The topic I have today kind of covers several topics.  I had a hard time coming up with the title of this episode because it isn't about just one thing.  But let's just say that if you are struggling with most of the country to run your revenue cycle with staff shortages, crazy payer expectations and the patient as a consumer, then you have come to the right place.  Let's jump in!

Today, we are going to talk about some of the differences between institutional vs. professional billing or hospital vs. physician billing.  I want to remind you this is very high level and basic.  But I think it's a good introductory into those differences.

Today, we are going to talk about the various part of Medicare: A, B, C, and D.  I'll share with you what each part is and then share some of the payment or reimbursement models for Medicare.

Today, we are going to discuss appeals.  What are they? What is their purpose? What makes a great appeal?

During today's live Q&A, we talked about billing emergency visits with procedures in the inpatient setting, options for free CEUs, how to access payer policies and how we can integrate the topic of specialties into the podcast.  Great conversation!

Today, we are going to discuss five KPIs.  Common key performance indicators in physician revenue cycle.  We'll discuss how the KPIs are formulated and how they can be used to maintain an efficient and effective revenue cycle.

Today, we are going to discuss edits, rejections, claim statuses and denials.  We'll be taking a look at each concept to understand their differences and how it is so easy to confuse them.

If you have been in healthcare for more than 10 seconds you know that we love our acronyms.  I'll be sporadically talking about acronyms over the coming weeks.  Today's episode is about the acronyms HIS, HIT, HIE and HIM (and we are throwing a few others in there).  Let's jump in.

This is a recording of our Live Q&A from 9/20/22.   We are back after several months off. This is an open forum time to discuss anything with me or between those who attend.  Today's discussion was some catching up and getting to know you and discussing some of the challenges of billing.

Please send me your email address if you would like to be added to this call every other week.

Welcome to the first episode of Season 2! Today's episode is about credentialing, contracting, and enrollment.  These are very different concepts, but often get confused.  Hopefully, I'll be able to sort out some of the confusion.