FTLORC Live Returns with Vanessa Moldovan

In this episode of 'For the Love of Revenue Cycle,' host Vanessa Moldovan shares her extensive industry experience and the mission behind the podcast. Listeners are introduced to Vanessa's background in revenue cycle management, her current role at Agentic AI company Magical, and the goals of the podcast, which include offering practical guidance and fostering community discussions. The open Q&A session features real-world challenges such as AI-driven rejections, anesthesia reimbursement nuances, and payer dynamics. Vanessa and participants discuss issues like increasing denials due to AI, leveraging provider contracts for claim escalation, and strategies for dealing with payer resistance. The episode emphasizes the importance of community, the need for technology to ease revenue cycle management, and the value of sharing knowledge among professionals.

00:00 Introduction to Vanessa and the Podcast

00:36 Today's Episode Overview

01:33 Community and Facebook Group

02:16 Vanessa's Career and Focus on Denials

03:08 Participant Introductions

03:20 Nicolette's Experience and Challenges

04:37 Angie's Experience in Anesthesia Billing

09:16 Discussion on AI and Claim Rejections

21:23 Escalating Denied Claims

21:41 Challenges in Claim Resolution

23:04 Strategies for Effective Escalation

27:16 Dealing with Overseas Call Centers

28:45 Leveraging Contracts and Technology

37:00 Community and Continuous Learning

39:15 Conclusion and Next Steps