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  • Healthcare Inspired (Trailer)

    Healthcare Inspired (Trailer)
    2023/06/02

    Hosted on Acast. See acast.com/privacy for more information.
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    1 分
  • Navigating the Complexities: Unveiling the Challenges of Modern Healthcare

    Navigating the Complexities: Unveiling the Challenges of Modern Healthcare
    2023/06/28

    In this episode, we will explore the challenges that the healthcare industry faces in today's rapidly evolving landscape. Join us as we uncover the intricacies of these challenges and discuss potential solutions to improve the overall state of healthcare.
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    20 分
  • The Impact of Front end Denials

    The Impact of Front end Denials
    2023/07/12
    In today's episode, we discuss the Impact of Front-End Denials to explore the significant repercussions of front-end denials in the revenue cycle. Join us as we delve into the causes, consequences, and potential solutions for reducing front-end denials. Experts and industry leader Maya Turner shares her insights and experiences, providing valuable knowledge to help organizations overcome this critical challenge.More about MayaWith over 27 years of comprehensive experience in healthcare coding and reimbursement, Maya Turner is a highly skilled professional known for her exceptional analytical abilities and extensive knowledge of AR management. Maya's expertise spans various domains, including inpatient and outpatient billing, E/M coding and compliance, SNF/LTC billing, DME, high-end collections, HCC coding (Medicare risk adjustment), commercial third-party payers, and Medicare Parts A and B, along with Medicaid.Maya's superior proficiency extends to outpatient medical records abstraction, encompassing multi-specialty and sub-specialty coding and compliance. She possesses a deep understanding of payer mix reimbursement, HEDIS, ICD-9, CPT, HCPCS, and (MDS 2.0) RUGS-III. Furthermore, Maya has a proven track record in designing coding and compliance curriculum, as well as delivering training tailored to address denial trends and analysis. Recently, she also obtained certification in ICD-10 training, further enhancing her already vast skill set.Maya Turner brings a wealth of knowledge and practical experience to the table, making her an invaluable asset in the ever-evolving landscape of healthcare coding and reimbursement. Her dedication to excellence and commitment to staying up-to-date with industry standards make her a trusted expert in optimizing revenue cycles and ensuring compliance in healthcare organizations.Episode Highlights: Understanding Front-End Denials Definition of front-end denials and their key characteristics. Discussion on why front-end denials occur and their impact on organizations. Causes of Front-End Denials Examination of the root causes behind front-end denials. Discussion on issues related to eligibility verification, prior authorization, and patient information accuracy. Strategies to Reduce Front-End Denials Identification of best practices and strategies to mitigate front-end denials. Implementing effective patient eligibility verification processes and tools.Learn more from our host and guest at the upcoming Practice Management Symposium on October 5th! Get Tickets Now!--- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcare-inspired/message

    Hosted on Acast. See acast.com/privacy for more information.
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    39 分
  • Patient Centered Healthcare: Understanding In and Out of Network Benefits

    Patient Centered Healthcare: Understanding In and Out of Network Benefits
    2023/08/02

    In this podcast episode, we explore the concept of patient-centered healthcare and delve into the topic of in and out of network benefits. Join Jennifer McNamara and Maya Turner as they discuss the importance of putting patients at the forefront of healthcare decisions and understanding how in-network and out-of-network benefits can impact healthcare coverage and costs. Our experts will share insights and tips to help you navigate the complexities of health insurance and make informed choices for your medical needs. Tune in for a comprehensive and informative discussion on this crucial aspect of healthcare.

    Need CEU's and additional opportunities for growth in Healthcare?

    Join us for the upcoming Virtual CDI Awareness Conference on September 14th and 15th. That's right, this conference is fully online, so you can attend from anywhere in the world.

    This two-day event is packed with valuable insights and expertise from leading experts in Clinical Documentation Improvement. We'll be covering a wide range of topics related to CDI, ensuring you stay up-to-date with the latest trends and best practices in the field.

    And here's the best part – you can earn 15+ CEUs (Continuing Education Units) just by participating in this conference! Stay ahead of the curve and fulfill your educational requirements all at once.

    Whether you're a seasoned CDI specialist or new to the field, this conference is designed to cater to all levels of expertise. Learn from the best and connect with like-minded professionals to broaden your network and exchange ideas.

    Registration is now open, so secure your spot before it's too late. Head over to our website and sign up today to join the CDI community at this exclusive virtual event.

    Mark your calendars for September 14th and 15th, and get ready for a knowledge-packed experience that will elevate your CDI skills and career to new heights. Don't miss out on this fantastic opportunity!

    --- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcare-inspired/message

    Hosted on Acast. See acast.com/privacy for more information.
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    44 分
  • Coding Denials and Your Responsibility

    Coding Denials and Your Responsibility
    2023/08/09
    In the final part of our denials series we dive deep into the world of coding and backend denials. If you're a medical coder, biller, healthcare provider, or just someone interested in the healthcare revenue cycle, this episode is for you.Join us as we explore the challenges and nuances of coding denials – those frustrating moments when insurance claims are rejected or disputed. Our experts Maya Turner and Jennifer McNamara will unravel the complexities of coding guidelines, documentation requirements, and compliance issues that often lead to claim denials. We'll also shed light on the critical role of accurate coding in ensuring that healthcare providers are fairly reimbursed for their services.In each episode, we'll cover: Understanding Denials: We'll dissect common denial scenarios, exploring the reasons behind them and providing insights into how accurate coding and documentation could have prevented these issues. Coding Guidelines: Dive into the world of coding guidelines for various medical specialties, discussing best practices, updates, and potential pitfalls. Documentation Excellence: Learn how proper medical documentation not only supports accurate coding but also strengthens your organization's defense against denials. Appeals and Resolutions: Explore effective strategies for appealing denials, interacting with payers, and navigating the appeals process successfully. Preventive Measures: Discover proactive measures to minimize denials, streamline the billing process, and optimize revenue cycle managementTune in and empower yourself with the knowledge and skills to conquer coding denials and contribute to a smoother, more efficient healthcare revenue cycle.--- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcare-inspired/message

    Hosted on Acast. See acast.com/privacy for more information.
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    38 分
  • Charting Your Healthcare Career: From Entry to Excellence

    Charting Your Healthcare Career: From Entry to Excellence
    2023/08/16
    In this episode, we delve into an insightful discussion. From specialized skills to leadership development, we cover the spectrum of growth opportunities within healthcare. Today, we have a special guest joining us - the incredible Dr. Lisa Campbellhttps://www.linkedin.com/in/drlisalcampbel. With a wealth of experience in the healthcare field, Dr. Campbell will share her insights on leadership, its challenges, and the remarkable impact it can have on patient care and organizational success. She brings a wealth of wisdom, empathy, and practical insights that will resonate with listeners at every stage of their journey. Episode Highlights: Discovering Your Passion: Uncover the key to a fulfilling healthcare career by aligning your passion with your profession. Navigating Career Transitions: Learn how to successfully transition between healthcare specialties or move from a different industry into healthcare. The Heart of Healthcare: Sr. Lisa shares heartwarming stories that remind us of the true essence of patient care and the impact healthcare professionals can make. Leadership and Mentorship: Understand the pivotal role of leadership and mentorship in shaping your healthcare career trajectory. Balancing Compassion and Self-Care: Explore strategies for maintaining your own well-being while providing exceptional care to others. Excellence in Action: Dr. Lisa's personal journey to excellence and the invaluable lessons she's learned along the way.

    Hosted on Acast. See acast.com/privacy for more information.
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    34 分
  • Secret Sauce of Documentation

    Secret Sauce of Documentation
    2023/09/03

    In this enlightening episode, we dive deep into the world of documentation, uncovering the secret sauce that can transform your records from ordinary to extraordinary. Whether you're a healthcare professional, a researcher, or simply someone interested in the power of effective documentation, this episode is a must-listen.

    We share insights into the art of documentation and its far-reaching impact. We explore the key elements that make documentation truly exceptional, from precision and clarity to the use of innovative technologies. Discover how the right documentation can enhance patient care, streamline research processes, and even influence policy decisions.

    Join us as we unravel the mysteries of documentation, offering practical tips, real-life examples that highlight the importance of this often-overlooked skill. Whether you're seeking to improve your medical records, research notes, or any other form of documentation, you'll walk away from this episode with the secret sauce you need to make your documents stand out and make a difference. Don't miss it!

    Grab your tickets now for the upcoming CDI Awareness Conference on September 14-15

    --- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcare-inspired/message

    Hosted on Acast. See acast.com/privacy for more information.
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    33 分
  • Navigating Healthcare as a Patient - A Powerful Journey of Empathy and Insight

    Navigating Healthcare as a Patient - A Powerful Journey of Empathy and Insight
    2023/10/04

    In this compelling episode, we go on a transformative journey of a healthcare manager who becomes a patient. Our guest, Kelly Luby shares her personal story of transitioning from a role of authority within the healthcare system to a position that demands vulnerability, empathy, and a deep understanding of patient advocacy. Join us as we explore the challenges, insights, and profound impact this experience had on reshaping perspectives on healthcare.

    Episode Highlights:

    A Shift in Perspective:

    • Explore the pivotal moment when Kelly Luby, a seasoned healthcare manager, found herself on the other side of the healthcare system as a patient.
    • We will explore the initial challenges and emotions faced during this unexpected transition.

    Empathy in Action:

    • Learn the ways in which Kelly navigated her healthcare journey with newfound empathy, understanding the patient experience from the inside.
    • We will share anecdotes and insights that highlight the significance of empathy in healthcare management and advocacy.

    Challenges and Lessons Learned:

    • Uncover the unique challenges Kelly encountered in advocating for her own healthcare needs.
    • Hear the lessons learned and how these experiences have influenced her approach to healthcare management and patient advocacy.

    Impact on Professional Practices:

    • Find out how this personal experience has shaped her professional practices as a healthcare manager.
    • Learn the broader implications for improving patient care and the importance of bridging the gap between healthcare providers and those they serve.

    Speak with Kelly Luby and Others at the upcoming Practice Management Symposium on Feb 16th, 2024.

    Tickets On Sale Now!

    --- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcare-inspired/message

    Hosted on Acast. See acast.com/privacy for more information.
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    29 分