RevTech RX: Recent Episodes
Avelead
Get your revenue cycle into high gear for your hospital! RevTech RX is a podcast all about revenue integrity and revenue cycle management strategies from revenue experts. This podcast is powered by Avelead, a leader in revenue cycle management software and consulting.
Welcome to episode 13 of the RevTech Rx Podcast- Your prescription for a healthy revenue cycle! This episode is powered by Streamline Health, a leader in pre-billing financial performance improvement.
As the second installment of our discussions with KLAS Research, this episode is focused on ‘How KLAS Helps Identify Market Needs for Providers.’ This episode features Dustin Cragun, Vice President of Revenue Cycle Management at KLAS Research, and Jawad Shaikh, Chief Strategy Officer for Streamline Health. They discuss how KLAS Research uses its role as an objective reviewing entity to help identify the need for innovation and services to further support providers.
Building on feedback generated from providers during their assessment of existing HIT solutions and services, KLAS’s staff assesses where additional opportunities exist and explores how providers might add features or services to address them.
With dedicated SMEs who are well-versed in the current state of provider needs, KLAS is adept at identifying early indicators for functionality that the market may need. To learn more about it, be sure to tune in to this informative episode.
Connect with our panel of experts:
David Kosloski- Host
https://www.linkedin.com/in/david-kosloski/
Dustin Cragun, Vice President – Revenue Cycle Management, KLAS Research
https://www.linkedin.com/in/dustin-cragun-7747431/
Jawad Shaikh, Chief Strategy Officer, Streamline Health
https://www.linkedin.com/in/jwshaikh/
Healthcare leaders, want more groundbreaking content? Be sure to follow our LinkedIn page for the latest topics to get your hospital in the most efficient form possible.
https://www.linkedin.com/company/revtechrx-podcast
Supervision of your hospital’s revenue integrity can be complex and time-consuming. With an ever-shifting landscape of rules and regulations, it can be difficult to keep up with the world of revenue cycle management. Welcome to RevTech Rx, a podcast designed to educate and inform about revenue integrity and revenue cycle management strategies. Kickstart (or restart) your revenue cycle tactics with tips from industry thought leaders and revenue experts on a wide range of valuable and specific topics.
Welcome to season two, episode one of the RevTech Rx Podcast- Your prescription for a healthy revenue cycle! This episode is powered by Streamline Health, a leader in pre-billing financial performance improvement.
Episode one is focused on ‘The Balancing Act at KLAS' and features two great guests. Steve Low, President of KLAS Research, and Jawad Shaikh, Chief Strategy Officer for Streamline Health, discuss the role that KLAS Research has played in helping healthcare providers find objective, actionable insights into the performance of HIT vendors supporting the spectrum of delivery settings.
Starting with the origin story of KLAS itself, our panel reviews the initial goals of setting up an independent, transparent source of information on the various technology and service vendors supporting healthcare providers.
By including internal and external views of the role of KLAS, they discuss how its mission has evolved, all while retaining its neutrality and adapting to myriad changes in the HIT market.
As the premier source of objective research in the HIT space, providers of all sizes and specialties should tune in to learn how KLAS came to be and how it’s positioned to continue serving the market well into the future.
Connect with our panel of experts:
David Kosloski- Host
https://www.linkedin.com/in/david-kosloski/
Steve Low, President, KLAS Research
https://www.linkedin.com/in/stevenlow/
Jawad Shaikh, Chief Strategy Officer, Streamline Health
https://www.linkedin.com/in/jwshaikh/
Chapters
0:40 Origins of KLAS
3:44 Pursuing Best of KLAS
4:54 The need for transparency
8:04 Audience feedback
10:00 KLAS guidance for vendors
12:02 Vendor application of feedback
13:07 Extending the mission to improve HIT
14:20 What sets KLAS apart
16:26 KLAS in five years
18:28 An outsider’s perspective
20:45 Best practices & gap analysis
23:10 Closing
Healthcare leaders, want more groundbreaking content? Be sure to follow our LinkedIn page for the latest topics to get your hospital in the most efficient form possible.
https://www.linkedin.com/company/revtechrx-podcast
Supervision of your hospital’s revenue integrity can be complex and time-consuming. With an ever-shifting landscape of rules and regulations, it can be difficult to keep up with the world of revenue cycle management. Welcome to RevTech Rx, a podcast designed to educate and inform about revenue integrity and revenue cycle management strategies. Kickstart (or restart) your revenue cycle tactics with tips from industry thought leaders and revenue experts on a wide range of valuable and specific topics.
Welcome to episode 11 of the RevTech Rx Podcast- Your prescription for a healthy revenue cycle! This episode is powered by Streamline Health, a leader in pre-billing financial performance improvement.
Episode 11 is focused on ‘Common Operational Problems New Tech Can Fix' and features two great guests. Randy Notes, Managing Director at Impact Advisors, and Greg Forshey, Vice President, Strategic Accounts for Streamline Health, share their views on some common operational issues at provider organizations that can be effectively addressed via technology.
Using an approach focused on financial ROI (whether direct like increased revenue capture or indirect like improved quality measures), our guests break down some key issues impacting healthcare operations where the proper application of available technology can drive substantial improvements.
By exploring these issues and opportunities, with specific examples in each case, this episode delivers sound guidance for providers of all sizes.
Connect with our panel of experts:
David Kosloski- Host
https://www.linkedin.com/in/david-kosloski/
Randy Notes- Managing Director at Impact Advisors
https://www.linkedin.com/in/randynotes/
Greg Forshey - Vice President of Strategic Accounts at Streamline Health
https://www.linkedin.com/in/greg-forshey/
Chapters
00:00 Introduction
01:50 Opportunities around Perioperative Services
09:04 Optimizing material utilization across cases
11:20 Benefit and payment validation tasks
12:40 Point of Service engagement
16:55 Simplifying charge reconciliation
20:20 Successful request strategies
22:10 Conclusion
Supervision of your hospital’s revenue integrity can be complex and time-consuming. With an ever-shifting landscape of rules and regulations, it can be difficult to keep up with the world of revenue cycle management. Welcome to RevTech Rx, a podcast designed to educate and inform about revenue integrity and revenue cycle management strategies. Kickstart (or restart) your revenue cycle tactics with tips from industry thought leaders and revenue experts on a wide range of valuable and specific topics.
Welcome to episode ten of the RevTech Rx Podcast- Your prescription for a healthy revenue cycle! This episode is powered by Streamline Health, a leader in pre-billing financial performance improvement.
Episode 10 is focused on 'Exploring Partners for Revenue Cycle Management' and features two great guests. Adam Seymour, Chief Product & Strategy Officer for Alpha II, and Hal Walsh, Vice President, Channel Partners for Streamline Health share their views on the pros & cons of selecting a partner to help optimize your revenue cycle.
From approaching partner discovery with a clear objective—yet also with an open mind— to knowing when and where to assess progress and consider if it's worth continuing, this episode delivers lots of good insights.
Connect with our panel of experts:
David Kosloski- Host
https://www.linkedin.com/in/david-kosloski/
Adam Seymour- Chief Product & Strategy Office at Alpha II
https://www.linkedin.com/in/adam-seymour-372b45/
Hal Walsh - Vice President of Channel Partners at Streamline Health
https://www.linkedin.com/in/halwalshmba/
Chapters
00:00 Introduction
01:14 What does an ideal partnership look like?
05:17 Separating what providers want vs. what they potentially need
06:55 Hallmarks of a good partner candidate
10:04 Examples of bad partnerships
12:02 Establishing responsibilities prior to kickoff
13:35 Warning signs when considering candidates
15:05 Being prepared to pivot to new developments
16:48 Summary of positive partner attributes
17:45 Conclusion
Supervision of your hospital’s revenue integrity can be complex and time-consuming. With an ever-shifting landscape of rules and regulations, it can be difficult to keep up with the world of revenue cycle management. Welcome to RevTech Rx, a podcast designed to educate and inform about revenue integrity and revenue cycle management strategies. Kickstart (or restart) your revenue cycle tactics with tips from industry thought leaders and revenue experts on a wide range of valuable and specific topics.
Welcome to episode nine of the RevTech Rx Podcast- Your prescription for a healthy revenue cycle! This episode is powered by Streamline Health, a leader in pre-billing coding optimization.
Learning how to prevent medical billing denials is crucial for healthcare providers as claim denials continue to rise and inflate billing- and insurance-related costs (BIR). Our panel of experts discuss their five tips for denials prevention, which include simply communicating and verifying insurance prior authorization. We also dig into more complicated tips such as setting up a line of communication between patient financial service teams and the clinical team for case management.
With these tips, revenue cycle professionals can gut check their existing processes and perhaps learn new opportunities to reduce denials.
Connect with our panel of experts:
David Kosloski- Host
https://www.linkedin.com/in/david-kos...
Ian Sullivan- Senior Director at HealthRise Solutions
https://www.linkedin.com/in/iansullivan1/
Jodi Stewart- Senior Vice President of Services at Streamline Health
https://www.linkedin.com/in/jodi-stewart-8244a316/
Chapters
00:00 Introduction
00:43 Tip # 1 From Jodi: Using Pre-bill Auditing Technology
1:34 Tip # 1 From Ian: Understanding Payer Contracts
3:13 Tip # 2 From Jodi: Have an Updated Chargemaster
3:36 Tip # 2 From Ian: Establish a Revenue Integrity Team
5:40 Tip # 3 From Jodi: Expanding on the Revenue Integrity Team
6:45 Tip # 3 From Ian: Implementing a Pre-service Team
9:59 Tip # 4 From Jodi: Managing Out-Patient Claims
10:40 Tip # 4 From Ian: Optimize your H.I.S.
12:01 Tip # 5 From Jodi: Establish Key Performance Indicators
13:05 Tip # 5 From Ian: Build a Partnership Between Case Managers and the Revenue Cycle Team
14:03 How to Prevent EMR Gaps
15:48 The Importance of a Revenue Integrity Team
18:08 The Valley Between Case Managers and the Revenue Integrity Team?
20:00 Jodi's Summary of Her 5 Tips for Preventing Denials
20:20 Ian's Summary of His 5 Tips for Preventing Denials
21:00 Conclusion
Supervision of your hospital’s revenue integrity can be complex and time-consuming. With an ever-shifting landscape of rules and regulations, it can be difficult to keep up with the world of revenue cycle management. Welcome to RevTech Rx, a podcast designed to educate and inform about revenue integrity and revenue cycle management strategies. Kickstart (or restart) your revenue cycle tactics with tips from industry thought leaders and revenue experts on a wide range of valuable and specific topics.
Welcome to episode eight of the RevTech Rx Podcast- Your prescription for a healthy revenue cycle! This episode is powered by Streamline Health, a leader in pre-billing coding optimization.
Medical coding is where medical records from healthcare providers are translated into alphanumeric codes that inform the billing of treatment received. Coding patient records include important information such as diagnoses, severity, procedures, and services rendered. Medical coding also allows for in-depth analysis that informs the financial decisions of the hospital for the benefit of the community they serve.
Once the coding is complete, claims are submitted to the patient's insurance company or the billing department for reimbursement. When coding errors are present, healthcare facilities face a wide range of problems from over-billing, underbilling, compliance scrutiny, and even recoupment from insurance companies. When the stakes are so high for healthcare facilities, medical coders are tasked to uphold high standards. For medical coders, the goal is to have only five errored charts out of 100 charts coded.
95% accuracy is impressive in itself. There are, however, roadblocks that can get in the way of good medical coding. Errors can occur in the form of how the healthcare industry currently records patient records and support the medical coder. When hospitals invest in hiring experienced coders, providing consistent feedback, aligning communication with other healthcare facilities in the health system, and investing in software programs to validate medical coding feedback; medical coding professionals are enabled to break the 95% industry standard.
There are, however, other considerations healthcare facilities need to take into account when supporting the medical coders. Culture plays a major role in keeping good coders working. As the growing trend of quiet quitting ramps up, pay is just one of the concerns for many employees. Our panel also provides insights on how to build a sticky culture and support a successful career in the healthcare industry.
In this episode of RevTech Rx, we are joined by experts in the medical coding field to not only give you the six pillars to medical coding success but also how to keep good coders through professional development and support.
Connect with our panel of experts:
David Kosloski- Host
https://www.linkedin.com/in/david-kos...
Patrick Murphy- Senior VP at Trubridge
https://www.linkedin.com/in/pat-murphy-aa81b230
Jamshid Ebadi- Partner at Crowe
https://www.linkedin.com/in/jamshidebadi
Chapters:
00:00 Introduction
00:40 What is the Definition of Good Medical Coding?
01:24 The Six Pillars to Good Medical Coding
02:25 Medical Coding Pillar One: Hire the Best
04:00 Medical Coding Pillar Two: Performance Reviews
06:30 Medical Coding Pillar Three: Compliance
08:54 Medical Coding Pillar Four: Communication
11:49 Medical Coding Pillar Five: Partners
15:35 Medical Coding Pillar Six: Technology
17:47 How Do Leaders Keep Good Coders?
20:30 Conclusion
Supervision of your hospital’s revenue integrity can be complex and time-consuming. With an ever-shifting landscape of rules and regulations, it can be difficult to keep up with the world of revenue cycle management. Welcome to RevTech Rx, a podcast designed to educate and inform about revenue integrity and revenue cycle management strategies. Kickstart (or restart) your revenue cycle tactics with tips from industry thought leaders and revenue experts on a wide range of valuable and specific topics.
Welcome to episode seven of the RevTech Rx Podcast- Your prescription for a healthy revenue cycle! This episode is powered by Streamline Health, a leader in pre-billing coding optimization.
Mid-revenue cycle optimization is tremendously influenced by the accuracy—or lack thereof— of the chargemaster. Healthcare providers have many hurdles to consider when it comes to chargemaster optimization, especially when chargemaster review is a manual process and can have as many as 10,000+ entries to consider. Chargemaster maintenance is something many healthcare organizations complete only twice a year alongside CPT code updates. When a health system performs maintenance only twice a year, revenue integrity is impacted.
For revenue integrity professionals, ensuring chargemaster accuracy is crucial as it impacts other areas of the revenue cycle, such as charge capture. While the benefits of mid-revenue cycle management are clear, having organizational buy-in for best practices is just one of the many challenges to mid-revenue cycle integrity.
Connect with our panel of experts:
David Kosloski- Host and Director of Marketing
https://www.linkedin.com/in/david-kosloski/
Dawn Castro- VP of Client System Integrations at Conifer Health Solutions
https://www.linkedin.com/in/dawn-castro/
Zach Johnson- VP of Client Operations at Avelead
https://www.linkedin.com/in/zach-johnson-cc/
Chapters:
-
Intro- 0:00-0:34
-
Common problems with the chargemaster- 0:34-3:18
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Chargemaster alignment- 3:19-7:38
-
Chargemaster quick fixes for small and large hospitals- 7:39-13:21
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Getting your chargemaster quick fixes “unstuck”- 13:21-16:40
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The fear of change- 16:40-22:03
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Seeing the why- 22:03-24:03
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Conclusion- 24:03-24:23
Supervision of your hospital’s revenue integrity can be complex and time-consuming. With an ever-shifting landscape of rules and regulations, it can be difficult to keep up with the world of revenue cycle management. Welcome to RevTech Rx, a podcast designed to educate and inform about revenue integrity and revenue cycle management strategies. Kickstart (or restart) your revenue cycle tactics with tips from industry thought leaders and revenue experts on a wide range of valuable and specific topics.
Welcome to episode six of the RevTech Rx Podcast- Your prescription for a healthy revenue cycle!
This episode is powered by Streamline Health, a leader in pre-billing coding optimization.
Today's experts are talking about the Price Transparency Mandate, which went into effect on January 1st, 2021. The mandate stipulates that hospitals do two things:
✅ Have a machine-readable file with all items and services
✅ Display shoppable services in a consumer-friendly format
The goal of the mandate is to empower consumers to shop and compare prices at various hospitals to be better equipped with an estimate of how much their financial obligations will be. There are, however, complications that are causing many hospitals to remain noncompliant.
While posting healthcare costs has helped some consumers, there is still a long way to go before this mandate reaches its full potential to benefit the consumer. CMS estimates that it would take the average health system 150 hours to become compliant; however, this isn't a one-size-fits-all answer to compliance. Faced with the current staffing shortages as well as narrowing margins, many hospitals are consciously choosing limited or even outright noncompliance. New technologies are coming online to help patients access pricing information and educational resources about their bills. This enables patients to make informed decisions regarding healthcare services while easing the compliance burden for providers. The future of price transparency is on the way as self-service tools come online so healthcare systems and healthcare consumers can flourish.
Connect with our panel of experts:
David Kosloski- Director of Marketing
https://www.linkedin.com/in/david-kosloski/
Laurence Kessler- Senior VP, Growth and Partnerships at HealthRise
https://www.linkedin.com/in/ljkessler/
Zach Johnson- VP of Solutions, Avelead
https://www.linkedin.com/in/zach-johnson-cc/
Supervision of your hospital’s revenue integrity can be complex and time-consuming. With an ever-shifting landscape of rules and regulations, it can be difficult to keep up with the world of revenue cycle management. Welcome to RevTech Rx, a podcast designed to educate and inform about revenue integrity and revenue cycle management strategies. Kickstart (or restart) your revenue cycle tactics with tips from industry thought leaders and revenue experts on a wide range of valuable and specific topics.
CFOs are responsible for ensuring that the hospital's cash on hand days are at 80 or better. To keep hospitals afloat, difficult decisions must be made every day, such as closing departments or laying off staff. Our panel of experts dives into how these decisions are made and how to improve your hospital's financial health so you don't have to continue making community-impacting decisions.
Our panel of experts for this episode:
David Kosloski- Host and Director of Marketing and Communications https://www.linkedin.com/in/dkosloski/
Jawad Shaikh- CEO of Avelead
https://www.linkedin.com/in/jwshaikh/
Michael Kittoe- Hospital CFO
https://www.linkedin.com/in/michaelki...
Greg Forshey- VP of Client Success
https://www.linkedin.com/in/greg-forshey-9704b57/
With Avelead, you never fly alone!
So, buckle up and get comfortable, as we dive deep into Episode #5 of the RevTech RX Podcast!
Supervision of your hospital’s revenue integrity can be complex and time-consuming. With an ever-shifting landscape of rules and regulations, it can be difficult to keep up with the world of revenue cycle management. Welcome to RevTech RX, a podcast designed to educate and inform about revenue integrity and revenue cycle management strategies. Kickstart (or restart) your revenue cycle tactics with tips from industry thought leaders and revenue experts on a wide range of valuable and specific topics. This podcast is powered by Avelead, the leader in revenue integrity solutions. At Avelead, we empower hospitals to thrive. Upcoming Topics · Manual vs. Automated Revenue Reconciliation · The Importance of Reconciling Charges Before Billing · And more!
Staff shortages are the latest blow to healthcare. Hospitals have to evolve to support their staff through culture, process improvement, and software tools. Avelead's experts discuss their experience with working through staff shortages and what your hospital can do to improve your staff's work-life.
Our panel of experts for this episode:
David Kosloski- Host and Director of Marketing and Communications https://www.linkedin.com/in/dkosloski/
Jawad Shaikh- CEO of Avelead
https://www.linkedin.com/in/jwshaikh/
Michael Kittoe- Hospital CFO
https://www.linkedin.com/in/michaelkittoe/
Michael Yzerman- Senior VP of Services
https://linkedin.com/in/michael-yzerman-234aa31b0
With Avelead, you never fly alone!
So, buckle up and get comfortable, as we dive deep into Episode #4 of the RevTech RX Podcast!
Missing or delayed charges limits a hospital's ability to collect from insurance companies. Having strong charge capture practices mitigates this pain point that has been expounded by the pandemic. Aveleads experts provide insight into beating the clock and getting ahead of delayed charge capture.
With Avelead, you never fly alone!
So, buckle up and get comfortable, as we dive deep into Episode #3 of the RevTech RX Podcast!
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Supervision of your hospital’s revenue integrity can be complex and time-consuming. With an ever-shifting landscape of rules and regulations, it can be difficult to keep up with the world of revenue cycle management. Welcome to RevTech RX, a podcast designed to educate and inform about revenue integrity and revenue cycle management strategies. Kickstart (or restart) your revenue cycle tactics with tips from industry thought leaders and revenue experts on a wide range of valuable and specific topics. This podcast is powered by Avelead, the leader in revenue integrity solutions. At Avelead, we empower hospitals to thrive. Upcoming Topics · Manual vs. Automated Revenue Reconciliation · The Importance of Reconciling Charges Before Billing · And more!
In today’s episode, three of Avelead’s revenue integrity experts will be discussing the challenges manual charge reconciliation presents and why hospitals are reluctant to change. Change is good and we talk about how our experts ease the transition to automation. With Avelead, you never fly alone!
So, buckle up and get comfortable, as we dive deep into Episode #2 of the RevTech RX Podcast!
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Supervision of your hospital’s revenue integrity can be complex and time-consuming. With an ever-shifting landscape of rules and regulations, it can be difficult to keep up with the world of revenue cycle management. Welcome to RevTech RX, a podcast designed to educate and inform about revenue integrity and revenue cycle management strategies. Kickstart (or restart) your revenue cycle tactics with tips from industry thought leaders and revenue experts on a wide range of valuable and specific topics. This podcast is powered by Avelead, the leader in revenue integrity solutions. At Avelead, we empower hospitals to thrive. Upcoming Topics · Manual vs. Automated Revenue Reconciliation · The Importance of Reconciling Charges Before Billing · And more!
In today’s episode, three of Avelead’s revenue integrity experts will be discussing some of the biggest charge capture issues hospitals are facing today. From identifying several key underlying charge capture issues to assembling the necessary revenue integrity team members, this episode will provide valuable insight into what immediately needs to be addressed in your hospital’s revenue cycle. So, buckle up and get comfortable, as we dive deep into Episode #1 of the RevTech RX Podcast!
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Supervision of your hospital’s revenue integrity can be complex and time-consuming. With an ever-shifting landscape of rules and regulations, it can be difficult to keep up with the world of revenue cycle management.
Welcome to RevTech RX, a podcast designed to educate and inform about revenue integrity and revenue cycle management strategies. Kickstart (or restart) your revenue cycle tactics with tips from industry thought leaders and revenue experts on a wide range of valuable and specific topics.
This podcast is powered by Avelead, the leader in revenue integrity solutions. At Avelead, we empower hospitals to thrive.
Upcoming Topics
· Manual vs. Automated Revenue Reconciliation
· The Importance of Reconciling Charges Before Billing
· And more!