For The Love of Revenue Cycle artwork

For The Love of Revenue Cycle

67 episodes - English - Latest episode: about 2 months ago - ★★★★★ - 20 ratings

Did you ever wish that you had a physician revenue cycle expert and mentor with over 20 years of experience whispering success secrets in your ear?

That’s exactly what you will get when you tune into For the Love of Revenue Cycle hosted by me, Vanessa Moldovan. My career and my life have brought me a wealth of knowledge and I can’t wait to share with you. My passion is to help others in the industry to reach their full potential and find success in the wonderful, crazy world of physician revenue cycle.

Whether you are a beginner, expert, physician, consultant, educator or just plain curious, each episode is designed to immediately apply to your career, business and operations.

Join me each week as we tackle the topics, trivia and triumphs of revenue cycle. Let’s discover our full potential together.

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Episodes

*Special Episode - Stop Revenue Leakage

February 08, 2024 03:16 - 43 minutes - 40.1 MB

Dive into the world of healthcare industry in our special episode of PM Symposium where we uncover the many facets of the revenue cycle. Hosted along with Jennifer McNamara, we discuss the impact of practice managers, the importance of understanding the revenue cycle, and how to combat revenue leakage. We explore some of the major challenges including staffing shortages, the lack of standardization and the crucial role of both management and line workers. Tune in to gain invaluable insights,...

Ep. 29 Season 3 Kickoff + Big Announcement

October 30, 2023 13:00 - 12 minutes - 11.1 MB

Hello Friends!  Welcome to the kickoff of season 3!  I am overwhelmed to still be running this podcast after 2 years. Thank you as always for your support.  In this episode, I share what the topic of season 3 will be and share a big announcement.  Speaking of the big announcement, here is the link that I reference. https://fortheloveofrevenuecycle.aweb.page/p/7d25c7b7-9c16-490c-95cd-7bd2052fd396    

Ep. 28 Reporting + Analytics

October 30, 2023 13:00 - 10 minutes - 9.39 MB

Hello friends and welcome to episode 28 of For the Love of Revenue Cycle.  Thank you so much for tuning in today!  A big welcome back to my loyal listeners and a special shout out if today is your first episode.  This season is part of the going back to the basics from season 2. I know that it has been about 5 months since Episode 27 was posted.  As you may recall, me and my production team were experience technical difficulties.  But here we are back again!  In this final episode of Seaso...

6/5/23 Live Q&A - End of PHE; State of the industry; Operational challenges & more

June 06, 2023 01:37 - 42 minutes - 38.9 MB

Hello Rev Cycle Lovers!  This episode is a recording of our live Q&A session today.  It is raw and unedited, but that does not diminish the great conversation.  We discussed some challenges with the end of PHE, operational challeges that cause denials and also different options for assigning individuals within the revenue cycle.  We also spent some time talking about the current state of affairs in our industry related to payer guidelines and staffing shortages.  I hope that you enjoy this c...

Ep. 27: Prior Auth, Referrals, Precertification, etc.

April 23, 2023 15:46 - 16 minutes - 15.3 MB

In today's episode, we go back to the "Language of Revenue Cycle" to discuss the differences between the concepts of prior auth, referrals, precertification and predeterminations.

Technical Difficulties - no episode 4/3/23

April 04, 2023 02:37 - 19 seconds - 248 KB

Thank You For Your Patience...

March 22, 2023 01:29 - 3 minutes - 2.41 MB

In this short episode I thank the listeners for their patience while I took some time off and announce the new podcast schedule with new episodes.

Announcement

December 05, 2022 16:50 - 4 minutes - 3.49 MB

This is an announcement regarding upcoming changes to the podcast schedule.

Ep. 26: Revenue Cycle Management with 2022 challenges

November 14, 2022 03:17 - 32 minutes - 31.1 MB

The topic I have today kind of covers several topics.  I had a hard time coming up with the title of this episode because it isn’t about just one thing.  But let’s just say that if you are struggling with most of the country to run your revenue cycle with staff shortages, crazy payer expectations and the patient as a consumer, then you have come to the right place.  Let’s jump in!

Ep. 25: Institutional vs. Professional Billing

October 31, 2022 11:00 - 16 minutes - 15.3 MB

Today, we are going to talk about some of the differences between institutional vs. professional billing or hospital vs. physician billing.  I want to remind you this is very high level and basic.  But I think it’s a good introductory into those differences.

Ep. 24: Medicare A, B, C and D

October 24, 2022 11:00 - 18 minutes - 16.7 MB

Today, we are going to talk about the various part of Medicare: A, B, C, and D.  I’ll share with you what each part is and then share some of the payment or reimbursement models for Medicare.

Ep. 23: Appeals

October 11, 2022 03:42 - 24 minutes - 22.8 MB

Today, we are going to discuss appeals.  What are they? What is their purpose? What makes a great appeal?

Live Q&A 10/4/22 - Free CEUs, accessing payer policies, and more

October 05, 2022 01:56 - 55 minutes - 50.2 MB

During today's live Q&A, we talked about billing emergency visits with procedures in the inpatient setting, options for free CEUs, how to access payer policies and how we can integrate the topic of specialties into the podcast.  Great conversation!

Ep. 22: Revenue Cycle KPIs

October 03, 2022 11:00 - 16 minutes - 16.9 MB

Today, we are going to discuss five KPIs.  Common key performance indicators in physician revenue cycle.  We’ll discuss how the KPIs are formulated and how they can be used to maintain an efficient and effective revenue cycle.

Ep. 21: Edits, Rejections, Status and Denials

September 28, 2022 04:37 - 20 minutes - 18.6 MB

Today, we are going to discuss edits, rejections, claim statuses and denials.  We’ll be taking a look at each concept to understand their differences and how it is so easy to confuse them.

Ep. 20: Quick Hit Acronyms HIS, HIM, HIE, HIT

September 28, 2022 02:12 - 8 minutes - 7.38 MB

If you have been in healthcare for more than 10 seconds you know that we love our acronyms.  I’ll be sporadically talking about acronyms over the coming weeks.  Today’s episode is about the acronyms HIS, HIT, HIE and HIM (and we are throwing a few others in there).  Let’s jump in.

Zoom Live Q&A 9/20/22 - Welcome back

September 22, 2022 21:18 - 42 minutes - 39.1 MB

This is a recording of our Live Q&A from 9/20/22.   We are back after several months off. This is an open forum time to discuss anything with me or between those who attend.  Today's discussion was some catching up and getting to know you and discussing some of the challenges of billing. Please send me your email address if you would like to be added to this call every other week.  

Ep. 19: Credentialing, Contracting, Enrollment

September 15, 2022 05:49 - 15 minutes - 14.3 MB

Welcome to the first episode of Season 2! Today’s episode is about credentialing, contracting, and enrollment.  These are very different concepts, but often get confused.  Hopefully, I’ll be able to sort out some of the confusion. 

Season 2 Teaser

September 08, 2022 04:40 - 12 minutes - 11.5 MB

I am thrilled to be back! Thank you for your patience and support.  As the title would indicate, this episode is a teader of what is coming up in Season 2.  First episode of the season will be streaming on September 12th!

Ep. 18: Day in the Life of a Medical Biller

May 19, 2022 11:00 - 19 minutes - 19.1 MB

Today is the second episode in our Day in the Life Series.  I’ve been really looking forward to bringing you this series.  In the next few episodes, we will be talking about the various roles within the revenue cycle.  I believe that it is important for all of us to understand the responsibilities, pressures and expectations involved in these roles.  Understanding the people around us is the first step to compassion and empathy in our relationships. And when we work together with compassion ...

Ep. 17: Boost Your Career with Emily Hawkins

May 12, 2022 11:00 - 1 hour - 65 MB

Are you stuck in a job that you are desperate to get out of?  Do you feel like your loyalty is holding you back?  Have you been searching for a job and just not getting anywhere? Today's episode is the one for you.  Emily Hawkins mission is empowering the unfulfilled and unrecognized to amplify their job search and career to make a salary they deserve doing what they love.  Here is the link to her master class as mentioned in the podcast.  https://learn.emilyhawkins4u.com/burn2break-mastercl...

Ep. 16: Day in the Life of a Revenue Cycle Manager

April 28, 2022 11:00 - 30 minutes - 29.2 MB

Today is the first episode in our Day in the Life Series.  I’ve been really looking forward to bringing you this series.  In the next few episodes, we will be talking about the various roles within the revenue cycle.  I believe that it is important for all of us to understand the responsibilities, pressures and expectations involved in these roles.  Understanding the people around us is the first step to compassion and empathy in our relationships. And when we work together with compassion a...

Ep. 15.3: Common Modifiers, Part 3

April 21, 2022 16:21 - 27 minutes - 26.9 MB

Today’s episode is the final part in our 3-part series on modifiers in the clinical or office setting. As many of you know, modifiers are an essential part of the revenue cycle.  They have a direct effect on the revenue flow of the organization.  Decisions on appending the correct modifier starts with the provider’s documentation, then it’s in the hands of the coding and charge capture teams.  Claims review before submission is the final opportunity to append the appropriate modifier before ...

Ep. 15.2: Common Modifiers Part 2

April 14, 2022 11:00 - 29 minutes - 28.5 MB

Today’s episode is part 2 in our 3-part series on modifiers in the clinical or office setting. As many of you know, modifiers are an essential part of the revenue cycle.  They have a direct effect on the revenue flow of the organization.  Decisions on appending the correct modifier starts with the provider’s documentation, then it’s in the hands of the coding and charge capture teams.  Claims review before submission is the final opportunity to append the appropriate modifier before it gets ...

Zoom Live Q&A 4/5/22 Breaking Down Billing for New Drugs with Stephanie Thebarge

April 06, 2022 23:28 - 1 hour - 69.3 MB

In this live Q&A, Stephanie Thebarge CPC, CPMA, CPPM, CPB, CEMC, CHONC, PESC shares with us her extensive knowledge of drug billing.  If you have any further questions or would like a copy of the presentation, please reach out to her at [email protected].

Ep. 15.1: Common Modifiers Part 1

March 25, 2022 16:32 - 30 minutes - 29 MB

Today’s episode is part 1 in our 3-part series on modifiers in the clinical or office setting. As many of you know, modifiers are an essential part of the revenue cycle.  They have a direct effect on the revenue flow of the organization.  Decisions on appending the correct modifier starts with the provider’s documentation, then it’s in the hands of the coding and charge capture teams.  Claims review before submission is the final opportunity to append the appropriate modifier before it gets ...

Zoom Live Q&A 3/22/22 - Modifier intro

March 24, 2022 15:22 - 21 minutes - 16.4 MB

In this live Q&A we have a sneak peek into the modifier series.  We discuss modifiers 24, 25 and 79. If you love it, check out the next 3 episodes as we dive into common modifiers.

3/17/22 No Surprises Act Live Q&A Panel

March 17, 2022 21:23 - 1 hour - 52.5 MB

The No Surprises Act has definitely been a surprise to many of us! Do you still struggle with details in the policy and how to be compliant when applying them to operations? This is a recording of the Live Q&A Panel we held today with our subject matter experts.  I have no doubt that you will find helpful information within this great conversation.  

Ep. 14: AAPC and Careers with Rae Jimenez

March 17, 2022 21:04 - 59 minutes - 55.8 MB

I am so excited to introduce the guest in this episode.  I have to admit that I was fangirling a little bit.  If you are involved with AAPC or have taken advantage of their educational opportunities, you have probably heard of her.  So without further ado, my guest today is Rae Jimenez.  In our conversation you will learn that her current role at AAPC is VP of products.  But you will also find out so much more about her and probably figure out why I admire her so much.  She is smart, graciou...

Ep. 13.2: Marketing a Billing Company with Quiana Craig

March 10, 2022 02:00 - 21 minutes - 21.4 MB

Today’s episode is part 2 in a series in which Quiana Craig shares with us her journey in growing her company.  If you didn’t catch part 1, press pause on this one and go back to listen.  If you have been thinking about starting your own company or are looking for ways to freshen up your current one, stay tuned and get some great tips from a pro. 

Zoom Live Q&A 3/8/22- Appeals

March 09, 2022 21:07 - 55 minutes - 51.8 MB

Are you feeling overwhelmed with how to properly create and submit an appeal.  Well, In this live Q&A we talked all about appeals.  Be sure to stay tuned to the end because there are a lot of great questions from the attendees.

Ep. 13.1: Starting a Billing Company with Quiana Craig

March 03, 2022 02:00 - 20 minutes - 20.2 MB

Today we have a treat for you.  Quiana Craig will be hosting the podcast. She is a certified professional biller, licensed AAPC approved instructor and the owner of Express Medical Billing & Consulting.  Quiana reached out to me last summer to bolster my courage in starting the podcast.  She had so much belief that she agreed to be the first sponsor.  Words cannot express how much I have appreciated her encouragement and excellent promotion on Instagram.  Today she is going to share with us ...

Ep. 12: Revenue Cycle Management

February 24, 2022 08:45 - 45 minutes - 42.7 MB

As the title suggests, today's episode is all about managing the revenue cycle.  I'll share with you the processes that I've used over my career to improve and maintain best practices and KPIs.  You might want to take notes on this one!  I will be sharing the various reports that I use and it might get tough to retain the details.  Let's get to it!

Ep. 11.3: Common Denials, Part 3

February 17, 2022 02:00

Have you ever been overwhelmed with denial management? Maybe you are responsible for a list of denied claims or maybe you are responsible for reducing the number of denials. In today's episode we will reduce the overwhelm by simplifying common denials by breaking them down into what they are, how they are caused, suggestions for resolution and best practice tips for prevention.

Ep. 11.3: Common Denials, Part 3

February 17, 2022 02:00

Have you ever been overwhelmed with denial management? Maybe you are responsible for a list of denied claims or maybe you are responsible for reducing the number of denials. In today's episode we will reduce the overwhelm by simplifying common denials by breaking them down into what they are, how they are caused, suggestions for resolution and best practice tips for prevention.

Ep. 11.3: Common Denials, Part 3

February 17, 2022 02:00

Have you ever been overwhelmed with denial management? Maybe you are responsible for a list of denied claims or maybe you are responsible for reducing the number of denials. In today's episode we will reduce the overwhelm by simplifying common denials by breaking them down into what they are, how they are caused, suggestions for resolution and best practice tips for prevention.

Zoom Live Q&A 2/16/22

February 16, 2022 20:21 - 46 minutes - 40.1 MB

In this live Q&A we had a great conversation about difficulty resolving PTAN issues, emergent denials and is bundling a payment or coding issue.  There are also some big announcements.

Ep. 11.2: Common Denials, Part 2

February 10, 2022 10:25 - 41 minutes - 39.5 MB

Have you ever been overwhelmed with denial management? Maybe you are responsible for a list of denied claims or maybe you are responsible for reducing the number of denials.  In today's episode we will reduce the overwhelm by simplifying common denials by breaking them down into what they are, how they are caused, suggestions for resolution and best practice tips for prevention.

Zoom Live Q&A 2/2/22

February 03, 2022 08:14 - 53 minutes - 45 MB

We had some great collaboration on today's live Q&A.  The attendees shared their struggles with being new to billing, billing and coding without a software and some great modifier questions.  Take a minute and listen!

Ep. 11.1: Common Denials, Part 1

February 03, 2022 08:03 - 1 hour - 56.5 MB

Have you ever been overwhelmed with denial management? Maybe you are responsible for a list of denied claims or maybe you are responsible for reducing the number of denials.  In today's episode we will reduce the overwhelm by simplifying common denials by breaking them down into what they are, how they are caused, suggestions for resolution and best practice tips for prevention.

Zoom Live Q&A 1/26/22

January 26, 2022 22:18 - 49 minutes - 43.5 MB

In today's Live Q&A we had a great discussion regarding operational challenges with the Good Faith Estimate as required by CMS' No Surprise Act.  We also discussed a challenge that Ashley is having with out of network denials on inpatient procedures stating non-emergent.  As referenced in the recording, Stephanie Thebarge and Ashley Szocinski can both be reached through LinkedIn.  If you are interested in being on the No Surprise Act Panel, please contact me.

Ep. 10.2: Marketing a Billing Company with Georgi Georgiev

January 25, 2022 07:38 - 1 hour - 57.3 MB

Hello friends and welcome to episode 10 of For the Love of Revenue Cycle.   Today’s episode is a continuation of last week’s episode in which my friend Georgi shared with us his experience in starting his own billing company.  This week he is going to share with us how to market a billing company.  The dos and don’ts that he learned firsthand.  If you are thinking about branching out on your own, I think that you will find his tips and resources to be very helpful.  This is not in an intervi...

Ep. 10.1: Starting a Billing Company with Georgi Georgiev

January 18, 2022 02:00 - 1 hour - 65.1 MB

I can’t tell you how much I’ve been looking forward to sharing this episode with you. We are taking a little break from our Nuts and Bolts series and will be hearing from a friend of mine.  I met him years ago when I was an officer of the AAPC Des Plaines Local Chapter.  I will let him introduce himself because he will do much better than I.  I’m really looking forward to hearing him tell his story of how he started his billing company.  I personally think it’s quite inspiring.  This is not ...

Zoom Live Q&A 1/12/22

January 13, 2022 11:26 - 22 minutes - 22.4 MB

In today's live Q&A we discuss some tips to be on the lookout for when sharing and receiving resources on social media, articles, webinars, documents, etc.  

Ep.9 Denial Management

January 11, 2022 00:35 - 31 minutes - 29.9 MB

Hello friends and welcome to episode 9 of For the Love of Revenue Cycle.   I am so excited to be back here again with you.  I would like to thank you for tuning back in and I want to give a big welcome to our new listeners.   This episode is the first segment of part 6 in a 7-part series on the Nuts and Bolts of Revenue Cycle.  Due to the amount of content regarding denials, I decided to split part 6 up into two segments.  Today’s episode will be about denial management and then next week’...

Zoom Live Q&A 1/5/22

January 07, 2022 12:21 - 32 minutes - 17.6 MB

In this live Q&A, we discuss in more detail some of the topics that Elisa Garn and I discussed in the most recent episode.  We talked about how to create positivie work environments and how to effectively work with direct reports that we may not see eye-to-eye with. Finally, we discussed the advantages of managing teams with a more "human" approach then "employee" approach.

Ep. 8: Elisa Garn Conversation on Resumes and Personal Branding

January 04, 2022 10:50 - 1 hour - 78.4 MB

I am so thrilled that Elisa Garn was willing to share her expertise in human resources and recruiting with us today.  I hope that you find this conversation as interesting and helpful as I did. I learned so much!  Before we get started, let me tell you a little bit about Elisa. Elisa has 15+ years of experience with HR, with an expertise in modern, progressive and human-centric strategy. She specializes in personal branding, employer branding and creating work environments that foster belong...

Zoom Live Q&A 12/29/21

December 31, 2021 14:55 - 27 minutes - 26.7 MB

In this Q&A we discussed the No Surprise Bill Act.

Ep. 7: Infusion Auditing, Billing and Compliance

December 28, 2021 02:00 - 1 hour - 88.5 MB

Hello friends and welcome to episode 7 of For the Love of Revenue Cycle.   I am so excited to be back here again with you.  I would like to thank you for tuning back in and I want to give a big welcome to our new listeners.   I can’t tell you how much I’ve been looking forward to sharing this episode with you. We are taking a little break from our Nuts and Bolts series and hosting our first subject matter expert.  So exciting.  Today’s expert is Stephanie Thebarge.  I hope that you find this...

Zoom Live Q&A 12/22/21

December 23, 2021 11:10 - 57 minutes - 53.6 MB

In today's Q&A we discuss handling denials, credits and patient balance.