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MGMA 2025 Summit Online ConferenceMGMA 2025 Summit Online ConferenceMGMA Insights: Taking a Deep Dive Into the Revenue Cycle With Kem Tolliver and Taya GordonOur guests today are revenue cycle management experts Taya Gordon and Kem Tolliver.As a special bonus, we also feature an episode of Kem and Taya's podcast, RevDive, where they interview Rae Jimenez, chief product officer at AAPC.Resources:RevDive: https://sliceofhealthcare.com/revdive/Kem Tolliver: https://www.linkedin.com/in/kem-tolliver/Taya Gordon: https://www.linkedin.com/in/tayagordon/ Taya and Kem's book: https://www.mgma.com/practice-resources/products/revenue-cycle-management-dont-get-lost-in-the-fiRae Jimenez: https://www.aapc.com/blog/author/rjimenez/Sponsors:MGMA Events:...2025-04-1830 minMGMA PodcastsMGMA PodcastsBonus Episode: Insights from MGMA's Black Healthcare Leaders Resource Group[Editor's Note: Please checkout the full article on MGMA.com]In this special bonus episode of the MGMA Insights podcast, host Colleen Luckett speaks with healthcare leaders Kem Tolliver, FACMPE, CPC, CMOM, Shawntea "Taya" Gordon, MBA, FACMPE about the formation of MGMA's Black Healthcare Leaders Resource Group. They discuss the emotional experience of the group's first gathering at the MGMA Leaders Conference, the importance of representation, and the ongoing impact of this supportive community. They have managed the group along with co-founder Otis C. Fagan, FACMPE. Key Takeaways:The Formation of th...2025-02-2826 minRevDiveRevDive#47 - Optimizing Revenue Cycle Management in Healthcare: Insights from Paola TurchiWelcome back RevDivers! Tune in to hear Paola Turchi, the RCM Solutions Lead at Notable.Highlights:Key challenges in revenue cycle management within the healthcare sector.In-depth discussion on managing prior authorizations effectively.Strategies to improve patient collections and satisfaction.The role of technology in streamlining healthcare RCM processes.Expert insights and practical tips for healthcare professionals.Learn more about Notable here: https://www.notablehealth.com/Guests LinkedIn: https://www.linkedin.com/in/paola-turchi-mshca-fhfma-facmpe-cpc-4836727/Company LinkedIn: https://www.linkedin.com/company/notablehealth/Thanks to our sponsor Boston Software Systems, find...2024-01-3124 minRevDiveRevDive#46 - The Power of Healthcare Payment Data TransparencyWelcome back RevDivers! Tune in to hear Anne Saulnier, CEO, and John Hobart, Co-Founder, of HexIQ.Discussion on healthcare payment data transparency with Anne and John from Hex IQ.Insights into the Transparency in Coverage Rule and its impact on the healthcare industry.The role of accessible data in empowering healthcare providers and practices.The significance of data transparency in creating equitable healthcare systems.How Hex IQ's Pulse Medical platform is transforming access to healthcare data.Learn more about HexIQ here: https://hexiq.com/Thanks to our sponsor Boston Software Systems, find more about...2023-12-2021 minRevDiveRevDive#45 - Revolutionizing Healthcare: The Inspiring Journey of Valley Oaks Medical GroupWelcome back RevDivers! Tune in to hear Kim Grana, Chief Executive Officer, and Marie Price, Vice President of Operations, at Valley Oaks Medical Group.Discusses the rapid growth and innovative patient-centered care approach of Valley Oaks.Insights into their unique strategy in healthcare management and value-based care.Lessons in leadership and the importance of teamwork in healthcare settings.Challenges faced during their expansion and how they turned them into opportunities for growth.Essential listening for anyone interested in healthcare innovation and management.Learn more about Valley Oaks Medical Group here: https://valleyoaksmed.com/Thanks...2023-12-0622 minMGMA PodcastsMGMA PodcastsWeek in Review: A New Financial Management Book and Trends in Recruitment and InterviewingIn this episode of the MGMA Week in Review podcast, we welcome MGMA editor and writer Colleen Luckett to the show to share her thoughts on new MGMA content including a new financial management book from Kem Tolliver and Taya Gordon, the latest MGMA Stat Poll, and last minute thoughts on MGMA's Leaders Conference Oct. 22-25 in Nashville. Sources: Advanced Strategy for Medical Practice Leaders Book: Financial Management Edition: https://mgma.com/books/finmgmt MGMA Stat on Interviewing and Recruitment: https://mgma.com/mgma-stat/more-job-openings-fewer-candidates-means-more-time-spent-on-medical-group-recruitment Retaining Your Team: https://mgma.com/articles/want-to-build-better-onboarding-and-training-academies-in-your-medical-group MGMA Leaders Conference: mgma.com/conferences/leaders...2023-10-2011 minRevDiveRevDive#44 - Chock-full of MGMAWelcome back RevDivers! Tune in to hear Craig Wiberg, Senior Manager, Digital Events at MGMA as he gives a sneak peek of the MGMA Leaders Conference 2023.Elevate Your Leadership SkillsNetwork with Industry ExpertsAccess Valuable ResourcesParticipate in Workshops & SessionsBook Launch Party: "Advanced Strategies for Financial Management"How to grow, learn, and connectLearn more about MGMA here: https://www.mgma.com/conferences/leaders/overviewThanks to our sponsor Boston Software Systems, find more about them here for: https://www.bostonsoftwaresystems.com/HomeSubscribe to the Slice of Healthcare Network to be notified for...2023-10-1817 minRevDiveRevDive#43 - Using A.I. To Change The Future of Medicine In The HomeWelcome back to RevDive! Listen to hear Charles Gellman, CEO and Chief Patient Advocate of HIDO Health as they talk about AI-assisted robotics, remote patient montoring, and tech that can reshape the healthcare system.What you’ll get out of this episode:Dive deep with Kem Tolliver & Charles Gellman.Discover the future of healthcare with HIDO's AI-assisted robotics.Unravel the mysteries of remote patient monitoring (RPM).Understand the true power of patient satisfaction in healthcare transformation.Insights into how technology can reshape the healthcare system.Learn more about HiDO Health here: https://us.hidohealth.co...2023-09-1219 minRevDiveRevDive#42 - Reducing Painpoints Between Payers and Providers, ft. Russ Thomas, CEO of AvailityWelcome back to RevDive! Listen to hear Russ Thomas, Chief Executive Officer at Availity discuss proactive revenue cycle management, reducing denials and overpayments, and the critical importance of payer-provider collaboration in healthcareWhat you’ll get out of this episode:- Latest episode features Russ Thomas from Availity discussing future of healthcare.- Critical insights into proactive revenue cycle management and reducing denials and overpayments.- Deep dive into the complexities and solutions in payer-provider collaboration.- Russ Thomas introduces AuthAI, technology that reduces denials by 7%.- Clearinghouses play a pivotal ro...2023-08-3035 minRevDiveRevDive#41 – Voices Of Innovation: Fulfilling The Promise Of Information TechnologyWelcome back to RevDive! Listen to hear Ed Marx, Chief Executive Officer at Marx Advisory discuss healthcare technology advancements and philanthropy.What you'll get out of this episode: - "Voices of Innovation" is a book featuring inspiring stories of healthcare technology advancements.- The book showcases a practical innovation framework with real-life examples from 35 contributors.- By being part of the book, healthcare practices and hospitals gain recognition and elevate their brand.- All author proceeds from the book are donated to the Mary Crowley Cancer Research Center.- To overcome...2023-08-0213 minRevDiveRevDive#40 - The Implications of A.I. In The Coding World with Andrew Lockhart, CEO and Co-Founder of Fathom HealthWelcome back to RevDive! Listen to hear Andrew Lockhart, Co-Founder and CEO at Fathom Health discuss AI and it's implications in the coding world.What you'll get out of this episode: AI is enhancing medical coding efficiency and workflowsTackling coder shortages, allowing staff to focus on challenging tasksHow AI's predictive insights are improving coding audits, chart reviews, and business decisionsAI's future role could include complex decision support and autonomous scribingAI use can boost job satisfaction, retention, and provide a competitive advantage in healthcare.To learn more about Andrew Lockhart please use the link b...2023-07-2020 minRevDiveRevDive#39 - How Organizations Can Save Money and Address Overlooked Costs with Matthew McCreith, Strategic Partner at Schooley MitchellWelcome back to RevDive! Listen to hear Matthew McCreith, Strategic Partner at Schooley Mitchel discusses how organizations can save money and address overlooked costs. What you'll get out of this episode: Billing errors and frequencyClient perspective on scrutinizing invoicesChallenges with managing invoices and contractsImpact of incremental cost increases and right-sizingVendor selection and negotiationReview frequency for invoices and contractsTo learn more about Matthew McCreith please use the link below:- LinkedInJoin the ConversationWe want to hear from our RevDivers! Tell us what topics and people yo...2023-06-0717 minRevDiveRevDive#38 - Yielding Success For All Through Education, with Dr. Mary Awuonda, Associate Professor at Howard University College of PharmacyWelcome back to RevDive! Join as Dr. Mary Awuonda, Associate Professor at Howard University College of Pharmacy discusses how she's pioneering a revenue cycle curriculum to prepare a public informatics workforce. What you'll get out of this episode: Dr. Awuonda’s backgroundPreparing a public informatics workforce at Howard University The PHIT4DC programDeveloping the curriculum with Zane Networks, DC Primary Care Association, Crisp DC & more How the industry can replicate this effort nationally To learn more about Dr. Awuonda please use the link below:- LinkedInJoin the ConversationWe...2023-04-2624 minRevDiveRevDive#37 - Data Security in Healthcare with Jeffrey Miller, JD, Director in Charge at Granite GRC & Vidal Lupian, Director of Information Technology at Granite GRCWelcome back to RevDive! Join as Jeffrey Miller, JD, Director in Charge at Granite GRC & Vidal Lupian, Director of Information Technology at Granite GRC join RevDive to discuss data & data security in healthcare.What you'll get out of this episode: Financial data elements in healthcare that matter How to keep your data protected, and what makes data vulnerable How to prevent data breaches & identify phishing scamsTo learn more about Granite GRC please use the links below:- Website - LinkedInJoin the ConversationWe want to hea...2023-04-1223 minRevDiveRevDive#36 - Supply Chain Challenges & Solutions with Richard Palarea, CEO at KermitWelcome back to RevDive! Join as Richard Palarea, CEO at Kermit joins RevDive to discuss challenges & solutions in supply chain management.What you'll get out of this episode: His background & the background of Kermit The trending supply chain challenges including high margins, staffing shortages, and moreWhat work flow optimization is looking like in the supply change industry What to do to prioritize supply chain managementTo learn more about Kermit please use the links below:- Website - LinkedInJoin the ConversationWe want to hear from our...2023-03-2322 minRevDiveRevDive#35 - Healthcare's Balancing Act with Dr. Jonathan Baktari, MD - Navigating Consolidation, Reimbursements, and Non-Physician ProvidersWelcome back to RevDive! Join as Dr. Jonathan Baktari, MD - Healthcare CEO, Preventative Medicine Expert, Host of Baktari MD joins RevDive to discuss Healthcare's Balancing Act - Navigating Consolidation, Reimbursements, and Non-Physician Providers.  Episode Summary:In this episode, we discuss care delivery evolution and the impact of consolidation. As care options impact quality scores, healthcare providers are forced to integrate metrics into care delivery while taking inflation into consideration.Dr. Baktari discusses healthcare service enhancers, such as ultrasounds, nerve conduction studies, vitamins, and Botox - which a...2023-03-0126 minRevDiveRevDive#34 - Healthcare Leadership in 2023Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. In this episode Taya & Kem focus on the topics that are critical for success in 2023 including professional development, recruiting talented staff, maintaining company culture and more! What you’ll get out of this episode:Outside the box recruiting strategiesThe importance of skill gap assessmentsMaintaining direction by increasing collaborationThe power of transparent communication and team developmentJoin the ConversationWe wan...2023-02-0720 minMGMA PodcastsMGMA PodcastsMGMA Insights: Taking a Deep Dive Into the Revenue Cycle With Kem Tolliver and Taya GordonOur guests today are revenue cycle management experts Taya Gordon and Kem Tolliver. As a special bonus, we also feature an episode of Kem and Taya's podcast, RevDive, where they interview Rae Jimenez, chief product officer at AAPC. Resources: RevDive: https://sliceofhealthcare.com/revdive/ Kem Tolliver: https://www.linkedin.com/in/kem-tolliver/ Taya Gordon: https://www.linkedin.com/in/tayagordon/ Taya and Kem's book: https://www.mgma.com/practice-resources/products/revenue-cycle-management-dont-get-lost-in-the-fi Rae Jimenez: https://www.aapc.com/blog/author/rjimenez/ Sponsors: MGMA Events: ...2023-02-0230 minRevDiveRevDive#33 - The Intersection of Technology & Healthcare Management (Eric Demers)Welcome back to RevDive! Join as Eric Demers, CEO at Madaket Health joins RevDive to discuss the intersection of technology & healthcare management.Eric Demers is the CEO of Madaket Health. He believes we can transform healthcare delivery through the power of data and interoperability. With more than 25 years of global healthcare experience, Eric has built and scaled leading technology and service companies, from early stage to Fortune 100. He is highly sought-after for speaking and consulting on international health, having advised global entities and governments on critical issues facing healthcare. A growth-minded leader, Eric has founded three companies...2022-12-2019 minMedical Money Matters with Jill ArenaMedical Money Matters with Jill ArenaEpisode 4: How Doctors Get Paid: Understanding Your Revenue CycleSend us a textJoin our host Jill Arena for the fourth podcast of her new series, Medical Money Matters. Jill has a huge passion for seeing medical groups as a thriving part of the healthcare ecosystem, and for completing the education of our physician leaders.  In this fourth episode, she sits down with national revenue cycle experts, Kem Tolliver and Taya Gordon. Kem and Taya are the authors of Revenue Cycle Management: Don’t Get Lost in The Financial Maze, which can be purchased from MGMA here: https://mgma...2022-11-1542 minRevDiveRevDive#32 - Spill from The Hill with Claire Ernst, JD - Bracing for 2023 CMS Payment and Regulatory ChangesWelcome back to RevDive! Join as Claire Ernst, JD, Director of Government Affairs at MGMA joins RevDive to give another Spill from the Hill.The healthcare industry awaits publication of the 2023 CMS Final Rule later this year. As we await what's to come, our guest sheds light on anticipated changes expected within the payment formula which will impact reimbursement to healthcare organizations and providers dependent upon CMS for funding.In this episode, we also discuss recent Presidential comments made regarding the national perception of our Public Health Emergency; which leaves many stakeholders...2022-10-0727 minRevDiveRevDive#31 - The Evolutionary Coding Industry Comes with Major 2023 Updates (Rae Jimenez)Episode Details: Join in as Rae Jimenez discusses important updates to coding, effective in 2023. Say goodbye to components of 1995 and 1997 documentation guidelines, and say hello to standardized documentation. Rae expresses that an important metric for efficiency and quality of care is the proper understanding and application of coding guidelines. We discuss the importance of becoming familiar with 2023's guideline modifications.Coding has evolved into the vast pool of data analytics, in which we can gain accurate information and branch into unique career trajectories. Rae, working for AAPC for 15 y...2022-09-2014 minMGMA PodcastsMGMA PodcastsIdentify and Reduce Revenue Cycle Pain Points in the Patient Financial ExperienceOur guests today are Taya Moheiser, chief revenue cycle officer at H4 Technology, LLC, and Kem Tolliver, president and CEO at Medical Revenue Cycle Specialists. Kem and Taya are colleagues, friends, co-presenters and authorities on revenue cycle management. They’re also the authors of “Revenue Cycle Management: Don’t Get Lost in the Financial Maze.” Taya and Kem are featured speakers at MGMA’s Leaders Conference in Boston which will be held Oct. 9-12. Resources: Taming and Innovating Your Revenue Cycle Management Model: https://www.mgma.com/resources/revenue-cycle/insights-taming-and-innovating-your-revenue-cycle RevDive: https://sliceofhealthcare.com/revdive/ Revenue Cycle Management: Don’t Get Lost in...2022-08-3133 minRevDiveRevDive#30 - Becoming an Innovator in Revenue Cycle (Julie Collins)Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is answering a question directly from our RevDivers! Julie Collins, Innovation Consultant & Lead Faculty for National Science Foundation (NSF) & National Institutes of Health (NIH). Join in as Julie tells our RevDivers how to get into an innovative mindset, what customer discovery means, and how to learn more about the Innovation Corps at NIH where many revenue cycle product leaders g...2022-08-0218 minRevDiveRevDive#29 - Success Stories from True Leaders in Healthcare (Scott Becker)Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is Scott Becker of Becker’s Healthcare and McGuire Woods, LLP. Join in as healthcare celebrity Scott Becker talks about how he and his team created the Becker's Health universe, trends he is seeing in the industry today, and the achievements and failures he navigated on his road to success.  What you’ll get out of this episode:How Becker...2022-07-1927 minRevDiveRevDive#28 - The Top 4 Transformation Traps (James Lineberger)Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is James Lineberger, Executive Director for Anesthesia Associates of Boise. Join in as James talks about the top four pitfalls that leaders fall into when assessing data and transforming internal processes. What You’ll get out of this episode:Why the rule of thumb can be guiding toward failureThe importance of seeking disconfirmationWhy too much confidence can be badHow are...2022-07-0522 minRevDiveRevDive#27 - Prioritizing Provider Enrollment for Optimal RCM Efficiency (Kevin R. Mulcahy)Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is Kevin Mulcahy, Senior Director of Payer Relations, Special Billing & Provider Enrollment for Mass General Physician Organization. Kevin discusses the trickle-down effect Provider Enrollment and Payer Contract management plays in the overall Revenue Cycle. What You’ll get out of this episode: ·         Remote Central Business Office workforce optimization best practices·         National trends and solutions to address provi...2022-06-2119 minRevDiveRevDive#26 - Innovative Solutions for National Problems: Behavioral Health (Kevin Dedner)Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is Kevin Dedner, Founder and CEO of Hurdle Health. Mr. Dedner talks about the revolutions his company has been making in virtual therapy services, publishing “The Joy of the Disinherited-Essays on Trauma, Oppression and Black Mental Health.”, how new CMS policies will impact the future behavioral health landscape, and how to lead multi-faceted teams.What you’ll get out of this episode2022-04-2616 minRevDiveRevDive#25 - MIPS Reporting with RCM Workflow Improvements (Amy Weiser)Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is Amy Weiser, lead project coordinator at Quality Insights for the QPP service project. Ms. Weiser explains what a Quality Improvement Organization (QIOs) is and how they support other organizations. Additionally, she explains pressing CMS MIPS updates to help keep listeners up to date.What you’ll get out of this episodeWhat is a Quality Improvement Organization (QI...2022-03-1617 minRevDiveRevDive#24 - What’s on the Horizon for Healthcare RCM Leaders in 2022, featuring Alexandra PecciWelcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is Alexandra Pecci, freelance writer for Health Leader Media and other top health news outlets. Ms. Pecci takes her experience from interviewing health industry leaders at every-level and gives us the ins and outs of revenue cycle management from the perspective of an outsider.What you’ll get out of this episodeWhat does the medical revenue cycle ma...2022-03-0212 minRevDiveRevDive#23 - An Operational Deep-Dive into Cybersecurity for Healthcare ProvidersWhat you’ll get out of this episode:What is “cyber hygiene” and how do we achieve good cyber hygiene?How is employee burnout impacting cybersecurity risk?Are cybersecurity policies worth the expense?How do we protect ourselves from third-party breaches?Quotables“Bad Actors are targeting healthcare providers and systems because they know it has a bigger impact than targeting just one organization”“The general rule of thumb for liability, is that whoever collects the data is responsible to protect the data. So it’s really importa...2022-02-0922 minRevDiveRevDive#22 - Payment Delays Impacting the Industry as a WholeChances are, like the rest of the industry, you are seeing significant payer delays. In this episode, Sharon Smith, Practice Manager at Virginia Beach Surgery explains the impact of payer delays and how to tackle these issues with payers.What you’ll get out of this episode:How do untimely payments impact the revenue cycle?The role that clean claims play and how to align payer contract language with state regulationsThe role of the state insurance commissionerBest practices to minimize payment delaysQuotables“Practices need to understand what their contractual obli...2022-01-1222 minRevDiveRevDive#21 - Tackling Denials Proactively with a Focus on KPIs w/ COO of Physician Services of Einstein PhysiciansThis episode is for revenue cycle leaders, operational leaders and those looking for ways to innovatively approach denial management and operational challenges. In this episode we talk to Lamont Louis, Chief Operating Officer for Physician Services for Einstein Physicians at Jefferson Medical Group in Philadelphia, PA. Mr. Louis talks about identifying financial variances, using the FORM approach to team success, and how to identify critical KPIs from an operational perspective.What you’ll get out of this episode:Why does prioritizing a proactive KPI approach matter?What is the “Financial & Operational Review Meeting” (FORM...2022-01-0620 minMGMA PodcastsMGMA PodcastsBest of 2021: Resilience, Innovation and KindnessIn this "best of 2021" show, our last Insights episode of the year. we’re joined by three guests who talk about resilience, innovation and kindness in healthcare. First, is Laurie Baedke (https://www.lauriebaedke.com/). Laurie is Director of Healthcare Leadership Programs at Creighton University. In this conversation, recorded in February 2021, Laurie talks about resiliency, resilient leaders and the habits of high-performing executives. Next, we hear from Dr. Pat Hunt, chief medical officer, QGenda (www.qgenda.com/). Dr. Hunt is both an entrepreneur and an emergency medicine physician and he believes that physicians are natural entrepreneurs because of their curiosity an...2021-12-291h 22MGMA PodcastsMGMA PodcastsPeter Valenzuela on 'A Physician's Guide to Fixing Our Ailing Health Care System'Our guest today is Peter Valenzuela. Peter is chief medical officer of Mercy Medical Group, an affiliate of Dignity Health. He is also an author and cartoonist who created the popular Doc-Related comic strip. He recently published the book "Doc-Related: A Physician's Guide to Fixing Our Ailing Health Care System." Resources for this episode: https://www.linkedin.com/in/petervalenzuela/ https://www.dignityhealth.org/sacramento/medical-group/mercy-medical-group https://www.doc-related.com/ https://www.amazon.com/Doc-Related-Physicians-Fixing-Ailing-Health/dp/0578258048/ref=tmm_hrd_swatch_0?_encoding=UTF8&qid=&sr= Sponsors: Thanks to MineralTree and to MedEvolve for sponsoring this week’s show. If you do...2021-12-2129 minRevDiveRevDive#20 - MGMA Director of Government Affairs Claire Ernst explains Congress’ last minute passing of waivers and delays to looming reimbursement cuts to Medicare for 2022All practices, hospitals, and health systems this is a critical and timely episode. Claire Ernst, Director of Government Affairs breaks down the legislation passed last night by Congress which waived and delayed several looming cuts to Medicare reimbursement for 2022. She covers the PAYGO 4% cuts, conversion factor changes, sequester delays and phased reinstitution, telehealth coverage for 2022 and more! Tune in for essential updates to your 2022 reimbursement outlook!What you’ll get out of this episode:What portion of the previously delayed 2021 budget neutrality adjustments were mitigated for the Medicare physician fee schedule conversion factor through CY 2022The st...2021-12-1622 minHealthLeaders PodcastHealthLeaders PodcastLooking ahead with Taya Moheiser and Kem Tolliver: HealthLeaders Revenue Cycle PodcastRevenue cycle experts Taya Moheiser, CMPE, CMOM, owner of ITS Healthcare, and Kem Tolliver, CMPE, CPC, CMOM, president of Medical Revenue Cycle Specialists share the top trends they're following for 2022.2021-12-1231 minRevDiveRevDive#19: Staying Ahead of Trending Compliance ConcernsDetails:Listen in as we hear from Physician and Attorney Reza Ghafoorian on strategies to minimize alarm fatigue while remaining compliant with not so obvious threats that may leave healthcare providers vulnerable to cyberattacks. Our guest gives insight on industry best practices to remain vigilant in protecting your brand and Protected Health Information.Interviewee:    Reza Ghafforian, MD, Esq, Principal Attorney at G2Z Law Group, PLLCFind out more in this timely episode and subscribe for future #RevCycle updates with RevDive.Sponsored by: ABILITY NetworkFor more in...2021-12-0721 minRevDiveRevDive#18: Optimizing Technology, Telehealth & HIEsDetails:Luigi Leblanc joins us for a discussion right at the intersection of public health and technology. How can we optimize use of technology, how is technology being used for niche services, how are programs changing to drive reimbursement for these? Find out the answers to these and more in this episode of RevDive!Interviewee:    Luigi Leblanc, VP of Technology at Zane Networks Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive.Sponsored by: ABILITY NetworkFor more information on critical RCM...2021-11-1719 minRevDiveRevDive#17: Small Brave RCM Leadership MovesDetails:Hi there RevDivers, join us as we learn how to become more brave as leaders with the help of Master Hudson Coach, Nicole Bianchi, author of Small Brave Moves.Interviewee:    Nicole Bianchi, Partner at Bravium and author of Small Brave MovesFind out more in this timely episode and subscribe for future #RevCycle updates with RevDive.Sponsored by: ABILITY NetworkFor more information on critical RCM updates, be sure to follow RevDive on our social channels:- Website - Facebook - LinkedIn - Twitter - Y...2021-11-0316 minRevDiveRevDive#16: Engaging Physicians in Financial DiscussionsDetails:Hi there RevDivers, join us as we chat about engaging physicians in RCM discussions with Jill Arena, noted author of Physician Heal Thy Financial Self & CEO & Founder of Health e Practices. Interviewee:    Jill Arena, CEO & Founder of Health e PracticesFind out more in this timely episode and subscribe for future #RevCycle updates with RevDive.Sponsored by: ABILITY NetworkFor more information on critical RCM updates, be sure to follow RevDive on our social channels:- Website - Facebook - LinkedIn - Twit...2021-10-2915 minRevDiveRevDive#15: Enhancing the Patient Payment ProcessDetails:Hi there RevDivers, listen in as Dawn Lunde shares her experience in improving the patient payment experience while integrating patient engagement and health literacy into RCM to develop an informed consumer.Interviewee:    Dawn Lunde, Senior Director, Sales Strategy Ability NetworkFind out more in this timely episode and subscribe for future #RevCycle updates with RevDive.Sponsored by: it's Healthcare & Medical Revenue Cycle Specialists LLCFor more information on critical RCM updates, be sure to follow RevDive on our social channels:- Website - Facebook - L...2021-10-1326 minRevDiveRevDive#14: Prioritize Payer Contracting, With Doral Jacobsen, Founding Partner at Prosper BeyondHi there RevDivers, join us as we interview Doral Jacobsen, founding partner at Prosper Beyond and co-author of MGMA’s “Transitioning to Alternative Payment Models” guidebook. Doral chats with us about the importance of payer contracting and provides some great tips and tricks for when you reach out to negotiate those agreements!Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive.Sponsored by: it's Healthcare & Medical Revenue Cycle Specialists LLCFor more information on critical RCM updates, be sure to follow RevDive on our social channels:- We...2021-10-0618 minRevDiveRevDive#13: MGMA’s Upcoming Leadership Conference, featuring Craig Wiberg, Senior Editor at MGMAToday's Guest:    Craig Wiberg, Senior Editor at MGMAHi there RevDivers, join us as we interview Craig Wiberg, the legend behind MGMA’s excellent educational content! The October MGMA conference will look very different this year and Craig takes us through all the key things attendees can expect from this in person event! Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive.Sponsored by: it's Healthcare & Medical Revenue Cycle Specialists LLCFor more information on critical RCM updates, be sure to follow RevDive on our so...2021-09-2911 minRevDiveRevDive#12: Emotional Intelligence & Rev Cycle, featuring Susan Childs, Founder & Healthcare Practice Advisor at Evolution Healthcare ConsultingToday's Guest:    Susan Childs, Founder & Healthcare Practice Advisor at Evolution Healthcare ConsultingHi there RevDivers, join us as we interview Susan Childs, author of Common Nonsense and national practice management consultant. Susan is an expert on revenue cycle, emotional intelligence, and all areas of practice operations. Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive.Sponsored by: it's Healthcare & Medical Revenue Cycle Specialists LLCFor more information on critical RCM updates, be sure to follow RevDive on our social channels:- Website - Fa...2021-09-2230 minRevDiveRevDive#11: Emerging Health Leaders, With Laurie Baedke, Speaker, Author & EducatorToday's Guest:    Laurie Baedke. A noted speaker for Harvard Medical School and Cleveland Clinic, author of the Emerging Healthcare Leader, Growth/Edge Podcast Host and Assistant Dean of Physician Leadership Education and Director of Healthcare Leadership Programs at Creighton University.Hi there RevDivers, join us as we interview Laurie Baedke. As a powerhouse speaker, author, and educator dedicated to healthcare leadership she provides expert guidance on everything from imposter syndrome to dealing with burnout. Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive.Spon...2021-09-1627 minRevDiveRevDive#10: Beyond the Whiteboard, with Dr. Eric BrickerOur Guest: Eric Bricker, MD, Chief Medical Officer at First Stop HealthDetails:Hi there RevDivers, we had the extreme pleasure of chatting with Dr. Eric Bricker, or as he is better know the Whiteboard Doctor! Dr. Bricker talks everything from price transparency to the importance of objectivity. Fun fact, Dr. Bricker started his career in revenue cycle support and is a huge advocate of all of our RevDivers listening in. Listen into our lively discussion with Dr. Bricker and check out his educational series on YouTube “AHealthcareZ”!Find out m...2021-08-3136 minRevDiveRevDive#9: The Spill From the Hill with Claire Ernst, JDJoin us as Claire Ernst, JD shares legislative updates on the recently announced CMS 2022 Proposed Rule that includes proposed changes to the Medicare Physician Fee Schedule, Telehealth and Congressional updates.Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive.Sponsored by: it's Healthcare & Medical Revenue Cycle Specialists LLCFor more information on critical RCM updates, be sure to follow RevDive on our social channels:- Website - Facebook - LinkedIn - Twitter - YouTube2021-08-1823 minRevDiveRevDive#8: CMS Spends July Dropping Proposed RulesHi there RevDivers, join Taya for a super speedy review of four proposed rules dropped by CMS in July. Changes to payments, documentation, telehealth services, rural hospitals and more, in this quick and informative recap.Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive.Sponsored by: it's Healthcare & Medical Revenue Cycle Specialists LLCFor more information on critical RCM updates, be sure to follow RevDive on our social channels:- Website - Facebook - LinkedIn - Twitter - YouTube2021-08-0406 minRevDiveRevDive#7: So You Want To Buy Or Sell A Medical Practice?The public health emergency has created new opportunities to buy and sell medical practices. Today we’ll discuss factors to consider on both sides of this type of transaction. Today's guest, Stephen Kaufman, Esq., Partner at Wright, Constable & Skeen, LLP has seen it all and shares some best practices for buying and selling medical practices in this episode of the podcast. Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive.For more information on critical RCM updates, be sure to follow RevDive on our social channels:- Web...2021-07-2225 minRevDiveRevDive#6: Surprise Billing Update & OSHA Tackling COVID-19Join us today as we take a look at the interim surprise billing rule issued July 2, 2021 and OSHA’s Emergency Temporary Standard on COVID-19. Both would be mandatory once finalized and both require significant changes to practice workflows. Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive.For more information on critical RCM updates, be sure to follow RevDive on our social channels:- Website - Facebook - LinkedIn - Twitter - YouTube2021-07-0713 minRevDiveRevDive#5: Practice Insights - Prior Authorization at Gastrointestinal Specialists, Inc. (VA)Join us as we chat with Lucien Roberts and gain valuable insights on the challenges facing practices seeking prior authorization and gold-card status. Lucien is the lively practice administrator at Gastrointestinal Specialists in Virginia, former president of the Virginia MGMA chapter, Legislative Advocate Award winner, writer and speaker for Physicians Practice and the AMA. Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive.For more information on critical RCM updates, be sure to follow RevDive on our social channels:- Website - Facebook - LinkedIn - Twitter...2021-06-2219 minRevDiveRevDive#4: The Spill From the Hill with Claire Ernst, JDJoin us as legislative and regulatory expert Claire Ernst provides the current Spill from the Hill discussing hot topics in congress including:Potential Prior Authorization changesTelehealth restrictionsSequestrationComprehensive Debt Collection...and more!Find out more in this timely episode and subscribe for future #RevCycle updates with RevDive.For more information on critical RCM updates, be sure to follow RevDive on our social channels:- Website - Facebook - LinkedIn - Twitter - YouTube2021-06-0916 minRevDiveRevDive#3: 2021 Clarifications to Evaluation & Management Medical Decision Making (Part 2: Documentation)This episode is a continuation of episode #2, part 1, that focused on activities that may be included in time-based scoring of evaluation and management codes (E & M). We discuss the recent E & M clarifications published by the American Medical Association (AMA) that provide further guidance on the use of Medical Decision Making as a factor for leveling E & M services.These clarifications were published on March 9th, 2021 and effective on January 1, 2021We will review several key Medical Decision Making (MDM) factors that providers will need to understand for scoring Evaluation & Management ServicesThe key clarifications that will be discussed include...2021-05-2613 minRevDiveRevDive#2: New Evaluation & Management Time-based Coding Clarifications (Part 1: Time)In this part 1 episode, Taya Moheiser and Kem Tolliver dive into the changes related to time-based coding of evaluation and management codes. What time counts?What time doesn't count? When did this change become effective? Find out in this timely episode and subscribe for future #RevCycle updates with RevDive.For more information on critical RCM updates, be sure to follow RevDive on our social channels:- Website - Facebook - LinkedIn - Twitter - YouTube 2021-05-1214 minRevDiveRevDive#1: Congress Grants a Bigger Delay on 2% Sequestration Cuts, for nowIn this episode, Taya Moheiser and Kem Tolliver discuss the recent vote by Congress to extend the moratorium on the two percent sequestration cuts to Medicare programs. CMS put a hold on payments in anticipation of the delay and it was approved. So what does this mean long term? How long is the extension? What happens after it expires? Find out in this timely episode and subscribe for future #RevCycle updates with RevDive.For more information on critical RCM updates, be sure to follow RevDive on our social channels:- Website - Facebook - Li...2021-04-2709 minMGMA PodcastsMGMA PodcastsOptimizing and Innovating Your Revenue CycleIn this episode of the MGMA Insights podcast, we're joined by Kem Tolliver and Taya Moheiser. Kem and Taya are two of the most prominent experts in the field of revenue cycle management. They are the author of the book, “Revenue Cycle Management: Don’t Get Lost in the Financial Maze (www.mgma.com/resources/resources/products/revenue-cycle-management-dont-get-lost-in-the-fi), they’re co-speakers at the upcoming MGMA Pathways Conference in May, and, most recently, they led the education for the popular Revenue Cycle Certificate program that is now available on-demand. You can hear Kem and Taya speak at MGMA’s Medical Practice Excellen...2021-02-2436 minMGMA PodcastsMGMA PodcastsInsights: Taming and Innovating Your Revenue Cycle Management Model* Due to the Thanksgiving holiday, we're releasing this week's podcast one day early so you can enjoy during your travels. Happy Holidays * In this episode of the MGMA Insights podcast, we’re joined by Taya Moheiser and Kem Tolliver, colleagues, friends, co-presenters and authorities on revenue cycle management. The two recently wrote and released their first book, “Revenue Cycle Management: Don’t Get Lost in the Financial Maze.” To purchase or preview the book – which is MGMA’s November Book of the Month – visit mgma.com/RCM. You can also see them speak at MGMA20 | The Financial Conference March 5-7 in Nashville...2019-11-2651 minMGMA PodcastsMGMA PodcastsInsights: ‘OK Boomer,’ It’s Time to Embrace Your Millennial and Gen Z CoworkersIn this episode of the MGMA Insights podcast, we’re joined by M.J. Clark, an author, senior consultant and executive coach serving healthcare and energy professionals. Clark was a featured speaker at MGMA19 | The Annual Conference, presenting a session called “Leading, Managing and Understanding Millennials and Gen Z.” There are generational differences in the workplace, and the term "Ok Boomer" has gone viral on social media platforms, with mostly negative connotations. Clark says, while differences do exist, there's also opportunity in the modern workplace for the different generations to bring their unique skills to the forefront. Here are some links...2019-11-1344 min