Podcasts about revenue cycle

What's Next For Orthopedics? Lessons From The AAOE 2025 Conference Hear fresh insights from the AAOE 2025 Conference as David Byrd, Lora Pada, and Danelle Newman break down the top trends shaping orthopedic practices today. Learn what's working, what's changing, and how ortho leaders like OSS Health are turning conference takeaways into real-world results. 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   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.

Protecting Revenue With Safety Nets For Timely Filing Epic go-lives and other EHR transitions can be chaotic, high-stakes operations that push revenue cycle teams to the limit. When claim work queues go unattended—even for a few weeks—organizations can lose millions in timely filing denials. On this episode Stuart Newsome, VP of Marketing at Infinx, welcomes Tadd Miller, AR Manager at Ni2, an Infinx company, to share how his team averted disaster during a major Epic implementation by developing practical, real-world safety nets. 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/

Welcome to a strange new world.Recent tariffs announced by the Trump Administration are likely to impact drug manufacturing, since many drug components are produced outside the U.S., in nations such as in India, giving rise to state laws. Many states limit overseas involvement relative to the Health Insurance Portability and Accountability Act (HIPAA). Florida, for example, prohibits the offshoring of certain patient data, requiring such storage to be within the U.S.Responding to this emerging crisis, the producers of RACmonitor and Monitor Mondays have invited Lexi Morrison, director of operations at MedPharma, to be the program's special guest during the next live edition of the venerable Internet broadcast, coming up at 10 a.m. EST on Monday, May 19.The long-running broadcast 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: Adam Brenman, senior government affairs analyst for Zelis, will report on the news happening at the intersection of healthcare and congressional action.

In this episode, Dennis Shirley, Vice President of Revenue Cycle at UnityPoint Health, discusses how his team earned national recognition for excellence in denial management. He shares how data, clinical collaboration, and cautious adoption of automation and AI are helping to transform their revenue cycle operations while enhancing the patient financial experience.

The Human Edge In An Automated Revenue Cycle Automation has reshaped the revenue cycle—but it hasn't replaced the need for expertise. In this episode of Office Hours, we welcome Evan Martin, VP of Revenue Cycle Management at ZoomCare and host of the Wilshire IT RevCast, to discuss how organizations can strike the right balance between technology and human insight. 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

On the surface, it was the perfect scam: kickbacks to docs in exchange for public speaking engagements, in order to induce them to prescribe drugs.That's apparently what Gilead Sciences thought.But a whistleblower blew the whistle, and Gilead admitted to paying hundreds of thousands of dollars to high prescribers of their HIV drugs to serve as speakers at programs at luxury restaurants.Famed whistleblower attorney Mary Inman, partner at Whistleblowers Partners, LLP, will report the savory details during the new live edition of Monitor Mondays, coming up at 10 a.m. EST on Monday, May 12.The long-running broadcast 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: Folan Houston, assistant general counsel for Zelis, will report on the news at the intersection of healthcare and congressional action.• Field Report: Dr. Drew Updike continues his reporting on recent efforts by the Trump Administration to prevent providers from undertaking gender-affirming treatments for America's LGBTQ+ population.

S2E5: Host Don Hardwick discusses the complexities of release of information with Fabian Stone, the Vice President, Revenue Cycle Operations at Children's Hospital of Philadelphia (CHOP). 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/

AAPC HEALTHCON Recap On Compliance, Change, And What's Next In RCM Join Stuart Newsome, VP of Marketing at Infinx, for a candid reflection on key takeaways from the 2025 AAPC HEALTHCON conference in Orlando, Florida. This year's event offered a rich mix of content spanning compliance, legal risk, medical coding evolution, and the growing influence of technology in revenue cycle management. In this Office Hours session, Stuart will share general insights and memorable moments from sessions that explored regulatory expectations, personal liability concerns, and the industry's shifting posture toward AI and automation. 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

The revenue cycle can be thought of as a machine that keeps churning nonstop, making everything work, financially speaking, for your hospital.But even the most well-oiled machinery can get clogged, meaning it doesn't perform at its peak. And that is why the producers of ICD10monitor and Talk Ten Tuesdays have invited Jessica Miller-Dobbs to join the popular Internet broadcast as its special guest for some shop talk.Jessica is the Director of Health Information Management (HIM) and Revenue Cycle for Datavant. She is scheduled to appear during the next live edition of Talk Ten Tuesdays, 10 a.m. Eastern on May 6, for a refreshingly new approach in learning how to get your revenue cycle humming.Also part of the live broadcast will be these instantly recognizable panelists, who will report more news during their segments:• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will report on the latest coding news.• News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.• MyTalk: Angela Comfort, veteran healthcare subject-matter expert, will co-host the long-running and popular weekly Internet broadcast. Comfort is the assistant vice president of revenue integrity for Montefiore Health.

In this episode, Catherine LoPresti, VP of Professional Revenue Cycle Operations at Hackensack Meridian Health, shares how her time at Walmart Connect reshaped her approach to healthcare operations, from leveraging real-time data to empowering physicians and driving patient-centered innovation.

Once again, the venerable 340B Drug Pricing Program finds itself in the crosshairs of critics – this time, from the U.S. Congress.Recently, Sen. Bill Cassidy (R-La.), ranking member of the Senate Health, Education, Labor, and Pensions (HELP) Committee, released a report outlining his office's investigation into the program.During the next live edition of Monitor Mondays, 340B Health CEO Maureen Testoni will return to the broadcast to offer her response to the senator's investigation.The long-running broadcast 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, senior healthcare government affairs analyst for Zelis, will report on the news at the intersection of healthcare and congressional action.

TruBridge Analytics Senior Vice President Vanessa Ryan shares how oversights in data analytics cause health systems to miss out in the revenue cycle.

Evan Martin of ZoomCare joins us to explore the intersection of automation and expertise in RCM, offering practical insights into denial management, data usage, and building smarter revenue cycle strategies.Brought to you by www.infinx.com

Litigation Strategies In Pathology RCM On this second installment of our pathology RCM series, we take a high-level look at a topic many practices avoid until it's too late—litigation as a strategic tool to protect and recover revenue. With decades of experience supporting pathology groups, David Smith, COO of MedReceivables Advisor, returns to guide us through the legal considerations that come into play when reimbursement efforts stall. 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

Nearly every day, on any news service, images of people being quickly led away is chilling as the current Administration continues its sweep of rounding up and deporting suspected illegal immigrants.Thus, in this current climate of increased audits, investigations and scrutiny on immigration, it is essential that healthcare organizations sponsoring foreign nationals for employment, ensure that documentation, policies, and practices are updated and fully compliant.During the next live edition of the venerable Monitor Mondays live Internet radio broadcast, seasoned immigration attorney Matthew Webster will walk you through such essential issues as H-1B visas, L-1 visas and employment-based green cards. Webster is also expected to report on requirements from the Department of Labor (DOL) and the United States Citizenship and Immigration Services (USCIS).Webster, senior immigration attorney at the law firm of Fredrikson & Byron, will discuss the impact of material changes when H-1B amendments are required.The long-running broadcast will also include these instantly recognizable features:• Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds.• Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.• Legislative Update: Matthew Albright, chief legislative affairs analyst for Zelis, will report on congressional action taking place in Washington, D.C.

How AI Can Improve Performance Leveraging RCM Benchmarks Stuart Newsome, VP of RCM Insights, breaks down the fundamentals of benchmarking in revenue cycle management, including key metrics like net days in A/R and clean claim rates. Learn how AI and automation tools can help healthcare organizations go beyond analytics to drive performance, identify gaps, and enable continuous improvement. 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

The fiscal year (FY) 2026 Inpatient Prospective Payment System (IPPS) proposed rule introduces significant reforms to hospital reimbursement, risk adjustment, and performance measurement.Key changes include the Centers for Medicare & Medicaid Services (CMS) transition to HCC Version 28, the use of the Community Deprivation Index (CDI) for socioeconomic risk adjustment and expanded inclusion of Medicare Advantage data in quality metrics.Launching in 2026, the proposed rule mandates episode-based payments with enhanced pricing accuracy. Hospitals must adapt by updating financial models, realigning quality strategies, and fostering cross-departmental collaboration. These changes emphasize equity, accountability, and transparency, all of which is designed to help in the positioning hospitals to lead in a value-driven healthcare environment.Strategic readiness is critical to thrive under IPPS 2026. Reporting this story, during the next live edition of Monitor Mondays, will be the broadcast's special guest Penny Jefferson.The long-running broadcast will also include these instantly recognizable features:• Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds.• Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.• The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.• Legislative Update: Folana Houston, senior government affairs liaison for Zelis, will report on congressional action taking place in Washington, D.C.• News Update: Dr. Drew Update will have an update to his recent reporting on transgender treatment practices.

How to onboard a new physician: What does hospital orientation consist of? How long is orientation at a hospital? How much does physician onboarding cost? The challenges of onboarding new doctors and advice for physician onboarding training with Susan Slaughter, director of physician relations and practice development at Hattiesburg Clinic. American Medical Association CXO Todd Unger hosts.

AI Automation Drives RCM Workflow Optimization and Denial Analytics Christina Harkins breaks down how AI-powered automation and analytics are reshaping revenue cycle workflows. From identifying coding errors and denial trends to prioritizing high-impact claims, she explains how ARDM helps teams work smarter, not harder. 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

A flurry of national news reports continues to document the large-scale restructuring taking place at the U.S. Department of Health and Human Services (HHS), where 10,000 jobs were reportedly slashed earlier this month, a move also impacting the workforce at the Centers for Medicare & Medicaid Services (CMS). An estimated 300 CMS workers are expected to be affected by this action, while NPR reported that the HHS teams focusing on sexual violence prevention were also eliminated – on the first day of April's Sexual Assault Awareness Month.Also recently, RACmonitor and Monitor Mondays have come into possession of a CMS memo, dated March 5, in which the agency warns that it may take action to prevent hospitals and other providers suspected of using “dangerous chemicals and surgical mutilation of children” relative to gender dysphoria, which the agency claims have “proliferated.” In fact, other executive actions taken by the Trump Administration also appear to have anticipated deleterious impacts on the health of America's LGBTQ+ population.It seems part of an overarching theme in which the Administration is waging social wars using gutted federal agencies more as a weaponized tactic than as a mechanism to serve the public.Reporting this story during the next live edition of Monitor Mondays will be physician Drew Updike, a recognized leader in hospital utilization management, denials, clinical documentation integrity (CDI), coding, and hospital operations.The long-running broadcast will also include these instantly recognizable features:• Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.• The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.• Legislative Update: Adam Brenman, senior government affairs liaison for Zelis, will report on congressional action taking place in Washington, D.C.• Monday Rounds: Dr. Shaemarke Magan, medical director for CaroMont Health in Gastonia, North Carolina, will make his Monday rounds, substituting for Dr. Ronald Hirsch.

In this episode, Dr. Kemberly Blackledge, Chief Revenue Cycle Officer at Nashville General Hospital, shares insights into how the hospital is advancing health equity through innovative programs, EHR modernization, and strategic partnerships—while tackling challenges like inflation, funding cuts, and federal regulation to ensure long-term sustainability.

Adapting, Restructuring, and Thriving in the AI Workforce Shift AI isn't replacing healthcare revenue cycle professionals—it's reshaping their roles. In this episode, Lavonne Hamby, Client Services Manager at Infinx, joins us to explore how AI is impacting job structures, workforce adaptation, and accountability. Learn how to work alongside AI while maintaining control and maximizing efficiency in revenue cycle 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/

A recent case, United States v. Junyi Liu, reveals how a $23 million fraud scheme exemplifies vulnerabilities in America's healthcare system – as you'll discover when senior healthcare analyst Frank Cohen joins the next Monitor Monday broadcast.You'll also learn about the challenges legitimate providers face when navigating complex regulations – and more about the government's aggressive “pay-and-chase” enforcement tactics, plus why innocent practitioners often get caught in the crossfire.During the next live edition of the venerable weekly Internet broadcast, Cohen will also report on potential policy reforms.The long-running broadcast will also include these instantly recognizable features:• Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.• The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.• Legislative Update: Adam Brenman, senior government affairs liaison for Zelis, will report on congressional action taking place in Washington, D.C.• Monday Rounds: Dr. Bonney Olney, director of Level of Care Service for R1 RCM, will make her Monday rounds, substituting for Dr. Ronald Hirsch.

Key Considerations For Clinical Pathology Billing, Coding, And Collections Learn how to adapt to changing managed care rates and avoid common pathology coding errors that impact your bottom line. Understand the steps needed to ensure your practice gets paid accurately and on time with COO, MedReceivables Advisor David Smith. 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

No matter the approach one might take for debridement, wound care continues to be an attractive source for audits – they inevitably arise and fester. Case in point: Wachler and Associates, a prestigious law firm in Michigan, currently is representing clients in some 18 wound care audit cases.That is why RACmonitor, producers of Monitor Mondays, has invited Andrew “Drew” Wachler, founder of Wachler & Associates, to be the special guest during the next live edition of the venerable weekly Internet broadcast.The long-running broadcast will also include these instantly recognizable features:• Breaking News: Famed whistleblower attorney Mary Inman, partner at Whistleblower Law, will report about a False Claims Act (FCA) settlement involving a Medicare Advantage provider.• 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.• Legislative Update: Cate Brantley, senior government affairs liaison for Zelis, will report on congressional action taking place in Washington, D.C.• Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.

In this episode of The SaaS CFO Podcast, we are excited to have Ali Rizvi, the innovative CEO and founder of TrueRev, as our guest. Ali's journey from being a CPA with a solid background in finance and audit to becoming the driving force behind TrueRev, offers a wealth of insights. He draws on his extensive experience as a CFO for early-stage tech firms to highlight the persistent financial challenges SaaS companies face, ultimately leading him to develop TrueRev as a solution for subscription and revenue management issues. TrueRev is dedicated to streamlining operations for small to medium-sized businesses dealing with recurring revenue complexities. Ali elaborates on how the platform addresses these challenges by focusing on revenue recognition, subscription management, and financial reporting, providing SaaS companies with a cohesive solution. With a mission to solve the financial chaos that arises in tech-driven companies, TrueRev aims to ensure accurate and seamless financial operations, especially for businesses lacking the resources to address these problems with existing systems or headcount. In addition to sharing the vision behind TrueRev, Ali provides a glimpse into the strategic roadmap for growth and the essential role of clean data in financial operations. He offers valuable perspectives on the evolving landscape of subscription management and where the industry is headed. Whether you're an entrepreneur in the SaaS space or a finance professional seeking to optimize financial processes, Ali's discussion is full of actionable insights and forward-thinking strategies. Tune in to explore how TrueRev is changing the game in SaaS financial management and what it means for your business. Show Notes: 00:00 Revenue Recognition Challenges 05:34 Target Market: Growing Companies' Recurring Revenue 09:09 Side Project to Startup Launch 11:28 Inbound Strategy Focused on Conversion 13:32 Bootstrapping vs. VC Funding Pressure 18:49 Holistic Subscription Management Challenges 20:34 Complexity of Contract Management 23:08 "Explore TrueRev with Ali" Links: Ali Rizvi's LinkedIn: https://www.linkedin.com/in/rizvial/ TrueRev's LinkedIn: https://www.linkedin.com/company/true-rev/ TrueRev's Website: https://truerev.com/ To learn more about Ben check out the links below: Subscribe to Ben's daily metrics newsletter: https://saasmetricsschool.beehiiv.com/subscribe Subscribe to Ben's SaaS newsletter: https://mailchi.mp/df1db6bf8bca/the-saas-cfo-sign-up-landing-page SaaS Metrics courses here: https://www.thesaasacademy.com/ Join Ben's SaaS community here: https://www.thesaasacademy.com/offers/ivNjwYDx/checkout Follow Ben on LinkedIn: https://www.linkedin.com/in/benrmurray

Unlock the power of actionable data in revenue cycle management. Jason Adams, President of Ni2, an Infinx company, shares how AI-driven analytics, customized dashboards, and expert-driven clinical appeals can transform financial performance, enhance transparency, and ensure claims get paid.

National Doctors' Day is actually Sunday, March 30, but the one-day nationwide observance is getting an early celebratory start during the next live edition of the venerable Monitor Mondays broadcast.Joining our esteemed panelists will be three well-known physicians: Drs. Stephanie Van Zandt, Clarissa Barnes, and Juliet Ugarte Hopkins. And each doc will have an “open mic” during the 30-minute live Internet broadcast.The long-running weekly broadcast 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.

In this episode, Mike Vigo, Chief Revenue Cycle Officer at UC San Diego Health, shares insights on leadership, technology adoption, and financial strategies in healthcare. Drawing from his military background, he discusses how teamwork, data-driven decision-making, and AI-driven innovation are shaping the future of revenue cycle management.

Enhancing RCM Efficiency with AI Agents and Advanced Document Capture Solutions Join host Stuart Newsome for an Office Hours session as we explore how AI-powered document capture and AI agents are eliminating documentation bottlenecks, reducing manual data entry, and improving claim accuracy across healthcare specialties. Learn how AI is transforming RCM efficiency for radiology, labs, PT/OT, cardiology, and more! 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

Live from the Vive Conference, Navaneeth Nair, Chief Product Officer at Infinx, joins John Lynn of Healthcare IT Today to discuss the evolving role of AI in revenue cycle management. They explore how AI agents can streamline workflows, enhance human expertise, and build trust through task-based automation.

A clinical documentation integrity (CDI) professional who “knowingly … acts in reckless disregard of the truth or falsity of the information” may ultimately run into issues related to the federal False Claims Act (FCA).The Medicare Fee-for-Service (FFS) Compliance Program on the Centers for Medicare & Medicaid Service (CMS).gov website lists several CMS compliance programs designed to educate and support Medicare providers in “understanding and applying” FFS policies. If the hospital compliance department is not monitoring these resources, it would be prudent for CDI leadership to do so, according to CDI expert Cheryl Ericson, who will be the special guest during the next live edition of the long-running Monitor Mondays Internet broadcast.The venerable weekly Internet broadcast 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: Matthew Albright, chief legislative affairs analyst for Zelis, will report on the latest news concerning healthcare legislation.

The Influence of AI Agents on Provider Success in RCM How is automation transforming provider success in RCM? Join Stephanie Solich, Regional VP of Enterprise Sales at Infinx, as she shares insights on reducing denials, optimizing labor, and improving financial predictability through AI-driven Agents. 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

Hospitals routinely measure, analyze, and track adverse patient harm events, collecting information about and reporting on certain types of such events in order to meet the Centers for Medicare & Medicaid Services (CMS) program and state legal requirements.Prior work plans of the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) revealed that hospitals reported few harm events to state reporting systems.During the next live edition of Monitor Mondays, Dr. James Kennedy, president of CDIMD, will unwrap the January 2025 OIG proposal (OEI-06-18-00401) to evaluate hospital quality reporting, suggesting how hospitals' clinical documentation integrity (CDI) and coding workflows can address errors of omission or commission.Access the OIG's announcement at https://oig.hhs.gov/reports-and-publications/workplan/summary/wp-summary-0000907.asp.The venerable weekly Internet broadcast 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: Adam Brenman, senior government affairs liaison for Zelis, will report on the latest news concerning healthcare legislation.

AI is rapidly transforming the dental industry, offering numerous opportunities for efficiency and improved patient care. Alan talked with Preet Sandhu at the recent Chicago Midwinter Dental meeting about some used of AI in dentistry that you may not have thought of.  Preet is the CEO of ViralKraft (an honest marketing company) as well as StafGo Health, which focuses on the revenue cycle in the dental office. Preet has extensive background in finance and marketing, including 18 years in corporate finance and experience with healthcare finance. The conversation is a deep dive into how AI is revolutionizing dental practices, from marketing and revenue cycle management to patient care and diagnosis.  Key Takeaways: The Integration of Marketing and Revenue Cycle Management: How these two aspects of a dental practice are interconnected. The benefits of separating them into distinct companies. Marketing in Modern Dentistry: The shift from traditional family practices to more specialized dental services. The importance of tailored marketing strategies based on demographics and location. The increasing role of AI in personalizing marketing campaigns. AI Applications in Dentistry: Content creation, including blogs and show notes. Analysis of patient data to personalize treatment and marketing. Streamlining billing and insurance verification processes. Assisting in diagnosis through the analysis of radiographs and other medical images. AI tools for note taking, and meeting summaries. Ethical Considerations of AI in Healthcare: The importance of transparency and patient consent when using AI tools, especially for recording patient interactions.   The balance between leveraging AI for efficiency and maintaining the human touch in patient care. Some links from the show: Viralkraft StafGo  Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!" The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! -- Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYDENTAL10” you'll get another 10% off your order! Go save yourself some money and support the show all at the same time! -- The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! -- Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! -- CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!  

The Evolution of RIS Order Entry Automation in Radiology For radiology groups, manual RIS order entry is time-consuming and prone to errors. Sameer Sheth, Senior VP of Client Services at Infinx, walks us through Infinx's journey in automating order entry, sharing real-world client success stories and lessons learned. 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

AI Automation Agents are transforming revenue cycle management by eliminating manual tasks like prior authorizations, eligibility checks, and claims follow-ups. Unlike traditional bots, AI-driven agents can adapt to system changes in real time, ensuring seamless automation without constant reprogramming.

Across America, in sprawling university teaching facilities and in picturesque rural hospitals, administrators are dealing with a powerful tool called statistical extrapolation.When auditors say that they're using statistical “sampling” to review your Medicare claims, what they are often doing is using extrapolation – which could take what might appear to be minor discrepancies in your billing and turn them into major financial obligations.To learn more about extrapolation and what it means for you and your team, the producers of RACmonitor have invited senior healthcare analyst Frank Cohen to be the special guest during the next live edition of Monitor Mondays.The venerable weekly Internet broadcast 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, senior government affairs liaison for Zelis, will report on the latest news concerning healthcare legislation.

In this episode, Alan Condon, Editor-in-Chief at Becker's Healthcare, discusses key healthcare finance trends, including Trinity Health's financial turnaround, the rise in hospital closures, and major revenue cycle partnerships. Tune in for expert insights on how these developments are shaping the healthcare landscape.

During the next edition of Monitor Mondays, special guest Bill Dombi, senior counsel with Arnall, Golden, and Gregory, will offer an update on the hot-button issues affecting home healthcare, hospice, and long-term home care. These issues include the latest developments related to the Medicare Hospice Special Focus Program, the impact of the Medicare home health payment model, Medicare Advantage (MA) claim denials in post-acute care, and increasing threats to Medicaid support.The venerable weekly Internet broadcast 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: Matthew Albright, chief legislative affairs analyst for Zelis, will report on the latest news concerning healthcare legislation.

We're starting a new off shoot of the My Good Friends podcast called "Revenue Cycle Rants" where Ben will take on a topic in a shorter form episode once a week to foster a greater conversation online. Please Email " RevCycleRants@gmail.com " with your rant ideas! Subscribe for more Rev Cycle Content.

Evoking the age-old adage of having “skin in the game,” a Phoenix, Arizona couple last month entered a plea of guilty to one of the largest healthcare frauds in U.S. history.The couple pleaded guilty to criminal charges involving the submission of $1.2 billion in fraudulent claims to Medicare, Medicaid, and other insurers for wound care procedures. The husband-and-wife team have agreed to pay more than $600 million in restitution and face over 20 years in prison, according to famed whistleblower attorney Mary Inman, who will return to Monitor Mondays for its next edition.The venerable broadcast 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: Adam Brenman, senior government affairs liaison for Zelis, will report on the latest news concerning healthcare legislation.

Smart Document Capture With Automation And AI Learn how AI-driven document capture improves workflows and accuracy, and reduces manual effort in healthcare operations. Discover the role of human oversight in AI-powered workflows and get tips to future-proof your document processing systems with Chief Data Scientist Natalia Arzeno-Gonzalez, PhD. 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

Challenges in reimbursement, benchmarking, and quality reporting are being experienced in many American hospitals. Why is this problem arising?Our special guest during the next live edition of Monitor Mondays will have answers. Penny Jefferson, a seasoned healthcare professional who serves as the Director of Clinical Documentation Integrity (CDI) Services at the University of California at Davis Medical Center, will report on why misinterpretation of the admission types appears to be the culprit, impacting compliance, payment, and patient safety indicators (PSIs).The broadcast 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, senior government affairs liaison for Zelis, will report on the latest news concerning healthcare legislation.

Tammy Noah, MB2 Dental's Senior Director of Central Services, didn't plan on a career in dental, but nearly 10 years later, she's played a major role in shaping MB2's central services. In this episode, she talks about leading several growing teams, such as Billing, Revenue Cycle, Credentialing, and more, as well as partnering on tech innovations like InsideDesk, and how the right mindset (and a little creativity) can take you further than you ever expected. ------------------------------------------------------------------------  Subscribe & Listen: Spotify: https://open.spotify.com/show/69Dz26hgC9D6YqwN8JMDBV Apple Podcast: https://podcasts.apple.com/us/podcast/mb2-underground/id1747349567 ---------------------------------------------------------------------- Follow MB2 Dental on Social: MB2 Dental: mb2dental.com Instagram: instagram.com/mb2dental Facebook: facebook.com/mb2dental YouTube: youtube.com/@mb2dental LinkedIn: linkedin.com/mb2-dental

Artificial intelligence (AI) is becoming as commonplace in healthcare as billing audits.It's ubiquitous.And that is why the producers of Monitor Mondays have invited senior healthcare analyst Frank Cohen to explore the intersection of AI and healthcare. So, during the next live edition of the venerable live weekly Internet broadcast, Cohen will address key concerns for compliance professionals, including Health Insurance Portability and Accountability (HIPAA) requirements, data governance, and responsibility in AI-driven decision-making.The broadcast 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: Matthew Albright, chief legislative affairs analyst for Zelis, will report on the latest news concerning healthcare legislation.

Seamless Outsourcing - Mastering Onboarding, Implementation & Resource Reallocation Discover strategies for smooth outsourcing transitions with Bo Bowman and Christina Harkins. Learn how to master onboarding, implementation, and resource reallocation to maintain efficiency and drive success. 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