The Wilshire IT RevCast: Recent Episodes
The Wilshire Group
The new bitesize podcast series features a fresh outlook addressing some of the most pressing issues and opportunities facing the RCM and Revenue Cycle IT space. Entertaining hosts, Evan Martin and Daniel Bianchini, will explore key topics through interviews with informative industry thought leaders, share latest trends and best practices from conference showcases and will be sure to bring the most relevant and talked about hot topics. Join us on this journey by subscribing to our podcast "On Spotify" (or something like that) and looking for new episode release on Wilshire Wednesdays. You can listen on your commute to work, at the gym (or wherever you enjoy your podcasts).
This episode explores how HFMA’s Western Region Symposium is reimagining provider–business partner collaboration through innovative education formats like the regional Think Tank and the Innovation Gauntlet. Evan Martin and guest Ramona Hernandez discuss the importance of use-case-driven technology (especially AI), mission-centered vendor partnerships, and inclusive leadership initiatives—highlighting how these efforts support financial sustainability, professional growth, and stronger networks across the healthcare revenue cycle community.
In this episode of the Wilshire IT Webcast, Evan Martin, VP Revenue Cycle Management at ZoomCare, sits down with Kevin Henrikson, co-founder of Pretty Good AI, to unpack how real-world AI is reshaping patient access, front-end revenue cycle, and denial prevention.You’ll hear how practices are moving beyond basic IVR and portals to deploy voice-based AI agents that actually resolve issues—not just route calls.
In this episode of The Wilshire IT RevCast dives deep into the fast‑evolving world of healthcare price transparency and the operational reality of Good Faith Estimates (GFEs) under the No Surprises Act. Our host Evan Martin, VP Revenue Cycle at ZoomCare, and returning guest Travis Gentry, CEO of Hyve Health, unpack how regulations aimed at protecting patients are colliding with fragmented systems, siloed providers, and legacy revenue cycle workflows.They explore why current price transparency data is often unusable, what a “true” 360‑degree GFE would look like, who should really quarterback the estimate, and how advanced claims and advanced EOBs could fundamentally reshape the revenue cycle from reactive to proactive. The conversation also looks ahead to ambulatory surgery centers (ASCs), medical group practices, and the growing regulatory pressure on both providers and payers.
n this episode of The Wilshire IT RevCast, we explore why meaningful career growth rarely happens by accident and argue that individuals—not employers—must act as the “CEO” of their own development. Drawing on Marcie Carleton’s HR and talent experience, the conversation highlights how top performers set intentional goals, continuously build learning agility, communication, and tech/AI adaptability, and integrate personal well-being with professional growth rather than waiting for permission, budget, or perfect conditions.
In this episode of the Wilshire IT Revcast, Evan Martin sits down with Shari Boyer, Director of Enterprise Denial Management, WVU Medicine, and Scott Earich, Partner and Owner of The Wellington Group, LLC, to unpack how payers are industrializing denials and how providers can respond with AI-driven strategies.
This episode explores the 2025 CMS final rule changes with a deep dive into how new payment and coding policies—especially around skin substitutes—will impact Chargemaster design, revenue integrity, and reimbursement across hospitals, ASCs, and physician practices. The guests highlight the need for multidisciplinary collaboration, stronger standards, and more innovative use of automation and EHR tools (e.g., order sets, creative forms, charge edits) to ensure compliant billing, protect revenue, and align payer contracting strategies with the new regulatory landscape.
In this engaging episode of the Wilshire RevCast, host Evan Martin is joined by Kelly Samuel, the Executive Director at Annuity Health, to discuss the intricate patterns within revenue cycle management. With a summer full of changes and a transition into fall, they explore how identifying and understanding patterns can unlock significant improvements in revenue cycle processes and operations. This episode is packed with insights into empowering teams, leveraging data, and driving operational success through informed decision-making.
In this insightful episode, host Evan Martin, alongside guest co-host Patti Consolver, delves into the intricacies of patient loyalty and the pivotal role of patient experience in healthcare sustainability. Featuring Matt Lauer, a certified patient experience professional, the discussion highlights the intersection of revenue cycle management and patient satisfaction, emphasizing the need for healthcare systems to adapt and improve service interactions using data-driven insights and a holistic understanding of patient needs.
In this engaging episode, host Evan Martin In this engaging episode of the Wilshire IT broadcast, host Evan Martin converses with Rahul Agrawal, a visionary entrepreneur in healthcare technology. The discussion delves into the transformative capabilities of AI in streamlining medical documentation and revenue cycle management, highlighting how these innovations are poised to significantly reduce administrative burdens and enhance efficiency in healthcare operations. Rahul shares insights into his company’s development of AI tools that support healthcare professionals in improving coding accuracy and managing claims with reduced denials, emphasizing a long-term vision for integrating AI seamlessly into healthcare practices. Listen at https://blubrry.com/wilshireitrevcast/, or on your favorite podcast app!
In this episode of the Wilshire IT Revcast, host Evan Martin and guest Marcia Leighton dive into the pervasive role of AI in various sectors, with a focus on healthcare and revenue cycle management. They discuss the integration and impact of AI tools like ChatGPT and Google Gemini on productivity, decision-making, and organizational efficiency. The conversation highlights the importance of adopting AI proactively to enhance workplace processes and underscores the necessity for balancing innovation with security and personal readiness.
In this episode of The Wilshire IT Revcast, host Evan Martin and guest Marcie Carleton explore the evolving landscape of recruitment, with a particular focus on trends in remote work and the application of AI in hiring processes. They explore the preference for remote work among candidates, the challenges in balancing in-office and flexible schedules, and the role of recruiters in personalizing candidate engagement. The conversation further emphasizes the importance of relationship-building and authentic communication in recruiting, underlining innovative strategies for maintaining community among remote teams.
In this engaging episode, host Evan Martin is joined by Justin Liu, the co-founder and CEO of Charta Health. Broadcasting from Alaska, Evan dives into the dynamic world of healthcare AI, exploring how language models are revolutionizing revenue cycle management. Justin shares fascinating insights into the backend intricacies of healthcare systems and the role AI plays in streamlining processes. Listen at https://blubrry.com/wilshireitrevcast/, our YouTube Channel https://www.youtube.com/@thewilshireitrevcast9585, or on your favorite podcast app!
Welcome to the latest episode of the Wilshire IT Revcast, where we dive into the vibrant world of the NAHAM Conference. Join us for a live recording as we speak with leading professionals about key topics in healthcare access management and the technological advancements shaping this critical field.
In this episode, host Evan Martin and guest Stuart Newsome of Infinx Health delve into the impact and evolution of AI agents within the healthcare revenue cycle management industry. They explore the roles and benefits of AI in enhancing efficiency and accuracy in tasks such as cybersecurity, denial management, and document processing. Their discussion highlights how AI agents augment human roles rather than replace them, emphasizing the importance of ethical considerations and strategic partnerships in harnessing these advanced technologies.
In this insightful episode of the "The Wilshire IT RevCast", host Evan Martin welcomes the distinguished Nio Querio. A well-acclaimed author and expert in innovation within the healthcare sector, Nio shares her personal journey into healthcare, how it's shaped her professional life, and the importance of integrating patient experiences into revenue cycle management. Together, they explore the evolving landscape of healthcare, addressing challenges faced by safety net hospitals, the role of AI in training, and innovative payment models. Listen at https://blubrry.com/wilshireitrevcast/, our YouTube Channel https://www.youtube.com/@thewilshireitrevcast9585, or on your favorite podcast app!
E.P. Description: The latest episode of the Wilshire IT Podcast, hosted by Evan Martin, delves into the complexities of provider billing and reimbursement in the medical field, particularly with the challenges presented by recent changes to the Medicare fee schedule. Featuring insights from experts at Ventra Health, including Dr. Jamie Shoemaker and Dr. Mark Laperouse, the episode explores the impact of declining reimbursement rates on physicians and the healthcare system at large, emphasizing the urgent need for legislative action and strategic advocacy to ensure the sustainability of medical practices. Listen at https://blubrry.com/wilshireitrevcast/, our YouTube Channel https://www.youtube.com/@thewilshireitrevcast9585, or on your favorite podcast app!
Dive into the latest insights on revenue cycle management with Beth Allen from Getix Health and Evan Martin in this enlightening episode. Join them as they tackle pressing issues in RCM, from payer relationships to cybersecurity threats.
In this episode of the Wilshire IT RevCast Daniel and Evan wrap up this season. The guys have been thinking a lot about cybersecurity too—especially after the big Change Healthcare incident. Organizations are now faster at mitigating threats, showing resilience and adaptability. They also talk about what has been the most eye-opening takeaway for each of them in their professional journey this past year. Listen at https://blubrry.com/wilshireitrevcast/, our YouTube Channel https://www.youtube.com/@thewilshireitrevcast9585, or on your favorite podcast app!
Welcome back to another insightful episode of The Wilshire IT RevCast! Today, join Evan Martin and Daniel Bianchini as they delve into the transformative role of Artificial Intelligence (AI) in healthcare. This episode explores how AI is reshaping the landscape from insurance claim denials to medical documentation and clinical decision-making. With the holiday season upon us, we'll also discuss how healthcare professionals are balancing work commitments with personal time while navigating regulatory shifts and patient care demands. Tune in for an in-depth discussion on the critical balance between technology and human oversight in the medical field. Listen at https://blubrry.com/wilshireitrevcast/, our YouTube Channel https://www.youtube.com/@thewilshireitrevcast9585, or on your favorite podcast app!
In this episode of The Wilshire IT RevCast, Daniel and Evan explore how AI technologies, including predictive analytics and robotic process automation (RPA), revolutionize healthcare revenue cycle management. Their guest, Christine Fontaine at Waystar, highlights how these advanced tools can enhance staff productivity, forecast potential revenue challenges, and automate repetitive tasks. Discover how AI provides actionable insights for data-driven decision-making and contributes to a more efficient and financially stable healthcare system. Join us for a deep dive into the innovative applications of AI in healthcare RCM.
Heather Dunn joins Evan Martin and Daniel Bianchini to explore the remarkable synergy between IT innovation and revenue cycle management (The Love Between IT and Revenue Cycle) in the complex healthcare sector. The indispensable fusion of technology and financial operations underpins the success of many healthcare institutions. With a wealth of experience in healthcare and IT, this dynamic trio discusses the critical importance of implementing systems such as Epic to streamline billing, enhance revenue integrity, and improve workflows.
In this episode of "The Wilshire IT RevCast", Daniel and Evan delve into the critical aspects of revenue integrity and charge master management within healthcare organizations. They are joined by Lynne Dossey and Rina Patel from Health Catalyst who provide a comprehensive guide on ensuring all services are billed correctly and compliantly, touching on critical components such as charge capture, coding, and regulatory adherence. Tune in to grasp the foundational elements that form the backbone of an effective revenue integrity program and prevent revenue leakage, ensuring the financial health of your organization. Listen at https://blubrry.com/wilshireitrevcast/, our YouTube Channel https://www.youtube.com/@thewilshireitrevcast9585, or on your favorite podcast app!
In this episode of The Wilshire IT RevCast, Gretchen Case joins Evan as a co-host and they delve into the highlights of the National Healthcare Association of Revenue Integrity’s annual conference, held recently in Chicago. As the only professional society dedicated to Revenue Integrity, the conference provided a platform for networking, professional development, and sharing the latest trends and innovations. The discussions ranged from the importance of denial management to leveraging advanced technologies in auditing processes, making it a treasure trove of insights for healthcare professionals aiming to enhance their operations.
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In this episode of The Wilshire IT RevCast, Gretchen Case joins Evan as a co-host and they delve into the highlights of the National Healthcare Association of Revenue Integrity's annual conference, held recently in Chicago. As the only professional society dedicated to Revenue Integrity, the conference provided a platform for networking, professional development, and sharing the latest trends and innovations. The discussions ranged from the importance of denial management to leveraging advanced technologies in auditing processes, making it a treasure trove of insights for healthcare professionals aiming to enhance their operations.
In this episode of "The Wilshire IT RevCast," Tim Holland rejoins Daniel and Evan to delve into the intricacies of healthcare consulting with a dedicated look at Revenue Cycle Management (RCM). They discuss the challenges and strategies associated with transitioning from operational roles to consulting positions, emphasizing the critical need for both strategic thinking and detailed project management. The episode also covers the pivotal roles of being an interim leader when organizations need support.
In this episode of The Wilshire IT RevCast, our hosts dive deep into the transformative role of Artificial Intelligence (AI) in healthcare, focusing on enhancing coding accuracy and efficiency with Greg Hobbs, MD, MPH. The discussion explores the complexities surrounding surgical coding and the formidable challenge of pre-authorization denials. The speakers highlight how AI can ease hospital administrative burdens by automating routine and highly complex coding tasks. They showcase how advanced AI platforms, like Milagro, are already making strides by autonomously coding surgical cases with impressive accuracy, thus reducing financial losses due to mismatches and denials.
In this episode of "The Wilshire IT RevCast", Daniel and Evan are joined by Soy Chen and Danielle Bergamn from Lightbeam Health Solutions for a deep dive into the adoption and impact of value-based care in healthcare systems. Their discussion highlights the current adoption rates of value-based care, financial and quality incentives driving this approach, and how it integrates with population health. The conversation provides valuable insights into how healthcare organizations are evolving to meet quality metrics and manage chronic conditions more effectively, all while aiming to enhance patient outcomes and reduce overall healthcare costs.
In this episode of the Wilshire IT RevCast, we explore how modern healthcare organizations are adopting innovative strategies to enhance the crucial task of denial management. Industry leader Sarah Mendiola at Cloudmed guided Evan Martin and Daniel Bianchini through delving into the complexities of denial management and the necessity of implementing strategies to deal with denials when they occur and prevent them.
In today's episode, our hosts, Evan Martin and Daniel Bianchini, with guest Jason Ruiz, share their experiences and expertise on managing vendor relationships and cultivating effective communication for successful long-term partnerships. They delve deeper into how healthcare providers can align immediate needs with strategic goals to optimize the revenue cycle.
Furthermore, this episode breaks down the complex revenue cycle management process, highlighting the critical role of revenue cycle executives in identifying inefficiencies and implementing streamlined processes. Our guest shares how their company aim to create a system that not only supports excellent patient care but also contributes to the organization's long-term financial stability. Tune in to learn how innovative strategies and transparent billing practices can significantly enhance patient satisfaction and loyalty.
Welcome to another enriching episode of The Wilshire IT RevCast. The episode unfurls with an in-depth exploration of the emergence of price transparency and its profound influence on the healthcare arena. Through the conversation, guest Carol Skenes, with hosts Daniel Bianchini and Evan Martin, shed light on the complexity of healthcare billing, the need for a streamlined approach, and the role of claims simplification initiatives in enhancing care affordability. The insightful discussion subsequently delves into the impact of upcoming regulatory changes on price transparency, the significance of strategic leadership within healthcare organizations, and the importance of Harnessing technology for enhanced price transparency.
Welcome to another enriching episode of The Wilshire IT RevCast. The episode unfurls with an in-depth exploration of the emergence of price transparency and its profound influence on the healthcare arena. Through the conversation, guest Carol Skenes, with hosts Daniel Bianchini and Evan Martin, shed light on the complexity of healthcare billing, the need for a streamlined approach, and the role of claims simplification initiatives in enhancing care affordability. The insightful discussion subsequently delves into the impact of upcoming regulatory changes on price transparency, the significance of strategic leadership within healthcare organizations, and the importance of Harnessing technology for enhanced price transparency.
The post Price Transparency: Continue to Explore the New Frontier of Healthcare (S3 Ep9) appeared first on The Wilshire Group.
This thoughtful episode of The Wilshire IT RevCaast features guest Mike Green, Chief Information Security Officer at Availity. Evan, Daniel, and Mike dive into the ethical dilemmas and security issues that come with integrating AI into the healthcare industry. As AI continues to revolutionize healthcare practices, it brings with it a plethora of cybersecurity concerns and ethical considerations that we must untangle.
This thoughtful episode of The Wilshire IT RevCaast features guest Mike Green, Chief Information Security Officer at Availity. Evan, Daniel, and Mike dive into the ethical dilemmas and security issues that come with integrating AI into the healthcare industry. As AI continues to revolutionize healthcare practices, it brings with it a plethora of cybersecurity concerns and ethical considerations that we must untangle.
The post AI in Healthcare: Cybersecurity Threats and Ethical Dilemmas (S3 Ep8) appeared first on The Wilshire Group.
Daniel and Evan dug into Season 1 archives to bring you a Special re-relates episode. In this episode, Wilshire Co-Founder and Managing Partner Gretchen Case rejoins and cohosts with Evan for a total geek session about what exactly is RI and the 8 Pillars of Revenue Integrity. They will explore the industry chatter among colleagues and vendors and what the Wilshire Group has been up to in this space.
Daniel and Evan dug into Season 1 archives to bring you a Special re-relates episode. In this episode, Wilshire Co-Founder and Managing Partner Gretchen Case rejoins and cohosts with Evan for a total geek session about what exactly is RI and the 8 Pillars of Revenue Integrity. They will explore the industry chatter among colleagues and vendors and what the Wilshire Group has been up to in this space.
The post S3 Special Re-Release: What is Revenue Integrity? appeared first on The Wilshire Group.
In this episode, Ben Bartholomew of Advocatia Solutions joins Daniel and Evan. Ben shared that his journey from family history to football heroism at the University of Tennessee is inspiring. Now, he's applying that legacy mindset to healthcare, championing a care model that's as focused on quality and inspiring team building as it was on the field.
In this episode, Ben Bartholomew of Advocatia Solutions joins Daniel and Evan. Ben shared that his journey from family history to football heroism at the University of Tennessee is inspiring. Now, he’s applying that legacy mindset to healthcare, championing a care model that’s as focused on quality and inspiring team building as it was on the field.
The post Building Teamwork from the Locker Room to the Office (S3 Ep7) appeared first on The Wilshire Group.
In this episode, Paul Meyer, CEO of Smart Health, and Mike Vigo, Chief Revenue Cycle Officer at UCSD Health, join Evan and Daniel. The episode frames the timely debate around cybersecurity as an IT problem and an organization-wide strategic concern.
The episode highlights the role of financial strategies and anticipated legislative responses in strengthening digital infrastructure and mitigating cyber risks. Furthermore, the guest panel discusses the transformative potential of Smart Health solutions to enhance the patient experience by streamlining interactions and safeguarding patient data in these interconnected times. The episode illuminates how ground-breaking advancements can revolutionize healthcare transactions through streamlined identification processes, patient education, and human-centric technological solutions.
Plus, more than just cookies are evolving – our healthcare system is, too. From Medicare services to provider payments, everything's in flux. It's crucial to stay informed and advocate for clarity and accountability, especially when dealing with complex contracts and the true cost of care. Transparency can be the RCM game-changer here. Daniel and Evan are joined by Travis Gentry, CEO of Hyve Health, and Aundria Mazoros, Director of Revenue Integrity OHSU, to delve deep into the challenges hospitals face around transparency and necessary insights for informed decision-making.
Abby Behm joined Daniel and Evan as they delved into the evolving landscape of revenue cycle education and how leading institutions like Stanford Health grapple with the challenges and explore opportunities arising from this transformation. The episode highlights Stanford's innovative strategies of enhancing revenue cycle education through dedicated academies, adjusting to remote work necessitated by COVID-19, and making the most of strategic partnerships and personality assessments.
Additionally, our speakers discuss how Abby is getting other revenue cycle leaders to embrace the increased importance of soft skills in revenue cycle training and integrate it into their training framework for comprehensive organizational growth.
Welcome to another installment of The Wilshire IT RevCast! In this episode, Leslie Bioni and Jenn Krebs join hosts Evan Martin and Daniel Bianchini to explore the crucial contributions of Health Information Management (HIM) professionals in bolstering clinical compliance and legal adherence within organizations. We'll also thoroughly examine the intricacies of the CMS Split Share rule and its implications for physicians and advanced practice providers.
Heather Dunn joins Evan Martin and Daniel Bianchini to explore the remarkable synergy between IT innovation and revenue cycle management (The Love Between IT and Revenue Cycle) in the complex healthcare sector. The indispensable fusion of technology and financial operations underpins the success of many healthcare institutions. With a wealth of experience in healthcare and IT, this dynamic trio discusses the critical importance of implementing systems such as Epic to streamline billing, enhance revenue integrity, and improve workflows.
Get ready for a captivating journey into the world of startups on the frontlines of healthcare innovation in Season 3, Episode 1 of "A Startups' Role in Leveraging Healthcare Data." Our Hosts, Evan Martin and Daniel Bianchini, are joined by expert speakers Austin Sober and Spencer Dunlap, who dissect the challenges and opportunities of integrating data analysis and cutting-edge technology into the healthcare sector. Tune in to uncover how startups are trailblazing and transforming the healthcare industry.
Evan and Daniel are in the process of getting Season 3 started. Till then, enjoy this special re-release. The traditional thinking of revenue cycle workforce planning is no longer. With COVID-19 and technological advances, the revenue cycle transformed the method of conducting business and the current environment in which to do it. In this episode, the guys visited with Amanda De Los Reyes and Kelly Smith to look at their current work environment; they will explore the current and future state of workforce planning in their respective revenue cycles. They discuss how their organizations are currently structured and where they see the industry moving. Some organizations will stay remote, some will have a hybrid model, and others will come back fully into the office. What is in your future?
Daniel and Evan are still enjoying the holiday break, so we are bringing you a special re-release of season 2, episode 11. In this episode, Chris Ahern, Director of Data Science at Janus Health, joined the guys. Chris educates them on Machine Learning and Generative artificial intelligence (A.I.) and how it can be used in healthcare today.
It's hard to believe that the final Season 2 episode of the Wilshire IT RevCast is here, but we're thrilled to reveal the revenue cycle trends for 2024 and updates from the past year. Take a break from the holiday rush, grab a cup of eggnog or any beverage you choose, and tune in to our podcast! We truly enjoyed recording this and hope you find it entertaining and informative.
EP Description: S2 Ep 21 The Marriage between Pricing Transparency and Patient Estimates In this episode, Jacqueline Jordan, System Director of Patient Access at the University of California San Diego Health, and Wilshire's Director of Growth and Business Development, Patti Consolver, join Daniel and Evan to discuss the benefits of NAHAM and HFMA and the friendly debate on the Marriage between Pricing Transparency and Patient Estimates.
In this episode, Freeman Jenkins, Director of Partnership at The Wilshire Group, joins Daniel and Evan to provide a Special Field Report about his journey to Becker’s Conference and what RCM and IT departments should be on the lookout for Solutions / Start-Ups are on the horizon to support their operations.
In this episode, Tim Holland co-host with Daniel and they are joined Dr. Steve Kim Co-Founder & CEO of Voluware, Inc.. They explore the regulatory realities of prior authorization, gold carding, how deep and complex prior authorization is, and what AI and Machine Learning is doing to improve the RCM workflows.
In this spooky time of year, Evan and Daniel are taking a week off to re-release THE FEAR of AI. The guys were joined to kick off this season by Claims Capitals C.E.O. Austin Sober and The Director of Client Operations, Spencer Dunlap. The guys will discuss Healthcare I.T. and Revenue Cycle Operations fears around A.I. solutions and how they recommend that organizations start to overcome the fear and look at the long-term ROI.
In this episode, Shawnda Akers, Vice President of Revenue Cycle Operation at Allegheny Health Network, and Jenn Krebs, Client Success Director of the Wilshire Group, join Daniel and Evan to chat about how RCM and IS teams are partnering to put Automation in Action to support daily operations and improve the financial outcomes for health systems.
In this episode, Daniel and Evan pause and talk about what is current in the Revenue Cycle and IT news for health care and reflect on the first half of the year. It sure has not been easy for revenue cycle leaders – between declining operating revenue, denials, a frustrated workforce, and AI, Evan and Daniel have much to discuss.
The traditional thinking of revenue cycle workforce planning is no longer. With Covid-19 and advances in technology, the revenue cycle transformed not only the method to conduct business but the current environment to do it in. In this episode, Daniel and Evan visit with Amanda De Los Reyes and Kelly Smith to look at their current work environment; they will explore the current and future state of workforce planning in their respective revenue cycles. They discuss how their organizations are currently structured and where they see the industry moving.
Some organizations will stay fully remote, some will have a hybrid model, and still, others will come back fully into the office. What is in your future?
The traditional thinking of revenue cycle workforce planning is no longer. With Covid-19 and advances in technology, the revenue cycle transformed not only the method to conduct business but the current environment to do it in. In this episode, Daniel and Evan visit with Amanda De Los Reyes and Kelly Smith to look at their […]
The post Hybrid, 100% Remote or In-Person “Where is R.C. in Healthcare Landing?” appeared first on The Wilshire Group.
In this episode, Evan and Daniel are joined by Gretchen Case and Hank Smither, Co-Founders and Managing Partners of The Wilshire Group. Even the most robust coding and billing departments have challenges, and the common issue that causes friction between these two areas is a lack of collaboration. Industry experts feel that the key to becoming […]
The post Season 2’s SmackDown Billing vs. R.I. “Finding The Money (S2 Ep14) appeared first on The Wilshire Group.
In this episode, Daniel and Evan are re-joined by Marcie Carlton and Tim Holland to continue this season’s conversation around Life-Long Learning. They focused on tools and resources they personally use to continue their personal and professional growth.
In this episode, Daniel and Evan are joined by Aidéo Technologies, Director of Coding Marsha Diamond, and Vice President of Operations Marcia Leighton. They talk about the future of A.I. in the coding space and the impact it will have to the role of the coder.
In this episode, Evan and Daniel are joined by Chris Ahern, Director of Data Science at Janus. Chris educates the guys on Machine Learning and Generative artificial intelligence (A.I.) and how they can be used in healthcare today.
This is the second part of Estimates Today, where Evan and Daniel were re-joined by Tim Holland and Matt Perron for an exciting two episodes to talk about the current world of patient estimates and the projected future of what organizations will need to plan for.
In this episode, Evan and Daniel are re-joined by Tim Holland and Matt Perron for an exciting two episodes to talk about the current world of patient estimates and the projected future of what organizations will need to plan for.
In this episode, Evan and Daniel are re-joined by Tim Holland and Matt Perron for an exciting two episodes to talk about the current world of patient estimates and the projected future of what organizations will need to plan for.
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In this episode, Daniel Bianchini and Evan Martin are joined by Wilshire's own Marcie Carleton, Talent Acquisition & Retention Manager. Tim Holland, Director of People and Culture, will join. Marice and Tim share how the healthcare industry responds to expectations from future employees and how small organizations can respond.
S2 Ep8 Have you planted your Decision Trees?: In this episode, Daniel and Evan are joined by Wilshire’s own Melissa Hill & Matt Perron to share their experience and how healthcare access leaders embrace decision trees.
In this episode, Evan and Daniel are joined by NAHAM's Current President, Stephanie Benintendi, and Vice President, Philip Quick. Along with TWG's own Tim Holland to discuss The Rise of Patient Access and how the National Association of Healthcare Access Management (NAHAM.ORG) offers resources to Revenue Cycle Leadership to morph with continual changes. They will also take time to answer listeners' questions.
It’s Wilshire Wednesday! Daniel and Evan are taking a short break from recording this week, but they have pulled a special episode out of the archive just in time to highlight NAHAM.ORG. The Rise of Patient Access episode from Season 1 had the Current President, Stephanie Benintendi, Vice President, Philip Quick from NAHAM, and Wilshire’s own Tim Holland. Next week is also the NAHAM 2023 Annual Conference, May 2-5 in Orlando, Florida. On May 2nd, The Wilshire Group’s Patti Consolver and Tim Holland will be leading the Epic Organization focus group. To listen to this week’s episode, visit https://blubrry.com/wilshireitrevcast/
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In this episode, Evan and Daniel are re-joined by Marcie Carlton and Tim Holland to discuss How Leaders Maintain the education and professional development of the industry.
In this episode, Evan and Daniel are re-joined by Marcie Carlton and Tim Holland to discuss how leaders maintain their education and professional development of the industry.
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In this episode, Evan and Daniel are joined by Allison Perez of Stanford Health Care and Patti Consolver of The Wilshire Group to discuss how IT/IS Governance can directly impact the daily operations of the Revenue Cycle. They will discuss creative ways organizations have developed Governance and structure to employ a unique partnership between operational departments.
In this episode, Evan and Daniel are joined by Allison Perez of Stanford Health Care to discuss how IT/IS governance can directly impact the daily operations of Revenue Cycle. They will talk about creative ways organizations have developed and structured governance to employ a unique partnership between both operational departments. Additionally, they discuss how front-end revenue cycle IT/IS requests have a direct impact on the full revenue cycle.
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The Single Path: In this Episode, Evan and Daniel are joined by Jess Bowden from Allegheny Health Network, and TWG's own Jenn Krebs to discuss Leveraging Single Path coding, Flex Time/ Schedules and answer listeners' questions.
In this Episode, Evan and Daniel are joined by Jess Bowden from Allegheny Health Network, and TWG’s own Jenn Krebs to discuss Leveraging Single Path coding, Flex Time/ Schedules and answer listeners’ questions.
The post S2 Special (S1 Ep2 Leverage Single Path) appeared first on The Wilshire Group.
In this episode, Danie and Evan are re-joined by Jen Krebs, Director of Client Success, and for the first time, Hank Smither, Co-Founder and Managing Partner of the Wilshire Group. The gang will discuss Wilshire’s unique way of continuing to engage clients and some of the foundational items from their primary operations experience that organizations should consider in holding partners/vendors accountable.
In this episode, Evan and Daniel are joined by Wilshire's own Freeman Jenkins and Matt Perron. The team will discuss how small companies have to leverage leadership roles differently and how there is a continued need for small companies to develop partnerships and innovation to stay ahead of the big ships.
Stories from the deployment field, In this episode, Evan and Daniel are joined by Elizabeth Larson, Sr. Strategic Advisor & Spencer Thielmann, Managing Partner and V.P. of Operations, to reflect on past development stories and share the success themes and challenges that always arise.
In this episode, Evan and Daniel are joined by Wilshire's own Freeman Jenkins and Matt Perron. The team will discuss how small companies have to leverage leadership roles differently and how there is a continued need for small companies to develop partnerships and innovation to stay ahead of the big ships.
In this episode, Daniel and Evan, joined by Betty Johnson, RN A.C.M of Cedar Sinai's Compliance and Revenue Integrity department, Rick Lash, Principle of Lash Consulting Group, and Wilshire's very own Gretchen Case, will join in again to discuss the Evolution of Governmental Audit Programs (G.A.P.) in the Revenue Integrity and Hospital Billing Arena.
In this episode, Evan and Daniel are joined by Claims Capitals C.E.O. Austin Sober and The Director of Client Operations, Spencer Dunlap. The guys will discuss Healthcare I.T. and Revenue Cycle Operations fears around A.I. solutions and how they recommend that organizations start to overcome the fear and look at the long-term ROI.
To wrap up the first Season of Wilshire IT RevCast, Daniel Bianchini and Evan Martin are joined by Wilshire's own Marcie Carleton, Talent Acquisition & Retention Manager. Tim Holland, Director of People and Culture, will join. Marice and Tim share how the healthcare industry responds to expectations from future employees and how small organizations can respond.
In this episode, Daniel is back from vacation! Special guest, Sue Plank. LCSW, CHAM, Director of Patient Access at Goshen Health, and Tim Holland, Director of People and Culture of The Wilshire Group, join Daniel Bianchini and Evan Martin. Tim and Sue will share how collaborating on developing a career ladder sparked a long-standing professional relationship supporting professional growth and industry best practices.
In this special episode, Wilshire Co-Founder and Managing Partner Gretchen Case rejoin and cohost with Evan for a total geek session over What exactly is RI? and the 8 Pillars of Revenue Integrity. They will explore the chatter in the industry among colleagues and vendors and what the Wilshire Group has been up to in this space.
In this special episode, Wilshire Co-Founder and Managing Partner Gretchen Case rejoin and cohost with Evan for a total geek session over What exactly is RI? and the 8 Pillars of Revenue Integrity. They will explore the chatter in the industry among colleagues and vendors and what the Wilshire Group has been up to in […]
The post What is Revenue Integrity? (Ep. 8) appeared first on The Wilshire Group.
In this episode, Daniel and Evan are joined by Cedars-Sinai L1 Pillar Leader of Health Information and Revenue Integrity, Thea Campbell. Thea will share her perspective on where Coding and HIM are heading in using AI, the national language process, and what is not realistic in the coding technology space. The group will also discuss the risk of implementing Machine Readable Medical Records with the regulatory requirements for HIM out of the Cures ACT.
In this episode, Evan and Daniel are joined by NAHAM's Current President, Stephanie Benintendi, and Vice President, Philip Quick. Wilshire's own Tim Holland discusses The Rise of Patient Access and how the National Association of Healthcare Access Management offers resources to Revenue Cycle Leadership to morph with continual changes. The group takes time to answer a listener's question.
The healthcare revenue cycle management landscape has transformed dramatically since the pandemic. In this episode, Evan and Daniel are joined by Vyne Medical’s Chief Business Officer Scott Overholt and Patti Consolver, The Wilshire Group, to discuss how the industry is strategically managing technology and workforce management in the RCM space.
In this episode, Daniel and Evan are re-joined by their team members, Gretchen Case and Mark Wilson. The team will continue the lively two-part Debate about Operations understanding of a request being easy vs. IT actual difficulties around the request. Finally, Daniel and Evan will get Gretchen and Mark's assistance in answering listeners' questions.
In this episode, Daniel and Evan are joined by their fellow team members Gretchen Case and Mark Wilson to have a lively two-part Debate about Operations understanding of a request being easy vs. IT actual difficulties around the request. This miss communication is a common trend in healthcare that goes unspoken by many.
In this Episode Evan and Daniel are joined by Jess Bowden from Allegheny Health network and The Wilshire Group's own Jenn Krebs to discuss Leveraging Single Path coding, Flex Time/ Schedules and answer listeners questions.
The Wilshire Group is excited to bring you The Wilshire IT RevCast. Since this is the very first episode ever you will get to know the host Daniel Bianchini Strategic Advisor and Evan Martin Director of Advisory Services. They will cover some hot topics, debate and share their take on working from home and answer listener questions. Come check out The Wilshire IT RevCast!
The new bitesize podcast series features a fresh outlook addressing some of the most pressing issues and opportunities facing the RCM and Revenue Cycle IT space. Entertaining hosts, Evan Martin and Daniel Bianchini, will explore key topics through interviews with informative industry thought leaders, share latest trends and best practices from conference showcases and will be sure to bring the most relevant and talked about hot topics. Join us on this journey by subscribing to our podcast "On Spotify" (or something like that) and looking for new episode release on Wilshire Wednesdays. You can listen on your commute to work, at the gym (or wherever you enjoy your podcasts).