks — Fighting Back Against Payer Tactics

Urology Coding and Reimbursement Podcast

Play Episode Listen Later Jun 12, 2026 32:04


June 12, 2026In this episode, Scott, Mark, Dr. Ray Painter, and special guest Marianne DeSciose discuss the growing wave of payer scrutiny impacting urology practices, including automatic E/M downcoding, stealth denials, medical record requests, takebacks, and RAC-style reviews. Drawing on real-world experiences from hundreds of recently identified downcoded claims, the team shares practical strategies for detecting reimbursement issues before appeal deadlines expire, prioritizing revenue cycle resources, and building processes to monitor payer behavior more effectively. The discussion emphasizes the importance of strong clinical documentation, payer audits, contract monitoring, and team-wide coordination. The key takeaway: clean claims are no longer enough—practices must actively monitor, audit, appeal, and defend their reimbursement to avoid losing revenue. PRS Coding and Reimbursement HubAccess the HubBotox LCD AlertDownload the AlertFree In-Office Prostate Biopsy Calculator (Suppoted by UC-Care)Download NowPRS Coding CoursesFor UrologistFor APPsFor Coders, Billers, and Admins Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.         https://www.prsnetwork.com/joinuptpClick Here to Start Your Free Trial of AUACodingToday.com   The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ 

ZIB2-Podcast
Zu Gast: Helge Payer, Fußball-Experte

ZIB2-Podcast

Play Episode Listen Later Jun 7, 2026 7:12


Thema: Zur Ausgangslage der österreichischen Nationalmannschaft bei der Fußball-Weltmeisterschaft der Herren in den USA, Kanada und Mexiko

The Situation with Michael Brown
6-5-26 - 11am - Tax Payer Relief Shots

The Situation with Michael Brown

Play Episode Listen Later Jun 5, 2026 31:44 Transcription Available


This episode of the podcast is a wild ride, folks, with a series of taxpayer relief shots that'll leave you on the edge of your seat. From a convenience store robbery gone wrong to a homeowner defending their property, we're diving into some of the most shocking stories of self-defense and the law.This episode covers a range of topics, from a 21-year-old man who shoots and kills an alleged robber at a convenience store in Maryland, to a homeowner in Oklahoma who's facing charges for shooting a squatter on his property. We're also discussing a case in which a police officer shoots and kills a man who's armed and approaching him, and a Secret Service agent who opens fire on a suspect who's attacking a security checkpoint. Along the way, we're exploring the complexities of self-defense laws and the gray areas that often arise in these situations.One of the most striking cases this episode is the story of a homeowner in Oklahoma who's facing charges for shooting a squatter on his property. The homeowner, Timothy Smith, claims he was acting in self-defense, but the prosecution is arguing that he didn't have the right to use deadly force in this situation. We're also discussing the case of a police officer who shoots and kills a man who's armed and approaching him, and the complexities of the officer's decision-making process.If you're interested in the intricacies of self-defense laws and the stories behind some of the most shocking cases of taxpayer relief shots, tune in to this episode for a thought-provoking discussion. Join us as we explore the gray areas of the law and the human stories behind these dramatic events.See omnystudio.com/listener for privacy information.

Les Grandes Gueules
La colère du jour - Antoine Diers : "Personne ne se sent responsable! Rien ne changera si nous n'exigeons pas une responsabilité de nos responsables politiques. Celui qui a fauté doit payer !" - 05/06

Les Grandes Gueules

Play Episode Listen Later Jun 5, 2026 1:28


Aujourd'hui, Sandrine Pégand, avocate, Antoine Diers, consultant, et Bruno Poncet, cheminot, débattent de l'actualité autour d'Alain Marschall et Olivier Truchot.

Bruno dans la radio
Le Tribunaze de Karina du 05 juin - Elle sniffe de la cocaïne sur la table du Buffalo Grill, mord un serveur et refuse de payer

Bruno dans la radio

Play Episode Listen Later Jun 5, 2026 2:38


Karina vous dévoile les décisions de justice les plus improbables.Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More
Unscripted the AMCP Podcast: Addressing Non-Medical Switching in Oncology for CLL, SLL

HealthcareNOW Radio - Insights and Discussion on Healthcare, Healthcare Information Technology and More

Play Episode Listen Later Jun 3, 2026 23:56


Payer & Provider Dynamics: Addressing Non-Medical Switching in Oncology for CLL/SLL On this episode guest host Ryan Haumschild, PharmD, MS, MBA, CPEL, Vice President of Pharmacy at Emory University and Emory Health Plan, Winship Cancer Institute, discusses the real-world impact of non-medical switching in chronic lymphocytic leukemia (CLL) and small lymphocytic lymphoma (SLL) with Timothy Mok, Manager of Clinical Utilization Intelligence at Kaiser Permanente and board-certified oncology pharmacist, focusing on the drivers behind switching, the risks of disrupting effective therapy, and how shared decision-making and dose modification can help maintain adherence and improve patient outcomes. Sponsored by Abbvie. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Les Grandes Gueules
La réclamation du jour - Didier Giraud : "Il faut qu'il y ait 100% de recouvrement! Si c'est 100% des allocs, je m'en fous. Hors de question que je me lève à 4h du matin pour donner des impôts qui servent à payer ça" - 03/06

Les Grandes Gueules

Play Episode Listen Later Jun 3, 2026 1:16


Aujourd'hui, Joëlle Dago-Serry, coach de vie, Emmanuel de Villiers, chef d'entreprise, et Didier Giraud, agriculteur, débattent de l'actualité autour d'Alain Marschall et Olivier Truchot.

aujourd faut hors donner payer matin fous villiers servent olivier truchot dago serry didier giraud
Les Grandes Gueules
Se faire payer les congés payés non pris : pour ou contre ? - 03/06

Les Grandes Gueules

Play Episode Listen Later Jun 3, 2026 28:18


A 10h, ce mercredi 3 juin 2026, les GG : Joëlle Dago-Serry, coach de vie, Emmanuel de Villiers, chef d'entreprise, et Didier Giraud, agriculteur, débattent de : Se faire payer les congés payés non pris, pour ou contre ?

The Situation with Michael Brown
5-29-26 - 11am - Tax Payer Relief Shots

The Situation with Michael Brown

Play Episode Listen Later May 29, 2026 33:26 Transcription Available


This episode is a must-listen for anyone who's ever wondered what it means to truly defend oneself and one's loved ones. From a music store owner who fought off a vicious attacker with a wooden club to a retired police officer who shot and killed a suspect in his own driveway, this episode delves into the world of self-defense and the taxpayer's right to protect themselves.We're living in a world where home invasions and violent attacks are becoming more and more common, and it's up to us to take matters into our own hands. This episode explores the stories of several individuals who found themselves in life-or-death situations and had to make split-second decisions to protect themselves and their families. From the streets of Detroit to the suburbs of Colorado, we're taking a closer look at the laws and rights surrounding self-defense and what it means to be a responsible citizen.One of the most striking stories in this episode is that of a 17-year-old who broke into a home on the west side of Detroit and was shot and killed by the homeowner. But was this a justified act of self-defense, or was it a tragic mistake? We're also exploring the case of a woman who shot and killed a suspect in her own driveway after a long standoff with police.As we navigate the complex world of self-defense, it's essential to understand our rights and responsibilities as citizens. This episode is a must-listen for anyone who wants to stay informed and prepared in case of an emergency. Join us as we explore the stories, the laws, and the consequences of self-defense in this gripping and thought-provoking episode.See omnystudio.com/listener for privacy information.

JAMA Editors' Summary: On research in medicine, science, & clinical practice. For physicians, researchers, & clinicians.
Physical Activity and Pregnancy Outcomes, Adverse Effects in Hypertension Treatment, Hospital-Led Payer Integration Systems, and more

JAMA Editors' Summary: On research in medicine, science, & clinical practice. For physicians, researchers, & clinicians.

Play Episode Listen Later May 29, 2026 10:34


Editor's Summary by Linda Brubaker, MD, and Preeti Malani, MD, MSJ, Deputy Editors of JAMA, the Journal of the American Medical Association, for articles published from May 23-29, 2026.

The Situation with Michael Brown
5-22-26 - 11am - Tax Payer Relief Shots

The Situation with Michael Brown

Play Episode Listen Later May 22, 2026 32:45 Transcription Available


This episode is a wild ride, folks, with a series of intense police-involved shootings that'll leave you on the edge of your seat. From a suspect who gets run over by a bear cat to a man who breaks into a home and gets shot by the homeowner, we're diving into the details of these shocking incidents.This episode covers a range of topics, from a suspect who's shot and killed by police after a high-speed chase in Kansas to a woman who brings a knife to a gunfight and gets shot by an officer. We're also discussing a man who breaks into a home in Guthrie, Oklahoma, and gets shot by the homeowner, as well as a suspect who's shot and killed by police in Saint Louis after threatening officers with a pipe and a knife. These stories are a sobering reminder of the dangers that law enforcement officers face every day.One of the most striking aspects of these incidents is the varying circumstances that led to the shootings. In some cases, the suspects were armed and posed a clear threat to the officers, while in others, the situation was more complex and nuanced. We're exploring the different factors that contributed to these outcomes and what they reveal about the complexities of police work.If you're interested in learning more about these incidents and the issues surrounding police-involved shootings, tune in to this episode for a thought-provoking discussion that'll leave you with a deeper understanding of the complexities of law enforcement and the importance of empathy and understanding in these situations.See omnystudio.com/listener for privacy information.

Rise N' Crime
A OR teen dies by medical mishap, a AL woman dies at the hands of her boyfriend's dad, five die in SCUBA accident, and CA prisons create unintended issues with tax payer funded tablets.

Rise N' Crime

Play Episode Listen Later May 18, 2026 38:07


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