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
