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Sean McSweeney

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Leaders in Medical Billing
Leaders in Medical BillingDifferentiation in the RCM Industry with Sean McSweeney In this episode of Leaders in Medical Billing, host Chanie Gluck continues the conversation with Sean McSweeney about how medical billing companies can differentiate themselves in a competitive RCM market. Sean emphasizes the importance of focusing on specialized services, leveraging technology, and aligning marketing strategies with client needs. Together, they discuss how to stand out without competing solely on price, the value of clear dashboards, and building trust through high-touch communication. From understanding the power of niche specialization to better client communication, this episode offers actionable strategies for medical billing professionals looking to stand out in 2025 and beyond. 
2024-12-2329 minLeaders in Medical Billing
Leaders in Medical BillingTargeted Sales & Marketing: A Framework for Medical Billing Growth with Sean McSweeneyIn this episode of Leaders in Medical Billing, host Chanie Gluck interviews Sean McSweeney, CEO of Voyant Health and a leader in healthcare revenue cycle management, analytics, AI, and automation. Sean shares insights from his impressive background in RCM and his current consulting work with billing companies and private equity firms. This episode explores common reasons why billing companies face growth hurdles, often due to misaligned sales and marketing efforts. Sean emphasizes the value of targeted marketing, relationship building, and in-person meetings for higher client conversions. He also provides practical advice for sales and marketing success, centralizing data, and...
2024-11-0735 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Don't Build a Data WarehouseEveryone suddenly wants data warehousing. We'll discuss whether this is a good idea (wait...what? Sean you love data warehousing) and for who and when.
2021-09-1105 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Charge Recon Labor SavingsHow many hours of a high level analytical resource does it take to do charge reconciliation every month? We've gotten a quantification from a client where we deployed our Charge Recon application. Listed to find out.
2021-06-1905 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Automating Charge ReconHow much time is saved by automating charge reconciliation? Not doing it or doing it on excel? Charge recon is finding encounters clinical missing from billing.
2021-06-1604 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Our Job is Never DoneWhy can't it be that we just do a quick analysis and we're done? We explore the operational challenges that make this a pipe dream or dare I say fantasy in RCM analytics.
2021-06-1206 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Denials DefinitionWhat constitutes a denial? Does everyone agree on this definition? Why does it matter what we include? Check in to hear our thoughts on medical billing denial definition.
2021-06-1005 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Traction GapWhat can we learn from venture backed startups (like Slack) that applies to healthcare providers? Are there any frameworks that could make them more successful and how do these relate to analytics?
2021-06-0808 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Charge Recon and Business RulesWhat issues can you run into doing charge reconciliation? Errors can undermine your ability to find missing charges. Listen in to find a key tip for success.
2021-06-0503 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Idiosyncrasies of CulturesWyatt do idiosyncrasies of cultures have to do with medical billing and performance? Listen to find out and hear some tips to improve RCM ave your analytics.
2021-06-0309 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Another Rant About Stupid MetricsYou won't believe the dumb things on this massive RCM company's website. It kind of makes you cringe. They should either fire their entire marketing department or operations team...it's not clear which.
2021-06-0106 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.The Future of ComplianceWhat do you need to be doing now in order to ensure regulatory compliance? We'll talk about data, analytics, penalties, and audits.
2021-05-2705 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.What Does Basketball and RCM Have to Do With Each Other?We'll take you through some fun examples of what to consider in making a good basketball team and what this has to do with medical billing.
2021-05-2506 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Patient BalancesIs there an easy way to collect more money from patients? Here is one SECRET we have implemented for clients that significantly improves patient collections.
2021-05-2106 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Conditional Logic SolutionsWe put some real effort into finding resources for teaching conditional logic. Listen to find out why this is so important in medical billing and where to get some FREE courses.
2021-05-2007 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Alice in PuzzlelandWhat does the great Raymond Smullyan have to do with revenue cycle management analytics? Listen to find out (and learn about my goofy childhood).
2021-05-1704 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.What is conditional logic?What the heck is this thing? Why does it matter in medical billing? Is it only for analysis or does it impact anything else?
2021-05-1306 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Rules in Heads - Part 3Why are there so many problems and so much resistance to codifying rules in medical billing so they can be analyzed and measured? Let's look at why and what to do about it.
2021-05-1207 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Joshua TreeBouldering
2021-05-0801 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Medical Billing Rules in Heads - part 2What happens to those medical billing rules that are in everyone's heads? Your company needs those and there are competing reasons fighting to get those out or keep them secret.
2021-05-0605 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Rules in HeadsThere are a ton of little nuances to billing that everyone in the industry know exist. What does this do to your analysis?
2021-05-0304 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Routing RemittancesWhich claim remittances and correspondence go to which departments in the medical billing company or division? It depends. Listen to find out about a huge productivity boosting analytics setup for your department.
2021-05-0104 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Analysis or Quality Control - Which is More Important?Ever find a mistake or a problem in an analysis? Who hasn't. The question is not how to prevent it, but how much time and effort needs to be devoted to finding mistakes in RCM analytics compared to the actual analysis itself. Listen to find out the ratio we suggest.
2021-04-2905 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Contact Compliance - Part 2 - Finding ProblemsAre you ready to do the quality control to figure out if all those incorrect payment flags are actually incorrect payments or just an error in the system? We'll dive in so you can know what you'll need to do and how to plan for it. In the end you can catch insurance companies underpaying you.
2021-04-2608 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Are Payers Underpaying You?How can you tell if you're getting taken advantage of by insurance companies? Are they underpaying you according to your contract? What are your options for catching this?
2021-04-2405 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.GIGO Insurance NameRunning into problems where you have lots of different payer names fire the exact same insurance company? Why does this happen? What kind of problems does it create? And how can you fix it?
2021-04-2205 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Tiers of ReportingWhat do different people in the organization need for data and reporting? What kind of analysis is appropriate for a biller compared to a CFO of a system? And how can that be obtained for all those levels?
2021-04-2005 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.How to Control Your DataIf you want a medical billing company to bill for you, how do you ensure that you keep your data or control the data so that you are safe in the event something happens? We walk you through the typical decision process and what your options are.
2021-04-1707 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Figuring Out What is Needed - Ugh!Trying to define exactly what software you need built or what you need analyzed can be extraordinarily difficult. Here are some of the issues typically encountered and a suggestion on how to improve outcomes.
2021-04-1408 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Missing Encounters - the WhyIf this is such a quantifiably large problem, why are so few organizations doing charge reconciliation to find all the missing encounters? Let's walk through the issues so we can set them up to be solved. Then an those claims can be billed.
2021-04-1208 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Scope Creep in AnalyticsWhat is scope creep? Why does it occur? What can you do to mitigate it? These are difficult questions when it comes to analysis and software development. We'll talk through some of these issues.
2021-04-0906 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Seems Like Charges Are Missing? It's a Safe Bet They Are.Ever feel like not everything is getting billed but just can't put your finger on the problem? This can be complex, especially because no one may know how to quantify the problem. Listen to hear about charge reconciliation.
2021-04-0807 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Multiple Systems for Medical Billing CompaniesBilling companies are often forced to use many practice management or EMR systems in order to do billing, but this poses some huge challenges in data, reporting, and analytics.
2021-04-0507 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Customized ReportsWhy are custom reports needed so often and yet few get them? Big systems are notorious for not charging a ton of money for every module, feature, and report. Listen to hear our thoughts on this.
2021-04-0304 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.AR Aging Buckets is Antiquated - Possible SolutionIf AR aging buckets isn't the best way, what should medical billing teams do to prioritize and work claims most efficiently? Listen to find out.
2021-04-0109 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.AR Aging Buckets is AntiquatedThis is one of the most common tools used in medical billing and yet it has limited use and lots of issues. We'll examining some factors involved and discuss what is better.
2021-03-2604 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Out With The Good, In With The BadSometimes we have problems with our data and it's because we made good data into bad data. Listen to find out about what we found in the operational workflow when we were automating charge reconciliation for a medical billing company.
2021-03-2406 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Patient Net Collection Rate >100%?How is it possible that you can have more than a 100% patient net collection rate in medical billing? Listen to find out how this sometimes happens, what it means, and what you need to do to address the problem.
2021-03-2205 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Calculating Patient Net Collection RateWhat is patient net collection rate in medical billing? How do you calculate it? What is a good performance level to achieve? What are some tips and nuances in this arena?
2021-03-1905 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Vague Answers and Promises - Part 3Sick of promises that aren't kept? Vague statements that seem to answer the question but don't really commit to anything in medical billing, software, or RCM vendors? Here are some detailed methods to make sure you end up with the result you want.
2021-03-1712 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Promises and Vague Answers? - Here Are SolutionsIn a prior podcast we talked about healthcare vendors, employees, and software companies that make vague promises or try to make things look great without much substance. Here is the meat on how to dig in and get the answers you want to evaluate how real it is.
2021-03-1508 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Sick of Promises and Vague Answers?Vendor promising something that you want? Trying to figure out if you will get results or just a headache and a hole in your wallet? How can you distinguish fact from fantasy or deception? Software, billing, reporting...this happens everywhere. Listen to hear what to do.
2021-03-1207 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Fields You Can't ReportWhy are there so many fields you can't report from healthcare revenue cycle management systems (practice management systems, medical billing systems, HIS, RIS, LIS, etc.)? Don't you want this information?
2021-03-1107 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Denials, Hard to Collect Claims, and Economies of ScaleWhy do economies of scale matter so much in medical billing when it comes to hard to collect claims? Shouldn't it just be that it is a question of hard work, being detailed and thorough, and having good billers?
2021-03-0908 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Insiders Tip - Saved ReportsThere are not a lot of free lunches out there, but saved reports are one of the most important in healthcare revenue cycle management and medical practice management.
2021-03-0504 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Fraud or Incompetence in AR Analysis?Looking at the spreadsheet calculating net collection, medical billing performance, and accounts receivable balance, we found massive problems. Don't make these mistakes like they did.
2021-03-0309 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Bank Reconciliation Part 2 - Action PlanMissing money? What specifically needs to be done in order to reconcile medical billing collections to deposits in the bank account? Here is the detail.
2021-03-0107 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.#1 Fake Medical Billing KPIWhat's the #1 fake metric or KPI in revenue cycle management / medical billing? Listen in to find out.
2021-02-2605 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Simple Compliance Analysis You Can DoIf someone in your organization is billing something incorrectly, whether accidentally or intentionally, you may face huge legal and financial consequences. In this podcast were show one simple way to check compliance using data.
2021-02-2504 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Missing Deposits - Not Matching Collections?Have you ever tried matching bank deposits to a collections report? Bet it didn't line up. Now what? What are the problems that can lead to significant mismatches? We'll talk about why bank reconciliation is so important to stem losses.
2021-02-2407 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Denials - A Reporting ProblemCertain issues like understanding how your system stores data is critical. Especially whether data is overwritten or stored as a separate record. There is often a problem that prevents a lot of analysis, i.e. you can't get the answer to your question. What is a "state change" in your medical billing software, what does it mean for you, and how can you deal with it to get your questions answered with data?
2021-02-2208 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Medical Billing Charge Reports - More Than Meets The EyeIsn't it simple - just run a "charge report"? But what if the question you are trying to answer is not the same as your colleague? How many different types of medical billing charge reports are there and what are their purpose? What should be in them and how should you quality control them? This is way more complex than most people realize if you want to do it well.
2021-02-1806 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Medicare for All...Again?Once again Medicare For All has resurfaced since Democrats have taken control of the White House. In this non-partisan discussion we look at whether this is a sound financial policy.
2021-02-1608 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Do Insurance Companies Tell the Truth? Part 2 - Some ResultsMedical claim denials contain information from insurance companies. Are they telling the truth? Listen in to find out as we analyze the data to find the truth.
2021-02-1309 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Reviews of Reporting Capabilities in Billing SystemsDo medical billing systems have good reporting? What do user reviews indicate? We look at the average rating (positive or negative) of reviews that comment specifically about the capability of reports and analytics.
2021-02-1106 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Can You Trust Insurance Companies To Tell the Truth?Can you rely on the information in a medical billing remittance (EOB / ERA) from health insurers that tell you what to do to modify, resubmit, or appeal claims in order to get paid?
2021-02-0805 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Average Reimbursement Analysis - Part 2We dive in more deeply here to look at how this is calculated and what went wrong. Is the medical billing company trying to pull a fast one on its client? Listen in to find out.
2021-02-0509 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Average Reimbursement Analysis from Billing CompanyCaveat emptor when it comes to getting analysis done for you. Listen here to find out all the problems we see in what should be a simple analysis of average reimbursement from a medical billing company. And we'll tell you what to do.
2021-02-0307 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Office Ally ReportsOffice Ally is free medical billing software (clearinghouse, practice management system PMS / EMR). We briefly review be reporting capability.
2021-02-0206 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Secret Denials Management TipNot going to give this one away in the description. You'll have to listen to find out this tip on how to improve your medical billing denials management process using an analytical trick.
2021-01-2806 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Correlation and CausationA fun little episode about the difference between correlation and causation and some spurious correlations for entertainment.
2021-01-2807 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Worst Insurance Payors - Part 2There are other metrics on which you can evaluate whether a payor is bad, other than just denials. We'll take you through a couple and suggest what to do.
2021-01-2704 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.The Worst Insurance Payers for DenialsWho are the worst payers? How do you identify your "worst" list? And what do you do about it once you have this naughty list?
2021-01-2309 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Gross Collections Rate MetricWhat is gross collections in medical billing, how do you calculate it, is it valuable, and what are the pros and cons of this metric? We'll break it down for you.
2021-01-2105 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.How to Know if Your Billing (Company) Is GoodHow do you know if your billing or billing company is performing well? Do you just ask them?
2021-01-2004 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI."Payment Velocity" is a BS MetricI'll going to go off again on one of my favorite targets Kareo. They have a metric that is called Payment Velocity and it is complete and utter garbage. Listen to find out why.
2021-01-1607 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Data in Eligibility Verification ProblemsEligibility verification problems in medical billing can really destroy the financial success of a provider. This is the story of a catastrophe because of eligibility problems, finger pointing, confusing data, very complex problem solving, and ultimate success.
2021-01-1510 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.How do you calculate denials rate?What counts as a denial? How can you actually calculate, what fields are you going to use, what unique key will allow you to figure out what counts and what doesn't and are your denials getting better or worse? This is much more complicated than you might think. And it's necessary to improve your medical billing.
2021-01-1308 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Billing Company Pricing and Perverse IncentivesWhat's wrong with flat rate pricing from a medical billing company? Everything. Incentives drive behavior and we'll discuss how this undermines performance.
2021-01-1206 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Why Are Hard to Collect Claims Not Worked?Notice we didn't say collected. Why are they not even worked frequently or at the level they should be to maximize revenue for a provider? We show you the answers and you may be surprised.
2021-01-0808 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Happy New Year, making data-driven decisions, and a mea culpaWhere can we be more data driven? How can we make decisions that are better informed? This year we should be making a commitment to improving our business and profitability through data. And that includes Apache.
2021-01-0706 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Happy HolidaysWe'll be off for a week for the holidays.
2020-12-2500 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Measuring RCM Productivity Part 2 - SolutionsWe provide you some simple solutions on how to measure the productivity of medical billing team members for various different parts of the revenue cycle including patient registration, charge entry, accounts receivable, collectors, etc. We even offer a few higher level answers to more nuanced and complex issues you encounter.
2020-12-2411 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Surprise Medical Bills No More?Congress looks set to pass a bill that will eliminate surprise medical bills for patients.
2020-12-2204 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.RCM Productivity MetricsWhat should you measure to figure out productivity in medical billing? What do you do to make sure the people don't be in the system or do you want to create incentives that actually result in good outcomes?
2020-12-1907 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Medical billing service and medical billing software - one-stop-shop good?Is the trend towards practice management / medical billing software companies offering outsourced medical billing service a good one? And for who exactly?
2020-12-1805 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Are health insurance companies screwing doctors with underpayments?How do you know if you're getting underpaid and are insurance companies doing it intentionally? Is there a way to know conclusively? (We use "doctors" as a symbol of all providers, whether it is hospitals, laboratories, physicians, ASC's, imaging centers, or other providers.)
2020-12-1606 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Medical Billing Blame Game Part 2When finger pointing happens in medical billing, whether it is with an external billing company or in-house department, what do you do? How do you know who is responsible for claims not getting paid? We have a suggestion.
2020-12-1109 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.The Blame Game in Medical BillingWhat do you do with the inherent problems of the blame game? Who is responsible when claims don't get paid or there is a problem? Billing blames insurance, insurance blames billing. Now what?
2020-12-0907 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Dethroning AR DaysWhy AR days should NOT be the gold standard in measuring accounts receivable and medical billing performance.
2020-12-0911 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Medical Billing Company ReferencesHow do you evaluate and select a medical billing company to perform you billing? Reference are the number one method and we'll discuss whether that is a good criterion.
2020-12-0806 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Defining Metrics, KPIs, Data, AnalyticsDefining and getting through the marketing BS on RCM and medical billing terms and acronyms.
2020-12-0409 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.RCM visualization tools, "analytics", and...dynamiteWhat do medical billing, financial data, analytics, and visualization tools have to do with dynamite? Listen in to hear about Xifin Revenue Cycle Management "business intelligence" solution.
2020-12-0310 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.ASCs, EMRs, and Data MiningWhy do so many ambulatory surgery centers not have EMR? Will it change? We look at a hypothesis on why, what the impact is, as what you can do with data mining until it is implemented.
2020-12-0208 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.What to Pivot to Find Payer ProblemsHow do you figure out what payers are unwilling to pay? What CPTs are going to get denied in medical billing? What's the right question and what's the right way to analyze to identify and prevent problems with insurance companies?
2020-12-0106 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.What's a Good Use of Time in the Pandemic?What can you do when you're alone in your home office?
2020-11-2401 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Bridging the Medical Billing and Technical TeamsHow can people who don't understand each other communicate? Billers don't know software, database structures, etc. and IT people / analysts don't know billing. What's an organization to do when you need answers?
2020-11-2408 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.athenahealth ReviewDoes athenahealth have a good medical billing system or is it just an EMR/EHR and is their reporting good? What are the major pros and cons?
2020-11-2107 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Epic SoftwareIs Epic Software really epic when it comes to reporting? Find out in this podcast discussing the reporting capabilities of one of the largest hospital and EMR software companies on the planet.
2020-11-2007 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Revenue Cycle Management is the wrong nameWhat are we focused on in our industry? Seems like our target is off the mark in medical billing and we're looking at metrics and KPIs that are not in alignment with our financial goals.
2020-11-1708 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Most Important Denials MetricI'm giving you one of our most secret Secrets for RCM Denials Metrics. The most important KPI there is for your medical billing appeals process.
2020-11-1507 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Data is sexyWhat does Guy Kawasaki have to do with revenue cycle management? Listen to find out.
2020-11-1306 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.RCM Analytics Learning LoopsOften when you do revenue cycle management (RCM) analysis, you and up not getting the answer you were going for. And suddenly you need to look at why, are there different questions, and how does this impact on my data?
2020-11-1107 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Rushing to AnalysisLet's be honest...Data prep sucks. Wouldn't you rather just do denials analysis? Hear what happens when analysts focus on analysis instead of what is even more important...
2020-11-1004 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Top 10 Medical Billing KPI's...That Aren't Actually KPI's At AllWhy is it that so many consultants, billing companies, and software platforms in RCM / revenue cycle management / medical billing give you such garbage advice? They after even actual performance metrics, just best practices at best.
2020-10-2408 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Analytics and Calling BSHow many times have you heard the buzzword analytics in healthcare and revenue cycle management? Seems like at what conference and in tons of articles we're being bombarded. But is it really analytics being offered?
2020-10-2206 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Reason codes extracted - now what?Now that we extracted reason codes from the text field Notes in the medical billing system (aka EMR), can we figure out the top problems to solve?
2020-10-2104 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Extracting denial reason codesWhen it's ugly just trying to get the information you want. How do you solve medical billing problems when you can't get good data on what is being rejected ir denied and why?
2020-10-2006 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.Clearinghouse rejection reportsDiving into denials reporting for medical billing for one of our clients takes me to a clearinghouse rejection report and the result is surprising.
2020-10-1807 minRCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.
RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.The RCM JourneyWhat's the best way to tackle the entire healthcare reimbursement system problems? I'm going to find out.
2020-10-1605 min