The Hospital Finance Podcast: Recent Episodes
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If you’re concerned about revenue at your hospital, then The Hospital Finance podcast is your go-to source for information and insights that can help you protect and enhance the revenue your hospital has earned. From regulatory changes to revenue cycle optimization, readmissions to bundled payments, you’ll get important perspectives, news and strategies from leading experts in healthcare finance. For show notes and additional resources from BESLER, visit http://www.besler.com/podcasts
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Modern Identity Defense for Healthcare Series: Defending Against Identity Attacks – When MFA Isn’t Enough WebinarIn this episode, Eric Englebretson, Besler Holdings’ Vice President of Information Technology, provides us with a glimpse into Webinar, the first in its Modern Identity Defense for Healthcare Series: Defending Against Identity Attacks – When MFA Isn’t Enough live on Wednesday, August 12, at 1 PM ET.
Highlights of this episode include:* What is this webinar about? * MFA still effective? * How the attacks are evolving * What session tokens are and why you should care about them * Why healthcare is a frequent target * Warning signs that an account may be compromised * Next evolution beyond traditional MFA
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Kelly Wisness: Hi, this is Kelly Wisness.We’re pleased to welcome back Eric Englebretson, Besler Holdings’ Vice President of Information Technology. In this episode, Eric will provide us with a glimpse into Besler Holdings’ next Webinar, the first in its Modern Identity Defense for Healthcare Series–Defending Against Identity Attacks – When MFA Isn’t Enough live on Wednesday, August 12, at 1 PM Eastern Time. Welcome back and thank you for joining us, Eric.
Eric Englebretson: Thank you so much. I’m happy to be here.
Kelly: Well, great. Well, let’s go ahead and jump in. So can you provide a quick overview of what you’re going to be reviewing during this webinar?
**Eric**: Absolutely. So, the thing that I think is very important for us to cover is that identity has become one of the most targeted areas in all of cybersecurity right now. It used to be that attackers focused on servers or the corporation’s network, and once they’d gotten in from there, they would pivot to get at the thing they’re really after, which is often a company’s data. In the age of cloud computing and remote work, defenses have generally gotten better because traditional defensive methods of defending the network give way to security practices like something called Zero Trust, whereby any interaction with an organization’s resources must be authenticated no matter where a location request might come from. And so, the next logical step is identity attacks. And why is that? Like I said, since attackers focus used to be on breaking into networks and servers, the payoff might be limited. A compromised web server hosting a hospital website might not have any access to any data at all, really, but in today’s integrated environments, one compromised user account. Now that can give an attacker access to email, collaboration tools, patient systems, financial applications, and cloud services, depending on your role. In most organizations, your identity becomes the new perimeter, and that’s why attackers increasingly target people and accounts instead of infrastructure. This is going to be a two-part series covering modern identity security, why attackers have moved to trying to capture identities as a first attack rather than compromised servers, what we can do about it. And in part two, one of the biggest new advancements you’re probably already using in a few places, passkeys.
Kelly: Awesome. Sounds like you’re going to cover a lot during this webinar. I’m really looking forward to it. So, we hear a lot about MFA and how attackers try to bypass it. So is MFA still effective?
********Eric******: Absolutely. So, MFA really remains one of the most important security controls that has come to us in the past 10 or so years, and it really does stop the vast majority of common attacks, including password reuse, credential stuffing, and other attacks similar to those. The key message here is that MFA is definitely not broken. The message is that attackers have evolved and they’re now looking for ways to get around it. It is just that effective. They’ve got to work around it now rather than just simply trying to use a username and password. And that means organizations need additional layers of protection alongside of MFA.
Kelly: Yeah, so we know that MFA is still effective. So how are attacks evolving to work around it?
********Eric**********: Modern attackers often focus on stealing authenticated sessions rather than stealing passwords. In some phishing attacks, victims enter their credentials and complete MFA successfully, but the attacker captures the resulting session that’s created. Think about it this way. Is it easier for a thief to steal your hotel room key or to try to convince the front desk to issue a new one? In most cases, it’s easier for the thief to steal your room key. After that, they can just come and go as they please, usually without so much as a second glance. We’ve put so many guardrails around the authentication process that attackers are now moving on and looking at what’s behind that, something called sessions and tokens.
Kelly: So, what are session tokens and why should people care about them?
********Eric**********: So, session tokens and they are kind of background… so this is kind of we enter that realm of nerdy a little bit, but stick with me. Session tokens are what keep you log in after you’ve authenticated. They’re the reason that you don’t have to enter your password and MFA code every single time you open an email or click a new page. They’re incredibly useful, but that makes them also incredibly valuable to attackers. If an attacker does steal a valid session token, they may be able to act as though they’re already authenticated without having to have your password again. And that is what makes them so important, and that is why people should care.
Kelly: Yeah, no, that makes a lot of sense. Why is healthcare such a frequent target for identity attacks? I mean, we’ve been hearing so much about this lately.
*******Eric*******: Absolutely. So, the main reason for that is that healthcare combines highly valuable data with extremely time-sensitive workflows. Clinicians and staff are constantly dealing with alerts, messages, urgent requests, and attackers understand that environment, and they design their hacking and phishing campaigns specifically to exploit human pressure and urgency. Healthcare isn’t targeted because it’s careless. That’s actually quite the opposite. It’s targeted because its mission creates very unique opportunities attackers can try to exploit.
Kelly: Yeah. I guess having that– always having that sense of urgency probably doesn’t help us in that way, right?
******Eric********: Absolutely.
Kelly: Yeah. So, what are some warning signs that an account may be compromised?
*Eric*: So, a few of the things that you should look out for some of those red flags include unexpected MFA prompts, alerts about sign-ins from unfamiliar locations. If you are looking at your inbox forwarding rules, which I recommend that everybody does every once in a while, if a forwarding rule you didn’t set up has appeared and it’s forwarding to some account you don’t know about, that is definitely a big red flag, or just anything that seems off to you that might signify unusual account activity. And one of the most important things you can do here is just to simply report those to your IT staff, help desk, or security staff, whatever your normal workflow is, immediately. Early reporting can often stop a small incident from becoming a major breach.
Kelly: Yeah, no, that makes a ton of sense. Just be more vigilant. So, what’s the next evolution beyond traditional MFA?
*Eric*: And that is an excellent question. This is something I’m going to cover in part two. The future is phishing resistant authentication. So, there are technologies, and I’m going to use another nerd word here like FIDO2 security keys, Windows Hello for Business, and Passkeys are designed to prevent attackers from stealing or reusing credentials and session information. In part two of the webinar series, we’re going to explore how passkeys work, why companies should adopt them, and how they can dramatically improve both security and user experience.
Kelly: Wow, sounds like things are always changing in this space for sure. Well, thank you so–
Eric: Absolutely.
Kelly: Yeah. Well, thank you so much for joining us, Eric, and for giving us this glimpse into our next free Webinar — Defending Against Identity Attacks – When MFA Isn’t Enough. Join us live on Wednesday, August 12th at 1 PM Eastern Time. And as a bonus, you can also earn CPE. Thanks again, Eric.
Eric: Absolutely.
Kelly: And thank you all for joining us for this episode of The Hospital Finance Podcast. Until next time…
[music] This concludes today’s episode of The Hospital Finance Podcast. For show notes and additional resources to help you protect and enhance revenue at your hospital, visit besler.holdings/podcasts. The Hospital Finance Podcast is a production of Besler Holdings.
If you have a topic that you’d like us to discuss on The Hospital Finance Podcast or if you’d like to be a guest, drop us a line at update@besler.com.
Subscribe Today!
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The post Modern Identity Defense for Healthcare Series–Defending Against Identity Attacks – When MFA Isn’t Enough Webinar [PODCAST] appeared first on Besler Holdings.
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Building Trust in Clinical AI–What Hospital Leaders Need to Know About Evidence‑Based Decision SupportIn this episode, Dr. Claudine Lott, Physician Executive for Commercial Transformation and Implementation at Elsevier, discusses building trust and clinical AI, what hospital leaders need to know about evidence-based decision support.
Highlights of this episode include:* What ClinicalKey AI is * How AI enhanced clinical decision support tools can help organizations improve both clinical efficiency and financial performance * How AI-powered tools can support clinicians in real time to reduce errors, avoid denials, and strengthen the overall revenue cycle * ROI opportunities for health systems adopting AI-powered clinical intelligence * How AI-powered tools remain evidence-based, transparent, and aligned with clinical best practices * The most common misconceptions hospital leaders have about implementing AI and clinical workflows
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Kelly Wisness: Hi, this is Kelly Wisness. Welcome back to the award-winning Hospital Finance Podcast. We’re pleased to welcome Dr. Claudine Lott. She is a board-certified family medicine physician who is passionate about developing and implementing tech-based clinical solutions that improve both patient outcomes and provider experience. As physician executive for commercial transformation and implementation at Elsevier, she supports the development and deployment of their reference products for healthcare providers, including ClinicalKey AI. Dr. Lott received her medical degree from the University of Massachusetts Medical School and completed her residency at White Memorial Medical Center. She served as a primary care physician at the federally qualified Santa Cruz Community Health Center, where she was promoted to site medical director. She then joined Healthcare Startup Crossover Health, where she contributed to the development and expansion of their virtual care model, as well as the creation and deployment of their Patient Engagement Technology Platform. Since joining Elsevier in July 2023, Dr. Lott works cross-functionally to support key initiatives, including customer implementations, product development, and change management.
In this episode, we’re discussing building trust and clinical AI, what hospital leaders need to know about evidence-based decision support. Welcome, and thank you for joining us, Claudine.
*Dr. Claudine* Lott: Thanks for having me on. Appreciate it.
Kelly: Well, it’s great to have you. And let’s go ahead and jump in. So, what is ClinicalKey AI, and how are its new capabilities designed to reduce clinician burden and improve documentation accuracy?
**Claudine*:* So ClinicalKey AI is Elsevier’s flagship generative AI tool that’s designed for clinician use to quickly surface the latest evidence at the point of care to support clinical decision-making. And just to take a step back and provide some context, so here at Elsevier, we’re an almost 150-year-old publishing company. So, for almost 150 years, our role has been as a provider of scientific information and clinical evidence that clinicians can use in their decision-making and in their patient care. And as we’ve moved into more and more clinical solutions, that’s always been kind of our guiding North Star. And so with generative AI coming on the scene, we’ve really thought about, okay, how do we use this emerging technology in our role as a provider of clinical evidence, scientific information to really further that goal of getting clinicians what they need to make decisions and take the best possible care of patients as quickly, accurately, and effectively as possible. And rather than just sort of slapping generative AI on everything because that’s sort of the new thing to do, how do we really leverage this new tool to solve that problem? So ClinicalKey AI is a conversational search tool. The clinician’s able to ask a question in natural language, almost like they might ask a colleague. And then the system goes and searches a curated set of content that we’ve given to it. So that includes much of our Elsevier clinical content, but also some non-Elsevier sources as well, and searches for information and then surfaces that for the clinician. So, it’s not replacing their clinical knowledge or decision-making, but it’s really supporting them by getting the information that they need and we’ve been developing and iterating on this tool for several years now, constantly thinking about how do we make it better and more suited to this clinician use case. So constantly thinking about how we expand our handpicked content sources, thinking about making sure that we always have traceability so clinicians can see where the information is coming from, citation verification, and always thinking about technology upgrades. So, things like privacy, security, and supporting HIPAA compliant use.
Kelly: Wow, that ClinicalKey AI technology sounds really fascinating. So how can AI enhanced clinical decision support tools help organizations improve both clinical efficiency and financial performance?
****Claudine****: So clinically, the biggest win is what we might call speed to evidence. So, we’re in a situation now where patients are increasingly more complex. Medical knowledge is expanding exponentially. And so, getting that information that is really tailored to the clinical situation as quickly as possible is going to enhance clinical efficiency so that AI enhanced decision support can really surface the most relevant trusted information. In seconds, really supporting those consistent decisions under time pressure and given all those other complexities. In terms of how that clinical efficiency translates into financial performance, I think this is something that we’re going to see continuing to evolve as more and more organizations are integrating these types of tools. So certainly, it makes sense that improving clinical efficiency, improving the quality of care is going to translate into financial performance, but sometimes that ROI can be a little bit difficult to quantify. So, I think that we’re going to see those benchmarks continuing to evolve as more and more institutions are implementing these tools.
Kelly: Yeah, and I love what you said at the beginning, that speed to evidence. I love that. So, what should hospital healthcare system operation leaders look for in the first six to 12 months to know an AI tool is truly delivering clinical value?
****Claudine******: Yeah, I think this is a great question and something that a lot of both vendors and organizational leaders are really thinking about. Because again, these tools are still new. We’re still seeing how they affect healthcare and how they affect the clinical workflows. And so, we’re still really figuring out how we quantify this sort of clinical value. So, thinking about sort of what can you look for at that 6- or 12-month point to know if your tool is delivering that clinical value. For things like time-saving, improvement of quality of care, those things can be hard to really quantify. And also some of the benefits of generative AI tools, as we mentioned, is that helping clinicians provide faster and better care, it leads to a better experience for those clinicians, for that care team, really addressing that sort of fourth leg of the quadruple aim. But again, that’s something that can be hard to quantify. So, in thinking about, okay, what are some of the metrics that we can sort of look at those sort of checkpoints to see the value that these tools are providing? Certainly, usage metrics are one aspect in terms of just seeing how many providers are using the product, how often are they using it. But that’s only sort of one aspect of it.
Given that there’s more of a– there may be more of a qualitative improvement, some customers and organizations that we’ve seen have chosen to use surveys. So, for example, we had one customer who was utilizing ClinicalKey AI, who did a survey to ask their users after they had trialed it for a given period of time to rate the improvement in their ability to conduct patient care, their confidence in their clinical decision making, and their time saved. And so, they were able to, through that sort of surveying of the users, to sort of quantify the improvements they were seeing in all those areas in that way. And this is also a place where having a clinical champion really involved in the implementation process and in the adoption of these tools can help because checking in with those champions can really connect you to understand, again, some of those sort of improvements in experience that can be a little difficult to quantify. And I think it also comes down to for organizational leaders thinking about what is the problem that the generative AI tool was implemented to solve. So, as I kind of mentioned before, we don’t just want to throw a tool at clinicians just to give them something AI because AI is sort of new and exciting now. We really want to think about, “Okay, what problem are we solving with this?” And from there, then at those checkpoints, I think you have a place to go back and say, “Okay, here’s the problem we were trying to solve. What progress have we made on that?” And use that to kind of quantify the value?
Kelly: Yeah, I know it is difficult to quantify that value there, at least for now. So, it sounds like you guys are making progress with that. So how can AI-powered tools support clinicians in real time to reduce errors, avoid denials, and strengthen the overall revenue cycle?
****Claudine****: In real time, AI-powered decision support can reduce errors by helping clinicians quickly sort of cross-check their decisions against trusted evidence, or by getting them information that they need to make that decision quickly, especially in an environment that’s high-pressure and time-constrained. In thinking about aspects of revenue cycle management like coding integrity, managing denials, having that grounding in clinical evidence is so vital. Having that documentation that’s based in clear and trusted evidence that’s traceable is really going to provide that sort of grounding and foundation for the decisions that are being made and then the documentation that’s going into that. And that’s going to really support those aspects of the revenue cycle.
Kelly: Yeah, thank you. That makes a lot of sense. So where do you see the strongest ROI opportunities for health systems adopting AI-powered clinical intelligence?
****Claudine****: So, I think there’s three sort of big ROI opportunities that I see. So first of all, speed, as we’ve discussed, just making decisions more quickly frees up more time for patient care, can help with reduction of administrative burden, and just really free up clinician time. So that just speed is a huge part of it. And then I think the second part is the accuracy and that strong evidence base that I mentioned. So, making sure that decisions are based in strong clinical evidence and that that is really documented in a well-supported way, that’s going to not only support patient care but also those aspects of revenue cycle management that we mentioned. And then I think another opportunity is thinking about standardization. So, there’s definitely an art to the practice of healthcare. So, we may still see some variation in the way that different clinicians might approach the same problem. And having an evidence-based tool has the potential to support more sort of consistent practice patterns across settings. So, I think that standardization and ability to make sure that all care team members have access to evidence on which to base their decisions is another significant opportunity.
Kelly: Sure. Sounds like there are quite a few really strong opportunities there that you shared with us. So how is Elsevier ensuring that AI-powered tools remain evidence-based, transparent, and aligned with clinical best practices?
****Claudine***:* So, as we mentioned, we really anchor clinical key AI in peer-reviewed, copyright-cleared medical evidence. So that includes full-text journal articles as well as journal abstracts, clinical practice guidelines from different organizations, full-text medical textbooks. And we’re constantly thinking about curating that content set, what we need to add, what we want to expand on, how we want to adjust it to make sure that it’s really providing what clinicians need. And we also keep the content current. So, we have a content pipeline that updates every 24 hours. So, the outputs are really reflecting the latest evidence and guidelines as much as possible.
And we’ve really tried to build in that transparency, that traceability, so that the clinician can really see down to the paragraph where that information is coming from. So, they can have that trust. They know that the citation is not being hallucinated or made up by the AI. They can have that trust in where the information is going from, and they can also do a deeper dive if there’s a topic that they want to explore further. So, it really gives them that ability as well. And we use a clinician in the loop approach with a rigorous evaluation framework to continually test the system, follow up on feedback that we get with users, and really just make sure that we’re maintaining and constantly improving the quality of the insights we’re providing.
Kelly: Well, it sounds like that trust is very important to your team there, and that’s appreciated. And you all take that responsibility very seriously.
****Claudine***:* Definitely.
Kelly: Yeah. So, Claudine, from a physician executive’s perspective, what are the most common misconceptions hospital leaders have about implementing AI and clinical workflows? And what advice would you give them as they evaluate solutions?
***Claudine***: So, there’s three main points about successful adoption of clinical generative AI tools that we’ve seen from our teams and customers, as well as what we’ve been hearing from others in the industry. So, I think these are a great starting point for organizational leaders who are considering implementing a generative AI tool. So first and foremost, as we mentioned before, really knowing the problem that you’re solving with the generative AI tool. So, if you have a generative AI tool, but it’s not solving a problem for the clinician, it’s not making their experience and their care better in some way, nobody’s going to want to adopt that. Nobody’s going to take the time out of their schedule to learn and integrate something new. So really knowing the problem that you’re solving and making sure that you have a tool that fits that.
And so, for us at Elsevier, as I mentioned, we’re seeing this problem of increasing patient complexity, increasing medical knowledge beyond what anyone can sort of memorize. And so, thinking about, okay in our role as a provider of clinical content, how do we use this technology to really solve that problem? So that’s the first part. The second aspect is making sure that the tool is accessible and easy to use, that it’s really embedded in the workflow. Because even if you have a tool that does solve a problem for the clinician, if you’re going to implement something that they have to leave their workflow to try to utilize, that’s not something that they’re going to want to adopt. And certainly, if you’re implementing something because you want to increase their speed and efficiency, if it’s an inefficient process, that’s not going to be helpful at all. So, for us, that consideration goes into things like making sure that our product is integrated into the EHR, having an API option, and basically just making sure that the tool is really in the workflow where the clinician is making that decision.
And the last point is really coming back to this point about trust, because I think some of the misperceptions about clinical AI tools themselves are really related to a lack of understanding of how these tools work. So not understanding that a standalone general use large language model is going to answer clinical questions just based on its training. It’s not actually going to be going out and searching. Whereas a tool that pairs LLM capabilities with retrieval is going to actually be searching and surfacing information in that way. Knowing that some general use tools are drawing from perhaps the whole internet or from sources that are unclear as opposed to a tool that is really clear about where the content is coming from. Risks of using a tool that the privacy protections are not clear. So, all of this sort of lack of understanding contributes to lack of trust, and that’s going to make sure that, again, this is not something that is going to be widely adopted.
And I think that here this is a place where organizational leaders need to think about support from both internal clinical champions and strong vendor partnerships. Because those internal clinical champions, as I mentioned, they’re going to have that deep clinical expertise of the workflow. They’re going to know those problems that the clinicians are facing. And they’re able to be a voice to their peers to say, okay, here’s how this tool works, here’s why it’s trustworthy, and here’s how it’s going to solve the problems that you’re facing. And that’s going to really lead to more successful adoption.
Similarly, having a partnership with a vendor that’s trustworthy, that you’re able to work with them, you’re able to provide feedback and get support for your implementation and your adoption efforts are also very important. And we at Elsevier, as a vendor, really do try to be partners to our customers in that way in supporting them and helping them understand our tools, how they work, how they can benefit them. So those are kind of the three main points that I think are really helpful in thinking about implementing generative AI tools in the clinical setting.
Kelly: Right. It sounds like having those champions and partners are really key to success there. So, Claudine, looking ahead, how do you see AI shaping the future of hospital operations and financial sustainability? And what role will Elsevier play in supporting that transformation?
Claudine: Well, it seems like AI is here to stay, right? So, I think we’re going to, in the future, see AI continuing to lead to changes in really every aspect of healthcare. In terms of clinical decision support, I think we’re going to see these clinical generative AI tools increasingly becoming like a standard layer inside these clinical workflows, so helping clinicians find information, make those quicker decisions, supporting their documentation, but really just with an increasing integration and seamlessness as these tools become more integrated and more widely used. And I think Elsevier’s role is going to be to continue to build on what we’ve been doing all along. So again, constantly thinking about how do we deliver responsible AI solutions that clinicians can trust grounded in that evidence, not replacing their clinical judgment, but really getting them the information that they need in our role as this provider of trusted clinical content and just continuing to think about usability, what features are needed, what content is needed, and how do we continuously think about supporting the clinician with this new technology.
Kelly: Thank you, Claudine, for sharing your insights with us on building trust in clinical AI, what hospital leaders need to know about evidence-based decision support. And if a listener wants to learn more or contact you to discuss this topic further, how best can they do that?
Claudine: They can definitely connect with me on LinkedIn.
Kelly: Awesome. I will do that as well, and thank you all for joining us for this episode of the Hospital Finance Podcast. Until next time…
[music] This concludes today’s episode of The Hospital Finance Podcast. For show notes and additional resources to help you protect and enhance revenue at your hospital, visit besler.holdings/podcasts. The Hospital Finance Podcast is a production of Besler Holdings.
If you have a topic that you’d like us to discuss on The Hospital Finance Podcast or if you’d like to be a guest, drop us a line at contact@besler.holdings.
Subscribe Today!
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The post Building Trust in Clinical AI–What Hospital Leaders Need to Know About Evidence‑Based Decision Support [PODCAST] appeared first on Besler Holdings.
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People Stay Where Their Future is StrongestIn this episode, David Alemian, Creator of the Alemian Retention System, is discussing how people stay where their future is the strongest.
Highlights of this episode include:* How aligning an employee’s financial future with their tenure can change long-term retention behavior * What distinguishes a short-term incentive from a true long-term retention structure in financial terms * How forfeiture-based structures influence decision making compared to traditional benefit plans * What financial modeling should hospitals use to project the long-term impact of retention strategies * How hospitals can implement retention strategies without increasing net operating costs * What separates organizations that successfully retain top talent from those that just continue to struggle
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Kelly Wisness: Hi, this is Kelly Wisness. Welcome back to the award-winning Hospital Finance Podcast. We’re pleased to welcome back David Alemian. David is America’s foremost expert on retaining highly skilled professionals and the creator of the Alemian Retention System. His work defines a critical reality for healthcare leaders, People Stay Where Their Future Is Strongest. He is the author of People Stay Where Their Future Is Strongest: How Organizations Retain Highly Skilled Professionals and Build Lasting Advantage. A definitive framework that explains why highly skilled professionals leave and what determines whether they stay long-term. With over 30 years of experience in financial and workforce strategy, David reframes retention as a financial discipline. He shows how workforce instability erodes margin, disrupts operations, and weakens long-term performance. His work has been featured in Medical Economics, MD Magazine, and Physician’s Practice. He has authored more than 300 articles and produced over 400 educational videos on talent retention and organizational performance.
In this episode, we’re discussing People Stay Where Their Future Is Strongest. Welcome, and thank you for joining us again, David.
David Alemian: Well, hi, Kelly, and thank you for having me. It’s so good to be back.
Kelly: Yes, it’s great to have you back. Well, let’s go ahead and jump in. So, David, yeah, you focus on aligning an employee’s financial future with their tenure. How does that change long-term retention behavior?
****David**: Great question. People are wired for the future. From the time we are very young children, we quickly learn to think about the future. It becomes imprinted on our brain. We’re asked, “What do you want to be when you grow up? Where do you want to live? Who are you going to marry?” It’s always looking toward the future. Employment is the same thing. Highly skilled people don’t make career changes on a whim. They think about it, and they think hard. And here’s what they think, “Is my future better here where I am? Or is my future better if I move to another organization?” Most major decisions are based on the future. When an employee considers staying or leaving, they are literally comparing two possible futures. One future is built by staying with their current employer. The other future is built by leaving and going elsewhere for another opportunity. The future that appears stronger usually wins. It’s that simple. For those who are listening to this, think about your own life and the decisions surrounding your career. Did you think about your future? Chances are very high that you did because our brains are wired for the future.
What’s really kind of cool is it’s one of the things that we all have in common. Here’s the difference. Traditional retention strategies often focus on the present. They focus on culture, recognition, wellness programs, team-building activities, and workplace perks. Those things are good, and they matter, but they do not fundamentally strengthen an employee’s long-term financial future. When an organization helps employees build a stronger financial future by staying, retention becomes much more stable because the employee has a compelling reason to remain committed for the long term. People stay where their future is strongest. And that’s what I mean by that.
Kelly: I love that. I mean, and I wholeheartedly agree with it, and it makes a lot of sense that focus on the future. You’re right. We do all have that in common. So, what distinguishes a short-term incentive from a true long-term retention structure in financial terms?
*****David*****: Okay. Now, most retention strategies are expenses, higher salaries, bonuses, 401(k) contributions, retention payments, enhanced benefits, and similar programs all have one thing in common. Once the money is spent, it’s gone. The organization incurs the cost, whether your employee stays or leaves. A true long-term retention structure works differently. The employer funds and owns the plan. The employee never owns the asset. The asset remains on the organization’s balance sheet where it continues to grow and compound over time. The employee agrees to remain with the organization until a future date is established in the agreement. It could be 10 years from now. It could be all the way until retirement. It could be anything in between. If the employee fulfills that commitment, the employee receives a substantial financial benefit. If the employee does not fulfill their commitment and leaves early, the benefit is forfeited. The organization keeps the asset. That distinction changes everything. Instead of creating another expense, the organization creates a growing and compounding asset while simultaneously creating a powerful incentive for the employee to remain long-term. Traditional retention strategies spend money. This strategy builds an asset.
Kelly: That is truly just so interesting to me, David. Thank you for explaining that. So how do forfeiture-based structures influence decision making compared to traditional benefit plans?
******David********: Oh, but they do. This is where retention becomes truly powerful. Most traditional benefit plans provide value regardless of whether the employee stays for the long term. An employee may receive higher compensation, employee retirement contributions, bonuses, or other benefits, and still leave for another opportunity. There’s nothing holding them in place. And what happens is the organization absorbs the cost and loses the employee anyway. A forfeiture-based structure operates differently. The employer funds the plan. The employer owns the plan. The asset remains on the organization’s balance sheet where it continues to grow and compound. And the power of compound interest is amazing. The employee earns the right to receive the benefit only by fulfilling the long-term commitment established in the agreement. If the employee leaves before that date, the benefit is forfeited. The organization keeps the asset. The employee receives nothing. That creates a completely different decision-making process. Remember when I said that choosing between two futures, one if I stay and one if I leave?
Kelly: Right, yes.
*****David*****: The employee is no longer evaluating only what might they gain going elsewhere. They’re also evaluating what they will lose by leaving. As the asset grows and compounds, the financial consequence of leaving becomes increasingly significant.
Kelly: Oh, yeah.
*****David*****: Yeah. Absolutely. An employee may receive a recruiting call from a competitor offering a higher salary. The employee now has to compare that offer against a growing future benefit that could be worth substantially more. People become far less likely to leave when doing so requires walking away from something meaningful they have spent years building toward. In other words, you’re giving them something to lose by leaving. At the same time, the employer benefits because the asset continues to grow, regardless of whether the employee ultimately stays or leaves. That creates a powerful alignment of interests between the employee and the organization.
Kelly: I mean, it seems like a win-win, right? I mean–
******David****: Everybody wins.
Kelly: Everybody wins. Right. So, David, what financial modeling should hospitals use to project the long-term impact of retention strategies?
******David****: It’s actually relatively easy for a hospital, or any organization, for that matter, if they’re tracking [inaudible] turnover, to figure it out. The starting point is understanding the true cost of turnover. And most organizations underestimate turnover because they focus primarily on recruiting and hiring expenses. Those costs are only part of the picture. I mean, how do you deduct lost productivity? I mean, these are– okay, for a nonprofit hospital, that’s not a big deal. But if you’re a for-profit hospital, what you can deduct and not deduct is really important. But hospitals should also evaluate lost productivity, onboarding time, training costs, overtime, temporary staffing, management distraction, reduced continuity, and, this is key, the impact on patient care. And that’s another key issue here because, if patients have to wait too long, or if there isn’t a specialist to help that patient, or they can’t get the care they need, they go elsewhere. And the hospital loses that income that would be generated by that patient.
Kelly: True.
*David*: Those revenues. Once those costs are understood, leaders can compare them against the cost of a retention strategy. It costs somewhere between eight hundred thousand and a million on average to replace a physician, depending on your specialty and location. And for other skilled employees, the general rule of thumb is– it can cost more than double the salary to replace someone with skills. Now, you multiply that by the percentages of turnover that hospitals have– and the question is not simply, what does retention cost? The better question is, what does turnover cost? When organizations perform that analysis, they often discover that preventing turnover can generate a significant financial return. You see, turnover is not just an HR issue. Not anymore. It is a financial issue. It is an operations issue. And so many hospitals operate on such slim margins–
Kelly: Definitely. Yep.
David: –absolutely, that when you get rid of– when you mitigate turnover cost and literally take a portion of that cost and turn– or all of it, for that matter, and turn it into a growing and compounding asset on the balance sheet, it becomes amazing what it can do to the bottom line. And like any financial issue, it should be evaluated based on its impact on the organization’s performance and long-term profitability.
Kelly: Yeah, I mean, the true cost of turnover is key. I mean, I agree with everything that you’re saying here. So how can hospitals implement retention strategies without increasing net operating costs?
David: Oh, they so can because they already have a turnover cost. They know it. They track it. I’ve sat in on so many conversations where they talk about turnover cost percentages. And I’ve always heard them talk about, well, the turnover cost for this group, our nurses is X, and the turnover cost for this group is Y and so on. But I’ve never heard them talk about turnover in the cost of dollars. I actually, on my website, I have a free turnover cost calculator that people can go and visit and download. And they can adjust it to however they want it to work. But they will end up with right in the ballpark of what turnover is costing them. And that website is talentretentionplans.com. And it’s just so that they can get that if they would like to do that. Now, if you can take a portion of that turnover cost– and every financial professional will tell you, if you’re in business, whether you’re a for-profit or nonprofit, you have to know your costs. You take a portion of that and put that into this plan, and it mitigates the turnover cost. And remember, this is key. We’re not spending the money. We’re literally turning it into an asset on the organization’s books and the organization’s balance sheet.
It’s one of the most important questions that hospital leaders can ask. Most retention strategies are treated as expenses. This is not an expense. Higher salaries, larger bonuses, increased 401(k) contributions, retention payments and benefits. They all require the organization to spend money today. Once that money is paid, it’s gone. And employees can still leave. A different approach is to create a retention strategy that is structured as an asset rather than an expense. Under this approach, the employer funds and owns the plan. And the employee never owns the asset. And the asset remains on the organization’s balance sheet where it continues to grow and compound over time. Now, imagine what that would do if for your key people, your doctors, your nurses, your technicians, your physician assistants, and all of the people that, shall we say, that we use to build the insurance companies, if they remained in place, and they didn’t leave, wow, look what that would do to your bottom line. And that’s where the money to fund the plan comes from. We’re simply taking a cost and turning it into an asset. And now the employee agrees to stay, and they have a serious, substantial reason to stay should they fulfill their end of the agreement. That alone creates a powerful retention incentive.
But there’s another feature that makes this approach particularly attractive from a financial standpoint. Because the asset compounds over time, it can grow to a point where the employee receives a significant financial benefit that they were promised, while the organization simultaneously recovers its investment in full. In many cases organization can recover more than it invested. That means the strategy can achieve something very unusual. The employee receives a meaningful long-term benefit, the organization recovers its investment in full and then some. The plan can actually generate additional value for the organization. From a balance sheet perspective, the net cost can approach zero while improving workforce stability. That stability changes the game. Instead of asking what will retention cost us, leaders can be asking, how can retention strengthen both our workforce and our financial performance? Most retention strategies, as I said, create an expense. This strategy creates a growing and compounding asset.
Kelly: Yeah, positively affecting the bottom line for sure.
David: Absolutely, it does.
Kelly: Yeah. So, if you were advising a hospital CEO preparing to retire in the next few years, how would you structure retention to protect their legacy?
David: Every CEO wants to leave an organization stronger than they found it. It’s just the way they’re built.
Kelly: Yeah, of course.
David: Yeah. One of the greatest threats to a CEO’s legacy is instability after they leave. Key people depart. Institutional knowledge disappears. Performance suffers. Momentum slows. I would focus on strengthening retention among the hospital’s most valuable professionals before the transition occurs. The objective would be to create continuity, preserve expertise, and maintain organizational stability. A strong leadership legacy is not measured only by today’s results. It is measured by how well the organization performs after the leader is gone. Retention plays a major role in making that possible. The most successful leaders don’t simply build organizations that perform well today. They build organizations that continue performing long after they leave.
Kelly: That’s their legacy, right? They’re part of it.
David: Legacy. Yeah.
Kelly: Right. So, what separates organizations that successfully retain top talent from those that just continue to struggle?
David: Organizations that continue to struggle with retention often focus primarily on current conditions. Organizations that succeed focus on the future. The best organizations understand that talented professionals are constantly evaluating where they can build the strongest future for themselves and their families. When employees believe their future is stronger somewhere else, they leave. They’re out of there. When employees believe their future is strongest right where they are, they stay. That is why I often say that people stay where their future is strongest. The most successful organizations create a future that employees do not want to walk away from. They understand that retention is not simply an HR issue. It’s a financial issue on both sides of the equation. It’s an operational issue. It’s a leadership issue. And increasingly, it is a competitive advantage. Organizations that understand that principle and build their reputation strategies around it consistently outperform those that do not. In today’s healthcare environment, retaining highly skilled professionals is one of the most effective ways to improve stability, strengthen performance, and protect the bottom line.
Kelly: Well, thank you so much, David, for sharing all these insights with us on people’s day where their future is strongest. And also, we’re going to link to that free turnover cost calculator that you mentioned. And if a listener wants to learn more or contact you to discuss this topic further, how best can they do that?
David: Oh, the best and fastest and easiest way is connect with me on LinkedIn. I’m the only David Alemian on LinkedIn, so I’m easy to find. And if they go to my profile, they’ll see my email address is there, my phone number is there, my websites are there, so they can find me. I’m really passionate about this. And if people have if your listeners have questions, I’m happy to spend time with them and answer any questions that they may have. Because good health starts with good healthcare, and nothing is more important than quality healthcare.
Kelly: Completely agree. Well, thank you so much. And thank you all for joining us for this episode of The Hospital Finance Podcast. Until next time…
[music] This concludes today’s episode of The Hospital Finance Podcast. For show notes and additional resources to help you protect and enhance revenue at your hospital, visit besler.holdings/podcasts. The Hospital Finance Podcast is a production of Besler Holdings.
If you have a topic that you’d like us to discuss on The Hospital Finance Podcast or if you’d like to be a guest, drop us a line at contact@besler.holdings.
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Medicare Cost Report Appeals and Reopenings—Best Practices WebinarIn this episode, Kristin DeGroat, Besler Holdings’ Chief Legal Officer, provides us with a glimpse into Webinar, Medicare Cost Report Appeals and Reopenings: Best Practices, presented live on Wednesday, July 22, at 1 PM ET.
Highlights of this episode include:* What is this webinar about? * Key takeaways * Recap of the whole series * Who can benefit from this webinar
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Kelly Wisness: Hi, this is Kelly Wisness. We’re pleased to welcome back Kristin DeGroat, Besler Holdings’ Chief Legal Officer. In this episode, Kristin will provide us with a glimpse into Besler Holdings’ next and final webinar in its Medicare Cost Report Appeals and Reopening series. This one focused on Best Practices. This will be live on Wednesday, July 22nd at 1 PM Eastern Time. Welcome back and thank you for joining us, Kristin.
Kristin DeGroat: Thank you for having me again.
Kelly: All right, well, let’s go ahead and jump in. So, this webinar will focus on best practices. Can you give us a quick review of what we can expect in the way of best practices?
**Kristin****: Yes. Navigating a Provider Reimbursement Review Board appeal requires rigorous adherence to strict rules and regulations. And because of that, there are some extremely valuable best practices that you need to think about when you’re filing these appeals. The portal and the deadlines are not just suggestions, they are requirements. So, navigating those in terms of best practices and setting forth how you remember when things are due and that kind of stuff in terms of an appeal is really important. But also important is the reopening process, ensuring that you adhere to the max deadlines, and that’s the Medicare Administrative Contractors deadlines and requirements. They are different. You do things a little bit differently. So, you need to think of how you handle that and getting those filed as well. And then just in general, CMS in general, there’s so many different parts and pieces that lead into appeals and reopenings. So just trying to set yourself up for success in terms of getting these filed and following the protocols, and basically trying not to irritate the board and the MAC are very important in this process.
Kelly: Yeah, that sounds like solid advice, Kristin. And we always love best practices, so this is going to be a really great webinar. So, what do you think is going to be some key takeaways from the webinar?
*******Kristin*******:Kind of what I just said about the being able to categorize or set up maybe calendaring or other avenues to ensure that you’re meeting the deadlines. And also cataloging, keeping your documentation together in a way that somebody else can understand. We all get caught in the, I’ve done it, I’ve looked at it so much, then we forget that people aren’t exactly like us and don’t read things exactly the same. So, cataloging that in a way that others can understand and appreciate, I think, will be the greatest takeaway.
Kelly: Yeah, that sounds like a great takeaway too. So, this is the last in our Medicare Cost Report Appeals and Reopening’s webinar series. Can you do a quick recap of the first two, and how does this one fit in?
*******Kristin*******: So, the first one was a deep dive into the PRRB and the rules and the deadlines, the timeliness, the amount of controversy. Those strict requirements and then we talked a little bit about the reopening requirements. And so, all of that together then led us to, well, what are the most common issues? That was the second webinar. And we did the deep dive into the most common issues, and we gave the status, kind of case law where they were sitting right now, and what we expect, or hope, maybe, is a better word, the outcome will be for those cases. So, the third one will definitely not hit the issues and the updates. So really, if you want to learn about the most common issues, updates, that one you’ll have to go watch if you didn’t join us for the second webinar. Hopefully, you’ll join us for the taped version, so to say. But I think this third one really will kick and tie to the first one where we kind of went through everything, but this will just be a little bit different approach. So maybe the lingo might be repeated, and I might forget to give the definition for my lingo. So, I will do my best. But I invite you to look at the whole series together, because I do think the whole thing together really makes sense.
Kelly: Yeah, creates that complete picture, right?
*******Kristin*******: That’s correct.
Kelly: Yeah. So, do you have to watch the first two or watch them in order for this webinar’s content to make sense? I mean, or are they standalones?
******Kristin******: I don’t know that they’re necessarily standalones completely. The first one did go through in detail what we’re going to talk about in best practices. And it gave a little overview of the issues. But really, that second webinar, the diving into those issues and really telling you what the status is, where they are right now, I think really is a standalone. But in order to get there, you had to meet all of the requirements. And you have to have the best practices to ensure that you’re really not irritating your audience. You want to make sure that you’ve complied and have done things showing not to be rude, right? When the board says you have 20 days to file this, don’t do it on the 21st day. It’s just as simple as that. Just following the rules and some best practices to help get you through. The other thing is appeals aren’t new, reopenings aren’t new. So, there is a lot. 30-plus years of going through the process has really, I think, laid out for us a nice, seamless transition from, “Here’s the rules,” to, “Here’s the issues, and here’s how you keep the goodwill going with your issues and your appeals, and even your reopenings.” So we’re going to talk a little bit more about reopenings, probably, in this third series, because I think the max concerns about how we approach issues and appeals, I think it’s something that we really need to take heed of because they are the ones that are going to help you settle your cases and help push these cases through. So, I think I want to do a little bit more focus there.
Kelly: Okay, that makes a lot of sense. Looking forward to that one. So, who do you recommend attend this webinar? Who is the target audience?
*****Kristin*****: Really, anyone in reimbursement. If you are filing a cost report or even thinking about an appeal, and you’re probably filing reopenings, so anyone doing those that has always wondered, “Well, I wonder why I did my reopening this way, and I didn’t get a really good response,” or, “Wow, I thought this would move faster. I’m not sure what I did wrong. I thought I compiled the evidence.” So, I think really focusing on that and moving through that process. And maybe that’s it. Maybe you’re someone new to reimbursement. This would be a great way to kind of experience, okay, so this is what I need to do. And it’s not all going to be about rule following. Some of it is just common courtesy.
Kelly: Yeah. That makes a lot of sense, yeah.
Kristin: Oh, I was just going to say I hope everyone can join the webinar. I’m really excited about this one. I think it kind of gives you more of a– let’s me put some personal flair on it and what I’ve experienced over the years.
Kelly: Yeah, love that. Well, thanks so much for joining us, Kristen, for giving us this glimpse into Besler Holdings’ free webinar, Medicare Cost Report Appeals and Reopenings Best Practices, that we’re going to do live on Wednesday, July 22nd, at 1 PM Eastern Time. And as a bonus, you can also earn CPE. Thanks again, Kristin.
Kristin: Thank you. Have a great day, Kelly.
Kelly: Thank you. And thank you all for joining us for this episode of The Hospital Finance Podcast. Until next time…
[music] This concludes today’s episode of The Hospital Finance Podcast. For show notes and additional resources to help you protect and enhance revenue at your hospital, visit besler.holdings/podcasts. The Hospital Finance Podcast is a production of Besler Holdings.
If you have a topic that you’d like us to discuss on The Hospital Finance Podcast or if you’d like to be a guest, drop us a line at update@besler.com.
Subscribe Today!
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LinkedIn Tips for Healthcare Finance LeadersIn this episode, Lauren Schafer, Founder of Lake House Digital Media, discusses LinkedIn Tips for healthcare finance leaders.
Highlights of this episode include:* Why it is important for hospital finance executives to have a strong LinkedIn profile * How a hospital finance leader can start building a LinkedIn profile * How finance leaders can contribute to the overall marketing and social media efforts of the hospital * Other than LinkedIn, how hospital finance leaders can help their professional profile * The biggest mistakes someone can make on LinkedIn * The best practices for LinkedIn
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Kelly Wisness: Hi, this is Kelly Wisness. Welcome back to the award-winning Hospital Finance Podcast. We’re pleased to welcome Lauren Schafer. Lauren is the founder of Lake House Digital Media, a boutique agency helping life sciences, tech companies, and growth-minded founders build authority that actually drives demand. Lauren blends SEO, thought leadership, LinkedIn strategy, and event marketing to help complex companies become the obvious choice in their category. You’ll walk away with practical ways to earn trust faster and turn visibility into real momentum. In this episode, we’re discussing LinkedIn Tips for Healthcare Finance Leaders. Welcome, and thank you for joining us, Lauren.
**Lauren* *Schafer: Thanks for having me, Kelly.
Kelly: Well, let’s go ahead and jump in. So why is it important for hospital finance executives to have a strong LinkedIn profile or identity?
***Lauren***: Financial leaders are just like anybody else on the leadership team, and that means having a really strong professional presence on LinkedIn is critical for correct positioning. It’s both for their current role, to build their own network, and for future opportunities, but it also is letting you build the hospital’s network, that healthcare network and presence to build more brand awareness and trust.
Kelly: Most definitely. Agree with that. So how would a hospital finance leader start building a LinkedIn profile if they have limited experience on LinkedIn?
******Lauren****: So, the biggest thing there that a lot of people miss, or they skip because they’re like, “Oh, I’m not so sure yet,” is they skip putting their photo on there. It sounds so basic, but at the end of the day, people want to know who they’re doing business with. And so, the biggest thing is make sure that you’ve got a profile picture and that it’s a current picture, right? It’s not you, maybe 20 years ago, 15 years ago, a little bit thinner, a little bit different hairstyle, but it needs to have the current position that you hold, the company that you work for, and your name, and absolutely your full professional name. So, one of my biggest pet peeves is if people do like John S., and I’m like, if they’re trying to find you, there are millions of John S’s out there. So, you need to put that full name. But then some next steps that would just kind of ease you into doing things on LinkedIn is set a timer a couple days a week, maybe two or three times a week to just log on for even 15 minutes, turn those notifications on, so if someone sees that you’re getting active and reaches out, that you don’t miss it.
But also, a good next step to start expanding their network if they haven’t had a lot of experience is connect with your employees, connect with people that are on your board and your own networks. So, start leading by example. Your employees do more on LinkedIn, but also just start connecting with people and then slowly start commenting when you’re comfortable on other people’s posts. It’s going to help you get more views. It’s going to help where you’re working, get more brand awareness, and you’re going to develop relationships through that. You don’t have to have these long, drawn out thesis type of comments, but even just like, “Hey, congrats on the new role,” or, “This is a great resource for our community.” Something that is thoughtful, but it can be short and sweet to start building that relationship on LinkedIn.
Kelly: That’s all great advice. And I do agree that the photo is key. So how can finance leaders contribute to the overall marketing and social media efforts of the hospital?
*****Lauren*****: So, the biggest thing, especially when you’re looking at LinkedIn, it is a social media network, but it’s business-minded first and foremost. And a lot of people are looking for thought leadership. They’re looking for trust and who do I know there? If something comes up, whether they are looking potentially to apply for a job or to do business with you, to be in partnership with you. But when you start having posts on there from your brand– and even little things like the employees start to share the post. Employees’ share get two times the amount of clicks that a regular company brand page gets. So, it indicates to other people, “Hey, I like working here. I don’t mind telling people that I work here, and I’m trusting the content when I’m sharing it.” So that’s a big thing, is to get your overall marketing efforts to make sure that your healthcare institution is posting optimally at least twice a week. You don’t need to post every day. But getting that brand awareness out there and then enabling your employees to say, “Hey, we want the shares, let people know if we’re sharing some–” maybe a great new project at the hospital, some new cutting-edge technology, or just a feel-good post, maybe how you’re giving back to your community. All of that is adding more brand awareness, more trust signals, and keeping you top-of-mind, so then when people do have a choice and they need something that your healthcare institution provides, you will be top-of-mind.
Kelly: I completely agree that the employees getting involved is really key to getting out the word and helping with that brand awareness of the hospital. Lauren, other than LinkedIn, how can hospital finance leaders help their professional profile and the hospital’s professional profile?
******Lauren****: So, a couple of things on there. You’ve got LinkedIn as a great resource, sometimes to amplify the other efforts that you’re doing. So, if the hospital, for example, has put out a press release, or if they put out some new thought leadership on an experimental– anything that they’re trying, some new technology, sharing it on LinkedIn is great. If they’ve got those resources that are on the webpage from the hospital, if they’re on a podcast, something like this, where they’re sharing new developments and things, to share those both from your website, if they’re on podcasts, to make sure that you’ve got a presence where people are looking now. And people are looking so much at AI now. So, AI is indexing posts on LinkedIn now, and it’s one of the most cited LinkedIn places, when people are putting those questions in Google or in the search engines, and those AI answers are coming back. So, it’s making sure that your healthcare institution is where people are at. If there’s video, do you have a YouTube channel? They’re free to start. Or if there is something new, a ribbon cutting with you or one of your partners, share that. You want consistent signals, both on your website, for it to be up-to-date.
You want to reach people where they’re at, whether that is searching online, whether it’s on LinkedIn, or even simple things like having just a good community newsletter. As much as I would love for people to be on LinkedIn all the time on social media, because it’s what we do, the one place that they are sure to check almost every day is their work email. And it is, one, just sending a newsletter, sharing latest developments, any big staff changes, community involvement. People open their work emails, and it’s a great place and an easy place to make sure that your institution is staying top-of-mind.
Kelly: Yeah, those are such great ideas, Lauren. Thank you for sharing those with us. What are some of the biggest mistakes someone can make on LinkedIn?
******Lauren****: Oh, that’s a great question, Kelly. I would say, first and foremost, having either no photo or an outdated one. So, let’s say that you have a photo that you really like, but it’s maybe 10 to 15 years old, and maybe you’ve got a little bit more gray hair, or maybe your weight is different, either way. But let’s say that someone connects with you, that maybe they want to do a new project and they’re interested and is your hospital a good partner for them? And you set a time to meet at a conference, or you set a time for coffee, and you show up and you look nothing like your picture, regardless of the integrity you have, the trust, all the things about your reputation, that first impression of you is going to make them hesitate because you don’t look like your picture. So that is my biggest pet peeve. But then a few other things is if people comment or ask you a question, if you have posted, but then you check out for a couple weeks, if you don’t respond to their comments, that’s a big mistake that people make, because then people will be less likely to comment on your post the next time. And then one other one, and then I’ll wrap this one up, is people forget that even though LinkedIn is a business platform, first and foremost, it’s a social media platform. And so, their algorithm still will reward social interactions and conversations. It’s a two-way street.
So, a lot of people go on, they’ll just post, “This is the great thing we’re doing. Look at what we’ve got new. These things are all great. Look at my promotion.” But then they post, and then they check out of LinkedIn. And other people that are congratulating them or asking questions feel ignored when you don’t respond back, or if they post something, you don’t reciprocate by commenting back. So, a big mistake that people do make is forgetting that it is a social network first and foremost, even though it’s a business platform. But to be able, it’s a two-way street.
Kelly: Definitely is. And those are some great mistakes that you pointed out. On the flip side, though, what are some of the best practices for LinkedIn that you can share with us?
*****Lauren*****: So, a lot of people that are on there are leaders in the business community. They are leaders in healthcare, and they are on there in a business mindset, right? So, some of the best practices is to make sure, are you posting thought leadership on there? Let’s say that your institution is growing, or if they’re investing in a certain area, and here’s why, and here’s either an unmet need in your community that it’s going to answer, or whatever the value is to your community and to those that you want to be in your network, the more that you can share thought leadership and show value is a great– this is a great place to do it, not only for those on LinkedIn, but again, it’s being indexed by Google. It’s being indexed and cited on AI. So, a lot of things, even if they’re just on LinkedIn, can suddenly show up in a quick excerpt that is back on an AI, an AI question that somebody asked. But it’s also another great practice is to highlight your staff. If you’ve got someone new coming in on your leadership team, it’s going to be great to announce that you guys are expanding or that this person has joined your team, if they have a new award, a new certificate. It’s great because it both is great from an HR perspective to welcome them and show that hospitality and recognition. But on the flip side, it’s also great doing other things. If you’re very involved in something that is philanthropic in your area, it’s showing your community that a place you work cares about where they’re doing business. They care about the people in the community. And all of those things just nod to your brand recognition, your brand awareness and reputation, and making sure that you have a positive association with where you’re working out in the community.
Kelly: Those are such great tips. Thanks for sharing those with us, Lauren. Any final thoughts for hospital finance leaders?
*****Lauren*****: I think here’s the thing is everybody really loves to work for a successful organization, right? But people have choices where they work for recruiting. And if something happens in their lives, a lot of communities, they have a choice of what hospital or healthcare institution that they’re going to go to. So, staying top of mind is so key in this situation. Having a good association with your brand, both for employees, for recruiting and everything, but also so that you get those patients, you get the customers and clients, in that when they have a choice and something happens, and they have to make a quick decision, there’s no choice other than where you are. So, I think that’s our final thing, is there’s a lot more to it than just posting on LinkedIn as a social media platform. It’s more about growing that brand awareness so that where you are always is top of mind for everybody.
Kelly: That’s wonderful. Thank you. Thank you so much, Lauren, for sharing your insights with us on LinkedIn tips for healthcare finance leaders. And if a listener wants to learn more or contact you to discuss this topic further, how best can they do that?
Lauren: Well, obviously, LinkedIn is a great place. We’re on it all the time. So, we’re Lake House Digital. Lake House is two words on LinkedIn. I am on LinkedIn as Lauren Miller Schaefer. And also, if you wanted to go to our website and get in touch, we are thelakehousedigital.com, and we would love to hear from you.
Kelly: Awesome. Thanks for providing that. And thank you all for joining us for this episode of The Hospital Finance Podcast. Until next time…
[music] This concludes today’s episode of The Hospital Finance Podcast. For show notes and additional resources to help you protect and enhance revenue at your hospital, visit besler.holdings/podcasts. The Hospital Finance Podcast is a production of Besler Holdings.
If you have a topic that you’d like us to discuss on The Hospital Finance Podcast or if you’d like to be a guest, drop us a line at contact@besler.holdings.
Subscribe Today!
945.237.1009
116 Village Blvd., Suite 200
Princeton, New Jersey 08540
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The post LinkedIn Tips for Healthcare Finance Leaders [PODCAST] appeared first on Besler Holdings.
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The Financial Safety Net for Healthcare LeadersIn this episode, David Beahm, President and CEO of Blanchard and Company, Inc., discusses the financial safety net for healthcare leaders.
Highlights of this episode include:* What the structural gap is that most healthcare CFOs and executives aren’t accounting for in their portfolios * What diversification means in practice for a chief medical officer or a hospital executive * The most common blind spots for high-income healthcare professionals * ETFS and paperback gold vs. physical ownership * What you need to know so that your wealth is both protected and accessible * Industrial demand from AI infrastructure and green energy initiatives
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Kelly Wisness: Hi, this is Kelly Wisness. Welcome back to the award-winning Hospital Finance Podcast. We’re pleased to welcome David Beahm. David serves as the president and CEO of Blanchard and Company, Inc., the largest and oldest retail investment firm specializing in precious metals and rare coins in the United States. With over a decade of executive leadership at the firm, David stewards a legacy that began in 1975, shortly after his predecessor helped spearhead the grassroots movement to re-legalize gold ownership for private American citizens. Under his leadership, Blanchard has surpassed 800,000 clients and $1.3 billion in recent sales, maintaining a premier partnership with legendary numismatist John Albanese. David is known for his “Advisory-First” philosophy, moving the industry away from high-pressure sales toward sophisticated long-term wealth preservation and portfolio diversification.
In this episode, we’re discussing the financial safety net for healthcare leaders. Welcome, and thank you for joining us, David.
*David Beahm*: Thanks, Kelly. Thanks for having me.
Kelly: Yeah, well, let’s go ahead and jump in. So, hospital endowments and executive compensation packages are heavily tied to equities and bonds. And when markets correct, healthcare institutions feel it hard and fast. From your perspective, what’s the structural gap that most healthcare CFOs and executives aren’t accounting for in their portfolios?
**David**: So, I think the gap leads to risk in what most healthcare CFOs and the executives that work with the endowments, they underestimate the concentration of risk, and they kind of disguise it a little bit with what they call diversification. But really, on paper, if they own equities and bonds, when the day’s over with, that’s still tied to the same system. So, when you see liquidity tighten or confidence break, like we saw in 2008 and then again in 2020, that correlation that just is one. So those assets individually basically are tied to one another, and they move with one another. So, the gap right there is really the absence of a counterweight, such as gold. And because some of these portfolios lack assets that sit outside of that stock and bond financial system, what physical gold can do is actually provide them with a little bit of insurance to make sure that when those traditional types of portfolios come under pressure, it’s not as critical when you own something like gold in there. So as long as you are truly diversified and have exposure to something outside of the stocks embalmed realm, you can bridge that gap.
Kelly: Right. I know diversification is really key there. The word non-correlated gets used a lot in finance, but what does it actually mean in practice for a chief medical officer or a hospital executive sitting on a $50 million endowment committee?
*****David*****: So, when you start looking at non-correlated assets, you start thinking about a theory, and it’s really the behavior of certain assets under stress. And so, when you see an endowment or really just stocks in general drop 20% or so in a short window, some of these assets, they just move together because people are forced to sell, people are forced to raise money for margin calls, or they need liquidity. And so, everything is fair game. So, when you look at that type of movement and gold does behave that way, gold is a source of liquidity, but it’s a little bit different because it’s not dependent on earnings or credit markets such as stocks and bonds. So, for a hospital executive managing a $50 million endowment, non-correlating assets mean owning something that will hold value or even appreciate while some of the other assets are declining. So, gold’s not going to outperform assets every single year, but it provides that insurance policy and it’s there when you need it.
Kelly: Yeah, that makes a lot of sense. Thank you. So, healthcare leaders are often incredibly sophisticated when it comes to clinical risk management, but personal wealth planning is a different discipline entirely. What are the most common blind spots you see when high-income healthcare professionals come to Blanchard for the first time?
****David****: I think the blind spot that we see is, just in general, just the retail investor, is the overconfidence in that system we were talking about a little while ago. You spend your entire college in the finance world learning about stocks and bonds. And then, the last day you learn about gold. So, nobody really knows about it in the United States. It’s not all over the world, but in the United States, it’s not owned by as many as it should. So, healthcare leaders, because they’re trained to manage risk, they need to make sure that they have an asset that will perform or at least provide insurance. So, we consistently see a few things. One is people being overexposed to paper assets that, again, are all tied to that economic system we were talking about. And then almost more importantly is liquidity– the misunderstanding that gold is not liquid, and it is liquid, especially in a time of crisis. And then the third is, what do you really own? A lot of retail investors, a lot of managers, fund managers– that’s not really clear on what they own and what exposure it is through any sort of financial asset that they may have. So the ownership, clarity, the misunderstanding of liquidity, and then again, going back to being exposed to stocks and bonds, their traditional assets, those are the blind spots that we see.
Kelly: Yeah, I appreciate you sharing those blind spots with us. ETFs and paperback gold products are easy to buy inside a brokerage account. Many executives already hold them and think they’re covered. Why isn’t that the same thing as physical ownership? And why does that distinction matter, especially during systemic financial stress?
*****David*****: The gold market loves ETFs. When they came into the marketplace, they added a lot of demand that wasn’t there. And partly because of what you just explained, it’s easy to get in, it’s easy to get out. What our investors do is they’re looking for a long-term hold, and really the true proxy to owning gold or being exposed to gold is actually owning physical gold. So, ETF serves a great purpose, but you do have some expenses that you don’t have with owning gold. You have management fees. You have marketing fees. You have storage insurance, which you do have with owning physical gold. But those funds that are needed to actually run the ETF or taken off of the asset. So, in our mind, physical gold is really the only way to truly have a gold position. And again, you also have mining shares out there as well, exposed to the price of gold, but not– you have to worry about management, mining collapse, geopolitical risk in that area. We just feel that physical gold that we actually send to clients or arrange for storage for them is the true way of being exposed to gold.
Kelly: Very interesting take on that. So, there’s a liquidity question that comes up with physical assets. How quickly can I actually get out if I need to? How do you answer that for a healthcare executive who needs to know their wealth is both protected and accessible?
*****David*****: That’s one of the biggest things misunderstood about the physical gold market is liquidity. And physical gold and silver, for that matter, are really liquid assets. As a matter of fact, just a side note, our pilots carry gold with them when they’re overseas flying combat missions, because if they go down and they need to get from one place to another, they use gold to do it. So, for a healthcare executive, the key is structure. Really, if the metals are properly allocated, which we can help with, they’re properly stored, which we can help with and documented, they could be converted to cash fairly quickly. I mean, within a few business days, depending on where the assets are. So, what I would just emphasize is not just liquidity, but it’s the certainty of liquidity. And in a stressed market, the ability to access your gold or your capital without relying on market stability is certainly a significant advantage.
Kelly: Yeah, no, I totally agree with that. So silver is having a moment driven by industrial demand from AI infrastructure and green energy initiatives. How does that factor into the broader portfolio strategy?
****David****: Yeah, so silver has been on a tear because it’s uniquely positioned right now because it’s kind of in that intersection of the investment world, but also in the industrial complex. So, it’s more of an industrial commodity than gold is. The demand for the infrastructure for the AI and energy and all the electronics. We’re having emerging technologies seemingly every few months and silver is going to play a real big role with all of that. So, from a portfolio or investment standpoint, silver has just a little bit more dimension than gold, but we view silver as a complement to gold. And what we advise is to have both in your portfolio. You can say, well, why would I do that? You’re just talking about diversification. Well, that’s truly within the precious metals complex being diversified is having some exposure to gold and silver. While they do typically run together, there are certain times where one outperforms the other. So, it adds a– silver has an element of growth potential that’s really tied to real world demand. And having the right allocation of both of those working together strengthens your overall portfolio.
Kelly: Definitely. Well, thank you so much, David, for sharing your insights with us on the financial safety net for healthcare leaders. And if a listener wants to learn more or contact you to discuss this topic further, how best can they do that?
****David****: So first, our website, blanchardgold.com. And then also we have portfolio managers that help advise. So, we don’t just sell this product, we form relationships with people and we’ve been around for 50 years. So, we love talking to people on the phone to get a feel for what their goals are, what their drifters are, and that way we can put them into the right asset class. So, I would encourage anybody to call our 1-800 number. It’s 800-880-GOLD, 4653. So, it’s 800-880-4653. And we can help with any questions and hopefully help some of your listeners get involved in an asset that maybe they were a little unclear about before.
Kelly: Wonderful. Thank you for providing that. And thank you all for joining us for this episode of The Hospital Finance Podcast. Until next time…
[music] This concludes today’s episode of The Hospital Finance Podcast. For show notes and additional resources to help you protect and enhance revenue at your hospital, visit besler.holdings/podcasts. The Hospital Finance Podcast is a production of Besler Holdings.
If you have a topic that you’d like us to discuss on The Hospital Finance Podcast or if you’d like to be a guest, drop us a line at contact@besler.holdings.
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How to Identify Nursing Home Abuse, Prevent Negligence, and Evaluate Care FacilitiesIn this episode, James Morgan, Founding Partner of Lanzone Morgan LLP, discusses how to identify nursing home abuse, prevent negligence, and evaluate care facilities.
Highlights of this episode include:* What is nursing home abuse and neglect? * Most common types of nursing home abuse and neglect. * Why are nursing home residents getting neglected? * How are nursing homes usually paid for caring for its residents? * The difference between nursing homes and assisted living facilities. * What family members can do to prevent abuse from happening in a nursing home. * How do people know if a nursing home is good or bad? * If someone suspects that a family member is being abused in a nursing home, what should they do?
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Kelly Wisness: Hi, this is Kelly Wisness. Welcome back to the award-winning Hospital Finance Podcast. We’re pleased to welcome James Morgan. Jim is a highly respected nursing home abuse attorney, an elder abuse lawyer in California, and the founding partner of Lanzone Morgan LLP. For more than 25 years, Jim has dedicated his legal career to representing victims of elder abuse, nursing home neglect, and assisted living facility misconduct, helping families hold negligent care providers accountable. He has helped secure millions of dollars in settlements and verdicts for elderly victims and their families while pushing the long-term care industry to improve safety and accountability. He graduated cum laude from Jacksonville State University in 1991 and went on to graduate Magna cum laude from Washburn University School of Law in 1997. Jim is currently licensed to practice law in Arizona, California, and Nevada. He’s also licensed with the United States District Court, Southern District Court of California, the United States Ninth Circuit Court of Appeals, and the United States Supreme Court. Jim has also served as president of a national organization of attorneys dedicated to suing nursing homes for elder abuse.
In this episode, we’re discussing how to identify nursing home abuse, prevent negligence, and evaluate care facilities. Welcome, and thank you for joining us, Jim.
James Morgan: Thanks for having me.
Kelly: All right, well, let’s go ahead and jump in. So, let’s just start off with a pretty basic question. Jim, what is nursing home abuse and neglect?
*James*: Well, that’s a good starting point. Nursing home abuse and neglect can be anything from as minor– I shouldn’t say minor, but anything that doesn’t necessarily cause major injuries but is certainly concerned about somebody’s dignity, which is maybe not being showered timely, not getting changed in a timely manner if you’re sitting in your urine and feces and you can’t change yourself and make it to the restroom. Those are dignity issues, and that’s the result of neglect. If somebody is sitting in their urine and feces for hours not being changed, it may not lead to long-term problems, but it could. And then neglect can also lead to very serious injuries, such as infections from what I just described. Also, falls, fractures, falls with subdural hematomas or brain bleeds that may lead to death. And of course, probably the number one type of case we get, which is terrible bed sores from somebody sitting in the same position in bed for hours upon hours and not getting turned and repositioned. So, neglect ranges from everything from dignity issues to very serious injuries and death. But the bottom line is nursing home neglect is when nursing home residents are not getting proper care to meet their needs.
Kelly: Okay. Thank you for explaining that for us. So, what are the most common types of nursing home abuse and neglect that you see?
***James***: The two top cases that we take are the falls fractures or falls leading to other serious injuries and bed sores. Those are by far the most common types of injuries that lead to lawsuits. And when I say bed sores, what I’m talking about are wounds that happen at pressure points in the body when somebody’s sitting in bed. So, the most common type of pressure sore that we see is on the coccyx area where your tailbone is pushing down you’re not being turned and getting any pressure relief.
So, you get a terrible pressure sore on your coccyx or on your heels because those are also bony prominences where people can get bed sores if they’re laying in bed all the time. But other types of nursing home abuse and neglect cases are dehydration, malnutrition, especially if somebody’s on a feeding tube. Elopement cases. Elopement cases are when somebody wanders out of a facility. They might have Alzheimer’s or dementia, and they should be in a locked facility or somewhere where they’re kept safe, but they wander out of the facility and, unfortunately, can get injured. And then there’s probably fewer cases of, but certainly problematic, are the actual physical abuse of the residents, either just physical assaults or some type of sexual assault. So those are probably the most common types of neglect that we see here in our law firm.
Kelly: Wow. That’s very sad, but thank you for giving that information to us. So why are nursing home residents getting neglected?
***James***: Most of the neglect that we see in our cases stems from understaffing issues. Understaffing occurs when the nursing home tightens its budget to save costs and make more profit. Most nursing homes are privately owned. They’re for-profit enterprises, so people are trying to make money. And the way to make money in a nursing home is to fill every bed because that’s where you’re getting your revenue and to cut costs. And labor is by far the highest cost of running a nursing home.
So very simply put, the way to make money by owning a nursing home is to fill every bed so that you can make as much revenue as possible and to take care of those residents with as little labor as possible. When that happens, it could be a recipe for making money. But unfortunately, it’s also a recipe for neglect of the residents when there’s not enough staff to meet their needs.
Kelly: Yeah, labor does make sense to be the highest cost there. So how are nursing homes usually paid for caring for its residents?
***James***: Okay, so skilled nursing facilities are primarily paid by Medicare, Medicaid, private pay, or insurance. Private insurance, or maybe somebody has long-term care insurance. But the private pay and the private insurance are the lowest number of residents getting paid paying for the nursing home care that way. By far, most of the revenue in nursing homes comes from Medicare and Medicaid. Now, Medicare pays the highest amount of money to the nursing home to care for the residents. So nursing homes want Medicare patients. So, here’s what happens. An elderly person is living at home and they have a stroke or a heart attack or a fall with an injury, and they go to the hospital.
And they’re in the hospital for a few days, recovering from whatever happened. And the doctor says, “We really don’t want to send you directly home. You need some physical therapy to gain some strength. You might need to be on an IV antibiotic for a little while. We want to send you to a nursing home for some rehab.” Okay? If that person has Medicare, Medicare is going to pay for that nursing home stay. Nursing homes love this because Medicare pays the highest rate of reimbursement. So if a nursing home had its way, every bed would be filled by a Medicare patient because that’s how they’re going to make money.
That’s how they’re going to make the most money. Now, the problem is that Medicare will only pay the nursing home for about 100 days of physical therapy. After that, the resident is going to have to go either on Medicaid or private pay or insurance. And so the nursing home will want to get rid of a resident right at that 100-day mark after they’ve gotten all the money they could possibly get out of Medicare. And then all of a sudden, they might tell the family, “Hey, you got to go. They’ve reached their peak. We need to discharge them by tomorrow.” They a lot of times will give you short notice. And the nursing home doesn’t– and even if the family says, “Hey, they’re not quite ready to go home. They need some more physical therapy. They need some more care.” The nursing home’s not going to want to keep them because if they end up being a Medicaid patient, then Medicaid reimbursement is quite a bit lower than the Medicare reimbursement. So, what the nursing home wants to do is get rid of that person who ran out of Medicare days, get them out of the facility, and fill that bed with another resident who’s on Medicare. So, they can keep getting the maximum reimbursement for that bed.
So, what you’ll see in nursing homes sometimes are called Medicare wings, so where everybody on a certain hallway is a Medicare patient. And those hallways are typically staffed well because the reimbursement is good on that wing. And then you’ll see other wings that are what’s called long-term wings for long-term care residents whose stay is being paid by Medicaid or private insurance or private pay. There is a drastic difference between the Medicare wing and the long-term care wing. And when I say drastic difference, what I’m talking about is staffing and care. So when somebody comes to me with a case, it’s typically somebody who is in that long-term care wing because that wing is staffed less than the Medicare wing. We do not get a lot of cases from people who are on the Medicare wing because those wings are typically staffed better because the reimbursement is higher. So that was a long answer to tell you that most of the nursing homes pay comes from Medicare, Medicaid, private pay, and private insurance.
Kelly: That makes a lot of sense. Thank you for sharing all that with us. So are nursing homes and assisted living facilities the same thing?
***James***: No, no, they are not. Skilled nursing facilities– or when I say nursing home, I’m talking about a skilled nursing facility. And that’s basically a step down from an acute hospital, okay? So, when somebody leaves an acute hospital, a lot of times they will go to a nursing home, also called a skilled nursing facility, for rehab because they need more care, right, coming right out of the hospital. And the skilled nursing facilities have just what that’s described as: the skilled nursing. So, they’re going to have nurses on staff, and they’re going to have people with more medical experience at the nursing home. An assisted living facility is a step down from that. It’s somebody who doesn’t need quite as much medical care and is fairly independent, can get up themselves, can wash themselves, take a shower themselves, usually, can dress themselves, feed themselves. Assisted living facility residents simply don’t need 24-hour nursing care. But one of the big differences also is that all of those ways I described how nursing homes get paid is completely different at an assisted living facility. Assisted living facilities are primarily reimbursed by private pay. Okay? That means the families pay for the stay at the assisted living facility or long-term care insurance. Medicare does not pay for care at assisted living facilities because they don’t pay for– they only pay for the skilled nursing care, not assisted living care. So primarily private pay and primarily people who are less in need of services are the ones who are living in assisted living facilities.
Kelly: Okay. Thanks for describing those differences for us. And so, what can family members do to prevent abuse from happening in a nursing home?
***James***: The best thing a family can do to prevent abuse and neglect in a nursing home is to be present and to visit as frequently as possible. And not only that, but to visit at different times of the day. So, for example, I’ve had clients say, “I come every day after work, so I get there at 5:30 every day, and they’re dressed, and they’re ready for dinner. And everything looks good. So, I had no idea anything bad was happening until one day I went at lunch, and I saw that their breakfast was still sitting there. Nobody helped them eat breakfast. They’re not dressed. They’re sitting in a soiled diaper.” And so, what happens is that the nursing home staff will learn the routine of the family. If the family comes at the same time every day, that’s when the patient’s going to look like they’ve been taken care of. So, the family is going to think, “Oh, this is what’s happening 24 hours a day. Everything is great,” but that’s not necessarily the case. So, the family, if at all possible, needs to visit frequently and at different times of the day to see what’s happening morning, afternoon, and evening. Not only that, but you have to be a squeaky wheel. When something’s not right, you got to speak up and you got to say something. And when I say, “You got to say something,” I’m not talking about just to the CNA or the certified nurse assistant who’s providing direct care, who’s maybe changing the sheets or changing the diapers. You’ve got to make complaints to the head nurse or the charge nurse or the director of nurses or even the administrator because a lot of times these CNAs are overworked, they’re working a shift or maybe a double, and they’re going to be out of there. They’re not going to make any changes to the care of a resident systematically. They may change what they do on a particular shift. But when you need a change made, like you need your mom or your grandma’s medication given on time every day and that’s not happening, you need a systemic change there not just a change with one CNA. So you’ve got to make those complaints to the director of nurses or the administrator in order to hope that any systemic change is made with respect to the care of your loved one. And if that doesn’t work, then you make a complaint to the state and you tell the state what’s– your complaint is, and you call the state and you ask for a formal complaint investigation. And the state will go in there and they will investigate what your complaint is, and they’ll either substantiate it or they won’t. But that’s a good way to get the attention of the nursing home.
Kelly: That’s really good advice. Thanks, Jim. So how do people know if a nursing home is good or bad?
***James***: Well, I tell people my two favorite online resources for finding information out about nursing homes. And these resources will give you information on what the patient’s rights are, what the state and federal regulations are that govern the care that’s supposed to be given in a nursing home. And they’ll give you some history on the nursing homes. So, you can look up what complaints have been made against nursing homes. What complaints have been substantiated against nursing homes? How many complaints does this nursing home get compared to other complaints? I’m going to give you three total things to look for, but I’m going to tell you two websites that are super helpful to me and that I always recommend people look at. One is a California website, but it’s useful for people all over the country because a lot of the information on there refers to federal regulations, and federal regulations will govern all nursing homes, not just the ones in the state of California. But that nursing home is– I’m going to say it, and then I’m going to describe it. It’s canhr.org. C-A-N-H-R, dot org, and that stands for California Advocates for Nursing Home Reform. That website is great for all kinds of information, not just California-specific information.
But the other website that’s fantastic, believe it or not, is medicare.gov. And if you go to Google and you just type– in Google, type in Nursing Home Compare or Medicare Nursing Home Compare, either one, and the first thing that’s going to pop up is Medicare’s website that talks about nursing homes. And you’re going to be able to look for nursing homes by zip code or city. When you find nursing homes, you’re going to be able to click on them, and you’re going to be able to find out who owns that nursing home, what complaints have been made against that nursing home, what the staffing is. Medicare has a star rating, one to five stars. I don’t always look at the star rating because the star rating is based on information that the nursing home provides to Medicare. But it’s helpful more for me to look at the complaints against the nursing home and see what complaints have been substantiated against the nursing home. But let me give you one more thing to look up because you asked, “How do you know if it’s a good or bad nursing home?” I’m going to tell you something to look up that’s going to tell you if a nursing home is bad, okay?
And what I mean by that is they have been put on notice by Medicare that they may lose their federal funding unless they straighten up their act. So, I always tell people to go to Google and type in, “Special focus facility.” The special focus facility list will come up, and that will be a list of nursing homes that are of special focus to Medicare because Medicare has warned them they’ve got to straighten up their act, they’ve got to take better care of residents, or they’re going to lose their federal funding. They’re going to lose their Medicare funding. If you see a facility on that special focus facility list, I would absolutely not let a loved one go to that facility. That is the best advice I can give as far as knowing whether a nursing home is good or bad. You can’t tell by the outside of the nursing home. If it looks nice, to me, that just means they’re spending all their money on gardening and making it look pretty. You got to go in there. You got to see, “Does this place smell? Does it smell bad because they’re not changing the residents timely? Is it hot because they don’t have air conditioning?” Because believe it or not, not all nursing homes have air conditioning. So, other than just walking in and using your best judgment, those are the websites that I would go to to get information on nursing homes.
Kelly: Wow. Thanks for providing those great resources, Jim. We appreciate that. And lastly, if someone suspects that a family member is being abused in a nursing home, what should they do?
****James******: So back to what I said earlier, make a complaint to the director of nurses and the administrator at the nursing home, not just a verbal complaint, put it in writing. Make sure you have a letter or an email that you send to them. Or sometimes they’ll give you their cell numbers. You can put it in a text. But I always ask clients who call me, “Did you complain to the director of nurses or the administrator? And when and what did you say?” Because you need a trail of documentation showing that you put them on notice that certain things weren’t being done and certain changes needed to be made. So, I always say, “Make a complaint and be able to trace that complaint.” If that’s not sufficient for taking care of the problem, then you go to the state, and you make a complaint to the state, and you ask the state to do a complaint investigation. In California, it’s called the Department of Public Health. It’s something similar in every state, but you can go online. And you can go to that Medicare website that I told you about, Nursing Home Compare at Medicare.gov. And there will be a link to how to make a complaint against a nursing home to the state.
And so, looking at those websites and getting that information and making complaints, and if the abuse is bad enough or not being addressed still or somebody’s been injured, then you can always look for an attorney and consult with an attorney to say, “Hey, is this right? Am I wrong? What can I do? Does this rise to the level of a lawsuit? Should we do something more?” But if you type in, “Nursing home abuse and neglect lawyer,” wherever you are, I’m sure you’re going to get a lot of attorneys’ offices popping up. And talk to a law firm that specializes in that type of litigation. My advice is don’t talk to just somebody who does all kinds of personal injury, auto accidents, and falls. Talk to some law firm that specializes in suing nursing homes and assisted living facilities.
Kelly: Thank you so much for providing that for us, Jim. And thank you for sharing your insights with us on how to identify nursing home abuse, prevent negligence, and evaluate care facilities. And if a listener wants to learn more or contact you to discuss this topic further, how best can they do that?
***James***: They can go to our website, number one, which is lanzonemorgan.com, L-A-N-Z-O-N-E M-O-R-G-A-N, Lanzone Morgan. Or they can call us 888-887-9777. But if you look up Lanzone Morgan in Google, you will certainly find us pretty easily. I think we’re the only firm in the country named Lanzone Morgan.
Kelly: All right. Thank you for providing that. And thank you all for joining us for this episode of The Hospital Finance Podcast. Until next time…
[music] This concludes today’s episode of The Hospital Finance Podcast. For show notes and additional resources to help you protect and enhance revenue at your hospital, visit besler.holdings/podcasts. The Hospital Finance Podcast is a production of Besler Holdings.
If you have a topic that you’d like us to discuss on The Hospital Finance Podcast or if you’d like to be a guest, drop us a line at contact@besler.holdings.
Subscribe Today!
945.237.1009
116 Village Blvd., Suite 200
Princeton, New Jersey 08540
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©2026 Besler Holdings Terms of Use | Privacy Policy | Corporate Compliance
The post How to Identify Nursing Home Abuse, Prevent Negligence, and Evaluate Care Facilities [PODCAST] appeared first on Besler Holdings.
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In this episode, Erik Swanson, Managing Director leading Kaufman Hall's Data & Analytics Group, discusses the latest Kaufman Hall Hospital Flash Report with data through April 2025.
In this episode, Randi Deckard, BESLER's SVP of Growth, provides us with a glimpse into BESLER's Executive Reimbursement Roundtable on June 18, at 1 PM ET.
In this episode, Ameet Wattamwar, Director of Health Systems Strategy at Shields Health Solutions, discusses the role of specialty pharmacy & improving patient outcomes.
In this episode, Olga Barone-Allan provides a glimpse into BESLER's free webinar, Understanding Denials: Strategies for Improvement in the Revenue Cycle, presented live on June 4, 1 PM ET.
In this episode, Scott Ramey, Founder of The Scott Ramey Group, shares how authentic leadership begins with mastering your own voice & presence.
In this episode, BESLER's Victoria Hernandez provides us a preview of Hospital Finance Academy Webinar, Updates on ICD-11: What You Need to Know, live on Wed., May 21, at 1 PM ET.
In this episode, BESLER IT leaders Jason Nadal & Eric Englebretson join us to discuss current trends in healthcare & AI.
In this episode, BESLER Sr. Mgr. Meliza Weiner, gives a glimpse into BESLER's next Webinar, The Evolving Role of Case Management, live on May 7, 1 PM ET.
In this episode, Victoria Hernandez provides us with a glimpse into BESLER Academy Webinar, Understanding New Technology Add-on Payment (NTAP) - Its Role & Significance in Hospital Reimbursement, presented live on April 30, 1 PM ET.
In this episode, Khaled Nasr, Medely COO, shares building a talent pool while attracting & retaining high-quality, contingent healthcare workers.
In this episode, Kristen Eglintine gives us a glimpse into BESLER's Webinar, Navigating Coding & Documentation Challenges for High-Volume Diagnoses, live on April 16, at 1 PM ET.
In this episode, Randy Lyman, Author of The Third Element, discusses the role of emotional intelligence and business success.
In this episode, BESLER leaders give us with a glimpse into BESLER's next free webinar, Exploring IME & GME - Hospital Reimbursement & Revenue Integrity Perspectives, live on Wed., Apr. 2, at 1 PM ET.
In this episode, Theresa Hush, Co-founder & CEO of Roji Health Intelligence, discusses The Value-Based Care Reckoning - Why Hospital Giants Are the Next Battleground in the War on Costs.
In this episode, BESLER leader Kristen Eglintine provides a glimpse into BESLER's next free Webinar, Coding Clinic Q4 2024: Updates & Insights, live Wed., Mar. 19, at 1 PM ET.
In this episode, Gloryanne Bryant, HIM Coding & CDI Compliance Consultant, discusses how coding audits help meet compliance.
In this episode, Laurie Jaccard & Steven Berger of Clinical Intelligence, provide a sneak peek into upcoming webinar, Clinical Variation Reduction Program Outcomes, live on March 12, at 1 PM ET.
In this episode, Derek Streat, Founder, CEO & Chairman of DexCare, discusses unlocking capacity, growth strategies for CFOs & COOs in healthcare.
In this episode, Randi Deckard provides a glimpse into BESLER's upcoming free Hospital Margin Improvement Roundtable on Wed., Feb. 26, 1 PM ET.
In this episode, Mary Devine provides us with a glimpse into BESLER's next free Webinar, The Importance of the Transfer Rule in Optimizing Hospital Revenue Cycle, presented live on Wed., Feb. 19, at 1 PM ET.
In this episode, Christina Brown provides us with a glimpse into BESLER's next free Webinar, Maximize the Accuracy of IME/GME, live on Wed., Feb.12, at 1 PM ET.
In this episode, Laurie Jaccard & Steven Berger of Clinical Intelligence, provide a look at upcoming webinar Clinical Variation Reduction Program Process, live on February 5, at 1 PM ET.
In this episode, David Alemian discusses boosting hospital profits, mastering talent retention for financial and operational excellence.
In this episode, Meliza Weiner, BESLER's Sr. Mgr. of Revenue Cycle, provides us with a glimpse into free webinar, Medicare Advantage: Key Trends in 2025, live on Wed., Jan. 29, at 1 PM ET.
In this episode, BESLER's President & CEO, Jonathan Besler, provides us with his thoughts on 2024 & his 2025 outlook.
In this episode, Laurie Jaccard & Steven Berger of Clinical Intelligence, provide a sneak peek into upcoming webinar Clinical Variation Reduction Program Structure live on Wed., Jan. 15, at 1 PM ET.
In this episode, Andrew Kinnaman provides us with a glimpse into BESLER's next free live webinar, Avoid Chaos: Guide to Cost Report Preparation, live on Jan. 8, at 1 PM ET.
In this Best of 2024 episode, John Ballentine, Exec. Dir. at Prisma Health, shares the finance side of academics & opportunities for health systems.
In this Best of 2024 episode, Anurag Lal, President & CEO of NetSfere, discusses the true cost of secure healthcare communications.
In this episode, Dilpreet Sahota, Co-founder & CEO of Trek Health, shares navigating payer negotiations with price transparency.
In this podcast episode, Dr. Steve Hippler & Dr. Larry Weinzimmer discuss fortitude, new insights you can use to decrease burnout.
In this episode, Bob McDowell, EESLER Sr. Reimbursement Consultant, provides a glimpse into BESLER's webinar, CY 2025 OPPS Final Rule Summary, live on Wed., Dec. 11, at 1 PM ET.
In this 'Best of 2024' episode, Dr. Ahzam Afzal & Matt Nieukirk discuss combating hospital readmissions to improve health system & patient outcomes.
In this episode, Victoria Hernandez, BESLER Sr. Coding Analyst, provides a glimpse into BESLER's next webinar, The Basics of Procedure Coding, live on December 4, at 1 PM ET.
In this episode, Randi Deckard, provides us with a glimpse into BESLER's next live Academy Webinar - Stay Compliant with Updates for Cardiothoracic Coding & Documentation - that our partner, PANACEA, is presenting live on Nov. 20, at 1 PM ET.
In this episode, Becky Kahn, Healthcare Workforce Solutions & Staffing Leader & Chief Client Officer at Works & Trusted Health, discusses the future of contingent labor & healthcare.
In this episode, Victoria Hernandez discusses BESLER's next Webinar, Preparing for ICD-11, presented live on November 6, at 1 PM ET.
In this episode, Christina Brown provides a glimpse into BESLER's next webinar, Evolution of Uncompensated Care, presented live October 30, at 1 PM ET.
In this episode, Emily Cook, Partner at McDermott Will & Emery, discusses balancing cost reporting compliance & 340B Program considerations
In this episode, Jason Nadal & Eric Englebretson, leaders from BESLER's IT team, provide a 2024 healthcare cybersecurity refresher.
In this episode, Victoria Hernandez, Sr. Coding Analyst with BESLER, provides us with a glimpse into BESLER's next Webinar - Coding Updates from IPPS 2025 - coming on Wed., October 9, at 1 PM ET.
In this episode, Jeff Bartsch, Founding Communications Strategist at Story Greenlight, discusses how hospital financial staff can gain greater influence in the workplace.
In this episode, Dr. David Stoffel, Chief Business Officer at RapidAI, discusses combating negative margins with advanced clinical AI.
In this episode, Celi Arias CEO & Founder of The Grown Ass Business, discusses the leadership self-care guide.
In this episode, Bob McDowell provides us with a glimpse into BESLER's next Webinar, FY 2025 IPPS Final Rule Summary, live on Sept. 11, at 1 PM ET.
In this episode, Chelsea Ryckis, Entrepreneur & the award-winning Founder & President of Ethos Benefits, discusses unmasking toxic positivity.
In this episode, Victoria Hernandez, BESLER Senior Coding Analyst will provide us with a glimpse into the first webinar as part of BESLER's newly launched The Hospital Finance Academy, The Role of CDI, that she's presenting live on Wednesday, August 28th, at 1 PM ET.
In this episode, Christina Brown gives us a glimpse into BESLER's 2024 Reimbursement Symposium that we're presenting live on Wed., Aug. 21, starting at Noon ET.
In this episode, Dan Crittenden, CEO at RevMed, discusses overlooked savings that can be found in the supply chain and on stockroom shelves.
In this episode, Mike Murphy, Managing Partner of Sunstone Management Advisors, discusses making the strategic financial decisions that will stimulate growth.
In this episode, Nadian Zak & Kacie Scott, Partners of Zak Consulting Group, discuss how to build a high-performance team.
Cody Bales, BESLER Reimbursement Manager, provides us with a glimpse into upcoming webinar: Wage Index Strategies live July 24, 1 PM ET.
In this episode, Michael W. Allison, Executive Business Consultant & Personal Growth Coach, discusses how to build mental resilience in the face of adversity.
In this episode, Mary Devine, BESLER's VP-Revenue Integrity, provides a glimpse into our next webinar, Use of Condition Codes in the Transfer Rule, coming live July 10, at 1 PM ET.
In this episode, Julie Coraccio, Certified Life Coach & Author, discusses how to Declutter Your Office Space & Your Mind for a Successful Workday.
In this episode, Christina Brown, BESLER's Director of Reimbursement Services, provides us with a glimpse into the next webinar in our Fundamentals of Reimbursement Series, Reimbursement Updates 2024, presented live on Wednesday, June 26th at 1 PM E.T.
In this episode, Dr. Ahzam Afzal, Co-founder/CEO of Puzzle Healthcare, & Matt Nieukirk, Dir. of Skilled Nursing Practice at OSF, discuss combating hospital readmissions to improve health system & patient outcomes.
In this episode, Cody Bales, BESLER Reimbursement Manager, provides a glimpse into our next webinar, Organ Acquisition Principles, live on June 12, at 1 PM ET.
In this episode, Rodney Adams, VP of Research & Reimbursement for Tennessee Hospital Association, discusses the impacts of regulations on the revenue cycle.
In this episode, Meliza Weiner, BESLER's Sr. Manager of Revenue Cycle, provides us with a glimpse into our next webinar, The Role of Case Management in the Revenue Cycle, presented live on May 29, at 1 PM ET.
In this episode, Garrick Stoldt, CFO at Saint Peter's Healthcare System, discusses Transforming Financial Performance-Expert Advice & Guidance on Hospital Revenue Optimization From a CFO.
In this episode, Kristen Eglintine, BESLER's Coding Manager of Revenue Integrity Services, provides us with a glimpse into our next webinar, OIG Workplan Summary, live on May 15, at 1 PM ET.
In this episode, Nick McLaughlin, Founder & CEO of Breez Health, discusses the state of hospital financial assistance programs in 2024.
In this episode, Olga Barone-Allan, BESLER's Director of Revenue Integrity, provides us with a glimpse into our next webinar, Medicare Advantage: Emerging Trends in 2024, presented live May 1, at 1 PM ET.
In this episode, Tim Powell, Sr. Reimbursement Consultant at BESLER, gives us with a glimpse into our next webinar, Understanding 340B, coming live on April 24, at 1 PM ET.
In this episode, Stacey Wasserman, Chief Business Officer at Medisafe, discusses the impact of medication adherence on healthcare economics.
In this episode, Michael J. McLafferty, CEO/Founder at MJM Advisory & Educational Services LLC, discusses improving cash flow for physician organizations.
In this episode, Randi Deckard, BESLER's SVP of Client Engagement & Kristin DeGroat, BESLER's Compliance & General Counsel, provide us with a recap from the recent AHLA show in Baltimore.
In this episode, Kristin DeGroat, BESLER's Compliance & General Counsel Officer, & Christina Brown, BESLER's Director of Reimbursement Services, gives us a glimpse into our upcoming webinar, Guide to Appeals, coming April 3, at 1 PM ET.
In this episode, David Filstein, Sr. Dir. of Corp. Strategy at Shields Health Solutions, discusses how integrated specialty pharmacy improves health system economics & patient outcomes.
In this episode, Victoria Hernandez, Sr. Coding Analyst at BESLER, gives us a glimpse into our upcoming webinar, HCC Best Practices on March 20, 1 PM ET.
In this episode, Wendy Sellers, Author, Speaker, Trainer & Consultant, also known as "The HR Lady", provides us with some realistic HR advice.
In this episode, Randi Deckard, BESLER's SVP of Client Engagement, gives us a glimpse into our upcoming webinar, Executive Reimbursement Roundtable, live on March 6, 1 PM ET.
In this episode, Olivia Smith, Transformation Expert & Founder of Write a New Story, discusses understanding who you are & how that impacts the bottom line.
In this episode, Christina Brown, BESLER's Director of Reimbursement Services, gives us a glimpse into her upcoming webinar, The Cost Report Domino Effect 2024, Feb. 21, 2024, at 1 PM ET.
In this episode, John Ballentine, Exec. Dir. for Academics Finance Administration at Prisma Health, discusses the finance side of academics & the opportunities.
In this episode, Randi Deckard, VP, Client Engagement at BESLER, gives us a recap from the recent HFMA Western Symposium 2024 Carnival.
In this episode, Olga Barone-Allan, Director of Revenue Integrity at BESLER, gives us a glimpse into our upcoming webinar, IME/GME Revenue Recovery Strategies on Feb. 7, 2024.
In this episode, we're pleased to welcome Anurag Lal, President & CEO of NetSfere, to discuss the true cost of secure healthcare communications.
In this episode, Andrew Kinnaman, BESLER Reimbursement Manager, gives us a glimpse into our first webinar in BESLER's Fundamentals of Reimbursement Webinar series, Related Organizations Principles & Medicare Cost Report Best Practices on Wed., Jan. 24, at 1 PM ET.
In this episode, BESLER's President and CEO, Jonathan Besler, provides us with his thoughts on 2023 and his 2024 outlook.
In this episode, Kristen Eglintine, Coding Manager of Revenue Integrity Services at BESLER, gives us a glimpse into BESLER's next webinar, Coding Clinics from 2023, on Wednesday, January 10, 2024, 1 PM ET.
In this Best of 2023 Episode, Rodney Adams, Vice President of Research & Reimbursement at Tennessee Hospital Association, gives insights on what providers can do regarding payors & healthcare workforce shortages.
In this episode, Bob McDowell, BESLER's Senior Reimbursement Consultant, gives us a glimpse into BESLER's upcoming webinar, FY 2024 IPPS Final Rule Summary, that he's presenting on Sept. 13, 2023, at 1 PM ET.
In this episode, Jason Povio, President & Chief Operating Officer for Eagle Telemedicine, discusses our financially broken healthcare delivery & how we can fix it.
In this episode, we're pleased to welcome Gita Barry, President of Immersive Healthcare at Penumbra, Inc. & Thomas Hutchinson, Executive Director of Digestive Health & Experiential Reality at Hoag Hospital, to discuss the future of providers integrating new tools.
In this episode, Jeff Wolf, Director of Reimbursement Software, and Christina Brown, Director of Reimbursement Services, gives us a glimpse into BESLER's upcoming Reimbursement Symposium coming on Wednesday, August 23, 2023, starting at 11:30 a.m. ET for current Easy Work Papers customers and open to all at 1 p.m. ET.
In this episode, Teresa Rand, Former President & CEO of YMCA & Founder of Teresa Rand Consulting, discusses tips on how to identify strengths, maximize potential & advance your career.
In this episode, we're pleased to welcome BESLER's Reimbursement Manager, Andrew Kinnaman, to give us a glimpse into the next webinar in BESLER's Reimbursement Best Practices Series, Payments for Nursing and Allied Health Education on the Cost Report hosted on Wednesday, August 9th at 1 PM E.T.
In this episode, we're pleased to welcome Todd Bellemare, SVP of Strategic Solutions at Definitive Healthcare, to discuss retail clinics and how providers can adapt.
In this episode, Kristen Eglintine, Coding Analyst Supervisor at BESLER, gives us a glimpse into the upcoming BESLER Webinar, Coding and Documentation Challenges for Key Diagnoses, on July 26, at 1 PM ET.
In this episode, we're pleased to welcome Braden Pan, Founder & CEO of Resolve Medical Debt, to discuss resolving medical debt.
In this episode, we're pleased to welcome back Tim Powell, Senior Reimbursement Consultant at BESLER to give us a glimpse into the upcoming BESLER webinar: Reimbursement Best Practices series, Bed Management on Wednesday, July 12th at 1 PM ET.
In this episode, we're pleased to welcome Dr. Steven Rube, Chief Clinical Officer at IMO, to discuss combating healthcare industry headwinds through data standardization.
In this episode, Jim Robertson, Partner and Chair at Greenbaum, Rowe, Smith & Davis, discusses thinking outside the box when challenging state DSH subsidies.
In this episode, Randi Deckard, BESLER's Senior Vice President of Client Engagement, discusses BESLER's upcoming Reimbursement Executive Roundtable that she is moderating on June 21, at 1 PM ET.
In this episode, Dr. Catherine MacLean, Professor of Medicine at Weill Cornell Medical College, & Senior Vice President & Chief Value Medical Officer at the Hospital for Special Surgery, discusses the value in musculoskeletal care.
In this episode, Christina Brown, BESLER's Director of Reimbursement, gives us a glimpse into the next Webinar in our Reimbursement Best Practices series, Reimbursement Updates, on June 7, 2023, at 1 PM ET.
In this episode, Gregory Fliszar, Vice Chair of Cozen O'Connor's Healthcare & Life Sciences practice, talks about unlawful 340B drug underpayments.
In this episode, Olga Barone-Allan provides a glimpse into the upcoming BESLER webinar: The Importance of Data Analytics in Improving Your KPIs on Thursday, May 25, at 1 PM ET.
In this episode, we're pleased to welcome Derek Streat Founder, CEO & Chairman of DexCare, discusses technology platforms becoming mission critical for U.S. health systems.
In this episode, Liz Kirk, SVP of Market Intelligence & Strategic Growth at Strata Decision Technology, discusses value-based care & how it impacts financial planning models.
In this episode, Kristen Eglintine, Coding Supervisor at BESLER gives us a glimpse into the upcoming webinar, Extensions & Clustering - Two New Features within ICD-11 that we're hosting on May 3, 2023, at 1 PM ET.
In this episode, we're pleased to welcome Tom Sullivan, Editor-in-Chief at League, to discuss the impact of technology and CX on healthcare.
In this episode, Meliza Weiner, BESLER's Senior Manager of Revenue Cycle & Clinical Review Nurse, gives us a glimpse into the upcoming webinar - The Impact of Utilization Management & Readmissions - coming on April 19, 1 PM ET.
In this episode, we're pleased to welcome back Erik Swanson of Kaufman Hall to discuss the results of the latest National Hospital Flash Report.
In this episode, Christina Brown, BESLER's Director of Reimbursement Services, gives us a glimpse into the upcoming Reimbursement Best Practices webinar series on Medicare Bad Debts on April 5 at 1 PM ET.
In this episode, Cody Bales, BESLER Sr. Reimbursement Consultant, gives a glimpse into the next webinar in BESLER's Reimbursement Best Practices Series on Occupational Mix, live on Wednesday, March 29 at 1 PM ET.
In this episode, we're pleased to welcome Gloryanne Bryant, Consultant, Speaker & Educator, to discuss healthcare denials, trends, key findings, actionable steps, and more.
In this episode, we're pleased to welcome Dr. Garry Cooper, the cofounder and CEO of Rheaply, to discuss creating a circular economy in healthcare.
In this episode, we're pleased to welcome back Tim Powell, Senior Reimbursement Consultant at BESLER. Tim will give us a glimpse into the upcoming BESLER webinar in our Reimbursement Best Practices webinar series on IME and GME.
In this episode, we're pleased to welcome Adam Baruh, Host of The Change podcast and CEO of SuiteCentric, a NetSuite Consulting Company & EIQ Media to share with us how to be more mindful, lead with empathy & kick negative self-talk.
In this episode, we're pleased to welcome back Olga Barone-Allan, Director of Revenue Integrity at BESLER to give you a glimpse into an upcoming BESLER webinar: IME and GME Revenue Recovery which is live on Wednesday, February 22nd at 1pm EST.
In this episode, we're pleased to welcome Rodney Adams, Vice President of Research and Reimbursement at Tennessee Hospital Association to give insights on what providers can do regarding payors and healthcare workforce shortages.
In this episode, we're pleased to welcome back Tim Powell, Senior Reimbursement Consultant with BESLER to give you a glimpse into an upcoming webinar: Reimbursement Best Practices Series, Cost Report Fundamentals.
In this episode, we're pleased to welcome back Andy Sutton, Software Architect at BESLER to share changes to the CMS Intern and Resident Information System, better known as IRIS.
In this episode, we're pleased to welcome back Kristen Eglintine, Coding Analyst Supervisor at BESLER, to give you a glimpse into the upcoming BESLER webinar Medicare Appropriate Use Criteria, or AUC, Program: What You Need to Know to Properly Code.
In this episode, we're pleased to welcome Array Behavioral Care's Vice President of Sales, Scott Baker, & Physician Executive, Dr. Brian Schurgin, to share tele-behavioral health trends, applications & best practices.
In this episode, we're pleased to welcome back BESLER's Reimbursement Director, Christina Brown, to give us a sample of what will be shared for the Disproportionate Share & Medicaid Eligibility Reviews (DSH) 101 Webinar on January 11, 2023, at 1 PM ET.
In this Best of episode, Bill Kampine, Co-Founder & Chief Innovation Officer at Healthcare Bluebook, helps us understand more about The No Surprises Act and its implications for providers.
In this Best of 2022 episode, Knicole Emanuel, Partner at Practus LLP, shares what you can do to help your chances of prevailing should you bring a claim to cease recoupment of an overpayment.
In this episode, we’re pleased to welcome David Sanchez, the founder and CEO of Digitalis Medical and Miracle Recovery, to discuss how to tell whether marketing is an expense or an asset. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: How to measure marketing results...
In this episode, we're pleased to welcome BESLER's Senior Reimbursement Consultant Tim Powell, to provide a sample of the information that he will be sharing in the upcoming 2023 OPPS Final Rule Summary webinar.
In this episode, we're pleased to welcome Todd Nelson, Director of Partner Relationships and Chief Partnership Executive at HFMA to discuss with us leveraging peer recommendations and HFMA membership benefits.
In this episode, we're pleased to welcome Ben Reuter, PhD, an exercise physiologist with interests in injury prevention, performance enhancement for endurance athletes, and using movement to enhance quality of life. In this episode, Ben will share with us the benefits of movement.
In this episode, we’re pleased to welcome Steve Lefar, Strata Decision Technology’s Chief Strategy Officer, to discuss the cost of healthcare and the many challenges organizations face in terms of reducing healthcare costs. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Core challenges organizations face...
In this episode, we're pleased to welcome back Randi Deckard, BESLER's Senior Vice President of Client Engagement to discuss her experience at the recent HFMA Lone Star Women's Dinner.
In this episode, we’re pleased to welcome back BESLER’s Senior Manager of Revenue Cycle and Clinical Review Nurse, Meliza Weiner. In this episode, Meliza will share a Medicare Advantage update ahead of what she will share in an upcoming BESLER webinar. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights...
In this episode, we’re pleased to welcome Kevin Samuelson, CEO at Infor, to speak to the intersection of finance and healthcare technology and how the role of the CFO has evolved. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Current challenges hampering the healthcare industry?...
In this episode, we’re pleased to welcome back BESLER’s Reimbursement Manager, Andrew Kinnaman. In this episode, Andrew will discuss Medicare Settlement 101. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Important data when working on settlement Medicare Payment Summary and Statistical Report Most common errors...
In this episode, we welcome back Cody Bales, Senior Reimbursement Consultant at BESLER, who’s here to discuss the Disproportionate Share Hospital, affectionately known as DSH survey for New Jersey. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: What is the Medicaid DSH survey What...
In this episode, we welcome back Mary Devine, BESLER’s Vice President of Revenue Integrity, to discuss discharge dispositions in readmissions. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: CMS Medicare Readmissions rule What patient data is reviewed Impacts on readmissions Recommendations on readmissions and discharge...
In this episode, we’re pleased to welcome Jonathan Tycko, Partner at Tycko & Zavareei, to discuss whistleblowing in healthcare and how to avoid lawsuits. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: What is qui tam lawsuit under the False Claims Act? Are qui tam...
In this episode, we’re pleased to welcome back Kristen Eglintine, Coding Analyst Supervisor at BESLER, to discuss coding and documentation challenges hospitals face on high volume diagnoses. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Challenging high volume diagnoses Why these six conditions? How to...
In this episode, we’re pleased to welcome back Cody Bales, Senior Reimbursement Consultant at BESLER, to discuss organ acquisition reimbursement on the Medicare Cost Report. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Why is organ acquisition important? Types of expenses that are considered allowable Read More
In this episode, we’re pleased to welcome Kristen Eglintine, Coding Analyst Supervisor at BESLER, to discuss the coding updates from the IPPS 2023 Final Rule. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: COVID-19, still impacting healthcare? ICD-10-CM changes that coders can expect to see in Read More
In this episode, we’re pleased to welcome back Cody Bales, Senior Reimbursement Consultant at BESLER, to discuss Wage Index. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: What is wage index? How wage index impacts hospital reimbursement What hospitals can do to improve their wage Read More
In this episode, we welcome back Dr. David Feldman, Chief Medical Officer for the Doctors Company & TDC Group, on part 2 to talk about why a culture of patient safety matters. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Economic benefits of establishing wide-ranging Read More
In this episode, we welcome Dr. David Feldman, Chief Medical Officer for the Doctors Company & TDC Group, on part 1 to talk about why a culture of patient safety matters. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Patient safety Career passion Current state Read More
In this episode, we welcome Matt Seefeld, Executive Vice President of MedEvolve, to talk about the power of effective intelligence and addressing revenue cycle challenges and staffing shortages. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Revenue cycle challenges due to staffing shortages Is healthcare Read More
In this episode, we welcome back Brenna Jenny, Partner at Sidley Austin LLP, to discuss the recent HHS-OIG Special Fraud Alert, plus DOJ enforcement developments related to telehealth. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: How government enforcement authorities been responding to the new Read More
In this episode, we welcome back Wade Wright, Chief Technology Officer at BESLER, here to discuss cybersecurity as it pertains to healthcare. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Most common types of cyber attacks in healthcare Difference between a ransomware attack and a Read More
In this episode, we welcome back Christina Brown, Reimbursement Manager at BESLER, to give us the highlights of the Fiscal Year 2023 IPPS Final Rule. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: FY2023 IPPS Final Rule Highlight of the most significant and impactful rules Read More
In this episode, we are joined by Susan Kohler, Senior Vice President of Revenue Services at Greenway Health, to discuss staffing challenges in health care and alternatives available to lessen the impact. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Staffing challenges Burnout among clinical Read More
In this episode, we welcome back Cody Bales, Senior Reimbursement Consultant at BESLER, who’s here to discuss the Disproportionate Share Hospital, affectionately known as DSH survey for New Jersey. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: What is the Medicaid DSH survey What is Read More
In this episode, we welcome back Mary Devine, BESLER’s Vice President of Revenue Integrity, to discuss discharge dispositions in readmissions. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: CMS Medicare Readmissions rule What patient data is reviewed Impacts on readmissions Recommendations on readmissions and discharge Read More
In this episode, we are joined by Nate Allen, Senior Vice President and Eligibility Practice Leader at Firstsource, to discuss how hospitals and health systems can prepare for a historic Medicaid redetermination surge. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Who is Firstsource What Read More
In this episode, we are joined by Richard Palarea, CEO of Kermit, to talk with us about the advantages and challenges associated with delivering visibility into implantable medical device transactions. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Who is Kermit The process Pricing Physician Read More
In this episode, we welcome back Christina Brown, Reimbursement Manager at BESLER, to talk about Worksheet S-10 as part of our Reimbursement 101 series. Learn how to listen to The Hospital Finance Podcast® on your mobile device. To watch Christina’s “S-10 101” webinar, click HERE. Highlights of this episode include: What makes Worksheet S-10 an Read More
In this episode, we welcome back Jeff Wolf, Director of Reimbursement Software, to discuss Medicare reimbursement for Direct Graduate Medical Education (GME) and Indirect Medical Education (IME). Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: What is IME/GME reimbursement How Medicare pays for IME and Read More
In this episode, we welcome back Erik Swanson of Kaufman Hall to discuss the results of the latest National Hospital Flash Report and how it shows that hospitals across the country are still struggling financially. Learn how to listen to The Hospital Finance Podcast® on your mobile device. To read Kaufman Hall’s National Hospital Flash Read More
In this episode, we welcome back Ted Rossman, Senior Industry Analyst at Bankrate to talk with us about what it means for consumers and their credit scores after the credit bureaus removed paid medical collections from all credit reports. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this Read More
In this episode, we are joined by Jeff Wolf, Director of Reimbursement Software at BESLER, to talk with us about the importance of managing your Medicare bad debts correctly. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Overview Medicare bad debts The importance of Medicare Read More
In this episode, we are joined by Zach Hartsell, Principal and APP Growth Team Leader at SullivanCotter to explain the Final rule considerations related to the revised conditions for submitting split-shared visits for reimbursement. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: What a split-shared Read More
In this episode, we are joined by Clay Ogden of SRA, to help us understand what an 831(b) plan is and how they can help healthcare providers mitigate risk. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: What is an 831(b) plan How 831(b) plans Read More
In this episode, we welcome back Mary Devine, Vice President of Revenue Integrity at BESLER, to review recent additions to the OIG workplan. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: OIG updates – How often and What’s new? COVID updates Items that remain open Read More
In this episode, we are joined by Dr. Aaron Schwartz, Assistant Professor at the University of Pennsylvania to discuss their research into coverage denials for medical services that do not meet medical necessity criteria. Learn how to listen to The Hospital Finance Podcast® on your mobile device. You can find the study discussed today “Coverage Read More
In this episode, we are joined by Ian Schnoor Executive Director of the Financial Modeling Institute to help us understand the risks associated with poor financial modeling and how to leverage financial modeling in the healthcare environment. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Read More
In this episode, we are joined by Bill Kampine Co-Founder and Chief Innovation Officer at Healthcare Bluebook to help us understand more about The No Surprises Act and its implications for providers. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Who is Healthcare Bluebook Overview Read More
In this episode, we welcome back Bridget Nolan, Coding Analyst at BESLER, to talk about the two new features within ICD-11. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Need for 11th revision of ICD ICD-11 Extension Codes Clustering Mike Passanante: Hi, this is Mike Read More
In this episode, we are joined by Erik Swanson and Matthew Bales of Kaufman Hall, to discuss the results of the their recent National Hospital Flash Report and the Physician Flash Report. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Performance levels without CARES Act Read More
In this episode, we are joined by BESLER’s Reimbursement Consultant, Cody Bales to help us understand more about geographic reclassification and how you might be missing out on some reimbursement opportunities. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: What geographic reclassification is The benefits Read More
In this episode, we are joined by BESLER’s Vice President of Revenue Integrity, Mary Devine, to help us understand the rules around hospital-to-hospital transfers and how COVID has impacted them. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Pandemic and waiver impact The decision to Read More
In this episode, we are joined by Eric Kinariwala, Founder & CEO of Capsule, a technology business rebuilding the pharmacy industry from the inside out. Eric is here to talk with us about the future of healthcare post-COVID. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode Read More
In this episode, we welcome back Ferris Taylor, Executive Director at Healthcare Executive Group to talk us through the issues that are at the top of the list for key healthcare executives in 2022. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Healthcare Executive Group What Read More
In this episode, we are joined by Andrew Kinnaman, Reimbursement Manager at BESLER to talk with us about Worksheet A6 Reclassifications on the Medicare Cost Report. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Purpose of the Worksheet A6 Reclassifications Medicare requirements for filing the Read More
In this episode, we are joined by Matt Lattman, Vice President of Personal Loans at Discover to discuss the results of a survey that looked at how Americans dealt with medical debt during the pandemic. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Methodology for Read More
In this episode, we are joined by Bridget Nolin, BESLER’s Coding Analyst to discuss what you need to know about Medicare’s Appropriate Use Criteria program (AUC). Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: What is the AUC program Advanced diagnostic imaging Who will be Read More
In this episode, we are joined by Dr. Jordan Albritton, a Research Public Health Analyst at RTI International to explain the benefits and issues associated with video teleconferencing as a substitute for in-person healthcare. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Research overview Primary Read More
In this episode, we are joined by BESLER’s Senior Reimbursement Consultant Christina Brown, to talk with us about Non-Allowable costs on the Medicare Cost Report. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: What is a non-allowable cost Type of expenses not related to patient Read More
In this episode, we welcome back Erik Swanson of Kaufman Hall to discuss the results of the latest National Hospital Flash Report that looks at the financial performance of hospitals. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Overall Hospital performance Volume softening Why consumers Read More
In this episode, we welcome back Knicole Emanuel, Partner at Practus LLP to share what you can do to help your chances of prevailing should you bring a claim to cease recoupment of an overpayment. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Five stages Read More
In this episode, we welcome back Paul Keckley, Managing Editor of The Keckley Report to share with us what he sees as major trends and issues in health care for the coming year. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Policy shifts within the Read More
In this Best of 2021 episode, Dr. Eric Edwards, CEO, and Co-Founder of Phlow, joins us to discuss how drug shortages affect hospitals in terms of costs and patient care, and what is being done to avert future shortages. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this Read More
In this best of 2021 episode, we are joined by Andrew Kinnaman, BESLER’s Reimbursement Manager, who talks to us about what it means to be designated as a Rural Health Clinic. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: When and why the Rural Health Read More
In this episode, we are joined by Sandy Brewton, Senior Healthcare Consultant at Panacea Healthcare Solutions, to talk about both inpatient and outpatient coding changes that will affect you in 2022. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: How many new codes have been Read More
In this episode, we are joined by Chris Cox, Senior Vice President of Product and Strategy at iVita Financial, to discuss the results of a study regarding payment preferences and concerns and implications for health systems. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Why Read More
In this episode, we welcome back Josh Weissenborn, BESLER’s Reimbursement Services Manager, to give a summary of the 2022 OPPS Final Rule. Josh will focus on the key changes and how they may impact your facility. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Noteworthy Read More
In this episode, we are joined by Amanda Cohen, Director of Product at Resolver to discuss how hospital finance teams can leverage sophisticated solutions to transform risk management from a burden into a powerful strategic intelligence asset. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Read More
In this episode, we are joined by Michael Duke, Author of The McPherson Principle, to give us some actionable advice on topics related to revenue cycle management, employee performance monitoring, and healthcare finance. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: The McPherson Principle Automated Read More
In this episode, we welcome back Brenna Jenny, Healthcare Partner at Sidley Austin, to talk with us about enforcement action around telehealth waivers and the expansion of remote patient monitoring. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: The evolution of telehealth Billing for telehealth Read More
In this episode, we welcome back Michael Merola, WSW’s Founding Partner to discuss the Build Back Better legislation and how it impacts healthcare. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: The evolution of Build Back Better How this legislation impacts healthcare What population health/community Read More
In this episode, we welcome back BESLER’s Mary Devine, Senior Director of Revenue Cycle, to talk about the 2017 Patients Over Paperwork initiative and where it’s at today. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Cut the Red Tape executive order The goal of Patients Read More
In this episode, we are joined by Michael Abrams, the co-founder of Numerof to discuss their sixth Consecutive State of the Population Health Survey, which looks at the evolution of population health in the United States. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Who Read More
In this episode, we are joined by Andrew Kinnaman, BESLER’s Senior Reimbursement Consultant to explain what capital costs on the Medicare cost report are, how to report them, and their effect on cost reporting. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Defining Capital Costs Read More
In this episode, we are joined by Sue Chamberlin, Vice President of Compliance and Education for RRS Medical who will take us through some tips for surviving the increasing volume of payor audits. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Why the number of Read More
In this episode, we are joined by Dr. Art Papier, Dermatologist, CEO and Co-founder of VisualDx to discuss why misdiagnosis costs the healthcare industry billions of dollars every year and what can be done about it. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Why Read More
In this episode, we are joined by Dr. Sanjay Prasad, Author, and Founder of SurgiQuality. Dr. Prasad examines the lack of transparency in surgical care and offers a solution to the problem. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Where health care in the Read More
In this episode, we welcome back Mary Devine, BESLER’s Senior Director of Revenue Cycle, to discuss the 2022 changes to the Inpatient Prospective Payment System and the impact to IPPS facilities. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: The big changes to DRGs for Read More
In this episode, we are joined by Josh Budman, VP of Analytics at Net Health to talk about the future of machine learning in health care and how it will affect provider organizations. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Differences between artificial intelligence Read More
In this episode, we are joined by Josh Weissenborn, BESLER’s Reimbursement Services Manager to give us highlights from this year’s IPPS Final Rule. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Updates where providers are experiencing the greatest impact Median payer-specific negotiated charge by MS-DRG Read More
In this episode, we are joined by Olga Barone-Allan and Michele Keller-Eiler of BESLER’s Revenue Cycle team to talk about IME and issues related to shadow billing. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: What is an IME shadow bill Why it’s important to Read More
In this episode, we are joined by Michael Teape, Co-Founder of Teape Training International, to talk about Five Pillars of an Executive Presence. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Clarity Expressive communication Poise Authenticity Self-confidence Mike Passanante: Hi, this is Mike Passanante and Read More
In this episode, we are joined by Panacea Healthcare Solutions CEO Fred Stodolak and Executive Vice President Govi Goyal, to discuss the latest CMS requirements for hospital price transparency. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: How the July 9th executive order pertains to Read More
In this episode, we are joined by Andrew Swanson, Vice President of Industry Insights at MGMA, to discuss a survey with healthcare providers to better understand how their compensation was affected during the pandemic. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: How data was Read More
In this episode, we are joined by Dr. Britt Berrett, Director of the Center for Health Care, Leadership and Management at the University of Texas to discuss six dimensions necessary to lead organizations forward. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: How Dr. Berrett Read More
In this episode, we are joined by Andrew Kinnaman, BESLER’s Senior Reimbursement Consultant, who talks to us about what it means to be designated as a Rural Health Clinic. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: When and why the Rural Health program was Read More
In this episode, we are joined by Dr. Kao-Ping Chua, General Pediatrician and Lead Researcher at the University of Michigan discussing the financial burden patients may face if insurers allow waivers to expire. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: What patients might pay now Read More
In this episode, we are joined by Caroline Pearson, Senior Vice President at NORC, to discuss how dual eligible beneficiaries enrolled in Medicare Advantage were less likely to experience disruptions in their healthcare during the COVID-19 pandemic Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Read More
In this episode, we’re joined by Christopher Baratta, Principal, of Grant Thornton’s Business Advisory Services Practice and the West Region Healthcare Advisory Services practice leader to discuss the transformation of the hospital revenue cycle. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: The top three Read More
In this episode, we’re joined once again by Jeff Wolf, Director of Reimbursement services at BESLER, to take a look at Organ Acquisition and the requirements that come up during the cost reporting process. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Types of solid Read More
In this episode, we are joined by Kim Montgomery, Vice President at TIAA Bank to discuss how to best strike a balance between preserving cash flow and finances in response to COVID-related difficulties. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: How providers handled equipment Read More
In this episode, we are joined by Dr. Eric Edwards, CEO, and co-founder of Phlow to discuss how drug shortages affect hospitals in terms of costs and patient care, and what is being done to avert future shortages. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode Read More
In this episode, we are joined by Matt Seefeld, Exec. Vice President at MedEvolve to discuss five trends that will impact how medical practice executives manage their businesses going forward. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: A holistic approach to revenue cycle management Read More
In this episode, we are joined by Knicole Emanuel, an attorney at Practus, LLP to share some recent developments on the Medicare appeal backlog. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: The latest news about the diminishing Medicare appeals backlog How restrictions are changing Read More
In this episode, we are joined by Mary Devine, Senior Director of Revenue Cycle Services at BESLER to discuss the newest additions to the OIG Workplan. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: What was added in the 2021 OIG workplan The different components Read More
In this episode, we are joined by Erika Giovanetti a personal finance reporter and contributor to lendingtree.com to discuss how Americans are coping with medical debt. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Why Most Americans have been in medical debt The top drivers Read More
In this episode, we are joined by Jim Blake and Erik Swanson of Kaufman Hall to discuss the financial performance of hospitals and physician practices through March 2021. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: How hospital finances and volumes fared in March 2021 Read More
In this episode, we are joined by Noel Felipe, Senior Vice President and Revenue Cycle Practice Leader at Firstsource, to discuss how digital tools are transforming the patient financial experience. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Ways that the Read More
In this episode, we are joined by BESLER’s Olga Barone-Allan and Michelle Keller-Eiler for an in-depth look at Medicare Advantage updates in 2021 and changes related to Transfer DRG. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on Medicare Advantage Read More
In this episode, we are joined by Carm Huntress, CEO of RxRevu, to discuss how prescription price transparency at the point-of-care benefits both patients and providers. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on price transparency and how it Read More
In this episode, we are joined by Brenna Jenny, Partner at Sidley Austin LLP, to discuss the healthcare enforcement priorities of the Biden administration. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Insights on the latest high-level DOJ enforcement trends, including Read More
In this episode, we are joined by Andrew Hurst, data writer for ValuePenguin, to discuss their survey on Americans that have chosen to scale back or eliminate various types of insurance in 2020. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background Read More
In this episode, we are joined by Ron Rock, CEO of Microshare, to discuss how the internet of things (IoT) can improve processes and lower costs at hospitals. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on asset zoning and how it Read More
In this episode, we are joined by Jimmy Mendez, Senior Reimbursement Manager at BESLER, to discuss the pitfalls related to IME/GME FTE counts. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on IME and GME and how payments to teaching hospitals are Read More
In this episode, we are joined by John Lowell, Partner at October Three Consulting, to discuss how hospitals can deal with the costs and operation of pension plans. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: How hospitals benefit from continuing pension plans Read More
In this episode, we are joined by Jenna Waters, cybersecurity consultant for True Digital Security, to discuss how malware and ransomware attacks could affect your HIPAA compliance standing. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Ways in which healthcare facilities are more Read More
In this episode, we are joined by Sara Collins, Vice President of Health Care Coverage and Access at The Commonwealth Fund, to discuss their study focusing on the extent to which people with moderate incomes in employer plans face high premium and deductible costs relative to their income. Learn how to listen to The Hospital Read More
In this episode, we are joined by Barbara Anthony, Senior Fellow at The Pioneer Institute, to discuss their study on consumer’s awareness, usage, and knowledge of published healthcare prices. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on The Pioneer Institute’s study of Massachusetts Read More
In this episode, we are joined by Dr. Michael Gusmano, Research Scholar at The Hastings Center and Professor at Rutgers University, to discuss a study he authored that looked at how payers and physicians engage in structured fee negotiations and standardized prices in other countries where fee-for-service is the main model of outpatient physician reimbursement. Read More
In this episode, we are joined by Matt Michela, President and CEO of Life Image, to discuss the ONC’s new info-blocking rules and what they mean for providers. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on the ONC’s new info-blocking rules and Read More
In this episode, we are joined by Ferris Taylor, Executive Director of The HealthCare Executive Group, to discuss their annual top 10 list of challenges, issues, and opportunities for healthcare executives. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on HealthCare Executive Group and Read More
In this episode, we are joined by Dr. Tinu Tadese, Vice President of Clinical Informatics and Chief Medical Informatics Officer at Lake Health, to discuss strategies for engaging physicians in the revenue cycle. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on Dr. Tadese’s Read More
In this episode, we are joined by Paul Keckley, Managing Editor of The Keckley Report and widely-known healthcare researcher and industry expert, to discuss issues driving healthcare in 2021. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: What patients and providers can expect to Read More
In this episode, we are joined by Sandy Brewton, Senior Healthcare Consultant for Panacea Healthcare Solutions, to discuss CMS’ new procedure and diagnosis codes for COVID-19. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Details on CMS’s announcement of new diagnosis and procedure codes for Read More
In this episode, we are joined by Jeff Wolf, Director of Reimbursement Services at BESLER, to discuss four specific areas that can improve cost report accuracy. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Why identifying how payroll systems track hours is Read More
In this episode, we are joined by BESLER’s Olga Barone-Allan to discuss what’s changing and evolving in the revenue cycle process. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on the revenue cycle process from scheduling patient services until payment of those services. How Read More
In this episode, we are joined by Jimmy Mendez, Senior Manager at BESLER, to discuss highlights from the recently published 2021 OPPS final rule. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Updates on the 2021 OPPS and ASC payment rates. Details on the changes Read More
In this episode, we are joined by Chastity Werner, CEO of Nationwide Prescription Connection, to discuss how to implement an effective medication assistance program. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: How the COVID pandemic has exacerbated the issue of medication non-adherence with patients. Read More
In this episode, we are joined by Gordon Jaye, Vice President of Hospital Operations at PatientMatters, to discuss how providers can take the surprise out of medical billing and improve the patient experience. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on why Read More
In this episode, we are joined by Scott Giordano, Senior Counsel for Privacy and Compliance at Spirion, to discuss the intrinsic ricks and compliance concerns with remote hospital finance workforces. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: What some of the biggest compliance Read More
In this episode, we are joined by Dr. Jeff Kullgren, research scientist and faculty member at the University of Michigan, to discuss their study on the use of Health Savings Accounts to save for health care expenses. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode Read More
In this episode, we are joined by Mike Merola, Managing Partner of Winning Strategies Washington, to discuss how healthcare could be affected at the federal level going forward. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: What can be expected from the new administration Read More
In this episode, we are joined by G.T. LaBorde, CEO of IllumiCare, to discuss their analysis of the changing costs of treating COVID patients in hospitals. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on IllumiCare’s analysis on the changing costs of treating COVID Read More
In this episode, we are joined by Sheila Augustine and Stacie Adcock of Nebraska Medicine to discuss their best practices for growing and maintaining employee engagement. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: How Nebraska Medicine measures employee engagement as a way to drive Read More
In this episode, we are joined by Mary Devine, Senior Director of Revenue Cycle services at BESLER, to discuss changes to MS-DRGs in 2021. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: A review of the new DRGs that were added for 2021. Notable additions Read More
In this episode, we are joined by Michael Abrams, Managing Partner of Numerof & Associates, to discuss the effects of COVID-19 on healthcare and its lasting impact. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: A review of the multitude of issues in our healthcare Read More
In this episode, we are joined by Deborah Fisher, Chief Operating Officer at NavCare, to discuss how hospital revenue can be increased through the use of remote patient monitoring. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on NavCare and their evolution from a Read More
In this episode, we are joined by Dr. Michael Furukawa, Senior Economist at the Agency for Healthcare Research and Quality, to discuss their study on provider consolidations into health systems from 2016-2018. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on AHRQ’s study on Read More
In this episode, we are joined by Gretchen Case, Executive Director of Compliance and Revenue Integrity at Cedars-Sinai Medical Center, to discuss the optimal way to structure a revenue integrity department. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on Cedars-Sinai and how its’ Read More
In this episode, we are joined by Jimmy Mendez, Senior Manager at BESLER, to discuss highlights from the 2021 IPPS Final Rule. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Details on 2021 IPPS Final Rule and how it can affect a hospital’s Medicare reimbursement. Read More
In this episode, we are joined by Courtney Midanek, Managing Director at Kaufman Hall, to discuss healthcare mergers and acquisitions in Q2 of 2020. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on Kaufman Halls’ recent healthcare mergers and acquisitions activity report. What assumptions Read More
In this episode, we are joined by Fred Stodolak, CEO of Panacea, to discuss HHS’s price transparency final rule and the requirements hospitals have to follow under the rule. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on HHS’s final rule on price transparency Read More
In this episode, we are joined by Karen Horgan, Co-Founder & CEO of VAL Health, to discuss how behavioral economics is transforming the healthcare revenue cycle. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on behavioral economics and where we see it in our Read More
In this episode, we are joined by Dr. Kenneth Lam to discuss a recent study on older adults who are using telemedicine during the pandemic. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on the study that showed how older adults may be left Read More
In this episode, we are joined by Elizabeth Jaggers, Administrative Director for the University of Iowa Physicians, to discuss the process of implementing eConsults across 16 specialties. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: An overview of eConsults and why the University of Iowa Read More
In this episode, we are joined by Mary Devine, Senior Director of Revenue Cycle Services at BESLER, to discuss recent additions to the OIG Work Plan and their impact on providers. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: What open items and additions to Read More
In this episode, we are joined by Zachary Hartsell, Principal at SullivanCotter, to discuss their survey results indicating that organizations are anticipating changes to physician non-productivity-based incentives in 2020. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on SullivanCotter’s COVID-19 Read More
In this episode, we are joined by Jaycee Lin, Senior Consultant on the BESLER Reimbursement Service team, to discuss the proposed changes and implications of bad debt regulations. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on the changes CMS is Read More
In this episode, we are joined by Jennifer Collier, Vice President of Revenue Cycle for CHRISTUS Trinity Mother Frances Health System, to discuss some best practices for maintaining employee engagement during mergers. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: What are Read More
In this episode, we are joined by Jimmy Mendez, Senior Manager at BESLER, to discuss an increasingly important part of uncompensated care reimbursement: Worksheet S-10. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Why Worksheet S-10 has become so important to the Read More
In this episode, we are joined by Brenna Jenny, Deputy General Counsel and the Chief Legal Officer for the Centers for Medicare and Medicaid Services within the Department of Health and Human Services, to discuss the state of regulation reform and the CARES Act Provider Relief Fund. Learn how to listen to Read More
In this episode, we are joined by John Deutsch, CEO of Bridge Patient Portal, to discuss how healthcare providers can create an optimal online patient experience. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: How the online patient experience is used to Read More
In this episode, we are joined by Jeff Wolf, Director of Reimbursement Services at BESLER, to discuss the Medicare cost report domino effect. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: How the domino effect impacts a hospital’s reimbursement What areas of Read More
In this episode, we are joined by Marah Short, Associate Director at the Center for Health and Biosciences at Rice University, to discuss the results of their study on the relationship between annual spending per patient and quality of care for patients receiving care from a hospital-owned physician practice versus an independent practice. Read More
In this episode, we are joined by Dr. Vivian Lee, author of the new book The Long Fix: Solving America’s Health Care Crisis with Strategies that Work for Everyone. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Dr. Lee’s views on why Read More
In this episode, we are joined by Jimmy Mendez, Senior Reimbursement Manager at BESLER, to discuss disproportionate share hospitals and how they affect the uncompensated care pool. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on disproportionate share hospitals and how Read More
In this episode, we are joined by BESLER’s Olga Barone-Allan to discuss key revenue cycle management metrics and how they can measure performance. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Reasons why key metrics are important to establish to guide hospitals Read More
In this episode, we are joined by John Hargraves, Director of Data Strategy and Senior Researcher at HCCI, to discuss their report on trends in healthcare spending, pricing, and use for individuals with employee-sponsored insurance. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Read More
In this episode, we are joined by David Shelton, CEO of PatientMatters, to discuss improving the patient experience at rural hospitals. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Reasons why the patient experience is so important for rural hospitals and their Read More
In this episode, we are joined by Anders Gilberg, Senior VP of Government Affairs for MGMA, to discuss their study on the financial impact of COVID-19 on medical practices. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on MGMA’s survey of Read More
In this episode, we are joined by Michael Slocum and Kristine Feher, Shareholders at Greenberg Traurig, to discuss issues that employers and employees face during the COVID-19 pandemic. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Steps that some employers have taken to Read More
In this episode, we are joined by Keith Gruebele from BHG Lending to discuss how hospitals can balance their financial health while being accommodating to patients during the COVID-19 pandemic. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: How conversations with patients about Read More
In this episode, we are joined by Knicole Emanuel, Partner at the Potomac Law Group, to discuss the suspension of audits during the coronavirus pandemic. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on why CMS will forego all audits unrelated to Read More
In this episode, we are joined by Mike Merola, Managing Partner at Winning Strategies Washington, to discuss the recently passed CARES Act. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Overview of the legislation and how it affects hospitals and the healthcare industry. Read More
In this episode, we are joined by T.J. Ferrante, Senior Counsel at Foley & Lardner LLP, to discuss the rapid changes to telehealth in response to the Covid-19 pandemic. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Information on the changes around telehealth Read More
In this episode, we are joined by Kathy Pride, EVP Coding & Documentation Services at Panacea Healthcare, to review payment and coding updates being implemented during this public health emergency. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: General ICD-10-CM Coding Guidance Read More
In this episode, we are joined by Jeff Wolf, Director of Reimbursement Services at BESLER, to discuss four specific areas that can improve cost report accuracy. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Why identifying how payroll systems track hours is Read More
In this episode, we are joined by Fred Stodolak and Mark Spehar from Panacea to discuss highlights of the CMS final rule on price transparency. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on CMS’ final rule and what they hope Read More
In this episode, we are joined by Erik Rasmussen of the American Hospital Association to discuss federal issues related to healthcare in 2020. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: An overview of the 2020 US Congressional agenda as it relates Read More
In this episode, we are joined by Laura Legg, Director of Revenue Integrity Solutions at BESLER, to discuss challenges with Medicare Advantage denials. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on why Medicare Advantage denials stand out as a concern with revenue Read More
In this episode, we are joined by Joseph Doyle, Professor at the MIT Sloan School of Management, to discuss the results of their study on healthcare hotspotting programs targeting superutilizers. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on MIT’s study of a Read More
In this episode, we are joined by Dave Hesselink, Principal at SullivanCotter, to discuss results from their Physician Compensation and Productivity survey. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background behind the study, now in it’s 28th year, which has become the largest annual Read More
In this episode, we are joined by G.T. LaBorde, CEO of IllumiCare, to discuss their study on the correlation between the number of physicians during an inpatient hospitalization and the length of stay. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on Illumicare’s study Read More
In this episode, we are joined by BESLER’s Olga Barone-Allan to discuss what’s changing and evolving in the revenue cycle process. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on the revenue cycle process from scheduling patient services until payment of those services. How Read More
In this episode, we are joined by Ferris Taylor, Executive Director of Healthcare Executive Group, to discuss their study of the top 10 challenges facing healthcare organizations in 2020. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on HCEG and their mission to provide Read More
In this episode, we are joined by Andy Sutton, Sr. Software Architect at BESLER, to discuss changes CMS is making to IRIS and how teaching hospitals submit reimbursement numbers for their residency programs. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on IRIS (intern Read More
In this episode, we are joined by Paul Keckley, Managing Editor of the Keckley Report and a healthcare researcher and widely-known industry expert. Paul shares his analysis of the issues facing healthcare in 2020. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Why price transparency Read More
In this episode, we are joined by Laura Legg, Director of Revenue Integrity Solutions at BESLER, to discuss the top revenue cycle vulnerabilities found in our research report with HIMSS Media. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on our study with HIMSS Read More
In this episode, we are joined by members of BESLER’s Reimbursement services team to discuss how DSH, Bad Debts, and S-10 relate to uncompensated care funding for hospitals. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Tips on what hospitals can be doing right now Read More
In this episode, we are joined by Clark Richey, Chief Technology Officer at FactGem, to discuss ways healthcare providers are bringing together data to improve patient care and reduce costs. Learn how to listen to The Hospital Finance Podcast® on your mobile device.
In this episode, Jonathan Besler, President & CEO of BESLER, joins the podcast to celebrate our 200th episode and discuss topics that continue to interest the healthcare community. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: A look at some topics discussed by our 150+ Read More
In this episode, BESLER’s Olga Barone-Allan joins the podcast to discuss the Transfer DRG rule from a Patient Financial Services perspective. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on the Medicare Transfer DRG rule and how it was established to discourage transfers for Read More
In this episode, we are joined by Angela Horn, Vice President and Corporate Counsel at DCM Services, to discuss the implications on revenue and reimbursement when a patient passes. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on DCM Services and how they work Read More
In this episode, we are joined by Vincent Mitchell, Sr. Reimbursement Consultant at BESLER, to discuss the most significant changes resulting from the recently released Outpatient Prospective Payment final rule. Learn how to listen to The Hospital Finance Podcast on your mobile device. For this content plus additional charts and information: No form required at the Read More
In this episode, we are joined by Laura Legg, Director of Revenue Integrity Services at BESLER, to discuss how to build confidence coding the 6 diagnoses payor auditors target. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background behind why these six diagnoses were chosen Read More
In this episode, we are joined by Jeff Wolf, Director of Reimbursement Services at BESLER, to discuss how hospital providers maintain optimal reimbursement during mergers. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: What providers need to look for when revaluing assets in a merger. Read More
In this episode, we are joined by Mary Devine, Senior Director of Revenue Cycle at BESLER, to discuss CMS’s changes to hospital discharge planning. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on the requirements issued by CMS that will affect discharge planning for Read More
In this episode, we are joined by Ed Eichhorn, co-author of the book Healing American Healthcare, to discuss universal healthcare coverage in the United States. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Information about the current healthcare plan proposals by Democratic candidates running for Read More
In this episode, we are joined by Joe Anstine, CEO of PriorAuthNow, to discuss how the healthcare industry is addressing current issues related to prior authorizations. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on prior authorizations and how providers manage them. What problems Read More
In this episode, we are joined by Rebecca Hellmann, Chief Marketing Officer for Olive, to discuss their study on the state of hospitals adopting and investing in artificial intelligence and robotic process automation. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on Olive’s study Read More
In this episode, we are joined by Jeff Leibach, Director of Healthcare Strategic Solutions for Navigant, to discuss a study that looked at the potential impact of a Medicare public option on rural hospitals. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on why Read More
In this episode, we are joined by Laura Legg, Director of Revenue Integrity Solutions at BESLER, to discuss the recent AHIMA 2019 event where Laura was a featured speaker. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Laura’s impressions of the annual event that explores Read More
In this episode, we are joined by Mary Devine, Senior Director of Revenue Cycle at BESLER, to discuss the changes to DRG’s in 2020 as a result of the IPPS Final Rule. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Why it’s important for providers Read More
In this episode, we are joined by Wade Wright, Chief Technology Officer at BESLER, to discuss the challenges in leveraging artificial intelligence in healthcare. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Examples of ethical and potentially unethical uses of artificial intelligence in healthcare. How Read More
In this episode, we are joined by Jeff Wolf, Director of Reimbursement Services at BESLER, to discuss highlights from the recent HFS Provider User meeting. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on the HFS Provider User meeting which took place in Boston, Read More
In this episode, we are joined by Jaycee Lin, Senior Consultant for BESLER’s Reimbursement Services team, to discuss significant changes resulting from the FY 2020 IPPS Final Rule. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Analysis behind CMS’ projected 3% increase in Medicare spending Read More
In this episode, we are joined by Michelle Keller-Eiler, Clinical Review Specialist at BESLER, to discuss what the growth of Medicare Part C means for providers. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on Medicare Advantage plans and what some of the Pros Read More
In this episode, we are joined by Jon Besler, President & CEO of BESLER, and Jeff Wolf, Director of Reimbursement Services at BESLER, to discuss the future of technology in reimbursement. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on how hospitals these days Read More
In this episode, we are joined by Ted Rossman, industry analyst for Bankrate.com, to discuss why American are increasingly worried about the cost of healthcare. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Details behind the annual survey by BankRate.com and a focus on some Read More
In this episode, we are joined by Mary Devine, Director of Revenue Cycle services at BESLER, to discuss compliance issues related to Transfer DRG revenue recovery. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Reasons why not to initiate revenue recovery efforts close to the Read More
In this episode, we are joined by Jeff Wolf, Director of Reimbursement Services at BESLER, to discuss issues to watch out for in the preparation of worksheet S-10. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Insight on how worksheet S-10 is currently playing into Read More
In this episode, we are joined by Laura Legg, Director of Revenue Integrity Solutions at BESLER, to discuss the evolving role of health information management (HIM) in the revenue cycle. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Why the electronic health record has been Read More
In this episode, we are joined by Jimmy Mendez, Senior Manager on BESLER’s Reimbursement Services team, to discuss compliance issues related to organ acquisition. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: What the most common compliance issues are during organ acquisition Medicare cost reporting. Read More
In this episode, we are joined by Michael Abrams, Managing Partner at Numerof & Associates, to discuss the state of population health in the United States. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on Numerof’s study on the evolution of population health management Read More
In this episode, we are joined by Mary Devine, Director of Revenue Cycle services at BESLER, to discuss the importance of clinical reviews in Transfer DRG revenue recovery. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on the post-acute transfer rule, which was established Read More
In this episode, we are joined by BESLER’s Wade Wright to discuss how artificial intelligence and automation technologies are poised to benefit the hospital revenue cycle. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on artificial intelligence, automation, and machine learning and some everyday Read More
In this episode, we are joined by BESLER’s Bob Mahoney to discuss the factors affecting the wage index in the proposed 2020 IPPS rule. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on why the wage index is mentioned prominently in the proposed 2020 Read More
In this episode, we are joined by BESLER’s Laura Legg to discuss the implications of the IPPS proposed rule for 2020 and the significant changes in store for ICD-10 and the IPPS rule. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on the 2020 Read More
In this episode, we are joined by BESLER’s Meliza Weiner to discuss the important issue of utilization management and how it affects revenue at hospitals. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: The different ways hospitals interpret and implement utilization management plans and processes. Read More
In this episode, we are joined by Dana Aylward, senior consultant on BESLER’s Reimbursement Services team, to discuss the topic of bad debts. This is part two of our series focusing on the common elements of uncompensated care. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode Read More
In this episode, we are joined by Karl Henkel, Associate at Ponder & Co., to discuss their study that looked at hospital mergers and acquisitions volume in the first quarter of 2019. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on Ponder & Co. Read More
In this episode, we are joined by Marah Short, Associate Director of the Center for Health & Biosciences at Rice University’s Baker Institute for Public Policy, to discuss their new study that looked at the effects of hospital mergers and physician practice acquisitions on hospital quality. Learn how to listen to The Hospital Finance Podcast® Read More
In this episode, we are joined by James Stanford, Managing Director at Fitzroy Health, to discuss their new research study on the generation of non-traditional streams of revenue by hospitals and health systems. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Information about the study Read More
In this episode, we are joined by Olga Barone-Allan, Senior Manager of Onboarding & Delivery at BESLER, to discuss the top revenue cycle challenge facing hospital finance leaders today: Denials. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on why denials was identified by Read More
In this episode, we are joined by Laura Legg, Director of Revenue Integrity Services at BESLER, to discuss the top revenue cycle vulnerabilities found in our recent research report with HIMSS Media. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on our study with Read More
In this episode, we are joined by John Hargraves, senior researcher at Health Care Cost Institute, to discuss HCCI’s report on trends in healthcare spending, utilization and pricing among Americans with employer-sponsored insurance. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on HCCI’s study Read More
In this episode, we are joined by a trio of experts in healthcare to discuss their takeaways and the highlights from the recent American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: Special guests: Bob Mahoney Read More
In this episode, we are joined by Mary Devine, Director of Revenue Cycle Services at BESLER, to discuss an issue that is not getting much attention but should concern providers: Medicare overpayments. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: Background on Medicare overpayments and how Read More
In this episode, we are joined by Caroline Pearson, Senior Fellow at NORC at the University of Chicago, to discuss their recent survey that studied American’s perceptions of and knowledge about Medicare-for-all. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: Background behind NORC’s study with AmeriSpeaks Read More
In this episode, we are joined by Laura Legg, Director of Revenue Integrity Solutions at BESLER, to discuss the causes of mid-revenue cycle vulnerabilities and what hospitals can do to minimize risk and safeguard revenue. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: Ways in which Read More
In this episode, we are joined by Dr. Kip Webb, Managing Director of Clinical Innovation at Accenture, to discuss the results of their recent study about evolving consumer attitudes towards digital health and non-traditional care. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: Background on Accenture’s survey Read More
In this episode, we discuss the results of a NRHI study that measured and reported on the differences in the total cost of care within and across regions in the US. Our special guests are Meredith Roberts Tomasi from HealthInsight Oregon, and Jonathan Mathieu from the Center for Improving Value in Healthcare. Learn how to listen to Read More
In this episode, part one of a three-part series on uncompensated care, we are joined by Bob Mahoney, senior consultant for BESLER. Bob will discuss DSH and how it relates to uncompensated care funding for hospitals. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: Bob explains why Read More
In this episode, we are joined by Laura Legg, BESLER’s Director of Revenue Integrity Solutions, to discuss why DRG optimization efforts may be coming up short and what hospitals can do to improve reimbursement and compliance. Learn how to listen to The Hospital Finance Podcast on your mobile device. Most hospital leaders agree that DRG optimization is Read More
In this episode, we are joined by Mary Devine, Director of Revenue Cycle for BESLER, to discuss the appropriate uses of condition code 42 on Medicare claims. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: Background on condition code 42 and when providers should be using it. Read More
In this episode, we are joined by Chris Hakim, Vice President and General Manager of Medicare at eHealth, to discuss their recent study about Medicare beneficiary’s perceptions and concerns about the future of the program. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: Why the cost of prescription Read More
In this episode, we are joined by Jimmy Mendez, senior manager on BESLER’s Reimbursement Services team, to discuss the value of reviewing Notice of Program Reimbursement (NPRs). Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: Reasons why hospitals would want to review an NPR’d cost report. What Read More
In this episode, we are joined by CreditCards.com industry analyst, Ted Rossman, to discuss their recent study about how parents would help their children pay for medical debt. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: A look at “good debts” and what they mean to parents Read More
In this episode, we are joined by Paul Keckley, Managing Editor of the Keckley Report and a healthcare researcher and widely-known industry expert. Paul discusses his thoughts on what he sees in 2019 for healthcare’s biggest issues. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: Paul’s viewpoints on Read More
In this compilation episode, John Dalton, Advisor Emeritus at BESLER, compares and contrasts how healthcare is delivered and paid for in the United States when compared to other developed nations. This episode is a compilation of a three part series published in 2017. Learn how to listen to The Hospital Finance Podcast on your mobile device. Read More
In this compilation podcast, John Dalton, Advisor Emeritus at BESLER, discusses the history of healthcare reform in America from the 1930s to the present. Learn how to listen to The Hospital Finance Podcast on your mobile device. You can listen to the original, individual podcasts as well: Healthcare Retrospect Part 1: All Americans Were Uninsured Healthcare Retrospect Read More
In this episode, we are joined by BESLER’s Dave Korn and Bob Mahoney to discuss updates to the provider based facility reimbursement that was released as part of the 2019 OPPS final rule. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: Background on site neutrality payments How Read More
In this episode, we are joined by two healthcare finance leaders to discuss important issues that affect the patient experience in the revenue cycle. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: Special guests Ryan O’Hara, Chief Revenue Officer at Northern Arizona Healthcare, and Scott Williams, Associate Vice President Read More
In this episode, a roundtable of guests joins us to discuss the issue of healthcare in the recent mid-term elections and what lies ahead for this important issue in the 2020 elections. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: Guests include: Fred Turner, Chief of Staff Read More
In this episode, we are joined by Greg Fliszar from Cozen O’Connor to discuss key takeaways from the recent PRRB updates and what they mean for hospitals. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: Specifics around the new rules and what they mean for filing PRRB Read More
In this episode, we are joined by Laura Legg, Solutions Strategy Director at BESLER, to discuss the most significant changes resulting from the recently released Outpatient Prospective Payment final rule. Learn how to listen to The Hospital Finance Podcast on your mobile device. Download a PDF version right now – no form required Read a transcript of Read More
In this episode, we are joined by Ferris Taylor, Executive Director of the HealthCare Executive Group, to discuss the top 10 challenges, issues, and opportunities facing healthcare in 2019. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: Background on how the list was formed by executives from Read More
In this episode, we are joined by Mary Devine, Director of Revenue Cycle at BESLER, to discuss what providers need to know about the transition to the Medicare Beneficiary Identifier (MBI). Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: History behind the MBI (Medicare Beneficiary Identifier) initiative Why Read More
In this episode, we are joined by Mike Merola, founding partner of Winning Strategies Washington, to discuss the potential return of earmarks to the federal budget and how that could affect hospitals. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: History of earmarks and how they benefited hospitals Read More
In this episode, we are joined by Phil Miller, Vice President of Communications at Merritt Hawkins, to discuss their nationwide survey of physicians that reveals the impact of several factors driving physicians to reassess their careers. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: The responses of over Read More
In this episode, we are joined by BESLER’s Mary Devine and Olga Barone-Allan to share their 10 best practices for revenue cycle during Epic and EHR installations. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: Important best practices such as backlog reduction and understanding your baselines and Read More
In this episode, we are joined by BESLER’s DeLicia Pierce to discuss the process of preparing for worksheet S-10 audits for 2015 cost report data. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: The timeframe and directions CMS has given to MACs to perform their S-10 audits Read More
In this episode, we are joined by Mark Hamrick, Washington Bureau Chief for BankRate.com, to discuss their study that delves into the issue of consumers growing increasingly concerned over their health insurance. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: The percentage of Men and Women that avoid Read More
In this episode, Laura Legg discusses the trends and topics from this year’s AHIMA national conference in Miami, FL. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: The accuracy rates of inpatient and outpatient coding How technology can help coding quality The amount of health information created on Read More
In this episode, we are joined by Steven Lucio, Associate Vice President of Pharmacy Services at Vizient, to discuss Vizient’s Drug Price Forecast and the estimated increase in the price of pharmaceuticals in 2019. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: Background on Vizient’s Drug Price Forecast Read More
In this episode, we are joined by BESLER’s Mary Devine to discuss changes to how hospice reimbursement is treated under the Medicare Post-Acute Transfer Policy Learn how to listen to The Hospital Finance Podcast on your mobile device. Is your hospital recovering all Transfer DRG overpayments and underpayments? For additional validation, contact BESLER about our Transfer DRG Recovery Read More
In this episode, we are joined by BESLER’s DeLicia Pierce to discuss important upcoming deadlines related to Wage Index review that you should be aware of. Learn how to listen to The Hospital Finance Podcast on your mobile device. For more on the Medicare Wage Index, check out our SPECIAL REPORT: Medicare Wage Index: What it is, how Read More
In this episode, we are joined by Sonia Delgado of Princeton Public Affairs Group to discuss out-of-network consumer protection law in New Jersey and nationwide. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: Background and intended purpose of the New Jersey law, Assembly Bill 2039 Disclosure requirements Read More
In this episode, we are joined by David Korn and Bob Mahoney from BESLER’s Reimbursement Integrity team to discuss the most significant changes resulting from the FY2019 IPPS Final Rule. Learn how to listen to The Hospital Finance Podcast on your mobile device. Click here to read our key takeaways from the FY2019 IPPS Final Rule and Read More
In this episode, we are joined by BESLER’s Mary Devine to discuss Medicaid payment methodologies for hospital reimbursement related to transfers. Learn how to listen to The Hospital Finance Podcast on your mobile device. Is your hospital recovering all Transfer DRG overpayments and underpayments? For additional validation, contact BESLER about our Transfer DRG Recovery Service. Highlights of this episode Read More
In this episode, we are joined by Jeff Bakke, Chief Strategy Officer at WEX Health, to discuss the findings of their report WEX Health Clear Insights Report which looks at how consumers view and engage with their healthcare benefits. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: Review of Read More
In this episode, we are joined by Laura Legg, Director of Solutions Strategy at BESLER, to discuss optimal structures for revenue integrity departments. Learn how to listen to The Hospital Finance Podcast on your mobile device. To view a Slideshare presentation about this episode, click HERE To view the transcript of this podcast episode, click HERE BESLER Read More
In this episode, we are joined by BESLER’s DeLicia Pierce to discuss the Medicare Cost Report and why it is still a crucial component for hospital reimbursement. Learn how to listen to The Hospital Finance Podcast on your mobile device. Is your hospital receiving the revenue to which you are entitled? BESLER’s Reimbursement Services has extensive experience Read More
In this episode, we are joined by Phillip Tseng, author of the study “Administrative Cost Associated with Physician Billing & Insurance-Related Activities at an Academic Healthcare System” to discuss his study’s findings and their correlation to EHRs Follow Phil on Twitter at @_PhilMD Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights Read More
In this episode, we are joined by BESLER’s Olga Barone-Allan and Roseline Guillaume to discuss how Medicare return to provider can improve a hospital’s accounts receivable Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: What is “return to provider” and why is it significant? Key terms to understand Read More
In this episode, we are joined by Rob Senska, General Counsel and Director with LW Consulting, to discuss billing incident to professional services. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: Overview of incident to professional services What regulations govern the billing for these services What the requirements are Read More
In this episode, Jon Besler, DeLicia Pierce, and Laura Legg discuss the trends and topics from this year’s HFMA Annual Conference. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: The growth of consumerism in healthcare Data and anayltics that will fuel hospital finance departments into the future Read More
In this episode, we are joined by Laura Legg, Solutions Strategy Director at BESLER, to answer the top ten questions about healthcare risk adjustment Learn how to listen to The Hospital Finance Podcast on your mobile device. BESLER can help your hospital capture more revenue and stay compliant. Our Revenue Integrity service combines cutting-edge technology with the expertise of Read More
In this episode, we are joined by Mary Devine, Director of Revenue Cycle Services as BESLER, to discuss the impact of DRG changes in 2018. Learn how to listen to The Hospital Finance Podcast on your mobile device. Thanks for listening to The Hospital Finance Podcast. To view the transcript of this podcast episode, click HERE To Read More
In this episode, we are joined by Rob Senska, General Counsel and Director with LW Consulting, to discuss proper billing for level four new patients. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights from this episode include: The four key elements needed in order to appropriately bill a level 4 new patient. Read More
In this episode, we are joined by DeLicia Pierce, Director of Reimbursement Services at BESLER, to discuss the potential impact of the Trump budget proposal on healthcare Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: Information about the proposed cuts to Medicare Changes proposed to hospital-owned physician practices Funding Read More
In this episode, we are joined by Russ Baker, Claims Data Analyst at BESLER, to discuss the importance of billing Medicare Advantage no pay claims. Learn how to listen to The Hospital Finance Podcast on your mobile device. Even the best hospital systems can find disconnects in their shadow billing processes resulting in revenue leakage. BESLER’s IME Read More
In this episode, we are joined by Jonathan Wiik, author of the book Healthcare Revolution: The Patient is the New Payer. Jonathan talks about this new reality and some ideas for engaging patients about the financial aspects of their care. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights from this episode include: How Read More
In this episode, we are joined by Rob Senska, General Counsel and Director with LW Consulting, to explore whether or not your documentation can stand up to an audit. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: Discussing the purpose of an audit, internal or third-party. The various types Read More
In this episode, Michael Peregrine, Partner at McDermott, Will & Emery discusses the new reality that tax-exempt organizations, especially hospitals and health systems, face under our new tax reform law. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. And welcome back to the Hospital Finance Podcast. Read More
In this episode, we are joined by Olga Barone-Allan and Meliza Weiner of BESLER to discuss their experiences creating cross-functional initiatives to improve the revenue cycle. Learn how to listen to The Hospital Finance Podcast on your mobile device. Highlights of this episode include: Working with a Chief Finance Officer (CFO) and Chief Information Officer (CIO) on Read More
In this episode, we are joined by Jimmy Mendez, Senior Manager at BESLER, to discuss Medicare Organ Acquisition Reimbursement. Learn how to listen to The Hospital Finance Podcast on your mobile device. Additional resource: To learn about the issues hospitals can face with compliance during organ acquisition Medicare cost reporting, listen to our podcast episode with BESLER’s Read More
In this episode, we are joined by John Schoew, Managing Director of Accenture’s Health & Public Service Security Practice, to discuss cybersecurity issues with healthcare providers, payers, governments and educational institutions. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. And welcome back to the Hospital Finance Podcast. Read More
In this episode, Michael Darden, Associate Professor of Health Policy and Management at George Washington University and Ian McCarthy, Assistant Professor of Economics at Emory University discuss how hospitals adjust private insurer prices following reductions in public funding. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. Read More
In this episode, we are joined by Dana Aylward, Senior Consultant at BESLER, to discuss the rights a provider has after a cost report has been settled. Learn how to listen to The Hospital Finance Podcast on your mobile device. An accurate and complete Medicare cost report should be a top priority for hospital CFOs and CCOs. Read More
In this episode, Olga Barone-Allan, Client Relations Manager at BESLER, discusses discharge status codes and their effect on hospital reimbursement. Learn how to listen to The Hospital Finance Podcast on your mobile device. Incorrect patient discharge status codes can result in lost revenue. BESLER’s Transfer DRG Revenue Recovery service may be able to help you identify otherwise lost revenue. Read More
In this episode, we are joined by Dr. David Perrott and Megan Howard of the California Hospital Association to discuss the progress of MACRA and changes to the program that you should be aware of. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. And welcome back Read More
In this episode, Lisa Sander, SBO Director at John Muir Health in Walnut Creek California, discusses her experience in initiating a remote work standard at her hospital. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. And welcome back to the Hospital Finance Podcast. As business needs Read More
In this episode, Ron Harman King, CEO of Vanguard Communications, discusses the disparity between hospital success and patient satisfaction. Learn how to listen to The Hospital Finance Podcast on your mobile device. Welcome back to the Hospital Finance Podcast. This podcast discusses a study done by Vanguard Communications that analyzed nearly 2,700 online reviews of the nation’s Read More
In this episode, Scott Besler, Senior Manager on our Reimbursement Services team at BESLER, gives us a first glimpse of the 2019 audited wage index data. Learn how to listen to The Hospital Finance Podcast on your mobile device. To view a SlideShare presentation about this episode, click HERE For more on the Medicare Wage Index, check Read More
In this episode, Fred Horton, President of AMGA Consulting, discusses the results of the AMGA 2017 Medical Group Operations and Finance Survey. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. And welcome back to the Hospital Finance Podcast. Today, I’m joined by Fred Horton who is President of Read More
In this episode, Mary Devine, Director of the Revenue Cycle team at BESLER, discusses how a hospital-to-hospital transfer policy affects billing and coding, common coding errors, and how to avoid them. Learn how to listen to The Hospital Finance Podcast on your mobile device. Thanks for listening to The Hospital Finance Podcast. To view the transcript of Read More
In this episode, Caroline Pearson, SVP at Avalere, discusses the results of an analysis that looked at the impact of 340B program changes on providers and beneficiaries. Learn how to listen to The Hospital Finance Podcast on your mobile device. Welcome back to the Hospital Finance Podcast. This podcast discusses findings from research conducted by Avalere which Read More
In this episode, Amy Albo, Publisher at the University of Utah, discusses a national survey that looks at value in health care from the patient, physician and employer perspective. Learn how to listen to The Hospital Finance Podcast on your mobile device. This podcast discusses key findings from a University of Utah study that examined the perceptions of Read More
In this episode, David Muhlestein, Chief Research Officer at Leavitt Partners discusses a recent report issued by Leavitt Partners that examined the relationship between the concentration of Medicare Advantage plans in a market and Medicare Advantage premiums. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. And welcome Read More
In this episode, Jon Besler, CEO of BESLER, reflects on our first one hundred podcasts. Topics include past guests, top states for listeners, and key topics of the past and future. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi! This is Mike Passanante. And welcome back to the Hospital Read More
In this episode, Paul Keckley discusses five issues that are set to be a focal point of healthcare change in 2018. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. And welcome back to the Hospital Finance Podcast. Today, I’m joined by Paul Keckley, Managing Editor of Read More
In this compilation episode, John Dalton, Advisor Emeritus at BESLER, compares and contrasts how healthcare is delivered and paid for in the United States when compared to other developed nations. This episode is a compilation of a three part series published in early 2017. Learn how to listen to The Hospital Finance Podcast on your mobile Read More
In this episode, Nate Lacktman of Foley Lardner LLP discusses the results of their 2017 Telemedicine and Digital Health Survey. We discuss the the adoption rate of telemedicine among providers and consumers, international opportunities for providers, legal ramifications, and the future of telemedicine. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Read More
In this episode, Mike Merola, Founding Partner of Winning Strategies Washington, offers perspectives on the nomination of Alex Azar as HHS Secretary. Learn how to listen to The Hospital Finance Podcast on your mobile device. Resources related to this episode: Winning Strategies Washington Mike: Hi, this is Mike Passanante. And welcome back to the Hospital Finance Podcast. Read More
In this episode, DeLicia Pierce, Director of Reimbursement Integrity at BESLER, reviews important year end deadlines and key changes to the S10 amendment process. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. And welcome back to the Hospital Finance Podcast. Today, I’m joined by DeLicia Pierce Read More
In this episode, Dr. Mark McClellan discusses a recent report from the Health Care Payment Learning and Action Network that looks at the adoption rate of alternative payment models. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. And welcome back to the Hospital Finance Podcast. Today, Read More
In this episode, Bob Mahoney, Senior Reimbursement Consultant at BESLER, reviews key changes and updates to the 2018 OPPS Final Rule. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. And welcome back to the Hospital Finance Podcast. Today, I’m joined by Bob Mahoney who’s a senior Read More
In this episode, Assemblymen Jon Bramnick and John DiMaio of the New Jersey State Legislature join the program to discuss healthcare issues at the state level including Medicaid expansion, interstate sale of insurance, and the opioid epidemic. Learn how to listen to The Hospital Finance Podcast on your mobile device. The following interviews were recorded live at Read More
In this episode, Andrea Pearson, Chief Marketing Officer at Healthgrades, discusses their 2018 Report to the Nation which looks at variations in health outcomes for hospitals across the United States. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi! This is Mike Passanante. And welcome back to the Hospital Finance Read More
In this episode, Danette Slevinski of University Hospital in Newark, NJ and Tim Fournier of Rutgers, discuss the role of enterprise risk management during healthcare change. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi! This is Mike Passanante. And welcome back to the Hospital Finance Podcast. Today, I’m joined Read More
In this episode, Christine Gordon and Kate Gillespie of Virtua Health System discuss their recent involvement in Medicare’s BPCI program and what future developments may hold. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. And welcome back to the Hospital Finance Podcast. Today, I am joined Read More
In this episode, Dr. Idris Adjerid, Assistant Professor at the Mendoza College of Business at Notre Dame, discusses the results of a recent study which examined the impact of health information exchanges (HIEs) on Medicare spending. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi! This is Mike Passanante. And Read More
In this episode, Phil Miller, VP Communications at MerrittHawkins, discusses the results of a recent physician survey that gauged perceptions of single payer healthcare. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi! This is Mike Passanante. And welcome back to the Hospital Finance Podcast. Today, I’m joined by Phil Miller Read More
In this episode, Mike Merola, Founding Partner of Winning Strategies Washington, reviews recent federal healthcare policy issues including the Graham-Cassidy bill, The Chronic Care Act, and more. Learn how to listen to The Hospital Finance Podcast on your mobile device. Resources related to this episode: Winning Strategies Washington In this episode, you’ll hear about: The Graham-Cassidy Read More
In this episode, Randi Deckard, Director of Client Relations at BESLER, shares perspectives from a recent HFMA roundtable that examined how hospitals optimize their revenue integrity efforts. Learn how to listen to The Hospital Finance Podcast on your mobile device. Resources related to this episode Hfm Roundtable: Optimizing the Revenue Integrity Function BESLER’s Revenue Integrity Service Mike Read More
In this episode, Clyde Hewitt, VP Security Strategy at CynergisTek, discusses the current healthcare cybersecurity landscape and what hospitals should be doing to protect themselves today. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. And welcome back to the Hospital Finance Podcast. Today, I’m joined by Read More
In this episode, Alan Coppock, CEO of Adminologybay, explores ways to improve the operational efficiency of healthcare organizations. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. And welcome back to the Hospital Finance Podcast. Today, I’m joined by Alan Coppock who is a seasoned healthcare hospital Read More
In this episode, Knicole Emanuel, partner in the Raleigh office of Gordon & Rees, reviews the history of the Medicare appeals backlog and offers perspectives on recent court decisions affecting it . Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. And welcome back to the Hospital Read More
In this episode, Barbara Tapscott, VP of Revenue Cycle at Geisinger Health discusses patient access strategies to help improve collections. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. And welcome back to the Hospital Finance Podcast. Today, I’m joined by Barbara Tapscott who is Vice Read More
In this episode, Scott Besler, Senior Manager in our Reimbursement Integrity team at BESLER, reviews key takeaways from the FY 2018 IPPS Final Rule. Learn how to listen to The Hospital Finance Podcast on your mobile device. Resources related to this episode: [DOWNLOAD] Special Report: In-depth Review of the FY 2018 IPPS Final Rule (No Longer Available) Read More
In this episode, Bruce Brandes, CEO of Lucro, discusses some of the new tools and strategies hospital leaders are using to accelerate the buying process. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. And welcome back to the Hospital Finance Podcast. Today, I’m joined by Bruce Brandes, CEO Read More
In this episode, Vinny Farina, Senior Manager in the Revenue Cycle team at BESLER, discusses the background of the Social Security Number Removal Initiative (SSNRI) and what hospitals should be doing now to prepare for this paradigm shift. Learn how to listen to The Hospital Finance Podcast on your mobile device. A paradigm shift is defined as a Read More
In this episode, Dr. Eric Weil, Senior Medical Director for Population Health at Partners Healthcare, discusses the results of a study he co-authored which looked at how a care management program impacted utilization and cost within a pioneer ACO. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Read More
In this episode, Maria Miranda, Director of Emerging Payment Models at BESLER discusses the importance of clinical documentation in the CJR program. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. Welcome back to the Hospital Finance Podcast. Today, I’m joined by Maria Miranda who is the Read More
In this episode, Dr. Ambarish Pandey of the University of Texas Southwestern Medical Center discusses the findings of a study that looked at the association of the quality metric that the Hospital Readmissions Reduction Program uses with long-term clinical outcomes. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Read More
In this episode, Dr. Josh Hurwitz and Warren Johnson of Scribe-X discuss how scribes are being used at the point of care to improve the experiences of patients and physicians along with delivering financial benefits for clinics. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. Welcome Read More
In this episode, Maria Miranda, Director of Emerging Payment Models at Besler and Kristi Morris, Director of Revenue Integrity Services at Besler discuss trends and topics from the Healthcare Financial Management Association’s Annual Meeting in Orlando. Learn how to listen to The Hospital Finance Podcast on your mobile device. Topics on this week’s podcast include: The impact Read More
In this episode, Jonathan Besler, CEO of BESLER, discusses the trends and issues that will dominate the discussion at this year’s HFMA ANI meeting in Orlando. Learn how to listen to The Hospital Finance Podcast on your mobile device. Resources related to this episode: [VIDEO] Besler’s Revenue Integrity Service Mike Passanante: Hi, this is Mike Passanante. And welcome Read More
In this episode, Maria Miranda, Director of Emerging Payment Models at BESLER discusses the impact of the first CJR reconciliation report and what hospitals should be doing now. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. And welcome back to the Hospital Finance Podcast. Today, I’m joined Read More
In this episode, Scott Besler, Senior Manager in our Reimbursement Integrity team at BESLER, reviews the Medicare Occupational Mix Survey and some of the things that hospitals should consider as they approach the July 1st filing deadline. Learn how to listen to The Hospital Finance Podcast on your mobile device. Resources related to this episode: [DOWNLOAD] Medicare Wage Index: Read More
In this episode, Dr. Eric Barrette of the Health Care Cost Institute discusses and compares price data on local health care markets across the United States. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. Welcome back to the Hospital Finance Podcast. Today, I’m joined by Dr. Eric Barrette who Read More
In this episode, Kristi Morris, Director of Revenue Integrity Services at BESLER, discusses five steps to minimize Recovery Audit Contractor denials of Medicare claims. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. Welcome back to the Hospital Finance Podcast. Today, I’m joined by Kristi Morris who is Read More
In this episode, Dr. Robert Dolan of Lahey Hospital discusses the results of a study he led examining provider compensation packages that drive alignment with value-based payment methodologies. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike: Hi, this is Mike Passanante. Welcome back to the Hospital Finance Podcast. Today, I’m joined by Dr. Robert Dolan. Read More
In this episode, Maria Miranda, Director of Emerging Payment Models at BESLER discusses how to evaluate post-discharge cost and quality related to new bundled payment programs. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. Welcome back to the Hospital Finance Podcast. Today, I’m joined by Maria Miranda Read More
In this episode, Mike Merola, Founding Partner of Winning Strategies Washington, discusses healthcare initiatives in the first 100 days of the Trump administration and what the future may hold for healthcare policy. Learn how to listen to The Hospital Finance Podcast on your mobile device. Resources related to this episode: Winning Strategies Washington Mike Passanante: Hi, this Read More
In this episode, Kristi Morris, Director of Revenue Integrity Services at BESLER, discusses Coding Clinic updates for the first quarter of 2017. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. And welcome back to the Hospital Finance Podcast. Today, I’m joined by Kristi Morris who is the Read More
In this episode, Dr. Jon Friedman, Chief Medical Officer of Optum’s Complex Medical Conditions program, discusses United Healthcare’s orthopedic bundled payment program. Learn how to listen to The Hospital Finance Podcast on your mobile device. You might also like: Strategies for navigating bundled payments Mike Passanante: Hi, this is Mike Passanante. Welcome back to the Hospital Finance Podcast. Today, Read More
In this episode, Maria Miranda, Director of Emerging Payment Models at BESLER Consulting explains the EPM final rule including updates to the CJR program and the introduction of cardiac bundles. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. And welcome back to the Hospital Finance Podcast. Read More
In this episode, Andrew Wilson, Research Team Leader at the Altarum Institute’s Center for Payment Innovation, discusses the results of their study, “Debunking the argument that the Bundled Payment for Care Improvement Program (BPCI) contributed to higher procedure volumes.” Learn how to listen to The Hospital Finance Podcast on your mobile device. You might also like: Strategies for navigating Read More
In this episode, Kristi Morris, Director of Revenue Integrity Services at BESLER, discusses the keys to maintaining an accurate chargemaster. Learn how to listen to The Hospital Finance Podcast on your mobile device. Resources related to this episode Paper: “Five steps to a compliant and accurate charge description master (CDM)” Mike Passanante: Hi, this is Mike Passanante. Welcome back Read More
In part three of this three part series, John Dalton, Advisor Emeritus at BESLER, discusses his “seven starters” for moving the healthcare debate forward. Learn how to listen to The Hospital Finance Podcast on your mobile device. Resources related to this episode: American Healthcare: Worst Value in the Developed World? Part 3 from BESLER Consulting American Read More
In this episode, Maria Miranda, Director of Emerging Payment Models and Meliza Weiner, Clinical Review Nurse at BESLER, discuss strategies for managing a patient’s length of stay. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Hi, this is Mike Passanante. Welcome back to the Hospital Finance Podcast. Today, I’m joined by Meliza Read More
In this episode, Scott Besler, Senior Manager in our Reimbursement Integrity team at BESLER, discusses adjustments to the wage index and potential changes that could affect hospital reimbursement. Learn how to listen to The Hospital Finance Podcast on your mobile device. Resources related to this episode: [DOWNLOAD] Medicare Wage Index: What it is, how it works, and Read More
In this episode, Jordan Cohen, Associate at Mintz Levin and Carolyn Hoitela, Director of Practice Management at Conventus outline practical steps and considerations for hospitals and physicians as they consider how to implement MACRA. Learn how to listen to The Hospital Finance Podcast on your mobile device. You may also like The future of MACRA in 2017 [PODCAST] Michael Read More
In part two of this three part series, John Dalton, Advisor Emeritus at BESLER Consulting, compares and contrasts the healthcare systems of various developed countries. Learn how to listen to The Hospital Finance Podcast on your mobile device. Resources related to this episode: American Healthcare: Worst Value in the Developed World? Part 2 from BESLER Consulting Mike Passanante: Hi, Read More
In this episode, Byron Jobe, President, Chief Administrative and Financial Officer of Vizient, discusses the results of their post-election healthcare survey including C-suite perceptions of potential ACA changes, merger and acquisition activity, and value-based reimbursement. Learn how to listen to The Hospital Finance Podcast on your mobile device. Resources related to this episode: Vizient Post-election Health Care Pulse Check Michael Read More
In this episode, Maria Miranda, Director of Emerging Payment Models and Meliza Weiner, Clinical Review Nurse at BESLER Consulting, discuss the impact of patient satisfaction on alternative payment models. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Hi, this is Mike Passanante. Welcome back to the Hospital Finance Podcast. Today, I’m Read More
In part one of this three part series, John Dalton, Advisor Emeritus at BESLER, discusses data he examined comparing the cost and value of US healthcare to other developed countries. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi! This is Mike Passanante. Welcome back to the Hospital Finance Podcast. Today, Read More
In this episode, Dr. David Perrott, Senior Vice President and Chief Medical Officer at the California Hospital Association, discusses what MACRA is, how it affects providers, and what the future of MACRA might look like in 2017. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Hi, this is Mike Read More
In this episode, Maria Miranda, Director of Emerging Payment Models at BESLER, discusses the different types of patient reported outcome data and how they are being used as part of bundled payment models. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Hi, this is Mike Passanante. Welcome back to the Hospital Finance Podcast. Read More
In this episode, we talk with Rep. Leonard Lance (R-NJ), Matt Hale, Professor of Political Science and Public Affairs at Seton Hall University, and Tom Bracken, President and CEO of the New Jersey State Chamber of Commerce about the biggest issues affecting healthcare policy in 2017. The interviews were conducted at the Princeton Public Affairs Group annual Read More
This special one-hour compilation episode brings together several podcasts that explore various aspects of the Comprehensive Care for Joint Replacement (CJR) program. Learn how to listen to The Hospital Finance Podcast on your mobile device. Click here to listen to individual podcasts about CJR and other emerging payment models. Resources related to this episode: List of Read More
In this compilation podcast, John Dalton, Advisor Emeritus at BESLER Consulting, discusses the history of healthcare reform in America from the 1930s to the present. Learn how to listen to The Hospital Finance Podcast on your mobile device. You can listen to the original, individual podcasts as well: Healthcare Retrospect Part 1: All Americans Were Uninsured Healthcare Read More
In this episode, Jim Hoffman, Chief Operating Officer at BESLER Consulting, discusses the potential impact that Tom Price could have on healthcare policy as head of The Department of Health and Human Services. Learn how to listen to The Hospital Finance Podcast on your mobile device. In this episode, we discuss: Policies the incoming Secretary could alter on day one at Read More
In this episode, Kathy Ruggieri, Senior Director and Mary Devine, Senior Manager of the Revenue Cycle team at BESLER Consulting, discuss hospitals’ biggest concerns and best practices related to Epic conversions gathered from discussions with providers nationally. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Hi, this Mike Passanante and Read More
In this episode, Bob Mahoney, Sr. Consultant in our Reimbursement Services team at BESLER Consulting, reviews several important takeaways from the 2017 OPPS Final Rule that will affect hospitals in the coming year. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Hi, this is Mike Passanante and welcome to the Hospital Finance Read More
In this episode, Mike Merola, Founding Partner of Winning Strategies Washington, discusses what healthcare policy might look like under the Trump administration Learn how to listen to The Hospital Finance Podcast on your mobile device. In this episode we look at: The potential for keeping or eliminating elements of the ACA including pre-existing conditions and allowing Read More
In this episode, Maria Miranda, Director of Emerging Payment Models at BESLER Consulting, discusses the three areas hospitals can explore to succeed under emerging payment models. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Hi! This is Mike Passanante. And welcome back to the Hospital Finance Podcast. We’re glad you could Read More
In this episode, Scott Besler, Senior Manager in our Reimbursement Services team at BESLER Consulting, discusses what is next for the S-10 worksheet in light of its treatment in the 2017 IPPS Final Rule. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Hi! This is Mike Passanante. Welcome back to the Read More
In this episode, Cyndy Kowalski, a manager in our Compliance Services Team at BESLER Consulting, discusses the relationship between EMR and physician documentation. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: This is Mike Passanante. Glad to be back with you here on the Hospital Finance Podcast. Today, I’m joined by Read More
In this episode, Dr. Chad Ellimoottil, Assistant Professor at the University of Michigan, discusses findings from a recent research study that looks at the potential use of risk adjustment factors in the CJR program. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Hi, this is Mike Passanante and welcome back Read More
In this episode, HIM veteran and product manager at TruCode, Becky DeGrosky, discusses trends and challenges in HIM live from the 2016 AHIMA Convention. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Hi! This is Mike Passanante. Welcome back to the Hospital Finance Podcast. Very happy you could be with Read More
In this episode, Christine Gordon, Manager of Reimbursement, and Kate Gillespie, AVP of the Orthopedic and Spine service line, of Virtua Health System discuss their experience participating in Medicare’s BPCI program and the factors that were instrumental in their success with bundled payments to date. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Read More
In this episode, Rob Senska, Director of Compliance Services and Associate General Counsel at BESLER, discusses five keys to mitigating the risks associated with hospital and physician contracting. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Welcome back to the Hospital Finance Podcast. This is Mike Passanente, glad you could be with Read More
In this episode, Sam Wares, VP of Settlements at Managed Care Advisory Group, describes how class action settlements work and ways healthcare organizations can maximize recoveries from these settlements. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael: Hi, this is Mike Passanante and welcome back to the Hospital Finance Podcast. We are very Read More
In this episode, Barbara Ihrig, a consultant in the Reimbursement Services team at BESLER Consulting reviews how financial agreements can be structured between providers to share risk in Comprehensive Care for Joint Replacement (CJR) bundled payment program. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi and welcome to the Hospital Finance Podcast. Read More
In this episode, Stacey Straz, Senior Consultant in the Compliance and Coding Audit team at BESLER Consulting is here to talk to us about the end of the ICD-10 grace period and what it means for your hospital. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Hi, this is Read More
Recorded live at HFMA ANI 2016, Bill Galinsky, VP of Government Finance at Baylor Scott & White Health, discusses the skills and attributes needed in the next generation of hospital finance professionals. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, welcome back to the Hospital Finance Podcast. This is Mike Read More
In this episode, Jim Hoffman and Maria Miranda of BESLER Consulting reflect on topics and trends discussed at the Healthcare Financial Management Associations’s Region 3 event. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Hi, this is Mike Passanante. And welcome back to The Hospital Finance Podcast. Glad you could be with Read More
In this episode, Scott Besler, Senior Manager in our Reimbursement Services team at BESLER Consulting, reviews several important takeaways from the 2017 IPPS Final Rule that will affect hospitals in the coming year. Learn how to listen to The Hospital Finance Podcast on your mobile device. Mike Passanante: Hi, this is Mike Passanante. Welcome back to Hospital Finance Read More
In this episode, Maria Miranda, Director of Reimbursement Services at BESLER Consulting reviews how waivers apply to the Medicare Comprehensive Care for Joint Replacement (CJR) bundled payment program. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Hi, this is Mike Passanante. Welcome back to the Hospital Finance Podcast. Today, I’m joined again by Maria Miranda Read More
In part three of this three part series, John Dalton, Advisor Emeritus at BESLER Consulting, discusses the effects of the PPACA and the path towards achieving the triple aim. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Hi, this is Mike Passanante. Welcome back to the Hospital Finance Podcast. I’m glad you Read More
In this episode, Rob Senska, Director of Compliance Services and Associate General Counsel at BESLER, discusses the challenges and risks associated with hospital and physician relationships. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Welcome back to the Hospital Finance Podcast. This is Mike Passanante, glad you could be with Read More
In this episode, Cyndy Kowalski, a manager in our Compliance Services Team at BESLER Consulting, discusses auditing and monitoring for compliant physician documentation and coding. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Hi, this is Mike Passanante. I’m glad to be back with you here on the Hospital Read More
In part two of this three part series, John Dalton, Advisor Emeritus at BESLER Consulting, provides a look at the state of healthcare in America from the 1960s through the 1990s. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Hi, this is Mike Passanante. Welcome back to the Hospital Finance Podcast. Read More
In this episode, Derrick Chavis, Manager of Reimbursement Services at BESLER Consulting reviews how the appeal process works for the Medicare Comprehensive Care for Joint Replacement (CJR) bundled payment program. Michael Passanante: Hi, this is Mike Passanante. Welcome back. We are glad you’ve joined us for another episode of the Hospital Finance Podcast. And today, I am joined by Derek Chavis, Read More
In this episode, Kathy Ruggieri and Maria Miranda of BESLER Consulting reflect on topics and trends discussed at HFMA ANI this year. Learn how to listen to The Hospital Finance Podcast on your mobile device. This podcast is a special episode that was recorded live at the Healthcare Financial Management Association Annual Meeting in 2016. Topics include: Read More
In this episode, Jim Hoffman, Chief Operating Officer at BESLER Consulting, discusses the topics and trends that will make news at HFMA ANI 2016. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Hi, this is Mike Passanante, and welcome back the Hospital Finance Podcast. Today, I’m joined by Jim Hoffman. Jim is Read More
In part one of this three part series, John Dalton, Advisor Emeritus at BESLER Consulting, provides a look at the state of healthcare in America from the 1930s through the 1960s. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Welcome back to the Hospital Finance Podcast. This is Mike Passanante. Read More
In this episode, Maria Miranda, Director of Reimbursement Services at BESLER Consulting reviews how data is shared and payments reconciled for the Medicare Comprehensive Care for Joint Replacement (CJR) bundled payment program. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Hi, this is Mike Passanante. Welcome back to the Hospital Finance Podcast. Today, I’m Read More
In this episode, Cyndy Kowalski, a manager in our Compliance Services Team at BESLER Consulting, discusses how to fix common physician documentation mistakes. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Hi, this is Mike Passanante. I am glad to be back with you today on the Hospital Read More
In this episode, Kathy Ruggieri, Senior Director of the Revenue Cycle team at BESLER Consulting, discusses how to manage your Transfer DRG recovery vendor. Learn how to listen to The Hospital Finance Podcast on your mobile device. Find out how to start recovering more Transfer DRG underpayments now! Michael Passanante: Hi, I’m Mike Passanante, your host for the Read More
In this episode, Maria Miranda, Director of Reimbursement Services at BESLER Consulting reviews how quality measures are used in the Medicare Comprehensive Care for Joint Replacement (CJR) bundled payment program. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Hi, this is Mike Passanante and welcome back to the Hospital Finance Podcast. Today, we’re joined by Read More