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  • S3 EP17: Enhancing Healthcare RCM through AI Collaboration and Insights

    S3 EP17: Enhancing Healthcare RCM through AI Collaboration and Insights
    2024/11/20
    Daniel and Evan explore how AI technologies, including predictive analytics and robotic process automation (RPA), revolutionize healthcare revenue cycle management. Their guest, Christine Fontaine at Waystart, highlights how these advanced tools can enhance staff productivity, forecast potential revenue challenges, and automate repetitive tasks. Discover how AI provides actionable insights for data-driven decision-making and contributes to a more efficient and financially stable healthcare system. Join us for a deep dive into the innovative applications of AI in healthcare RCM.
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    37 分
  • S3 Special Re-Release: The Love Between IT and Revenue Cycle

    S3 Special Re-Release: The Love Between IT and Revenue Cycle
    2024/10/16
    Heather Dunn joins Evan Martin and Daniel Bianchini to explore the remarkable synergy between IT innovation and revenue cycle management (The Love Between IT and Revenue Cycle) in the complex healthcare sector. The indispensable fusion of technology and financial operations underpins the success of many healthcare institutions. With a wealth of experience in healthcare and IT, this dynamic trio discusses the critical importance of implementing systems such as Epic to streamline billing, enhance revenue integrity, and improve workflows.
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    52 分
  • S3 EP 16 Unveiling the Importance of Revenue Integrity

    S3 EP 16 Unveiling the Importance of Revenue Integrity
    2024/10/02
    The Wilshire IT RevCast", Daniel and Evan delve into the critical aspects of revenue integrity and charge master management within healthcare organizations. They are joined by Lynne Dossey and Rina Patel from Health Catalyst who provide a comprehensive guide on ensuring all services are billed correctly and compliantly, touching on critical components such as charge capture, coding, and regulatory adherence. Tune in to grasp the foundational elements that form the backbone of an effective revenue integrity program and prevent revenue leakage, ensuring the financial health of your organization. Listen at https://blubrry.com/wilshireitrevcast/, our YouTube Channel https://www.youtube.com/@thewilshireitrevcast9585, or on your favorite podcast app!
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    1 時間 8 分
  • S3 EP15 Special Field Report National Healthcare Association Revenue Integrity

    S3 EP15 Special Field Report National Healthcare Association Revenue Integrity
    2024/09/18
    In this episode of The Wilshire IT RevCast, Gretchen Case joins Evan as a co-host and they delve into the highlights of the National Healthcare Association of Revenue Integrity's annual conference, held recently in Chicago. As the only professional society dedicated to Revenue Integrity, the conference provided a platform for networking, professional development, and sharing the latest trends and innovations. The discussions ranged from the importance of denial management to leveraging advanced technologies in auditing processes, making it a treasure trove of insights for healthcare professionals aiming to enhance their operations.
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    28 分
  • S3 Ep14 Establishing Trust as an Interim Leader in Healthcare

    S3 Ep14 Establishing Trust as an Interim Leader in Healthcare
    2024/09/04
    In this episode of "The Wilshire IT RevCast," Tim Holland rejoins Daniel and Evan to delve into the intricacies of healthcare consulting with a dedicated look at Revenue Cycle Management (RCM). They discuss the challenges and strategies associated with transitioning from operational roles to consulting positions, emphasizing the critical need for both strategic thinking and detailed project management. The episode also covers the pivotal roles of being an interim leader when organizations need support.
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    46 分
  • S3 EP13 The Future of Healthcare Coding with AI

    S3 EP13 The Future of Healthcare Coding with AI
    2024/08/21
    In this episode of The Wilshire IT RevCast, our hosts dive deep into the transformative role of Artificial Intelligence (AI) in healthcare, focusing on enhancing coding accuracy and efficiency with Greg Hobbs, MD, MPH. The discussion explores the complexities surrounding surgical coding and the formidable challenge of pre-authorization denials. The speakers highlight how AI can ease hospital administrative burdens by automating routine and highly complex coding tasks. They showcase how advanced AI platforms, like Milagro, are already making strides by autonomously coding surgical cases with impressive accuracy, thus reducing financial losses due to mismatches and denials.
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    48 分
  • S3 EP12 –How Data Science Propels Value-Based Care Forward

    S3 EP12 –How Data Science Propels Value-Based Care Forward
    2024/08/07
    In this episode of "The Wilshire IT RevCast", Daniel and Evan are joined by Soy Chen and Danielle Bergamn from Lightbeam Health Solutions for a deep dive into the adoption and impact of value-based care in healthcare systems. Their discussion highlights the current adoption rates of value-based care, financial and quality incentives driving this approach, and how it integrates with population health. The conversation provides valuable insights into how healthcare organizations are evolving to meet quality metrics and manage chronic conditions more effectively, all while aiming to enhance patient outcomes and reduce overall healthcare costs.
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    50 分
  • S3 EP11 Revamping Denial Management: AI, Smart Tech and Tailored Documentation

    S3 EP11 Revamping Denial Management: AI, Smart Tech and Tailored Documentation
    2024/07/17
    In this episode of the Wilshire IT RevCast, we explore how modern healthcare organizations are adopting innovative strategies to enhance the crucial task of denial management. Industry leader Sarah Mendiola at Cloudmed guided Evan Martin and Daniel Bianchini through delving into the complexities of denial management and the necessity of implementing strategies to deal with denials when they occur and prevent them.
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    49 分