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RevTech Rx

RevTech Rx

RevTech Rx

Supervision of your hospital’s revenue integrity can be complex and time-consuming. With an ever-shifting landscape of rules and regulations, it can be challenging to keep up with the world of revenue cycle management. Welcome to RevTech Rx, a podcast designed to educate and inform about revenue integrity and revenue cycle management strategies. Kickstart (or restart) your healthcare revenue cycle tactics with tips from industry-thought leaders and revenue experts on a wide range of valuable and specific topics.

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Goodpods has curated a list of the 10 best RevTech Rx episodes, ranked by the number of listens and likes each episode have garnered from our listeners. If you are listening to RevTech Rx for the first time, there's no better place to start than with one of these standout episodes. If you are a fan of the show, vote for your favorite RevTech Rx episode by adding your comments to the episode page.

Welcome to episode six of the RevTech Rx Podcast- Your Prescription for a healthy revenue cycle!
This episode is powered by Streamline Health, a leader in pre-billing coding optimization.
Today's experts are talking about the Price Transparency Mandate, which went into effect on January 1st, 2021. The mandate stipulates that hospitals do two things:
✅ Have a machine-readable file with all items and services
✅ Display shoppable services in a consumer-friendly format
The goal of the mandate is to empower consumers to shop and compare prices at various hospitals to be better equipped with an estimate of how much their financial obligations will be. There are, however, complications that are causing many hospitals to remain non-compliant.
While posting healthcare costs has helped some consumers, there is still a long way to go before this mandate reaches its full potential to benefit the consumer. CMS estimates that it would take the average health system 150 hours to become compliant; however, this isn't a one-size-fits-all answer to compliance. Faced with the current staffing shortages as well as narrowing margins, many hospitals are consciously choosing limited or even outright noncompliance. New technologies are coming online to help patients access pricing information and educational resources about their bills. This enables patients to make informed decisions regarding healthcare services while easing the compliance burden for providers. The future of price transparency is on the way as self-service tools come online so healthcare systems and healthcare consumers can flourish.
Connect with our panel of experts:
David Kosloski- Director of Marketing
https://www.linkedin.com/in/david-kosloski/
Laurence Kessler- Senior VP, Growth and Partnerships at HealthRise
https://www.linkedin.com/in/ljkessler/

Zach Johnson- VP of Solutions, Avelead
https://www.linkedin.com/in/zach-johnson-cc/
------

NEW TO THE SHOW?

  • Browse through all our episodes (complete with transcripts) here.

Follow RevTech Rx wherever you listen to audio!

Healthcare leaders, want more groundbreaking content? Be sure to follow our LinkedIn page for the latest topics to get your hospital in the most efficient form possible.

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Welcome to episode five of the RevTech Rx Podcast- Your Prescription for a healthy revenue cycle!
Today's panel includes Michael Kittoe, hospital CFO; Greg Forshey, VP of Client Success of Avelead; and Jawad Shaikh, President and CEO of Avelead, a leader in revenue cycle automation.
There are many key performance indicators, KPIs, that indicate the financial performance of healthcare organizations. The top hospital revenue KPI is days cash on hand. Days cash on hand indicates your revenue cycle efficiency. Days cash on hand acts as a safety net for hospitals to adjust to community and federal mandate changes. CFOs have a lot to juggle when addressing gaps in their revenue cycle.
Much of the work for a hospital CFO is within revenue cycle management to make sure it's running in a way that supports the financial success of the hospital:
✅ Managing claim denial rate and identifying opportunities to reduce denied claims
✅ Optimizing accounts receivable
✅ Adjusting workflows to maximum efficiency to improve revenue cycle performance
✅ Capturing charges for services rendered
✅ Reconciling claims paid
✅ Tracking department revenue
Our panel of experts for this episode:
David Kosloski- Host and Director of Marketing and Communications https://www.linkedin.com/in/dkosloski/
Jawad Shaikh- CEO of Avelead
https://www.linkedin.com/in/jwshaikh/
Michael Kittoe- Hospital CFO
https://www.linkedin.com/in/michaelkittoe/
Greg Forshey- VP of client success of Avelead
https://www.linkedin.com/in/greg-forshey/
------

NEW TO THE SHOW?

  • Browse through all our episodes (complete with transcripts) here.

Follow RevTech Rx wherever you listen to audio!

Healthcare leaders, want more groundbreaking content? Be sure to follow our LinkedIn page for the latest topics to get your hospital in the most efficient form possible.

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Welcome to episode ten of the RevTech Rx Podcast- Your prescription for a healthy revenue cycle! This episode is powered by Streamline Health, a leader in pre-billing financial performance improvement.
Episode 10 is focused on 'Exploring Partners for Revenue Cycle Management' and features two great guests. Adam Seymour, Chief Product & Strategy Officer for Alpha II, and Hal Walsh, Vice President, Channel Partners for Streamline Health share their views on the pros & cons of selecting a partner to help optimize your revenue cycle.
From approaching partner discovery with a clear objective and an open mind to knowing when and where to assess progress and consider if it's worth continuing, this episode delivers lots of good insights.
Connect with our panel of experts:
David Kosloski- Host
https://www.linkedin.com/in/david-kosloski/

Adam Seymour- Chief Product & Strategy Office at Alpha II
https://www.linkedin.com/in/adam-seymour-372b45/

Hal Walsh - Vice President of Channel Partners at Streamline Health
https://www.linkedin.com/in/halwalshmba/

Chapters

00:00 Introduction

01:14 What does an ideal partnership look like?

05:17 Separating what providers want vs. what they potentially need

06:55 Hallmarks of a good partner candidate

10:04 Examples of bad partnerships

12:02 Establishing responsibilities prior to kickoff

13:35 Warning signs when considering candidates

15:05 Being prepared to pivot to new developments

16:48 Summary of positive partner attributes

17:45 Conclusion
---

NEW TO THE SHOW?

  • Browse through all our episodes (complete with transcripts) here.

Follow RevTech Rx wherever you listen to audio!

Healthcare leaders, want more groundbreaking content? Be sure to follow our LinkedIn page for the latest topics to get your hospital in the most efficient form possible.

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Welcome to episode nine of the RevTech Rx Podcast- Your Prescription for a healthy revenue cycle! Streamline Health, a leader in pre-billing coding optimization, powers this episode.
Learning how to prevent medical billing denials is crucial for healthcare providers as claim denials continue to rise and inflate billing- and insurance-related costs (BIR). Our panel of experts discusses their five tips for denial prevention, which include simply communicating and verifying insurance prior to authorization. We also dig into more complicated tips such as setting up a line of communication between patient financial service teams and the clinical team for case management.
With these tips, revenue cycle professionals can gut-check their existing processes and perhaps learn new opportunities to reduce denials.
Connect with our panel of experts:
David Kosloski- Host
https://www.linkedin.com/in/david-kosloski/
Ian Sullivan- Senior Director at HealthRise Solutions
https://www.linkedin.com/in/iansullivan1/
Jodi Stewart- Senior Vice President of Services at Streamline Health
https://www.linkedin.com/in/jodi-stewart-8244a316/
Chapters
00:00 Introduction
00:43 Tip # 1 From Jodi: Using Pre-bill Auditing Technology
1:34 Tip # 1 From Ian: Understanding Payer Contracts
3:13 Tip # 2 From Jodi: Have an Updated Chargemaster
3:36 Tip # 2 From Ian: Establish a Revenue Integrity Team
5:40 Tip # 3 From Jodi: Expanding on the Revenue Integrity Team
6:45 Tip # 3 From Ian: Implementing a Pre-service Team
9:59 Tip # 4 From Jodi: Managing Out-Patient Claims
10:40 Tip # 4 From Ian: Optimize your H.I.S.
12:01 Tip # 5 From Jodi: Establish Key Performance Indicators
13:05 Tip # 5 From Ian: Build a Partnership Between Case Managers and the Revenue Cycle Team
14:03 How to Prevent EMR Gaps
15:48 The Importance of a Revenue Integrity Team
18:08 The Valley Between Case Managers and the Revenue Integrity Team?
20:00 Jodi's Summary of Her 5 Tips for Preventing Denials
20:20 Ian's Summary of His 5 Tips for Preventing Denials
21:00 Conclusion
-----

NEW TO THE SHOW?

  • Browse through all our episodes (complete with transcripts) here.

Follow RevTech Rx wherever you listen to audio!

Healthcare leaders, want more groundbreaking content? Be sure to follow our LinkedIn page for the latest topics to get your hospital in the most efficient form possible.

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Welcome to episode eight of the RevTech Rx Podcast- Your Prescription for a healthy revenue cycle! This episode is powered by Streamline Health, a leader in pre-billing coding optimization.
Medical coding is where medical records from healthcare providers are translated into alphanumeric codes that inform the billing of treatment received. Coding patient records include important information such as diagnoses, severity, procedures, and services rendered. Medical coding also allows for in-depth analysis that informs the financial decisions of the hospital for the benefit of the community they serve.
Once the coding is complete, claims are submitted to the patient's insurance company or the billing department for reimbursement. When coding errors are present, healthcare facilities face a wide range of problems from over-billing, underbilling, compliance scrutiny, and even recoupment from insurance companies. When the stakes are so high for healthcare facilities, medical coders are tasked to uphold high standards. For medical coders, the goal is to have only five errored charts out of 100 charts coded.
95% accuracy is impressive in itself. There are, however, roadblocks that can get in the way of good medical coding. Errors can occur in the form of how the healthcare industry currently records patient records and support the medical coder. When hospitals invest in hiring experienced coders, providing consistent feedback, aligning communication with other healthcare facilities in the health system, and investing in software programs to validate medical coding feedback; medical coding professionals are enabled to break the 95% industry standard.
There are, however, other considerations healthcare facilities need to take into account when supporting the medical coders. Culture plays a major role in keeping good coders working. As the growing trend of quiet quitting ramps up, pay is just one of the concerns for many employees. Our panel also provides insights on how to build a sticky culture and support a successful career in the healthcare industry.
In this episode of RevTech Rx, we are joined by experts in the medical coding field to not only give you the six pillars to medical coding success but also how to keep good coders through professional development and support.
Connect with our panel of experts:
David Kosloski- Host
https://www.linkedin.com/i

NEW TO THE SHOW?

  • Browse through all our episodes (complete with transcripts) here.

Follow RevTech Rx wherever you listen to audio!

Healthcare leaders, want more groundbreaking content? Be sure to follow our LinkedIn page for the latest topics to get your hospital in the most efficient form possible.

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Welcome to episode seven of the RevTech Rx Podcast- Your prescription for a healthy revenue cycle! This episode is powered by Streamline Health, a leader in pre-billing coding optimization.

Mid-revenue cycle optimization is tremendously influenced by the accuracy—or lack thereof— of the chargemaster. Healthcare providers have many hurdles to consider when it comes to chargemaster optimization, especially when chargemaster review is a manual process and can have as many as 10,000+ entries to consider. Chargemaster maintenance is something many healthcare organizations complete only twice a year alongside CPT code updates. When a health system performs maintenance only twice a year, revenue integrity is impacted.

For revenue integrity professionals, ensuring chargemaster accuracy is crucial as it impacts other areas of the revenue cycle, such as charge capture. While the benefits of mid-revenue cycle management are clear, having organizational buy-in for best practices is just one of the many challenges to mid-revenue cycle integrity.

Connect with our panel of experts:

David Kosloski- Host and Director of Marketing

https://www.linkedin.com/in/david-kosloski/

Dawn Castro- VP of Client System Integrations at Conifer Health Solutions

https://www.linkedin.com/in/dawn-castro/

Zach Johnson- VP of Client Operations at Avelead

https://www.linkedin.com/in/zach-johnson-cc/

Chapters:

1. Intro- 0:00-0:34

2. Common problems with the chargemaster- 0:34-3:18

3. Chargemaster alignment- 3:19-7:38

4. Chargemaster quick fixes for small and large hospitals- 7:39-13:21

5. Getting your chargemaster quick fixes “unstuck”- 13:21-16:40

6. The fear of change- 16:40-22:03

7. Seeing the why- 22:03-24:03

8. Conclusion- 24:03-24:23

Supervision of your hospital’s revenue integrity can be complex and time-consuming. With an ever-shifting landscape of rules and regulations, it can be difficult to keep up with the world of revenue cycle management. Welcome to RevTech Rx, a podcast designed to educate and inform about revenue integrity and revenue cycle management strategies. Kickstart (or restart) your revenue cycle tactics with tips from industry though

NEW TO THE SHOW?

  • Browse through all our episodes (complete with transcripts) here.

Follow RevTech Rx wherever you listen to audio!

Healthcare leaders, want more groundbreaking content? Be sure to follow our LinkedIn page for the latest topics to get your hospital in the most efficient form possible.

bookmark
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share episode
RevTech Rx - Missing or Delayed Charges: Beating the Clock
play

03/15/22 • 13 min

Welcome to episode three of the RevTech Rx Podcast- Your prescription for a healthy revenue cycle!
The panel from episodes one and two returns to episode three to talk about missing and delayed charges for services rendered. A missing charge is a charge that wasn't captured by the time the patient bill or claim was sent. When a missing charge is captured, a delayed charge generates a new bill, which is sent to the patient.
CFOs are aware of missing and delayed charges, but, in a manual process, it's not easy to identify the causes. The issue is when delayed charges occur, you need to generate a new invoice, revised claims, and spend more money addressing the error. The key to the problem exists within the timely filing limits of insurance companies. Once the invoice is submitted after the timely filing limit, the invoice will not be paid out. The entire process becomes a cost to get paid properly which affects the bottom line of hospitals.
Implementing proper charge capture and revenue reconciliation process through automation, can reduce the number of late payments, improve income flow, and create a better experience for hospital clients.
Our panel is made up of experts from Avelead, a company that specializes in revenue cycle automation.
David Kosloski- Host
https://www.linkedin.com/in/dkosloski/
Jawad Shaikh- CEO and President of Avelead
https://www.linkedin.com/in/jwshaikh/
Laura Fox- Delivery- Solution Director at Avelead
Greg Forshey- VP of Client Success at Avelead
https://www.linkedin.com/in/greg-forshey/
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Supervision of your hospital’s revenue integrity can be complex and time-consuming. With an ever-shifting landscape of rules and regulations, it can be difficult to keep up with the world of revenue cycle management. Welcome to RevTech Rx, a podcast designed to educate and inform about revenue integrity and revenue cycle management strategies. Kickstart (or restart) your revenue cycle tactics with tips from industry thought leaders and revenue experts on a wide range of valuable and specific topics.

NEW TO THE SHOW?

  • Browse through all our episodes (complete with transcripts) here.

Follow RevTech Rx wherever you listen to audio!

Healthcare leaders, want more groundbreaking content? Be sure to follow our LinkedIn page for the latest topics to get your hospital in the most efficient form possible.

bookmark
plus icon
share episode

Welcome to episode two of the RevTech Rx Podcast- Your prescription for a healthy revenue cycle!
The panel from episode one continues their discussion on charge capture by breaking into the charge reconciliation process. Charge reconciliation is the process of comparing charges to the prices patients are billed.
Not every healthcare organization implements a charge reconciliation process, and if they do the process is often a manual for most organizations, takes hours, can still lead to missing charges, and patient accounting errors. Additionally, clinical departments could be missing revenue for services provided when documentation gaps exist. When accurate charge capture and using a strong automated charge reconciliation process are in place on the back end, revenue integrity increases and revenue loss decreases.
Advances with automation technology have helped many hospital clinical departments implement improved new processes, spend less time on manual charge reconciliation, and ensure consistently accurate patient billing in a timely manner.
In this episode, we discuss why the charge reconciliation process is important and clear up myths surrounding charge reconciliation. Some of the points brought up are:
✅ Charge reconciliation process automation is possible- It’s not, according to Avelead
✅ Correctly identifying semi vs truly automated charge reconciliation processes
✅ Why healthcare organizations are resistant to automated charge reconciliation processes
✅ How to charge reconciliation improves a healthcare organization's revenue cycle at the department level for charges rendered
✅ Ensuring responsible teams make corrections vs hoping changes happen
Our panel is made up of experts from Avelead, a company that specializes in revenue cycle automation.
Today, we are joined by revenue cycle leaders from Avelead, a company that specializes in revenue cycle automation software. Our panel consists of:
David Kosloski- Host
https://www.linkedin.com/in/dkosloski/
Jawad Shaikh- CEO and President of Avelead
https://www.linkedin.com/in/jwshaikh/
Laura Fox- Delivery- Solution Director at Avelead
Greg Forshey- VP of Client Success at Avelead
https://www.linkedin.com/in/greg-forshey/
-------

NEW TO THE SHOW?

  • Browse through all our episodes (complete with transcripts) here.

Follow RevTech Rx wherever you listen to audio!

Healthcare leaders, want more groundbreaking content? Be sure to follow our LinkedIn page for the latest topics to get your hospital in the most efficient form possible.

bookmark
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Welcome to episode four of the RevTech Rx Podcast- Your prescription for a healthy revenue cycle!
We have two new guests on this episode, Michael Kittoe (a hospital CFO) and Micheal Yzerman (Senior VP of Services at Avelead). Returning to our show is Jawad Shaikh, CEO and President of Avelead, a leader in healthcare revenue cycle management automation.
Today's panel discusses staffing shortages and what is causing them in healthcare systems. Staffing levels are important to hospitals to ensure the workforce is capable of proving high-quality care to patients and maintaining compliance with various federal requirements that staffing shortages impact directly, such as the Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2021.
Michael Kittoe details the challenges regarding retention and contingency strategies to keep talented employees on board:
✅ What employers can do to improve company culture
✅ Improving patient care through automation
✅ Increasing flexibility with work from home
✅ Challenges associated with healthcare workers' pay
✅ Support staff with solutions that improve processes
✅ Organizational change management to address staffing shortages
✅ Culling fears of automation
Our panel of experts for this episode:
David Kosloski- Host and Director of Marketing and Communications https://www.linkedin.com/in/dkosloski/
Jawad Shaikh- CEO of Avelead
https://www.linkedin.com/in/jwshaikh/
Michael Kittoe- Hospital CFO
https://www.linkedin.com/in/michaelkittoe/
Michael Yzerman- Senior VP of Services
https://linkedin.com/in/michael-yzerman-234aa31b0
------

NEW TO THE SHOW?

  • Browse through all our episodes (complete with transcripts) here.

Follow RevTech Rx wherever you listen to audio!

Healthcare leaders, want more groundbreaking content? Be sure to follow our LinkedIn page for the latest topics to get your hospital in the most efficient form possible.

bookmark
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share episode

Welcome to episode 13 of the RevTech Rx Podcast- Your prescription for a healthy revenue cycle! This episode is powered by Streamline Health, a leader in pre-billing financial performance improvement.
As the second installment of our discussions with KLAS Research, this episode is focused on ‘How KLAS Helps Identify Market Needs for Providers.’ This episode features Dustin Cragun, Vice President of Revenue Cycle Management at KLAS Research, and Jawad Shaikh, Chief Strategy Officer for Streamline Health. They discuss how KLAS Research uses its role as an objective reviewing entity to help identify the need for innovation and services to further support providers.
Building on feedback generated from providers during their assessment of existing HIT solutions and services, KLAS’s staff assesses where additional opportunities exist and explores how providers might add features or services to address them.
With dedicated SMEs who are well-versed in the current state of provider needs, KLAS is adept at identifying early indicators for functionality that the market may need. To learn more about it, be sure to tune in to this informative episode.

Connect with our panel of experts:

David Kosloski- Host
https://www.linkedin.com/in/david-kosloski/

Dustin Cragun, Vice President – Revenue Cycle Management, KLAS Research
https://www.linkedin.com/in/dustin-cragun-7747431/

Jawad Shaikh, Chief Strategy Officer, Streamline Health
https://www.linkedin.com/in/jwshaikh/

  • (0:00) - Introduction and Guest Backgrounds
  • (1:25) - Evolution of KLAS Research Categories
  • (4:10) - Using KLAS to Identify Healthcare Gaps
  • (10:00) - AI & Machine Learning in Healthcare
  • (12:24) - Importance of Provider Voice Amplification
  • (14:31) - Responding to Operational & Financial Challenges
  • (27:38) - Empowering Employees for Better Outcomes
  • (28:47) - Meeting Providers Where They Are
  • (29:52) - Importance of Empathy and Implementation
  • (30:16) - Don't forget to subscribe

NEW TO THE SHOW?

  • Browse through all our episodes (complete with transcripts) here.

Follow RevTech Rx wherever you listen to audio!

Healthcare leaders, want more groundbreaking content? Be sure to follow our LinkedIn page for the latest topics to get your hospital in the most efficient form possible.

bookmark
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share episode

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FAQ

How many episodes does RevTech Rx have?

RevTech Rx currently has 13 episodes available.

What topics does RevTech Rx cover?

The podcast is about News, Fintech, Management, Business News, Podcasts, Business and Healthcare.

What is the most popular episode on RevTech Rx?

The episode title 'How KLAS Helps Identify Market Needs for Providers' is the most popular.

What is the average episode length on RevTech Rx?

The average episode length on RevTech Rx is 23 minutes.

How often are episodes of RevTech Rx released?

Episodes of RevTech Rx are typically released every 30 days, 22 hours.

When was the first episode of RevTech Rx?

The first episode of RevTech Rx was released on Jan 18, 2022.

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