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PODCAST

For The Love of Revenue Cycle

Vanessa Moldovan

Did you ever wish that you had a physician revenue cycle expert and mentor with over 20 years of experience whispering success secrets in your ear? That"s exactly what you will get when you tune into For the Love of Revenue Cycle hosted by me, Vanessa Moldovan. My career and my life have brought me a wealth of knowledge and I can"t wait to share with you. My passion is to help others in the industry to reach their full potential and find success in the wonderful, crazy world of physician revenue

health & fitness medicine

All Episodes

53:36

Live Denials Q&A 10/15/24 - Tips for Denial Beginners

For The Love of Revenue Cycle ·

2024/10/16

Mastering Medical Billing: Overcoming Claim Denials and Utilizing Key Resources In this comprehensive episode, we dive deep into various medical billing challenges and solutions. Key discussions include handling billing issues with UnitedHealthcare, specifically around lab claims and CLIA validation, and addressing billing problems with Medicare Advantage and other insurers like Cigna and Blue Cross. We offer practical advice on resubmissions, correct coding, and documentation to avoid denials. The

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53:38

Live Denials Q&A 10/3/24 - Tackling Tough Denials

For The Love of Revenue Cycle ·

2024/10/04

In this engaging podcast episode, participants dive deep into the complexities of denial management and revenue cycle strategies. Led by Vanessa Moldovan, a discussion unfolds around real-world challenges in handling denials and retractions within the healthcare finance sector. Key topics explored include the importance of working in denial management to gain comprehensive insights, effective strategies for managing Medicare and Medicare Advantage issues, and dealing with common denial reasons such

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32:51

Ep. 34 Maximizing Provider Revenue with Payer...

For The Love of Revenue Cycle ·

2024/09/23

Maximizing Provider Revenue with Payer Contract Insight In this episode of 'For the Love of Revenue Cycle,' host Vanessa Moldovan shares essential insights on how to maximize provider revenue by understanding and leveraging the nuances of payer contracts. Topics covered include addressing prior authorization denials, navigating payer reimbursement policies, ensuring clean claim submissions, and utilizing fee schedules and carve outs. Additionally, Vanessa offers strategies for managing payer plan

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52:49

Live Denials Q&A 9/17/24 - Utilizing Contracts When...

For The Love of Revenue Cycle ·

2024/09/19

In this episode of the bimonthly Denials Q&A, host Vanessa discusses her extensive experience and expertise in handling denials, focusing on changes and challenges in the field. She emphasizes the importance of understanding contracts, payer guidelines, and exploring new technologies to improve denial management. Vanessa shared insights on leveraging contract information and innovative technology to fight back against complex denial processes. Key topics include the use of CARCs, dealing with

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27:49

Ep. 33 Insurance AR: Claims with No Response

For The Love of Revenue Cycle ·

2024/09/10

Navigating Insurance AR: Tackling Claims with No Response In this episode, Vanessa Moldovan, CEO and host of 'For The Love of Revenue Cycle,' delves into the intricacies of Insurance Accounts Receivable (AR), focusing on claims with no response. Vanessa explains the significance of managing AR to maintain financial health and provides practical strategies for identifying, resolving, and preventing claims with no responses. Key takeaways include the importance of tracking all claims, the role of

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50:10

Live Denials Q&A 9/5/24 - Hospice, SNF, Home Health...

For The Love of Revenue Cycle ·

2024/09/05

In this episode, Vanessa Moldovan, CEO and Founder of 'For the Love of Revenue Cycle,' leads a live Q&A session on handling denials in medical billing. Participants from different sectors of the healthcare revenue cycle, including medical billing for home visits, nursing homes, and surgery centers, discuss challenges they face with denial codes, modifiers, and reimbursement issues. Key topics include understanding the new FY 2024 hospice final rule, addressing denials related to modifier codes, and

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57:12

Live Denials Q&A 8/1/24 - Navigating Out of Network...

For The Love of Revenue Cycle ·

2024/08/02

Show notes for today's live denials Q&A session: The differences in denials and appeals processes between in-network and out-of-network providers Strategies for appealing out-of-network denials, including involving patients and leveraging laws like the Arisa law Trends in payer requests for documentation and potential reasons behind sudden increases in these requests Frustrations with payers' downcoding practices and lack of transparency in reimbursement The shift in the medical field from

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50:35

Ep 32 Tech-Enabled RCM: Tips and Solutions with Mike...

For The Love of Revenue Cycle ·

2024/07/30

Tech-Enabled RCM: Tips and Solutions with Mike Marshall + Vanessa In this episode, Vanessa welcomes Mike Marshall to discuss the intricacies of revenue cycle management (RCM) and the challenges faced by healthcare organizations. Mike is currently the Managing Director of the North American division of e5 Workflow, with a rich background in healthcare focusing on turnaround projects for operation, finance, and revenue cycle management. They explore the root causes of common RCM issues, the

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01:00:39

Live Denials Q&A 7/16/24 - payer denial trends...

For The Love of Revenue Cycle ·

2024/07/18

In this episode, Vanessa Moldovan hosts a Q&A session focused on the challenging issues of denials in revenue cycle management. Vanessa, along with the attendees, discusses the complexities around denial prevention, resolution, and best practices. The session covers specific payer issues, including downcoding by Anthem and Humana, as well as rampant documentation requests from UnitedHealthcare. The discussion also provides strategies for handling denials, escalating issues to provider

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36:16

Ep. 31 Patient Accounts Receivable

For The Love of Revenue Cycle ·

2024/07/16

n episode 31 of 'For the Love of Revenue Cycle,' the host discusses patient accounts receivable (AR) in a clinic setting, emphasizing the importance of professional billing over facility billing. Key topics include naming conventions in billing systems, the role and definition of a guarantor, and the nuances between insurance processing and payment. The episode delves into best practices for managing patient AR, handling self-pay arrangements, and understanding patient financial responsibility,

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27:12

Ep. 30 Denials/AR Introduction + FTLORC Announcement

For The Love of Revenue Cycle ·

2024/07/02

Get ready for Season 3 of For the Love of Revenue Cycle, premiering tomorrow with Episode 30! I'm back with a deep dive into denials and accounts receivable in the revenue cycle. Listen in, as I unpack the complexities of denials and their impact on healthcare organizations. I'll share insights from recent industry events and personal experiences, highlighting key strategies for prevention and resolution. Also, stay tuned to the end for a big announcement about For the Love of Revenue Cycle.

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58:33

Live Denials Q&A 6/18/24- telehealth billing...

For The Love of Revenue Cycle ·

2024/06/19

In this episode, we dive into effective strategies for preventing and resolving denials in healthcare billing. Our speakers cover essential tips like checking the place of service, sharing experiences, and networking with other professionals. We explore various types of rejections in healthcare claims, emphasizing the need to understand their origins and track them meticulously. Discover valuable insights on managing appeals and reconsiderations, staying organized, using timely filing tools, and

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01:00:58

Live Denials Q&A 6/6/24 - timely filing,...

For The Love of Revenue Cycle ·

2024/06/07

During today's live Q&A we had some great discussion about important denials that you and your organization are probably experiencing. We had some great interaction with 28 attendees. Check out the conversation!

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19:56

Extra Episode: Reducing the Denial Headache with...

For The Love of Revenue Cycle ·

2024/05/06

Corey started Covered Health to automate the most challenging element of appealing denied medical claims by streamlining the access to diverse databases and sources to pinpoint denial root causes. I decided to partner with Covered because we share the same vision: preventing patients from getting stuck with bills that should be covered by their insurance, and helping to empower revenue cycle management experts to resolve those denials with greater efficiency. We discussed Corey’s motivations for

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43:51

*Special Episode - Stop Revenue Leakage

For The Love of Revenue Cycle ·

2024/02/08

Dive into the world of healthcare industry in our special episode of PM Symposium where we uncover the many facets of the revenue cycle. Hosted along with Jennifer McNamara, we discuss the impact of practice managers, the importance of understanding the revenue cycle, and how to combat revenue leakage. We explore some of the major challenges including staffing shortages, the lack of standardization and the crucial role of both management and line workers. Tune in to gain invaluable insights,

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10:16

Ep. 28 Reporting + Analytics

For The Love of Revenue Cycle ·

2023/10/30

Hello friends and welcome to episode 28 of For the Love of Revenue Cycle. Thank you so much for tuning in today! A big welcome back to my loyal listeners and a special shout out if today is your first episode. This season is part of the going back to the basics from season 2. I know that it has been about 5 months since Episode 27 was posted. As you may recall, me and my production team were experience technical difficulties. But here we are back again! In this final episode of Season 2, I’m

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12:10

Ep. 29 Season 3 Kickoff + Big Announcement

For The Love of Revenue Cycle ·

2023/10/30

Hello Friends! Welcome to the kickoff of season 3! I am overwhelmed to still be running this podcast after 2 years. Thank you as always for your support. In this episode, I share what the topic of season 3 will be and share a big announcement. Speaking of the big announcement, here is the link that I reference. https://fortheloveofrevenuecycle.aweb.page/p/7d25c7b7-9c16-490c-95cd-7bd2052fd396

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42:42

6/5/23 Live Q&A - End of PHE; State of the industry;...

For The Love of Revenue Cycle ·

2023/06/06

Hello Rev Cycle Lovers! This episode is a recording of our live Q&A session today. It is raw and unedited, but that does not diminish the great conversation. We discussed some challenges with the end of PHE, operational challeges that cause denials and also different options for assigning individuals within the revenue cycle. We also spent some time talking about the current state of affairs in our industry related to payer guidelines and staffing shortages. I hope that you enjoy this

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16:45

Ep. 27: Prior Auth, Referrals, Precertification, etc.

For The Love of Revenue Cycle ·

2023/04/23

In today's episode, we go back to the "Language of Revenue Cycle" to discuss the differences between the concepts of prior auth, referrals, precertification and predeterminations.

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0:19

Technical Difficulties - no episode 4/3/23

For The Love of Revenue Cycle ·

2023/04/04

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