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S1E22 - Tackling 90-95% of Preventable Claim Denials in Healthcare | HT2C Podcast with Bert Fernandez
HealthTech2Care (HT2C) Podcast featuring Fred Allen, Vice President of Business Development at MediBillMD
Fred Allen (Guest):
🌐 MediBillMD: https://www.medibillmd.com
🔗 LinkedIn: https://www.linkedin.com/in/fred-allen-804897309
📺 YouTube: http://www.youtube.com/@MedibillMD
Bert Fernandez (Host):
🌐 HealthTech2Care: https://www.healthtech2care.com
🔗 LinkedIn: https://www.linkedin.com/in/bert-fernandez
📺 YouTube: https://www.youtube.com/@HealthTech2Care
🎙️ In this episode, Fred Allen reveals how up to 90–95% of healthcare claim denials can be prevented before they ever happen. He shares the origin story of MediBillMD's pivot from telemedicine to a fully end-to-end RCM solution, their trademark free audit that pinpoints the top denial drivers, and the playbook they use to achieve a 97% clean claim rate on first submission. Plus, Fred outlines the next frontier—data security in the wake of major industry breaches—and even teases MediBillMD's own upcoming EMR platform, with a free pilot for early adopters.
⏱️ Timestamps:
00:00 Intro: Up to 95% of claim denials are preventable
00:29 The backstory behind MediBillMD and its RCM mission
02:31 Why RCM isn't handled the way it should be
04:43 Practice revenue loss: aging claims and missing follow-up
06:01 The growing need for outsourced billing vs. in-house limitations
08:00 How MediBillMD earns trust with free audits and full-service RCM
11:00 Beyond billing: staffing, marketing, virtual front desk, and more
13:02 Working with startups, surgical practices, and denied claims
17:27 How MediBillMD prevents denials and achieves a 97% clean claim rate
22:32 The next frontier in RCM: data security, AI, and payer complexity
25:22 What's next: launching a new EMR with free pilot access for early adopters
🔑 Highlights:
- Preventing vs. fixing denials: the 90–95% opportunity
- Hand-crafted, end-to-end RCM that "gets the claim paid"
- Free audit uncovers revenue leaks and prescribes solutions
- Achieving a 97% clean-claim rate with robust scrubbing
- Why data security demands urgent attention in 2025
- MediBillMD is coming up with its own EMR
👉Learn more about MediBillMD's approach to revenue cycle excellence: https://www.medibillmd.com
🔔 Subscribe to our YouTube channel for more conversations with standout voices in U.S. healthcare & life sciences: https://www.youtube.com/@HealthTech2Care
#RCM #ClaimDenials #RevenueCycleManagement #HealthcareInnovation #DataSecurity #MediBillMD #CleanClaims #EndToEndRCM #EMRLaunch #HealthTech2Care
View all episodes
By Bert FernandezHealthTech2Care (HT2C) Podcast featuring Fred Allen, Vice President of Business Development at MediBillMD
Fred Allen (Guest):
🌐 MediBillMD: https://www.medibillmd.com
🔗 LinkedIn: https://www.linkedin.com/in/fred-allen-804897309
📺 YouTube: http://www.youtube.com/@MedibillMD
Bert Fernandez (Host):
🌐 HealthTech2Care: https://www.healthtech2care.com
🔗 LinkedIn: https://www.linkedin.com/in/bert-fernandez
📺 YouTube: https://www.youtube.com/@HealthTech2Care
🎙️ In this episode, Fred Allen reveals how up to 90–95% of healthcare claim denials can be prevented before they ever happen. He shares the origin story of MediBillMD's pivot from telemedicine to a fully end-to-end RCM solution, their trademark free audit that pinpoints the top denial drivers, and the playbook they use to achieve a 97% clean claim rate on first submission. Plus, Fred outlines the next frontier—data security in the wake of major industry breaches—and even teases MediBillMD's own upcoming EMR platform, with a free pilot for early adopters.
⏱️ Timestamps:
00:00 Intro: Up to 95% of claim denials are preventable
00:29 The backstory behind MediBillMD and its RCM mission
02:31 Why RCM isn't handled the way it should be
04:43 Practice revenue loss: aging claims and missing follow-up
06:01 The growing need for outsourced billing vs. in-house limitations
08:00 How MediBillMD earns trust with free audits and full-service RCM
11:00 Beyond billing: staffing, marketing, virtual front desk, and more
13:02 Working with startups, surgical practices, and denied claims
17:27 How MediBillMD prevents denials and achieves a 97% clean claim rate
22:32 The next frontier in RCM: data security, AI, and payer complexity
25:22 What's next: launching a new EMR with free pilot access for early adopters
🔑 Highlights:
- Preventing vs. fixing denials: the 90–95% opportunity
- Hand-crafted, end-to-end RCM that "gets the claim paid"
- Free audit uncovers revenue leaks and prescribes solutions
- Achieving a 97% clean-claim rate with robust scrubbing
- Why data security demands urgent attention in 2025
- MediBillMD is coming up with its own EMR
👉Learn more about MediBillMD's approach to revenue cycle excellence: https://www.medibillmd.com
🔔 Subscribe to our YouTube channel for more conversations with standout voices in U.S. healthcare & life sciences: https://www.youtube.com/@HealthTech2Care
#RCM #ClaimDenials #RevenueCycleManagement #HealthcareInnovation #DataSecurity #MediBillMD #CleanClaims #EndToEndRCM #EMRLaunch #HealthTech2Care