Healthcare Crossroads

Are you feeling burdened down with the Prior Authorization processes? You are not alone. In this episode we will chat with Manish Jain, Co-Founder and VP, Business Development of Oncospark and get his insights. We will answer: Why do insurance companies require authorization? Are internal process issues delaying treatment? Tips for organization, demographic errors, treatment changes and miscommunication in scheduling vs approval Can you truly automate the authorization process? We will look at different kinds of authorizations such as: Medication Infusion Surgery Diagnostic testing Check out www.authparency.com to augment your process. --- Send in a voice message: https://anchor.fm/healthcrossroads/message Support this podcast: https://anchor.fm/healthcrossroads/support

Join me and special guest Betty Hovey, BSHAM CCS-P CDIP CPC COC CPMA CPCD CPB CPCI as we look "Behind the curtain with an Auditor"   What is behind more audits in 2022?  What does a lack of Audits say about your organization?  Is Compliance your priority?  What does an Auditor do?  Why are Auditors vital in Healthcare? Schedule your next audit by emailing [email protected] --- Send in a voice message: https://anchor.fm/healthcrossroads/message Support this podcast: https://anchor.fm/healthcrossroads/support

Check out me with my friend Pam Vanderbilt as we talk about Medicare and Modifiers. We will discuss the MPFS Indicators and why all in the Revenue Cycle need to know how Medicare processes claims, because Guess What? "Coding can change based on these Indicators" --- Send in a voice message: https://anchor.fm/healthcrossroads/message Support this podcast: https://anchor.fm/healthcrossroads/support

Join me and my special guest Leslie Boles, BA, CCS, CPC, CPMA, CHC, CPC-I, CRC as we discuss the shift that needs to happen in the Business of Healthcare. As the Co-Owner & President at Revu Healthcare Leslie and her team offer comprehensive regulatory compliance solutions to healthcare providers, hospitals, health systems, physician groups, and other healthcare entities.

In the past 10-15 years there has been a progression of gaps in communication between physicians and coders. Has technology played a role? What happened to good old-fashioned educated conversations? Do your coders and billers have access to the Physicians and Clinicians in your practice? We will also look at what Physicians are facing and how we can help them succeed. 

• Burdens physicians face in patient care
• What can we do to be their advocate?
• Compliance issues we have seen in the documentation before and during PHE
• How administrators can bridge the gap between coders and billers and encourage open communication
• Do you know your EMR?

Technology tools enhance a successful practice and do not do all the work

Check out Code Interceptor Video and visit Oncospark to see all their technology solutions that may be the solution for your practice or facility.

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This week we dive into the Revenue Cycle as it relates to Medical Coding. We encourage all to think about how their role as a Medical Coder is a peice of that Cycle and how we approach that role will effect all members of a Healthcare facility. Ultimately it effects the patient. Do you know you are more than a Medical Coder? --- Send in a voice message: https://anchor.fm/healthcrossroads/message Support this podcast: https://anchor.fm/healthcrossroads/support

In this special episode I am joined by my friend Barbara Cobuzzi MBA CPC COC CPC-P CPC-I CPCO CENTC CMCS. We will catch up with her and see what she's been up to. We will break down the Global Package for ENT Services and discuss Common issues in ENT Audits Endoscopic Sinus Surgeries Modifier 58 vs 78 Appropriate use of Modifier 59 and CMS X(ESPU) Contact her at http://crnhealthcare.com/ You will also want to check out our ENT Virtual Summit On Demand --- Send in a voice message: https://anchor.fm/healthcrossroads/message Support this podcast: https://anchor.fm/healthcrossroads/support

In this weeks episode we continue our discussion from last week and discuss the purpose of the Global Surgical Package. It is a lot to discuss so we will break it up into 2 episodes. 

This week we will review: 

• Modifier 57 
• The Medicare Physician Fee Indicators 
• What is Included in the Global Package Interpreting 0, 10 and 90 day Packages 
• You can learn more about these modifiers as it relates to Orthopedic Services at our Upcoming Virtual Summit July 13-14 and earn 15 CEUS! Sign up today! Register Here 

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In this weeks episode we are joined by Sonal Patel, CPMA, CPC, CMC, ICDCM. She is a repeat guest and we are very excited to discuss Modifier 25. It has been in the news lately and a very controversial Modifier for years now. We will discuss: Modifier 25 Definition News from Commercial Payers OIG report from 2005 Using Authoritative Guidance Check out these cool references: OIG Report CMS Global Booklet Fact Sheet CMS Processing Manual Check out the Podcast Paint the Medical Picture Check out our Upcoming Ortho-Care Virtual Summit where we dig into Using Modifier 25 for Orthopedics This episode qualifies for a CEU for our All  Patreon Squad Members. Become a member today at www.patreon.com/lifeasacoder --- Send in a voice message: https://anchor.fm/healthcrossroads/message Support this podcast: https://anchor.fm/healthcrossroads/support

We are on Vacation this week. Check out a replay of one of my favorite episodes with my dear friend Christine Hall --- Send in a voice message: https://anchor.fm/healthcrossroads/message Support this podcast: https://anchor.fm/healthcrossroads/support

In this episode we will chat with Jared Walker, Founder at Dollar For where the goal is Advocating for patients to eliminate medical debt. We are all patients at one point in our life. The Burdens to provide healthcare are great for providers and healthcare staff but the burden for patients are great indeed! 

According to Jared " Many patients are involved in payment agreements and going into debt for medical bills they do not have to pay"

Let's discuss:

• Charity Care
• Patient Advocacy
• Medical Bill Education
• Being a proactive patient

Want to volunteer? Join NOW as a Volunteer and help Dollar For continue to #crush medical debt 

Jared and I will both be speaking at the Healthcare Advocate Summit September 7-9 in New Orleans. Get your Tickets: https://www.healthcareadvocatesummit.com/

 

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