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RevDive

48 episodes - English - Latest episode: 3 months ago - ★★★★★ - 6 ratings

A Slice of Healthcare podcast co-hosted by Taya Moheiser, CMPE, CMOM & Kem Tolliver, CMPE, CPC, CMOM. #revenuecyclemanagement #medicalbilling #RCM

Management Business Health & Fitness Medicine revenue cycle management rcm rev cycle management medical billing medical coding taya moheiser kem tolliver mgma
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Episodes

#47 - Optimizing Revenue Cycle Management in Healthcare: Insights from Paola Turchi

January 31, 2024 17:42 - 24 minutes - 22.4 MB

Welcome back RevDivers! Tune in to hear Paola Turchi, the RCM Solutions Lead at Notable. Highlights: Key challenges in revenue cycle management within the healthcare sector. In-depth discussion on managing prior authorizations effectively. Strategies to improve patient collections and satisfaction. The role of technology in streamlining healthcare RCM processes. Expert insights and practical tips for healthcare professionals. Learn more about Notable here: https://www.notable...

#46 - The Power of Healthcare Payment Data Transparency

December 20, 2023 18:44 - 21 minutes - 19.4 MB

Welcome back RevDivers! Tune in to hear Anne Saulnier, CEO, and John Hobart, Co-Founder, of HexIQ. Discussion on healthcare payment data transparency with Anne and John from Hex IQ. Insights into the Transparency in Coverage Rule and its impact on the healthcare industry. The role of accessible data in empowering healthcare providers and practices. The significance of data transparency in creating equitable healthcare systems. How Hex IQ's Pulse Medical platform is transforming...

#45 - Revolutionizing Healthcare: The Inspiring Journey of Valley Oaks Medical Group

December 06, 2023 22:24 - 22 minutes - 20.4 MB

Welcome back RevDivers! Tune in to hear Kim Grana, Chief Executive Officer, and Marie Price, Vice President of Operations, at Valley Oaks Medical Group. Discusses the rapid growth and innovative patient-centered care approach of Valley Oaks. Insights into their unique strategy in healthcare management and value-based care. Lessons in leadership and the importance of teamwork in healthcare settings. Challenges faced during their expansion and how they turned them into opportuniti...

#44 - Chock-full of MGMA

October 18, 2023 18:59 - 17 minutes - 16.2 MB

Welcome back RevDivers! Tune in to hear Craig Wiberg, Senior Manager, Digital Events at MGMA as he gives a sneak peek of the MGMA Leaders Conference 2023. Elevate Your Leadership Skills Network with Industry Experts Access Valuable Resources Participate in Workshops & Sessions Book Launch Party: "Advanced Strategies for Financial Management" How to grow, learn, and connect Learn more about MGMA here: https://www.mgma.com/conferences/leaders/overview Thanks to our sponsor Bos...

#43 - Using A.I. To Change The Future of Medicine In The Home

September 12, 2023 11:00 - 19 minutes - 18 MB

Welcome back to RevDive! Listen to hear Charles Gellman, CEO and Chief Patient Advocate of HIDO Health as they talk about AI-assisted robotics, remote patient montoring, and tech that can reshape the healthcare system. What you’ll get out of this episode: Dive deep with Kem Tolliver & Charles Gellman. Discover the future of healthcare with HIDO's AI-assisted robotics. Unravel the mysteries of remote patient monitoring (RPM). Understand the true power of patient satisfaction in ...

#42 - Reducing Painpoints Between Payers and Providers, ft. Russ Thomas, CEO of Availity

August 30, 2023 11:00 - 35 minutes - 32.9 MB

Welcome back to RevDive! Listen to hear Russ Thomas, Chief Executive Officer at Availity discuss proactive revenue cycle management, reducing denials and overpayments, and the critical importance of payer-provider collaboration in healthcare What you’ll get out of this episode: - Latest episode features Russ Thomas from Availity discussing future of healthcare. - Critical insights into proactive revenue cycle management and reducing denials and overpayments. - Deep dive into the c...

#41 – Voices Of Innovation: Fulfilling The Promise Of Information Technology

August 02, 2023 12:10 - 13 minutes - 12.1 MB

Welcome back to RevDive! Listen to hear Ed Marx, Chief Executive Officer at Marx Advisory discuss healthcare technology advancements and philanthropy. What you'll get out of this episode: - "Voices of Innovation" is a book featuring inspiring stories of healthcare technology advancements. - The book showcases a practical innovation framework with real-life examples from 35 contributors. - By being part of the book, healthcare practices and hospitals gain recognition and elevate t...

#40 - The Implications of A.I. In The Coding World with Andrew Lockhart, CEO and Co-Founder of Fathom Health

July 20, 2023 03:30 - 20 minutes - 18.6 MB

Welcome back to RevDive! Listen to hear Andrew Lockhart, Co-Founder and CEO at Fathom Health discuss AI and it's implications in the coding world. What you'll get out of this episode:  AI is enhancing medical coding efficiency and workflows Tackling coder shortages, allowing staff to focus on challenging tasks How AI's predictive insights are improving coding audits, chart reviews, and business decisions AI's future role could include complex decision support and autonomous scr...

#39 - How Organizations Can Save Money and Address Overlooked Costs with Matthew McCreith, Strategic Partner at Schooley Mitchell

June 07, 2023 11:00 - 17 minutes - 15.6 MB

Welcome back to RevDive! Listen to hear Matthew McCreith, Strategic Partner at Schooley Mitchel discusses how organizations can save money and address overlooked costs.  What you'll get out of this episode:  Billing errors and frequency Client perspective on scrutinizing invoices Challenges with managing invoices and contracts Impact of incremental cost increases and right-sizing Vendor selection and negotiation Review frequency for invoices and contracts To learn more about...

#38 - Yielding Success For All Through Education, with Dr. Mary Awuonda, Associate Professor at Howard University College of Pharmacy

April 26, 2023 14:13 - 24 minutes - 22.3 MB

Welcome back to RevDive! Join as Dr. Mary Awuonda, Associate Professor at Howard University College of Pharmacy discusses how she's pioneering a revenue cycle curriculum to prepare a public informatics workforce.  What you'll get out of this episode:  Dr. Awuonda’s background Preparing a public informatics workforce at Howard University  The PHIT4DC program Developing the curriculum with Zane Networks, DC Primary Care Association, Crisp DC & more  How the industry can replicat...

#37 - Data Security in Healthcare with Jeffrey Miller, JD, Director in Charge at Granite GRC & Vidal Lupian, Director of Information Technology at Granite GRC

April 12, 2023 13:00 - 23 minutes - 21.2 MB

Welcome back to RevDive! Join as Jeffrey Miller, JD, Director in Charge at Granite GRC & Vidal Lupian, Director of Information Technology at Granite GRC join RevDive to discuss data & data security in healthcare. What you'll get out of this episode:  Financial data elements in healthcare that matter  How to keep your data protected, and what makes data vulnerable  How to prevent data breaches & identify phishing scams To learn more about Granite GRC please use the links below: ...

#36 - Supply Chain Challenges & Solutions with Richard Palarea, CEO at Kermit

March 23, 2023 15:38 - 22 minutes - 20.2 MB

Welcome back to RevDive! Join as Richard Palarea, CEO at Kermit joins RevDive to discuss challenges & solutions in supply chain management. What you'll get out of this episode:  His background & the background of Kermit  The trending supply chain challenges including high margins, staffing shortages, and more What work flow optimization is looking like in the supply change industry  What to do to prioritize supply chain management To learn more about Kermit please use the link...

#35 - Healthcare's Balancing Act with Dr. Jonathan Baktari, MD - Navigating Consolidation, Reimbursements, and Non-Physician Providers

March 01, 2023 15:35 - 26 minutes - 23.9 MB

Welcome back to RevDive! Join as Dr. Jonathan Baktari, MD - Healthcare CEO, Preventative Medicine Expert, Host of Baktari MD joins RevDive to discuss Healthcare's Balancing Act - Navigating Consolidation, Reimbursements, and Non-Physician Providers.  Episode Summary: In this episode, we discuss care delivery evolution and the impact of consolidation. As care options impact quality scores, healthcare providers are forced to integrate metrics into care delivery while taking inflat...

#34 - Healthcare Leadership in 2023

February 07, 2023 14:24 - 20 minutes - 18.6 MB

Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. In this episode Taya & Kem focus on the topics that are critical for success in 2023 including professional development, recruiting talented staff, maintaining company culture and more!   What you’ll get out of this episode: Outside the box recruiting strategies The importance of skill gap assessments Maintaining ...

#33 - The Intersection of Technology & Healthcare Management (Eric Demers)

December 20, 2022 17:47 - 19 minutes - 17.9 MB

Welcome back to RevDive! Join as Eric Demers, CEO at Madaket Health joins RevDive to discuss the intersection of technology & healthcare management. Eric Demers is the CEO of Madaket Health. He believes we can transform healthcare delivery through the power of data and interoperability. With more than 25 years of global healthcare experience, Eric has built and scaled leading technology and service companies, from early stage to Fortune 100. He is highly sought-after for speaking a...

#32 - Spill from The Hill with Claire Ernst, JD - Bracing for 2023 CMS Payment and Regulatory Changes

October 07, 2022 14:30 - 27 minutes - 24.9 MB

Welcome back to RevDive! Join as Claire Ernst, JD, Director of Government Affairs at MGMA joins RevDive to give another Spill from the Hill. The healthcare industry awaits publication of the 2023 CMS Final Rule later this year. As we await what's to come, our guest sheds light on anticipated changes expected within the payment formula which will impact reimbursement to healthcare organizations and providers dependent upon CMS for funding. In this episode, we also discuss recent Pr...

#31 - The Evolutionary Coding Industry Comes with Major 2023 Updates (Rae Jimenez)

September 20, 2022 14:27 - 14 minutes - 13.4 MB

Episode Details: Join in as Rae Jimenez discusses important updates to coding, effective in 2023. Say goodbye to components of 1995 and 1997 documentation guidelines, and say hello to standardized documentation.  Rae expresses that an important metric for efficiency and quality of care is the proper understanding and application of coding guidelines. We discuss the importance of becoming familiar with 2023's guideline modifications. Coding has evolved into the vast pool of data a...

#30 - Becoming an Innovator in Revenue Cycle (Julie Collins)

August 02, 2022 15:22 - 18 minutes - 16.7 MB

Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is answering a question directly from our RevDivers!  Julie Collins, Innovation Consultant & Lead Faculty for National Science Foundation (NSF) & National Institutes of Health (NIH). Join in as Julie tells our RevDivers how to get into an innovative mindset, what customer discovery means, and how to le...

#29 - Success Stories from True Leaders in Healthcare (Scott Becker)

July 19, 2022 15:23 - 27 minutes - 25.2 MB

Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is Scott Becker of Becker’s Healthcare and McGuire Woods, LLP. Join in as healthcare celebrity Scott Becker talks about how he and his team created the Becker's Health universe, trends he is seeing in the industry today, and the achievements and failures he navigated on his road to success.    What yo...

#28 - The Top 4 Transformation Traps (James Lineberger)

July 05, 2022 14:09 - 22 minutes - 20.5 MB

Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is James Lineberger, Executive Director for Anesthesia Associates of Boise. Join in as James talks about the top four pitfalls that leaders fall into when assessing data and transforming internal processes.   What You’ll get out of this episode: Why the rule of thumb can be guiding toward failure Th...

#27 - Prioritizing Provider Enrollment for Optimal RCM Efficiency (Kevin R. Mulcahy)

June 21, 2022 15:33 - 19 minutes - 18.1 MB

Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is Kevin Mulcahy, Senior Director of Payer Relations, Special Billing & Provider Enrollment for Mass General Physician Organization. Kevin discusses the trickle-down effect Provider Enrollment and Payer Contract management plays in the overall Revenue Cycle.   What You’ll get out of this episode:   ...

#26 - Innovative Solutions for National Problems: Behavioral Health (Kevin Dedner)

April 26, 2022 20:24 - 16 minutes - 15.5 MB

Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is Kevin Dedner, Founder and CEO of Hurdle Health. Mr. Dedner talks about the revolutions his company has been making in virtual therapy services, publishing “The Joy of the Disinherited-Essays on Trauma, Oppression and Black Mental Health.”, how new CMS policies will impact the future behavioral health...

#25 - MIPS Reporting with RCM Workflow Improvements (Amy Weiser)

March 16, 2022 03:54 - 17 minutes - 16.2 MB

Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is Amy Weiser, lead project coordinator at Quality Insights for the QPP service project. Ms. Weiser explains what a Quality Improvement Organization (QIOs) is and how they support other organizations. Additionally, she explains pressing CMS MIPS updates to help keep listeners up to date. What you’ll ge...

#24 - What’s on the Horizon for Healthcare RCM Leaders in 2022, featuring Alexandra Pecci

March 02, 2022 04:00 - 12 minutes - 11.5 MB

Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is Alexandra Pecci, freelance writer for Health Leader Media and other top health news outlets. Ms. Pecci takes her experience from interviewing health industry leaders at every-level and gives us the ins and outs of revenue cycle management from the perspective of an outsider. What you’ll get out of t...

#23 - An Operational Deep-Dive into Cybersecurity for Healthcare Providers

February 09, 2022 04:57 - 22 minutes - 21 MB

What you’ll get out of this episode: What is “cyber hygiene” and how do we achieve good cyber hygiene? How is employee burnout impacting cybersecurity risk? Are cybersecurity policies worth the expense? How do we protect ourselves from third-party breaches? Quotables “Bad Actors are targeting healthcare providers and systems because they know it has a bigger impact than targeting just one organization” “The general rule of thumb for liability, is that whoever collects the dat...

#22 - Payment Delays Impacting the Industry as a Whole

January 12, 2022 01:48 - 22 minutes - 20.7 MB

Chances are, like the rest of the industry, you are seeing significant payer delays. In this episode, Sharon Smith, Practice Manager at Virginia Beach Surgery explains the impact of payer delays and how to tackle these issues with payers. What you’ll get out of this episode: How do untimely payments impact the revenue cycle? The role that clean claims play and how to align payer contract language with state regulations The role of the state insurance commissioner Best practices...

#21 - Tackling Denials Proactively with a Focus on KPIs w/ COO of Physician Services of Einstein Physicians

January 06, 2022 03:37 - 20 minutes - 18.5 MB

This episode is for revenue cycle leaders, operational leaders and those looking for ways to innovatively approach denial management and operational challenges. In this episode we talk to Lamont Louis, Chief Operating Officer for Physician Services for Einstein Physicians at Jefferson Medical Group in Philadelphia, PA. Mr. Louis talks about identifying financial variances, using the FORM approach to team success, and how to identify critical KPIs from an operational perspective. Wh...

#20 - MGMA Director of Government Affairs Claire Ernst explains Congress’ last minute passing of waivers and delays to looming reimbursement cuts to Medicare for 2022

December 16, 2021 05:18 - 22 minutes - 21.1 MB

All practices, hospitals, and health systems this is a critical and timely episode. Claire Ernst, Director of Government Affairs breaks down the legislation passed last night by Congress which waived and delayed several looming cuts to Medicare reimbursement for 2022. She covers the PAYGO 4% cuts, conversion factor changes, sequester delays and phased reinstitution, telehealth coverage for 2022 and more! Tune in for essential updates to your 2022 reimbursement outlook! What you’ll ...

#19: Staying Ahead of Trending Compliance Concerns

December 07, 2021 19:07 - 21 minutes - 49.8 MB

Details: Listen in as we hear from Physician and Attorney Reza Ghafoorian on strategies to minimize alarm fatigue while remaining compliant with not so obvious threats that may leave healthcare providers vulnerable to cyberattacks. Our guest gives insight on industry best practices to remain vigilant in protecting your brand and Protected Health Information. Interviewee:    Reza Ghafforian, MD, Esq, Principal Attorney at G2Z Law Group, PLLC Find out more in this timely episode an...

#18: Optimizing Technology, Telehealth & HIEs

November 17, 2021 07:19 - 19 minutes - 45.5 MB

Details: Luigi Leblanc joins us for a discussion right at the intersection of public health and technology. How can we optimize use of technology, how is technology being used for niche services, how are programs changing to drive reimbursement for these? Find out the answers to these and more in this episode of RevDive! Interviewee:     Luigi Leblanc, VP of Technology at Zane Networks  Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive. ...

#17: Small Brave RCM Leadership Moves

November 03, 2021 03:23 - 16 minutes - 37.7 MB

Details: Hi there RevDivers, join us as we learn how to become more brave as leaders with the help of Master Hudson Coach, Nicole Bianchi, author of Small Brave Moves. Interviewee:     Nicole Bianchi, Partner at Bravium and author of Small Brave Moves Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive. Sponsored by: ABILITY Network For more information on critical RCM updates, be sure to follow RevDive on our social channels: - Website ...

#16: Engaging Physicians in Financial Discussions

October 28, 2021 22:55 - 15 minutes - 34.6 MB

Details: Hi there RevDivers, join us as we chat about engaging physicians in RCM discussions with Jill Arena, noted author of Physician Heal Thy Financial Self & CEO & Founder of Health e Practices.  Interviewee:     Jill Arena, CEO & Founder of Health e Practices Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive. Sponsored by: ABILITY Network For more information on critical RCM updates, be sure to follow RevDive on our social channe...

#15: Enhancing the Patient Payment Process

October 13, 2021 03:17 - 26 minutes - 61.7 MB

Details: Hi there RevDivers, listen in as Dawn Lunde shares her experience in improving the patient payment experience while integrating patient engagement and health literacy into RCM to develop an informed consumer. Interviewee:     Dawn Lunde, Senior Director, Sales Strategy Ability Network Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive. Sponsored by: it's Healthcare & Medical Revenue Cycle Specialists LLC For more information on...

#14: Prioritize Payer Contracting, With Doral Jacobsen, Founding Partner at Prosper Beyond

October 05, 2021 23:47 - 18 minutes - 41.8 MB

Hi there RevDivers, join us as we interview Doral Jacobsen, founding partner at Prosper Beyond and co-author of MGMA’s “Transitioning to Alternative Payment Models” guidebook. Doral chats with us about the importance of payer contracting and provides some great tips and tricks for when you reach out to negotiate those agreements! Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive. Sponsored by: it's Healthcare & Medical Revenue Cycle Speci...

#13: MGMA’s Upcoming Leadership Conference, featuring Craig Wiberg, Senior Editor at MGMA

September 29, 2021 00:35 - 11 minutes - 25.6 MB

Today's Guest:     Craig Wiberg, Senior Editor at MGMA Hi there RevDivers, join us as we interview Craig Wiberg, the legend behind MGMA’s excellent educational content! The October MGMA conference will look very different this year and Craig takes us through all the key things attendees can expect from this in person event!  Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive. Sponsored by: it's Healthcare & Medical Revenue Cycle Specialis...

#12: Emotional Intelligence & Rev Cycle, featuring Susan Childs, Founder & Healthcare Practice Advisor at Evolution Healthcare Consulting

September 22, 2021 02:59 - 30 minutes - 70.2 MB

Today's Guest:     Susan Childs, Founder & Healthcare Practice Advisor at Evolution Healthcare Consulting Hi there RevDivers, join us as we interview Susan Childs, author of Common Nonsense and national practice management consultant. Susan is an expert on revenue cycle, emotional intelligence, and all areas of practice operations.  Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive. Sponsored by: it's Healthcare & Medical Revenue Cycle S...

#11: Emerging Health Leaders, With Laurie Baedke, Speaker, Author & Educator

September 15, 2021 22:19 - 27 minutes - 62.3 MB

Today's Guest:     Laurie Baedke. A noted speaker for Harvard Medical School and Cleveland Clinic, author of the Emerging Healthcare Leader, Growth/Edge Podcast Host and Assistant Dean of Physician Leadership Education and Director of Healthcare Leadership Programs at Creighton University. Hi there RevDivers, join us as we interview Laurie Baedke. As a powerhouse speaker, author, and educator dedicated to healthcare leadership she provides expert guidance on everything from impost...

#10: Beyond the Whiteboard, with Dr. Eric Bricker

August 31, 2021 20:39 - 36 minutes - 82.7 MB

Our Guest:  Eric Bricker, MD, Chief Medical Officer at First Stop Health Details: Hi there RevDivers, we had the extreme pleasure of chatting with Dr. Eric Bricker, or as he is better know the Whiteboard Doctor! Dr. Bricker talks everything from price transparency to the importance of objectivity. Fun fact, Dr. Bricker started his career in revenue cycle support and is a huge advocate of all of our RevDivers listening in. Listen into our lively discussion with Dr. Bricker and che...

#9: The Spill From the Hill with Claire Ernst, JD

August 18, 2021 03:51 - 23 minutes - 54.4 MB

Join us as Claire Ernst, JD shares legislative updates on the recently announced CMS 2022 Proposed Rule that includes proposed changes to the Medicare Physician Fee Schedule, Telehealth and Congressional updates. Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive. Sponsored by: it's Healthcare & Medical Revenue Cycle Specialists LLC For more information on critical RCM updates, be sure to follow RevDive on our social channels: - Website ...

#8: CMS Spends July Dropping Proposed Rules

August 04, 2021 03:59 - 6 minutes - 15.3 MB

Hi there RevDivers, join Taya for a super speedy review of four proposed rules dropped by CMS in July. Changes to payments, documentation, telehealth services, rural hospitals and more, in this quick and informative recap. Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive. Sponsored by: it's Healthcare & Medical Revenue Cycle Specialists LLC For more information on critical RCM updates, be sure to follow RevDive on our social channels: ...

#7: So You Want To Buy Or Sell A Medical Practice?

July 22, 2021 00:59 - 25 minutes - 58.6 MB

The public health emergency has created new opportunities to buy and sell medical practices. Today we’ll discuss factors to consider on both sides of this type of transaction. Today's guest, Stephen Kaufman, Esq., Partner at Wright, Constable & Skeen, LLP has seen it all and shares some best practices for buying and selling medical practices in this episode of the podcast.  Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive. For more infor...

#6: Surprise Billing Update & OSHA Tackling COVID-19

July 07, 2021 01:42 - 13 minutes - 30.1 MB

Join us today as we take a look at the interim surprise billing rule issued July 2, 2021 and OSHA’s Emergency Temporary Standard on COVID-19. Both would be mandatory once finalized and both require significant changes to practice workflows.  Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive. For more information on critical RCM updates, be sure to follow RevDive on our social channels: - Website - Facebook - LinkedIn - Twitter - YouTube ...

#5: Practice Insights - Prior Authorization at Gastrointestinal Specialists, Inc. (VA)

June 22, 2021 21:37 - 19 minutes - 43.6 MB

Join us as we chat with Lucien Roberts and gain valuable insights on the challenges facing practices seeking prior authorization and gold-card status. Lucien is the lively practice administrator at Gastrointestinal Specialists in Virginia, former president of the Virginia MGMA chapter, Legislative Advocate Award winner, writer and speaker for Physicians Practice and the AMA.  Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive. For more inf...

#4: The Spill From the Hill with Claire Ernst, JD

June 09, 2021 02:59 - 16 minutes - 38.9 MB

Join us as legislative and regulatory expert Claire Ernst provides the current Spill from the Hill discussing hot topics in congress including: Potential Prior Authorization changes Telehealth restrictions Sequestration Comprehensive Debt Collection ...and more! Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive. For more information on critical RCM updates, be sure to follow RevDive on our social channels: - Website - Facebook - Lin...

#3: 2021 Clarifications to Evaluation & Management Medical Decision Making (Part 2: Documentation)

May 25, 2021 22:33 - 13 minutes - 24.4 MB

This episode is a continuation of episode #2, part 1, that focused on activities that may be included in time-based scoring of evaluation and management codes (E & M). We discuss the recent E & M clarifications published by the American Medical Association (AMA) that provide further guidance on the use of Medical Decision Making as a factor for leveling E & M services. These clarifications were published on March 9th, 2021 and effective on January 1, 2021 We will review several ke...

#2: New Evaluation & Management Time-based Coding Clarifications

May 11, 2021 22:46 - 14 minutes - 32.3 MB

In this part 1 episode, Taya Moheiser and Kem Tolliver dive into the changes related to time-based coding of evaluation and management codes.  What time counts? What time doesn't count?  When did this change become effective?  Find out in this timely episode and subscribe for future #RevCycle updates with RevDive. For more information on critical RCM updates, be sure to follow RevDive on our social channels: - Website - Facebook - LinkedIn - Twitter - YouTube

#2: New Evaluation & Management Time-based Coding Clarifications (Part 1: Time)

May 11, 2021 22:46 - 14 minutes - 32.3 MB

In this part 1 episode, Taya Moheiser and Kem Tolliver dive into the changes related to time-based coding of evaluation and management codes.  What time counts? What time doesn't count?  When did this change become effective?  Find out in this timely episode and subscribe for future #RevCycle updates with RevDive. For more information on critical RCM updates, be sure to follow RevDive on our social channels: - Website - Facebook - LinkedIn - Twitter - YouTube

#1: Congress Grants a Bigger Delay on 2% Sequestration Cuts, for now

April 27, 2021 18:47 - 9 minutes - 20.8 MB

In this episode, Taya Moheiser and Kem Tolliver discuss the recent vote by Congress to extend the moratorium on the two percent sequestration cuts to Medicare programs. CMS put a hold on payments in anticipation of the delay and it was approved.  So what does this mean long term?  How long is the extension?  What happens after it expires?  Find out in this timely episode and subscribe for future #RevCycle updates with RevDive. For more information on critical RCM updates, be su...

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@revdive 40 Episodes