Podcasts about RCM

If your practice's collections aren't where they should be, it might not be because of fewer patients—it could be because your revenue is trapped in insurance company limbo. The truth? Without a rock-solid revenue cycle management (RCM) process, you're leaving money on the table… and adding stress to your team. In this episode of the Raving Patients Podcast, I sit down with Shreyas Parab, co-founder and CEO of Daydream, to explore how AI can revolutionize dental billing without removing the human expertise that keeps claims moving. Shreyas shares his unique perspective—shaped by growing up in his mother's small Medicaid dental practice—on why dental billing is a hidden bottleneck for many offices and how automating key steps can unlock both revenue and time. We break down what “human-in-the-loop” AI really means, how to verify insurance more efficiently, and why complete transparency in billing services is non-negotiable for cash flow health. We also dig into the broader role of AI in dentistry—what's working now, where the technology still falls short, and the untapped opportunities that could transform patient communication and education in the near future. Shreyas provides real-world examples of practices that have recovered hundreds of thousands in aged receivables by combining AI-driven workflows with experienced billers, and why this hybrid approach outperforms both in-house teams and traditional billing agencies. Whether you're currently outsourcing, doing billing in-house, or simply curious about what's possible, this conversation will give you the tools to evaluate your RCM strategy and future-proof your practice against the growing complexity of insurance reimbursement. Here are the interesting stuff we talked about in this episode: Automating bottlenecks works best with expert oversight. Pure AI isn't ready to replace billers—but it can triple their efficiency. Transparency is key. If you can't see exactly what's happening with your claims, you can't fix revenue leaks. Growth magnifies billing challenges. Expanding operatories, adding associates, or buying a new practice will strain in-house billing unless processes scale. Patient communication is an untapped AI opportunity. Future tools could educate patients before appointments, improving case acceptance and freeing up clinical time.   Key Takeaways 00:43 Introduction and Event Announcement 02:23 Meet Shreyas Parab: The Vision Behind Daydream 04:30 The Journey from Dental Practice to AI Solutions 05:59 Understanding the Burden of Dental Billing 07:45 The Role of AI in Automating Dental Billing 10:00 Why Automation Over Software Tools? 13:00 Human-AI Collaboration in Dental Billing 14:33 Services Offered by Daydream 15:46 AI-Driven Processes in Dental Billing 17:47 Pain Points with Traditional Billing Agencies 21:12 Identifying Candidates for Daydream's Services 23:22 Exploring AI's Impact on the Dental Industry 24:00 The Future of AI in Dentistry 28:44 AI's Role in Patient Education and Communication 30:38 Limitations of AI in Dental Practices 33:06 Understanding AI's Writing Patterns 38:19 Innovative Marketing Strategies in Dental Practices   — Connect with Shreyas Learn more about Daydream and schedule a demo at daydream.dental.   — Learn proven dental marketing strategies and online reputation management techniques at DrLenTau.com. This podcast is sponsored by Dental Intelligence. Learn more here. This podcast is sponsored by CallRail, call tracking & lead conversion software for dentists. Find out more here. Raving Patients Podcast is your go-to place for the latest and best dental marketing strategies that will help you skyrocket your practice. Follow us for more!

In this bonus episode of Leaders in Medical Billing, we're bringing you the full replay of our most recent, live webinar: AI for Patient Billing. Hosted by Chanie Gluck, this session features a deep dive into how artificial intelligence is transforming one of the most overlooked — and increasingly critical — parts of the revenue cycle. You'll hear from two seasoned RCM leaders actually using AI in the field: Jeff Robertson, CEO of Nexus, shares how AI tools like Raxia helped one client double monthly patient payments and reduce average days to payment by over 50%. John Gwin, CEO of Auctus Group, walks us through his experience using Inbox Health and other platforms to boost collection velocity while maintaining a strong patient experience. They break down: The shift in revenue mix and why patient payments can no longer be ignored How to evaluate and select AI tools based on EMR integration, pricing models, and long-term ROI The importance of front desk processes — from capturing contact details to coaching staff on payment conversations Real-world metrics, implementation timelines, and what to expect as these platforms evolve Whether you're new to AI or already exploring automation, this episode is packed with tactical insights and hard-won lessons to help you stay ahead.

In this episode of the Private Practice Owners Club podcast, Nathan Shields sits down with Lance Gross of GTS Physical Therapy to tackle one of the most overlooked profit killers in private practice: poor revenue cycle management (RCM), leading to sub-optimal revenue and profits.Lance breaks down how clinic owners can dramatically improve cash flow, revenue, and profitability by tightening up RCM systems—without seeing more patients or working more hours. From monitoring provider billing habits to boosting patient retention and increasing frequency of care, we explore the small tweaks that lead to big financial wins.If your clinic is bringing in patients but profits aren't where they should be, this conversation will show you exactly where to look and what to change.Whether you're in growth mode or just trying to stop the bleeding, this episode gives you the tools to take control of your financial future—starting today.To hear more from Lance and how he grew to 25 clinics in 7 years, join us at the PPOClub Conference in Destin, FL, Oct. 2-4, 2025. Register here - https://ppoclubevents.com/homepage

Automating medical coding presents significant challenges due to the intricate nature of health information management, particularly medical records, which form the bedrock of healthcare coding and billing. Protected Health Information (PHI) exists in various formats, including handwritten notes, patient intake forms, and dictated lab reports. This lack of standardization poses a considerable hurdle for AI systems.Revenue Cycle Management (RCM) professionals—such as coders, billers, and auditors—possess the contextual understanding necessary to interpret and extract crucial information from diverse and sometimes illegible records. The complexity of abstracting documentation is further compounded by ambiguous acronyms, localized jargon, and specialized medical language. Additionally, a substantial portion of the information provided to coders is subjective, demanding a level of interpretation that current AI technology may not yet possess.For AI to acquire these essential skills, medical coders will need to train the systems, and auditors will be responsible for verifying their accuracy. This technological shift is inevitable, so RCM professionals should consider developing these skills to remain competitive in the evolving IT landscape.Join us as host Terry Fletcher welcomes Sirisha Bommireddipalli to the show for an insightful discussion on this important topic.

Olá sejam bem vindo ao nosso quadro de entrevistas do Podcast da Mineração.Neste programa, entrevistamos Itamar Luz, engenheiro de produção, com pós-graduação em Engenharia da Confiabilidade e especialização em Planejamento Estratégico da Manutenção. Atua com foco na gestão inteligente de ativos, unindo visão analítica, controle tático e excelência operacional em ambientes industriais e de frotas. Possui sólida experiência em PCM (Planejamento e Controle da Manutenção), com forte domínio das metodologias de RCM, RCA, LCC, PDCA, FMEA e Análise de Perfis de Perda — aplicadas com precisão para elevar confiabilidade, disponibilidade e reduzir custos sistêmicos.. Conversamos sobre o que é o PCM e por que ele é tão importante nas empresas e quais os principais objetivos do PCM dentro da manutenção, Por onde começar quando se quer mudar de uma cultura reativa para uma mais planejada e muito mais. Criação de Arte: Raul CadenaPatrocinadores Oficiais do Podcast da Mineração:ÍGNEA Geologia & Meio Ambiente - https://www.igneabr.com.br/ - @igneabrMentoria - Roberta Azevedo - https://robertacavalcante.com.br/inscreva-se/ - @robertac.azevedo http://www.vptransportes.com.br/É com orgulho que anunciamos o lançamento da loja oficial do Podcast da Mineração! https://reserva.ink/podcastdamineracaoConfiram essa e outras entrevistas no canal e Lembrem-se: "Mineração pode não ser o futuro mas não existe futuro sem a mineração"

Chanie Gluck is the Founder and CEO of 4D Global, a medical billing and healthcare outsourcing company specializing in Revenue Cycle Management (RCM). 4D Global helps US-based medical billing companies scale by providing experienced offshore teams based in India, delivering cost-effective and efficient solutions. She has over two decades of experience in the industry, has led two successful companies, and has been recognized by the Titan 100, Forbes Next 1000, and Enterprising Women of the Year awards. Chanie is also the host of the Leaders in Medical Billing podcast and a respected voice in RCM innovation and AI integration. In this episode… Starting and scaling a business is tough — doing it while raising four children is even tougher. Entrepreneurs in demanding industries often face isolation, overwhelm, and uncertainty around how to grow sustainably while balancing personal responsibilities. So how do you create a thriving, people-first company that scales globally without sacrificing your family or sanity? Chanie Gluck offers an inspiring answer. With nearly 30 years of experience in the medical billing field, she shares her playbook for solving these challenges. Chanie emphasizes the importance of curiosity, problem-solving, and self-education — crediting her early library deep dives on sales and operations as foundational. She discusses how taking bold risks, like pitching herself to doctors and embracing offshoring in India years before it was trendy, enabled her to scale with efficiency. Chanie also stresses building trust with clients through free value-added services and fostering community among introverted industry professionals through podcasts and webinars. Tune in to this episode of the Smart Business Revolution Podcast as John Corcoran interviews Chanie Gluck, CEO of 4D Global, about scaling a medical billing business while raising a family. Chanie shares how she transitioned from local services to global operations, along with insights on offshoring, thought leadership, and adapting to AI in healthcare. Listeners will also learn why podcasts are powerful marketing tools and the importance of community-driven leadership.

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Modern office managers lead through clarity, culture, and connection not control. My longtime friend and colleague Lorie Streeter joins me for a frank conversation about the lessons we've learned over the years.    Micromanagement is everywhere, and dental teams are evolving whether leaders are ready or not. The shift from task-checking to true team empowerment is reshaping how successful practices run. We share stories of real managers navigating burnout, toxic dynamics, and panic hiring with surprising clarity.    There's a raw conversation about what happens when doctors undermine authority, how culture breaks down quietly, and why emotional intelligence is now a non-negotiable skill. We tackle some unexpected truths about staffing “shortages,” leadership blind spots, and what it actually means to build a team that runs on trust not fear. If you've ever carried more weight than your title suggests, this episode unpacks why... and what to do next.   Connect with Lorie   Website: MAXASSIST Facebook Lorie Genelin Streeter Instagram Lorie Streeter - Maxed Out LinkedIn Lorie Streeter   ------------- I created Dental Revenue Network to foster collaboration and networking amongst RCM professionals. Billing company owners and billing professionals will have access to skill building sessions, current carrier news and insurance discussions beyond “what's the code?" Check it out - I hope you'll join! https://dentalrevenuenetwork.mn.co/ ------------- Medical Billing Made Easy! Dental Classroom Online: https://www.dentalclassroomonline.com/ Use ODYSSEY for a 10% courtesy ------------- Synergy Dental Partners offers lower prices for your dental supplies and services https://www.odysseymgmt.com/synergy NTMT listeners receive a 2 Month Free Trial + a 3rd Month if you buy anything from any vendor during the trial period. Also, new Darby customers receive a $200 Darby statement credit with a purchase.  ------------- My insurance course Dental Insurance Design and Management is geared toward those who want to understand the how and why of insurance. As a loyal podcast listener, please use "NTMT" for a $75 courtesy toward your investment.  ------------- Visit odysseymgmt.com to check out my book, webinars and courses. ------------- Don't forget to check out my other podcast Chew on This - A Dental Podcast!    **If you like the show then I'd appreciate a good rating. Tell your friends. Even podcasters ask for referrals!** YouTube: https://youtube.com/@odysseymgmt  

In this episode of What's Best For The Patient Is Best For Business, Jerry sits down with Dr. Alex Chan Yoon, founder of EverEx, and Ellen Morello, PT, DPT, U.S. General Manager for EverEx, to discuss how their Remote Therapeutic Monitoring platform is revolutionizing patient engagement and rehabilitation.Alex shares the inspiring story behind EverEx—born from his frustration as an orthopedic surgeon seeing patients struggle with post-surgical rehab compliance. Recognizing the gap in care, he developed EverEx to bridge the divide between clinic-based therapy and at-home recovery, ensuring patients stay engaged and accountable.Ellen dives into the platform's user-friendly features, including personalized exercise programs, real-time feedback, and automated patient-provider communication—all designed to improve adherence and outcomes. She highlights how EverEx empowers clinicians to monitor progress, adjust care plans, and deliver high-value care beyond the clinic walls.Key Takeaways:• Patient-Centered Design: EverEx was built by clinicians, for clinicians, with a focus on improving rehab adherence and outcomes.• Seamless Integration: The platform simplifies workflows—bundling exercises, tracking compliance, and automating check-ins—without adding extra burden to providers.• Data-Driven Results: Research shows that remote monitoring leads to better recovery rates, reduced no-shows, and stronger patient-provider relationships.• Beyond Billing: While RTM codes offer financial benefits, the real value lies in delivering better care—keeping patients motivated and connected throughout their rehab journey.Tune in to learn how EverEx is helping clinics enhance patient outcomes while optimizing business success—because what's best for the patient truly is best for business.

“We Speak CVE” podcast host Shannon Sabens chats with CVE™/CWE™ Project Lead Alec Summers and CWE Top 25 task lead/CWE Root Causes Mapping Working Group lead Connor Mullaly about the importance of mapping CVE Records (vulnerabilities) to their technical root causes using Common Weakness Enumeration (CWE). Additional topics include the benefits of RCM for CVE Numbering Authorities (CNAs) and consumers of CVE data, Common Vulnerability Scoring System (CVSS) and other vulnerability metadata and their differences with CWE, the CWE Top 25 Most Dangerous Software Weaknesses list, and the tools and guidance available to improve the RCM process (e.g., examples of mappings and best practices on the CWE website, mapping usage labels on CWE entry pages on the website, the RCM WG, and an LLM tool), and more. 

This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to⁠ outcomesrocket.com The future of healthcare billing lies in human-AI collaboration that speeds up results without sacrificing quality. In this episode, Sam Schwager, Co-founder and CEO of SuperDial, shares how voice AI is reshaping revenue cycle management (RCM) by automating routine phone calls and boosting team productivity. With a human-in-the-loop model, SuperDial delivers immediate value while learning and improving over time. Sam highlights the growing demand for fast ROI from AI tools and the potential of AI-to-AI communication via text protocols like HTTP to further streamline operations. As healthcare continues to spend heavily on administrative tasks, SuperDial has helped claims teams become up to four times more productive by handling calls for prior authorizations and denial follow-ups. Tune in and learn how voice AI is changing healthcare operations faster, smarter, and more cost-effectively than ever! Resources: Connect with and follow Sam Schwager on LinkedIn. Follow SuperDial on LinkedIn and explore their website! Email Sam directly here.

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Is the secret to more dental case acceptance hiding in plain sight right inside your own team?   If you've ever wondered why some patients freeze at the mention of treatment costs, or how to handle those moments when someone starts Googling your every word from the chair, you're not alone. In this episode, Teresa talks with Angela Sullivan of Adaptive Dental Solutions about effectively helping teams boost treatment acceptance without feeling like a pushy salesperson. Angela shares stories and lessons straight from the operatory, from the power of a simple photo to honest talk about money and shares why confidence (not more facts) is what gets patients to say yes. The conversation covers everything from handling awkward price conversations to how handoffs and team communication can make or break your acceptance rates.    They wrap up with a preview of their October 10 workshop on advanced dental career possibilities. If you've ever wondered what is ‘Beyond the Operatory' then you'll love what they have planned!   Connect  with Angela:   Website https://adaptivedentalsolutions.com/ Email angela@adaptive-dental-solutions.com Facebook Adaptive Dental Solutions Instagram angeladavissullivan_ads  LinkedIn Angela Davis-Sullivan   Angela's book: https://www.amazon.com/Coming-Home-Better-Practice-no-nonsense/dp/0999786377   Join us for Beyond The Operatory on October 10, 2025 — a career workshop with Angela Davis-Sullivan and Teresa Duncan. Reserve your spot now: https://www.odysseymgmt.com/bto-waitlist ------------- I created Dental Revenue Network to foster collaboration and networking amongst RCM professionals. Billing company owners and billing professionals will have access to skill building sessions, current carrier news and insurance discussions beyond “what's the code?" Check it out - I hope you'll join! https://dentalrevenuenetwork.mn.co/ ------------- Medical Billing Made Easy! Dental Classroom Online: https://www.dentalclassroomonline.com/ Use ODYSSEY for a 10% courtesy ------------- Synergy Dental Partners offers lower prices for your dental supplies and services https://www.odysseymgmt.com/synergy NTMT listeners receive a 2 Month Free Trial + a 3rd Month if you buy anything from any vendor during the trial period. Also, new Darby customers receive a $200 Darby statement credit with a purchase.  ------------- My insurance course Dental Insurance Design and Management is geared toward those who want to understand the how and why of insurance. As a loyal podcast listener, please use "NTMT" for a $75 courtesy toward your investment.  ------------- Visit odysseymgmt.com to check out my book, webinars and courses. ------------- Don't forget to check out my other podcast Chew on This - A Dental Podcast!    **If you like the show then I'd appreciate a good rating. Tell your friends. Even podcasters ask for referrals!** YouTube: https://youtube.com/@odysseymgmt  

In this episode of What's Best For The Patient Is Best For Business, Jerry sits down with Patrick Tarnowski, PT, MBA, Chief Commercial Officer of OneStep, a groundbreaking mobile app that measures key mobility data to help identify fall risks and improve patient outcomes.Patrick shares his extensive background in physical therapy, healthcare administration, and payer-side insights, emphasizing the critical role of objective mobility data in improving patient care and business success. He dives into how OneStep leverages smartphone sensors to analyze gait and movement, providing real-time insights that enhance clinical decision-making, reduce fall risks, and even optimize post-surgical recovery.Key Takeaways:• Gait as a Vital Sign: Mobility data is a powerful predictor of health risks—slower gait speed correlates with higher fall risk, mortality, and cognitive decline.• Seamless Workflow Integration: OneStep fits naturally into existing care models, using devices patients already own (smartphones) to capture actionable data without extra burden.• Remote Monitoring & Value-Based Care: The app enables providers to track patients remotely, bill for remote therapeutic monitoring (RTM), and justify extended care with insurers using objective metrics.• Proving Impact: With tools like OneStep, clinics can demonstrate reduced hospital readmissions, shorter skilled nursing stays, and improved outcomes—key for payer negotiations and value-based contracts.• Expanding Opportunities: From senior living communities to orthotics/prosthetics and cancer rehab, mobility analytics is transforming care delivery across healthcare.Tune in to learn how leveraging technology doesn't mean more work—it means better care, stronger data, and smarter business growth.

Welcome to a special episode of HME News in 10 sponsored and developed by Prochant. Today's guest is Joey Graham, CEO of Prochant. He joins HME News in 10 to talk about why revenue cycle management (RCM) is at the heart of the financial stability of HME providers, especially as they play “whack-a-mole" with new challenges like Medicaid cuts. He also talks about addressing the “silent killers” in the RCM process by leveraging tech-enabled automation and strategic partnerships. When done right, RCM “is nothing less than transformative,” Graham says. Hosts:  Liz Beaulieu  Theresa Flaherty    Guest:  Joey Graham

Access Healthcare, now part of Smarter Technologies, makes revenue cycle management (RCM) more accurate and cheaper by breaking the process into modules and automating each one using AI.  To learn more about how they're doing it and the new organization that brings together Access Healthcare, SmarterDx, and Thoughtful.ai into one company, we sat down with Shaji Ravi, CEO at Access Healthcare.We start off by talking with Ravi about why getting paid and operating efficiently has been such a long standing challenge in healthcare.  He described how in many ways this is getting even more challenging as the cost of leveraging human resources continues to increase even outside the US.  That's why an AI-driven platform approach like the one Smarter Technologies has put together is going to be so important for healthcare organizations.Learn more about Access Healthcare: https://www.accesshealthcare.com/Learn more about Smarter Technologies: https://www.smarter-technologies.com/Healthcare IT Community: https://www.healthcareittoday.com/

In this episode of What's Best For The Patient Is Best For Business, Jerry is joined by executive coach Steve Allred for a thought-provoking discussion on why understanding your healthcare practice's current operations is the key to navigating—and thriving in—a rapidly changing industry.Six months after their last conversation, Jerry and Steve revisit the critical need for practice owners to optimize their businesses before adding new revenue streams, technology, or expansion strategies. From financial literacy to efficient systems and leadership delegation, they break down the foundational elements that allow clinic owners to adapt to industry shifts—whether it's value-based care, direct-to-employer models, or AI integration.Key Takeaways:• Master Your Metrics: If you don't understand your financials, workflows, and key performance indicators, you're unprepared for change—and risk being left behind.• Systems Over Hustle: You can't scale or innovate if you're bogged down by day-to-day operations. Build systems that free up your time to lead and strategize.• Adapt or Get Replaced: Complaining about insurers, regulations, or competitors won't move the needle. The future belongs to those who leverage technology, data, and new care models proactively.• Opportunity in Disruption: From hybrid care to primary care PT, those who embrace change (instead of resisting it) will find untapped revenue and impact.Steve also shares a free financial tool to help practice owners model the true cost and ROI of hiring a new clinician—because decisions should be driven by data, not fear.Whether you're a solo practitioner or a multi-clinic owner, this episode is a wake-up call: Get your house in order now, or risk being outpaced by those who do.Check out Steve's customizable financial model at this link: https://subscribepage.io/9jHCI8Website: practicefreedomu.comEmail: steve@practicefreedomu.com If you'd like to learn more about Strata EMR & RCM and achieving a 99.99% reimbursement rate for your PT, OT, or SLP Clinic head over to stratapt.com and book a demo with their team!

Managing a coding team in today's revenue cycle landscape is no small task—especially when that team is remote, the claims are complex, and the pressure is high. In this session, Jessica Watson, Facility Coding Manager at Infinx, joins host Stuart Newsome for an unfiltered look at what makes an RCM coding leader effective. Jessica shares how she balances performance metrics with coder wellbeing, builds a culture of transparency and accountability across remote teams, and addresses common pitfalls like documentation ambiguity, productivity burnout, and denial patterns. Jessica breaks down what it really takes to build trust, accuracy, and efficiency in a modern coding department. Whether you're leading a coding team or just want to understand what “good” looks like in the world of facility coding and revenue cycle management, this episode delivers real-world tactics and frameworks you can use today. 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

Ava Winslow knows exactly where most urgent cares are bleeding revenue, and it starts at the front desk.As the founding account executive on Flip's healthcare vertical, Ava brings a sharp perspective on how conversational voice AI is transforming phone interactions into a competitive advantage for clinics. With a background that spans hospitality, enterprise SaaS, and now healthcare technology, she's helping providers rethink what patient communication can and should look like.In this episode, Ava joins Michael and Hannah in-studio for a conversation packed with insight, data, and a little bit of sass. Flip launched its healthcare solution just last year, and it's already answering calls for hundreds of clinics, integrating with platforms like Experity, and driving real results—like reducing missed call rates by nearly 50% in just a week.From missed calls and visit conversions to outbound engagement and integration deep dives, this episode offers a front-row seat to what the future of front desk support really looks like—and how urgent cares can start benefiting from it right now.Whether you're dealing with staffing gaps, scaling pains, or just tired of “press 1 for more frustration,” this one's for you.

In this solo episode of What's Best For The Patient Is Best For Business, Jerry recaps his experience at the Future of Rehab Therapy Summit 2025, hosted by the APTA. This episode is a deep dive into Jerry's key takeaways from the event, where thought leaders gathered to discuss the evolving landscape of rehab therapy.Jerry shares his biggest insights, including the undeniable impact of AI on the healthcare industry—emphasizing that AI will replace those who don't understand their role's value in the broader workflow. He challenges listeners to become "AI management agents," mastering their workflows to stay ahead of automation. Another critical takeaway? The need to shift focus beyond just providers and embrace the entire care team—including patients, front desk staff, and billing specialists—to drive meaningful change in the industry.From discussions on AI-powered billing and patient engagement to the importance of preventing problems before they arise (rather than just managing them), Jerry leaves no stone unturned. He also reflects on the inspiring conversations he had with industry leaders like Michael Silva, Alex Bendersky, and even the legendary Stanley Paris.Tune in for a thought-provoking episode that will push you to rethink your role, leverage AI strategically, and prioritize the patient journey in every aspect of your business.Key Takeaways:• AI is here to stay—and it will replace those who don't understand their workflow's value.• Become an "AI management agent" by mastering your role and integrating AI where it enhances efficiency.• Focus on the entire care team, not just providers, to unlock untapped potential in patient care.• Prevent problems upstream—don't just react to them—to save time and improve outcomes.• Adapt quickly—the future belongs to those who embrace change and learn from mistakes early.Don't miss this energizing recap packed with actionable insights for rehab therapy professionals and healthcare leaders alike! If you'd like to learn more about Strata EMR & RCM and achieving a 99.99% reimbursement rate for your PT, OT, or SLP Clinic head over to stratapt.com and book a demo with their team!

The Hidden Hazards of Surgical Prior Auth Prior authorization for surgical procedures continues to be one of the most frustrating and costly hurdles in the revenue cycle. In this episode, Bo Bowman and Stuart Newsome unpack the hidden hazards that routinely derail authorizations—before a procedure is even scheduled. Drawing on firsthand experience and fresh examples from real-world surgical workflows, they explore the most common pitfalls, including failure to prove medical necessity, inaccurate procedural coding, insufficient documentation, and timing missteps. They also touch on the role automation and AI can play in supporting human teams—helping to surface missing requirements, flag coding mismatches, and push authorizations forward before deadlines hit. Whether you're on the clinical side, in operations, or supporting from RCM or technology, this session will give you a clearer path forward and arm you with the awareness needed to avoid denials, delays, and administrative fatigue.

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   What if your child's speech or chewing could give you clues about hidden developmental delays?   Did you know that your child's visit to the dentist could hold hidden insights into their overall development? Join host Teresa Duncan and guest Ann-Marie DePalma as they unravel the fascinating connections between a child's oral health and early signs of developmental delays—including conditions like autism. Discover why dental professionals might be the first to spot clues, from speech impediments to tongue ties, and how these seemingly minor oral challenges can indicate deeper issues in your child's physical and cognitive growth.   But there's more: Ann-Marie explains how both clinical and administrative dental teams can play a critical role in identifying and supporting children with developmental delays, by looking for patterns during appointments and asking the right questions when families call. You'll also learn practical advice for parents—from understanding what happens if a tongue tie isn't treated, to the significance of early referrals for therapies such as myofunctional therapy.   And it's not just about childhood—this episode explores broader themes of women's health in dentistry, including the role of hormones during menopause and their surprising link to conditions such as TMJ, TMD, and chronic headaches. Plus, get an insider's view on how artificial intelligence is transforming how dental offices track development, screen for health risks, and make the entire patient experience (from online scheduling to payments) more accessible.   Whether you're a parent concerned about your child's speech, a dental professional encountering more patients with autism or developmental delays, or someone curious about the intersection of oral health, women's health, and modern technology, this episode is packed with essential insights and actionable tips to help you be proactive at every age and stage.   Connect with Ann-Marie: Website:https://depalmaannmarie.com/ LinkedIn: https://www.linkedin.com/in/annmariedepalma/ Instagram: https://www.instagram.com/ann.marierdh/ Check out our previous Podcast: NTMT #159 Ep 99: Artificial Intelligence: What's The Big Deal? https://directory.libsyn.com/episode/index/id/24754176   ------------- I created Dental Revenue Network to foster collaboration and networking amongst RCM professionals. Billing company owners and billing professionals will have access to skill building sessions, current carrier news and insurance discussions beyond “what's the code?" Check it out - I hope you'll join! https://dentalrevenuenetwork.mn.co/ ------------- Medical Billing Made Easy! Dental Classroom Online: https://www.dentalclassroomonline.com/ Use ODYSSEY for a 10% courtesy ------------- *Is your AR out of control? Is your admin team burning out?

In this solo episode of What's Best For The Patient Is Best For Business, Jerry dives into Part 2 of the Front Desk Selling Series, focusing on the power of permission-based questions during initial patient phone calls. This episode is all about sharing his expert insights on refining front desk communication to improve patient engagement and conversion.Building on the foundational concept of acknowledgment (covered in Part 1), Jerry explains how permission-based questions help control the conversation while making the caller feel heard and valued. He breaks down real-world examples, demonstrating how to steer discussions away from premature cost inquiries and toward understanding the patient's needs, ultimately leading to better outcomes for both the patient and the business.Key Takeaways:• Control the conversation by asking the most questions—the person guiding the dialogue shapes the process and results.• Permission-based questions build trust by signaling active listening and putting the patient's input at the center.• Defer cost discussions strategically by acknowledging the question, then redirecting to the patient's goals first.• Practical scripts for front desk staff to seamlessly integrate acknowledgment and permission-based questioning into calls.Whether you're a clinic owner, front desk staffer, or just looking to improve patient interactions, this episode is packed with actionable techniques to turn phone inquiries into scheduled appointments. Tune in, take notes, and start implementing these strategies today! If you'd like to learn more about Strata EMR & RCM and achieving a 99.99% reimbursement rate for your PT, OT, or SLP Clinic head over to stratapt.com and book a demo with their team!

Sam Schwager, Co-founder & CEO and David Khaydtov, Enterprise Account Executive of SuperDial sit down with GDN in New York City to discuss dental RCM and the future of AI. The SuperDial team share their thoughts on: The founding & development of SuperDial Merging AI with human expertise in RCM The future of dental RCM  Much more To schedule a demo or to learn more about SuperDial's dental RCM AI solution visit https://www.superdial.com/ You can also reach out to David Khaydatov via email at David@superdial.ai or on Linkedin at https://www.linkedin.com/in/david-khaydatov-857387b8/   

In this episode of Leaders in Medical Billing, Chanie Gluck welcomes Davia Award, founder of Healthcare Partners Consulting & Billing (HPC), to share her extraordinary journey from a small-town biller to a national force in mental health RCM. With over 37 years in the industry, Davia is reshaping how billing companies operate—through empathy-driven leadership, building AI-powered tools like ClaimBuddy, and a bold mission to empower 100 women across the U.S. by 2027.  From tackling credentialing and coaching providers to developing bots for SOPs, Davia shows how holistic, tech-forward, and core values-centered leadership can change lives—and the future of medical billing. She also shares how she motivates her team to embrace AI and technology.  Learn more about HPC: https://hpcbilling.com/  Sponsored by 4D Global, empowering medical billing companies through offshore staffing and technology. 

In this solo episode of What's Best For The Patient Is Best For Business, Jerry dives into the critical first step of front desk sales—acknowledgement—during initial patient phone calls. As Part 1 of his Front Desk Sales Series, Jerry shares invaluable insights from his 15 years of experience, emphasizing how early interactions shape a patient's entire journey.Key Takeaways:• The Golden Moment: When a potential patient reaches out, the first 30 seconds of the call set the tone for trust, expectations, and long-term retention.• Power of Acknowledgement: Simply repeating back what the caller says (e.g., "Hi Jerry, I'm sorry to hear about your back pain—we help a lot of people with that!") signals that your practice is different and builds immediate rapport.• Control the Conversation: Proper acknowledgement prevents callers from derailing the discussion and guides them toward scheduling—without feeling rushed or ignored.• Prevent Problems Early: Many cancellations and no-shows can be avoided by mastering this initial step, as it aligns patient expectations from the start.Jerry breaks down real-world examples, revealing common pitfalls and actionable scripts to transform your front desk's phone game. Whether you're a clinic owner or a front desk team member, this episode is packed with strategies to turn inquiries into loyal patients.Tune in and learn why this simple skill—listening and acknowledging—can be your most powerful sales tool.Listen now and stay tuned for Part 2! If you'd like to learn more about Strata EMR & RCM and achieving a 99.99% reimbursement rate for your PT, OT, or SLP Clinic head over to stratapt.com and book a demo with their team!

Join Jonathan Guiney on Reliability Radio as he welcomes Sunil Kamerkar, from Asset Analytix. With over 30 years in the business, Asset Analytix specializes in helping Maximo® users transform their operations, focusing on data quality, PM job plan optimization, and strategic program assessments. Sunil explains their partnership with Reliabilityweb's Uptime Elements framework, which guides their comprehensive assessments with the RAM-GPS tool. Learn how they tackle common pain points like outdated PM programs, leveraging Maximo data and a blended methodology of tribal knowledge, FMEA, and RCM to drive tangible improvements and mitigate corrective work. Sunil details their engagement model, starting with an accessible Proof of Concept workshop that demonstrates immediate business benefits like reduced downtime, mitigated risk, and cost savings. He offers a powerful message for organizations feeling "not ready" due to data quality or budget constraints: "Start wherever you are." Discover how taking that crucial first step, starting small, and continuously measuring progress is key to overcoming inertia and sustaining your reliability journey.

Above all, love each other deeply, because love covers over a multitude of sins. Offer hospitality to one another without grumbling. Each of you should use whatever gift you have received to serve others, as faithful stewards of God's grace. . . . — 1 Peter 4:8-10 D'Near Scott, known as “Twin,” is actually a triplet—but that's another story. Today he stands with us in a large circle before lunchtime. Twin has spent much of his adult life working odd jobs, staying in abandoned buildings, and trying to survive. At Roseland Christian Ministries (RCM), Twin has found something more—a place where he is valued. Like a member of any family, Twin takes on roles that help us function together. He's quick to mop floors, take out the garbage, or shovel snow when necessary. Sunday through Friday, you'll find him at RCM, smiling, helping with odd jobs, and sharing in the meals we serve. Today, as 25 to 30 of us stand in a circle before lunchtime, tears well up in Twin's eyes, and his voice quavers as he says, “You are my family.” As we go around the circle, each of us shares our name, gives thanks, offers prayer requests, and speaks words of encouragement. Then we pray together, lifting each other up to God in Jesus' name, and we break bread as a community. In this way we remember that Christ calls us into a new family—his body, the church. May we always see one another as brothers and sisters in Christ, bound together in his love and grace. We are family. Father, thank you for the family we find in Christ. Help us to be united in your love. May we serve and uplift each other, reflecting your grace and compassion. Amen.

Send us a textLuke stops by the show to discuss his musical journey, which started at the age of 7,  how the pandemic changed his life, a separate identity from being a singer/musician, and more. ****Luke Marzec's life has always been about music. He picked up the violin aged 7, the sax at 10 and the piano soon after. At just 11, his natural talent earned him a place at the prestigious Royal College of Music (RCM) Junior Department. In fact, most of Luke's childhood was spent either in the practice room or on stage. By the time he graduated high school, he had led countless classical and jazz bands, ensembles and orchestras - professionally, at school, RCM, and at the national level. He formed his first band at York University and spent most of his early 20s playing sax in various jazz, psychedelic, indie, and brass bands in the north. He gained a scholarship to Trinity Conservatoire's Master's course in 2016, but after a full term of shredding, decided to focus on his career as a solo artist. In 2018, he released his EP Chances, which received critical acclaim. Over the next couple of years, Luke released two more EPs and gained writing and production experience, doing the rounds co-writing with artists in the UK such as Maverick Sabre, VC Pines, Benjamin Francis Leftwich and Jazzanova. He featured on Johannes Brecht's “Voicing Something” which was remixed by Adriatique. His Spotify page now has more than 15 million listens.  Today, Luke is one-third of London's experimental modular synth-jazz group Lazy H and the Loose Cables, in which he plays the tenor sax and synthesizer. The trio have gigged with London's Kinkajous, Mark Cake, Alabaster DePlume, Plumm and FlamingGods, and they released their first album Rotary Perception with Nottingham-based label Running Circles earlier this year. The avant-garde jazz album takes listeners through psychedelic and tender soundscapes, perfect for sci-fi film scores. He also hosts Headroom – one of the city's most exciting jam sessions which showcases some of the capital's best jazz and electronic instrumentalists and producers. Covid instigated a new period for the artist when he moved into a 44-foot narrowboat. Living life as a water traveler, Luke spent a lot of time in the countryside in relative solitude, before moving to Devon and setting up a new studio. After months in lockdown, this frenetic new period led to a prolific stream of writing and recording. Despite Marzec's writing and collaborating prowess, he is most at ease on stage where everything is simplest, where decision making is easiest and where he feels most alive. After the first note is played, the rest is as if he was watching himself perform; as if his spirit floats to another realm to observe his body. During his performances, the rugged growl of his voice in brilliant contrast to the soft notes he plays on the keys allows him to connect with his audience in moments of sheer bliss and unity. In 2025 Luke will take up residence at one of the city's newest micro-venues while touring across Europe to promote his new album, debut album Something Good Out Of Nothing.*****If you would like to contact the show about being a guest, please email us at Dauna@bettertopodcast.comUpcoming guests can be found: https://dmneedom.com/upcoming-guest Follow us on Social MediaInstagram: https://www.instagram.com/author_d.m.needom/Facebook: https://www.facebook.com/bettertopodcastwithdmneedomIntro and Outro music compliments of Fast Suzi©2025 Better To...Podcast with D. M. NeedomSupport the show

Six Shifts Shaping RCM Influenced by AI Agents In 2025, revenue cycle management is being reshaped by the rapid advancement of automation and the emergence of intelligent AI agents. This session explores six major shifts that are redefining how healthcare providers manage claims, denials, eligibility, and financial performance — all through the lens of AI-enabled transformation. Built from real conversations with revenue cycle leaders, clinical teams, and healthcare finance professionals, this session offers a strategic breakdown of where RCM is headed and what's holding organizations back. From the transition to platform-first strategies, to the increasing need for secure and resilient infrastructure, to the rethinking of workforce models around digital assistance — we'll dive into the practical realities shaping today's automation landscape. With AI agents now acting as collaborators, not just tools, healthcare organizations are beginning to realize new efficiencies, enhanced compliance, and measurable ROI. This session goes beyond hype and gets into how automation is truly impacting day-to-day revenue operations. 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

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   Imagine a dental world where patient data flows as freely as it does in medicine—no more wasted time, lost information, or clunky workarounds. Vyne's CEO Steve Roberts sits down with me to discuss why the dental industry is ready for transformational change and what that means for claims processing, practice efficiency, and ultimately, better care for your patients. I shared my frustration at the unfairness of ptient data being gatekept just for profit. It could be happening to you - it just seems normal. But it's not right.   Key Talking Points:   Why Patient Data Needs to Flow Freely Dental software systems shouldn't make it difficult or expensive to easily share patient information. Uncover how the lack of interoperability holds practices back, limits care quality, and what it will take to catch up to the medical field's standards.   The Evolution of Claims Processing & Real-Time Demands We talked about the trend of carriers seeing value in letting us have more access to claims and benefit information. How do we make it standard?   Change Healthcare's Security Breach—A Wake Up Call Hear lessons learned from last year's Change Healthcare security crisis that exposed vulnerabilities across the entire claims ecosystem. Find out what offices and vendors are doing to build redundancy, improve security, and ensure practices never face that kind of disruption again.   Whether you're a dental professional looking to stay ahead of industry changes, or you're passionate about making your practice more efficient and resilient, this episode is packed with strategies and inspiration for embracing the future of dental claims and technology.   Connect with Vyne: Website:  https://vynedental.com/   ------------- I created Dental Revenue Network to foster collaboration and networking amongst RCM professionals. Billing company owners and billing professionals will have access to skill building sessions, current carrier news and insurance discussions beyond “what's the code?" Check it out - I hope you'll join! https://dentalrevenuenetwork.mn.co/ ------------- Medical Billing Made Easy! Dental Classroom Online: https://www.dentalclassroomonline.com/ Use ODYSSEY for a 10% courtesy ------------- *Is your AR out of control? Is your admin team burning out?

Jessica Watson, Facility Coding Manager at Infinx, joins us to share how she leads high-performing remote coding teams without compromising on accuracy, culture, or speed. Learn practical tactics that make an RCM leader effective in today's complex coding environment.Brought to you by www.infinx.com

In this episode of What's Best For The Patient Is Best For Business, Jerry sits down with Matt Byrne, Executive Director for Provider Partnerships at FIGUR8, Inc., to discuss the untapped potential of workers' compensation in physical therapy—and why ignoring this market could be a costly mistake. FIGUR8 provides the first FDA-registered, objective musculoskeletal (MSK) assessment tool, replacing outdated subjective methods and driving better patient outcomes.Matt challenges the common misconceptions about workers' comp, revealing why it's one of the highest-paying and most underserved segments in PT. With 900,000+ MSK claims annually—each costing employers $35K–$65K—he breaks down how clinics can leverage objective data to streamline care, reduce claim costs, and attract referrals from the many key stakeholders involved with workers' comp claims.Key Takeaways:• Workers' Comp Is a $1.35B Opportunity: At 12 visits per claim and $125/visit, this market is ripe for clinics willing to embrace it.• Data = Leverage: FIGUR8's technology replaces guesswork with biomechanical insights, justifying care plans and speeding up return-to-work timelines.• Better Payer Mix, Fewer Patients: Workers' comp reimburses higher than Medicare and commercial insurance—meaning clinics can increase revenue while seeing fewer patients.• Stop the Staffing Shortage Myth: Optimizing payer mix (e.g., shifting from 3% to 10% workers' comp) can ease clinician burnout and boost margins.• The "Hub-and-Spoke" Model: Hire one dedicated workers' comp PT to train staff and oversee high-value services (e.g., functional capacity exams billed at $800–$1,200 each).If you're tired of chasing shrinking reimbursements and want a proven way to serve your community and your bottom line, this episode is your wake-up call. If you'd like to learn more about Strata EMR & RCM and achieving a 99.99% reimbursement rate for your PT, OT, or SLP Clinic head over to stratapt.com and book a demo with their team!

Staying Ahead In The AI Arms Race With Payors As artificial intelligence takes a front seat in revenue cycle operations, providers are confronting a fast-changing landscape shaped by payor-driven automation. Denials are being issued in seconds. Post-payment reviews are ramping up. And compliance, once a back-office function, is now a strategic necessity. In this special Office Hours session, Stuart Newsome distills the most important insights from his AAPC HEALTHCON presentation and a prior HFMA segment—delivering a clear-eyed look at the AI arms race between payors and providers. The session will examine how payors are deploying AI to control costs, how providers can avoid costly compliance missteps, and what governance structures are needed to keep automation accountable. Attendees will leave with a practical understanding of the risks and remedies surrounding AI in healthcare RCM, plus actionable steps to build resilient compliance programs that evolve with the technology. 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/

In this episode, Terry challenges all medical professionals. What is your role in managing the patient experience? A lack of patient prep can lead to an incomplete encounter for the physician including excessive visits. It can also lead to leakage in all departments, including the RCM staff's ability to perform their job. Terry offers her […] The post Is the provider “prepared” to see the patient? appeared first on Terry Fletcher Consulting, Inc..

In this solo episode of What's Best For The Patient Is Best For Business, Jerry dives into the transformative role of AI voice agents in healthcare—specifically on the non-clinical, pre-arrival side of operations. Jerry shares his firsthand experience working with AI voice technology over the past year, detailing how it's reshaping patient intake, scheduling, benefit checks, and cost callbacks, without replacing human roles.Key Takeaways:- AI voice agents are revolutionizing pre-arrival workflows—but success hinges on understanding your practice's people, processes, and patient journey before implementing the tech.  - Workflow is everything: AI should be strategically inserted into existing systems, not haphazardly overlaid. His case study reveals how mapping out SOPs and scripts upfront slashed onboarding time and costs.  - Human-AI collaboration is key: One client retained staff for quality assurance and follow-up, proving AI works best when complementing—not eliminating—human touchpoints.  - The patient experience gap: With healthcare admin satisfaction at historic lows, Jerry argues AI voice agents can reduce friction (like phone trees and portals) while building trust. If you'd like to learn more about Strata EMR & RCM and achieving a 99.99% reimbursement rate for your PT, OT, or SLP Clinic head over to stratapt.com and book a demo with their team!

In this episode of Leaders in Medical Billing, Chanie Gluck speaks with David Strand, CEO of UnisLink and former COO of the Cleveland Clinic and Alina Health. David brings over 30 years of cross-sector healthcare leadership—from payers to providers to startups—and now leads UnisLink, a fast-growing RCM company backed by Riverside Partners.  David dives into what it takes to transition an early-stage RCM company into a scalable, process-driven organization. He shares insights on UnisLink's growth strategy, building offshore teams, AI for denial management, creating a consultative client experience, and the long-term vision of delivering value-based results for small and mid-sized practices.  Learn more about UnisLink: https://unislink.com/  Sponsored by 4D Global, empowering medical billing companies through offshore staffing and technology. 

In Christ we, though many, form one body, and each member belongs to all the others. — Romans 12:5 DeWitt is a beloved part of our church family. He was the first neighborhood kid to meet Rev. Tony Van Zanten, who served at Roseland before me. Seeing nowhere for young people to gather, Rev. Tony threw open the doors of the Roseland Community Center, inviting DeWitt and an entire generation to come in and play basketball and form a community, a family. Over the years, some of those young people moved away, graduated from college, or started businesses. Others died. DeWitt joined the military but returned and settled in next door. For the past 40 years he's been at Roseland nearly every day. He has cooked meals, hosted volunteer groups, played the congas in church, and participated in countless games of dominoes at the Drop-In Center. He has also sung in choirs and contributed to our vibrant community life. If you've been to Roseland Christian Ministries (RCM), you've probably met DeWitt. He's kind, fun-loving, and has a beautiful tenor voice (similar to that of Luther Vandross). I've learned that DeWitt's deepest longing is to be loved and belong—which all of us share. Some people find this in their immediate family or in their marriage. DeWitt found it in Christian community at RCM. I'm grateful that we can belong to God together in this place. Thanks be to God. Father God, thank you for the gift of belonging. In your love we find our true home. Help us to reflect the unity of Christ's body, where all are welcome. Amen.

In this episode, Brian Zimmerman talks with Scott Allen and Tim Fuchs from nimble solutions about how ambulatory surgery centers can optimize payer relationships and revenue strategies to fuel sustainable growth. They explore the current headwinds ASCs face—like flat reimbursements and rising costs—and how stronger partnerships with payers and RCM experts can turn these challenges into opportunities. Tune in for practical insights and one actionable step ASC leaders can take today to drive long-term value.This episode is sponsored by nimble solutions.

Revenue cycle leaders are navigating six transformative shifts in 2025 — all accelerated by automation and AI agents. This session breaks down how these changes are impacting denials, workforce models, platform strategy, and financial clearance, and offers practical insights on building smarter, agent-enabled RCM operations.Brought to you by www.infinx.com

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter Are you a dentist feeling overwhelmed, burned out, or just stuck in survival mode? What if the real issue isn't your clinical skills, but how you're managing your time, your stress, and your practice? Mark Davis built and ran 16 dental practices over the course of his career — and now he's sharing what most dentists never figure out until it's too late. The pressure to stay on schedule, the chaos of last-minute emergencies, the constant tension with staff… it's not just part of the job. It's a signal that something's off. This episode is about the real reason burnout creeps in, even when things look fine on the surface — and the kind of mindset shift that can fix it without blowing up your whole practice. If the day-to-day feels heavier than it should, this is one worth hearing. Connect with Dr. Mark Email mark@dentalsimplified.com Website https://dentalsimplified.com/ ------------- I created Dental Revenue Network to foster collaboration and networking amongst RCM professionals. Billing company owners and billing professionals will have access to skill building sessions, current carrier news and insurance discussions beyond “what's the code?" Check it out - I hope you'll join! https://dentalrevenuenetwork.mn.co/ ------------- Medical Billing Made Easy! Dental Classroom Online: https://www.dentalclassroomonline.com/ Use ODYSSEY for a 10% courtesy ------------- *Is your AR out of control? Is your admin team burning out?

AI is helping payors deny claims faster than ever—are your compliance practices keeping up? Join Stuart Newsome for a concise, high-impact session covering key takeaways from his HEALTHCON talk and HFMA appearance, focused on staying compliant and competitive in the era of AI-driven RCM.Brought to you by www.infinx.com

In this episode of Leaders in Medical Billing, Chanie Gluck sits down with Kem Tolliver, President & CEO of Medical Revenue Cycle Specialists and co-host of the RevDive podcast. Kem shares her journey from medical receptionist to a nationally recognized healthcare consultant and educator. She introduces her 4-quadrant revenue cycle model, designed to help practices optimize everything from patient intake to financial reporting. Kem also shares advice for medical billing company owners looking to become more consultative and value-driven in an increasingly tech-forward RCM landscape.   Learn more about Medical Revenue Cycle Specialists: https://www.medrevenuecycle.com/  Check out Kem's podcast, RevDive, here: https://www.medrevenuecycle.com/podcast  Sponsored by 4D Global, empowering medical billing companies through offshore staffing, automation, AI and technology. 

 In this episode of the Becker's Healthcare Podcast, Lukas Voss speaks with Gaurav Gupta, SVP of Product Strategy and Performance Management at Med-Metrix, about the rising role of artificial intelligence in revenue cycle management—and why transparency matters more than ever. Gaurav unpacks the challenges of “black box” AI, including staff distrust, compliance risk, and limited oversight, and explains how explainable AI can drive smarter, more trustworthy outcomes. Tune in to learn how healthcare leaders can evaluate AI tools with confidence and future-proof their RCM strategies.This episode is sponsored by Med-Metrix.

In this episode, Lindsay Gross, Founder & CEO of Claims Theory, shares her journey from 20+ years in revenue cycle leadership to launching a fast-growing consulting firm. She dives into the challenges of RCM staffing, scaling smart, and the leadership lessons that fuel sustainable growth.

In this episode, Lindsay Gross, Founder & CEO of Claims Theory, shares her journey from 20+ years in revenue cycle leadership to launching a fast-growing consulting firm. She dives into the challenges of RCM staffing, scaling smart, and the leadership lessons that fuel sustainable growth.

Discover how a revenue cycle health check can uncover hidden opportunities in your RCM operation. Using the Infinx A/R and Denials Management Platform, this episode explores how data-driven analysis reveals coding issues, denial patterns, and workflow gaps—ultimately driving smarter, more strategic revenue performance.

More management and insurance knowledge in my newsletter: https://www.odysseymgmt.com/newsletter   She started charging just $40 a month—now she runs a business that hit 7 figures. In this episode, Amanda DeMoura shares how her small side hustle evolved into a thriving dental business, what it really took behind the scenes, and the unexpected turns that shaped her success. In this episode, we talk about her journey from the ground up, navigating remote work and entrepreneurship, and what happens when growth forces you to make big, uncomfortable decisions. If you're in the dental industry, healthcare admin, or just curious how real businesses are built behind the scenes, this conversation is full of honest moments. It's a story about ownership, reinvention, and figuring it out as you go. Connect with Amanda: Website: https://amandademoura.com/ Email: Amanda@amandademoura.com Podcast: Breath of Fresh Air - Dental Podcast ------------- I created Dental Revenue Network to foster collaboration and networking amongst RCM professionals. Billing company owners and billing professionals will have access to skill building sessions, current carrier news and insurance discussions beyond “what's the code?" Check it out - I hope you'll join! https://dentalrevenuenetwork.mn.co/ ------------- Medical Billing Made Easy! Dental Classroom Online: https://www.dentalclassroomonline.com/ Use ODYSSEY for a 10% courtesy ------------- *Is your AR out of control? Is your admin team burning out?

In this episode of the Becker's Healthcare Podcast, Erika Spicer Mason speaks with Dr. Jessica Nave of Emory Healthcare and Dr. Sari Green of Accuity about the transformative impact of physician involvement in revenue cycle management. They explore how clinical expertise is helping health systems address denials, improve documentation accuracy, and navigate tightening financial margins through strategic partnerships and innovation. Tune in to learn how Emory and Accuity are advancing a more integrated, physician-led approach to RCM success.This episode is sponsored by Accuity.

There's new technology in revenue cycle management, and it's designed to make your RCM more effective and more profitable. My guest today runs a successful RCM business. He spends a good amount of time keeping up on new tech in RCM, and he'll tell us what's exciting to him.Vinod (Vinny) brings over 15 years of experience in operations, financial analysis, strategy, growth, corporate development, strategic planning, and marketing. At Medical Billing Wholesalers, he is involved in applying his experience to optimize revenue cycle process flows to improve our clients' profitability and performance.In this episode Carl White and Vinny Sankaran discuss:AI developments in RCMAutonomous codingBotsWant to be a guest on PracticeCare®?Have an experience with a business issue you think others will benefit from? Come on PracticeCare® and tell the world! Here's the link where you can get the process started.Connect with Vinny Sankaranhttps://www.linkedin.com/in/vinodsankaran/Connect with Carl WhiteWebsite: http://www.marketvisorygroup.comEmail:  whitec@marketvisorygroup.comFacebook:  https://www.facebook.com/marketvisorygroupYouTube: https://www.youtube.com/channel/UCD9BLCu_i2ezBj1ktUHVmigLinkedIn: http://www.linkedin.com/in/healthcaremktg

In this episode of the Becker's Healthcare Podcast, Erika Spicer Mason is joined by Purvi Bhatt of ECG Management Consultants and Catherine Nabavi of Siemens Healthineers to explore how health systems are evolving their strategies in response to tighter reimbursements, growing outpatient demand, and shifting regulatory landscapes. The discussion dives into payer negotiations, the impact of changing Certificate of Need (CON) laws, and the expanding role of AI and digital RCM tools in driving outpatient efficiency. Tune in for expert insights on aligning data-driven innovation with financial and operational sustainability in today's dynamic healthcare environment.This episode is sponsored by Siemens Healthineers.

More than two years after the pandemic-era Medicaid continuous enrollment provision ended, millions of eligible patients are without coverage, creating a crisis for hospitals and healthcare systems that rely on Medicaid reimbursement dollars. Adding to the strain on providers, Medicare physician payments have been cut for the fifth consecutive year. Compounding these challenges, the number of patients presenting as self-pay or on high-deductible health plans (HDHP) continues to grow. Uninsured, self-pay, and high-deductible patients take longer to pay — if they pay — and have a higher risk of write-off. What can providers do to protect their financial health? Listen to the podcast to hear RCM optimization experts discuss five proven tips for improving revenue capture, even in the most challenging of times. Providers will learn how to optimize reimbursement, reduce administrative burden, and improve the patient's financial experience. This episode is sponsored by ZOLL.