Hosts:Jennifer McNamara and Maya TurnerJoin Jennifer and Maya as they kick off Season 3 of "Healthcare Inspired," focusing on the theme "The Connected Leader." In this episode, they share their exciting experiences from HealthCon 2024, discuss the importance of leadership in healthcare, and introduce a brand-new segment designed to engage and challenge listeners.Episode Highlights:HealthCon 2024 Recap: Jennifer's road trip adventure to the conference. Key takeaways from HealthCon include impactful sessions and networking opportunities. The value of face-to-face interactions and the energy of live events.Leadership Traits Discussion: Essential qualities of a connected leader: communication, vision, empathy, and integrity. Real-life examples and anecdotes illustrate these traits in action.Introduction of "What Would You Do?" Segment: A new interactive segment where Jennifer and Maya present hypothetical scenarios and invite listeners to share their solutions. First scenario: Handling a team conflict in a busy medical office.Key Takeaways:The significance of connecting with peers and mentors in the healthcare field.Practical advice on embodying key leadership traits.Call to Action:Engage with Us: Share your leadership stories and experiences. Connect with Jennifer and Maya on LinkedIn. Submit your questions and scenarios for the "What Would You Do?" segment.Stay Connected: Follow the podcast for more insights on becoming a connected leader. Join the conversation on social media using #HealthcareInspired and #TheConnectedLeader.Sponsors:Healthcare Inspired LLCTune in to Episode 1 for an inspiring start to the season, and get ready to explore what it means to be a connected leader in healthcare. Hosted on Acast. See acast.com/privacy for more information.

In this episode of "Healthcare Inspired," Jennifer McNamara and Maya Turner explore the critical topic of communication in medical practices. They discuss effective communication and compliance in healthcare settings, share personal updates, explore handling requests to write off copays and emphasize the importance of treating every patient equally. Tune in for practical advice and answers to listener questions about compliance and communication. Don't miss out on this informative and inspiring conversation!What Would You Do?Addressing the common compliance question: What to do if a physician asks to write off a copay?Understanding the implications of misrepresenting services.The importance of accurate billing and coding practices.The significance of effective communication within the healthcare team.Training front office staff to handle patient interactions and compliance issues.Jennifer's new advocacy initiative on communication training in medical offices.Key Takeaways:Always document financial hardships when writing off copays.Understand and follow OIG guidelines to avoid fraudulent activities.Effective communication and proper training are crucial for compliance and patient satisfaction.Links and Resources:OIG Compliance Guidance on Writing Off CopaysHealthcare Inspired YouTube ChannelTerry Fletcher's Podcast Episode on ConsultantsSubscribe and Follow:Subscribe to "Healthcare Inspired" on Apple Podcasts and Spotify.Follow us on LinkedIn for updates and additional resources. Hosted on Acast. See acast.com/privacy for more information.

In this episode, we discuss the significance of authenticity within healthcare business roles. Discover how embracing authenticity not only aligns with compliance but also fosters a more connected and innovative healthcare environment.--- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcare-inspired/message Hosted on Acast. See acast.com/privacy for more information.

In episode 2 we dissect the disparities in how hospitals and clinics are reimbursed, shedding light on challenges faced in receiving payments, particularly concerning status changes on the facility side.As we dive deeper, join us in navigating the latest Inpatient proposed rule on Appeals, unraveling the implications for healthcare providers.In the second episode, we tackle a crucial topic – the cost of training Coders versus the expenses incurred through denials. Is investing in education to avoid denials worth it? We break down the numbers and analyze the administration's role in decision-making.The Impact of Physicians Coding to Save on CodersThe pros and cons of physicians handling coding responsibilities.The delicate balance between cost-effectiveness and the potential risks to accuracy and compliance.EMR Systems: Incorrect Setup & Compliance IssIssWe will identify examples of EMR systems prone to setup errors.We will emphasize the crucial role of coder oversight for accurate billing, drawing insights from compliance program guidance.Thank you to our co host Maya Turner for another amazing episode.Watch the full episode on our You Tube Channel--- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcare-inspired/message Hosted on Acast. See acast.com/privacy for more information.

In this episode of "Healthcare Echos" we look at how healthcare practices are daring headfirst into creative billing concepts. Join us as we discuss the risks associated with these innovative approaches, leaving healthcare providers vulnerable to compliance pitfalls. From unconventional billing practices to the grey areas that could lead to substantial consequences, our experts dissect the creative chaos within the industry.Key Discussion Points:Creative Billing Concepts: Unveiling the Risky TerrainSDOH Code G0136: Navigating with the patientImposter Syndrome: Motivation for our listeners Watch the full video episode on our YouTube channelSubscribe now to stay updated on future episodes and follow us on social media for exclusive behind-the-scenes content. Hosted on Acast. See acast.com/privacy for more information.

In this episode, we discuss two common conditions looked at in CDI: Clinical Documentation Improvement: Sepsis and Respiratory Failure.1️⃣ Sepsis DRG Exploration2️⃣ Respiratory Failure Decoded3️⃣ Mastering Documentation4️⃣ Coders vs. CDI Professionals5️⃣ Seamless Transition to CDI:Check out a replay of our full video podcast on our Youtube Channel Hosted on Acast. See acast.com/privacy for more information.

In this insightful episode, the hosts dissect the intricate world of credentialing and contracting within the healthcare system, shedding light on its profound effects on patient care and practice economics. They navigate through the complexities of these processes, examining how they shape access to services and the delivery of healthcare. The discussion explores the financial considerations for healthcare practices, including the nuanced challenges and advantages associated with boutique physician practices and concierge medicine. Furthermore, the hosts analyze the varying dynamics of patient demographics and community settings, offering valuable insights into the feasibility and impact of alternative healthcare models.Learn more about credentialing services with Healthcare Inspired Hosted on Acast. See acast.com/privacy for more information.

In this episode, we will explore the challenges that the healthcare industry faces in today's rapidly evolving landscape. Join us as we uncover the intricacies of these challenges and discuss potential solutions to improve the overall state of healthcare.🔹 Understanding the Complexity: Gain insights into the intricate nature of the modern healthcare landscape and how it impacts patients, providers, and the industry as a whole.🔹 Bridging the Gap in Patient Care: Explore the barriers and gaps that hinder seamless and effective patient care delivery. Discover innovative solutions and strategies to overcome these challenges.🔹 Financial Strains on Healthcare Providers: Delve into the financial pressures faced by healthcare providers and the impact it has on the delivery of quality care. Uncover potential approaches to alleviate these strains while maintaining sustainable healthcare systems.🔹 Innovative Solutions and Strategies: Learn about cutting-edge technologies, transformative models, and best practices that are revolutionizing healthcare delivery. Discover how these innovations are addressing the challenges and transforming the industry.Join us on this captivating journey as we uncover the challenges, explore opportunities, and inspire positive change in the healthcare industry. Tune in to the Healthcare Inspired podcast and be part of the conversation!Learn more at www.healthcareinspiredllc.comOur Services: Gain insights into the range of services provided by Healthcare Inspired LLC. From consulting to technology solutions, we offer comprehensive support to healthcare organizations striving for excellence. Learn how our services can help you overcome challenges, improve patient care, and optimize operations.Hiring our Data Team: Find out how you can leverage the expertise of our skilled data team. We discuss the importance of data analytics in healthcare and how our team can help you unlock valuable insights from your data. Whether it's optimizing workflows, identifying trends, or improving decision-making, our data team is ready to assist you.Upcoming Events: Stay informed about the exciting events on the horizon. We highlight our upcoming conferences, webinars, and workshops where healthcare professionals, thought leaders, and industry experts come together to share knowledge, exchange ideas, and drive innovation. Be sure to mark your calendars and join us for these enlightening events. Hosted on Acast. See acast.com/privacy for more information.

In today's episode, we discuss the Impact of Front-End Denials to explore the significant repercussions of front-end denials in the revenue cycle. Join us as we delve into the causes, consequences, and potential solutions for reducing front-end denials. Experts and industry leader Maya Turner shares her insights and experiences, providing valuable knowledge to help organizations overcome this critical challenge.More about MayaWith over 27 years of comprehensive experience in healthcare coding and reimbursement, Maya Turner is a highly skilled professional known for her exceptional analytical abilities and extensive knowledge of AR management. Maya's expertise spans various domains, including inpatient and outpatient billing, E/M coding and compliance, SNF/LTC billing, DME, high-end collections, HCC coding (Medicare risk adjustment), commercial third-party payers, and Medicare Parts A and B, along with Medicaid.Maya's superior proficiency extends to outpatient medical records abstraction, encompassing multi-specialty and sub-specialty coding and compliance. She possesses a deep understanding of payer mix reimbursement, HEDIS, ICD-9, CPT, HCPCS, and (MDS 2.0) RUGS-III. Furthermore, Maya has a proven track record in designing coding and compliance curriculum, as well as delivering training tailored to address denial trends and analysis. Recently, she also obtained certification in ICD-10 training, further enhancing her already vast skill set.Maya Turner brings a wealth of knowledge and practical experience to the table, making her an invaluable asset in the ever-evolving landscape of healthcare coding and reimbursement. Her dedication to excellence and commitment to staying up-to-date with industry standards make her a trusted expert in optimizing revenue cycles and ensuring compliance in healthcare organizations.Episode Highlights: Understanding Front-End Denials Definition of front-end denials and their key characteristics. Discussion on why front-end denials occur and their impact on organizations. Causes of Front-End Denials Examination of the root causes behind front-end denials. Discussion on issues related to eligibility verification, prior authorization, and patient information accuracy. Strategies to Reduce Front-End Denials Identification of best practices and strategies to mitigate front-end denials. Implementing effective patient eligibility verification processes and tools.Learn more from our host and guest at the upcoming Practice Management Symposium on October 5th! Get Tickets Now!--- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcare-inspired/message Hosted on Acast. See acast.com/privacy for more information.

In this podcast episode, we explore the concept of patient-centered healthcare and delve into the topic of in and out of network benefits. Join Jennifer McNamara and Maya Turner as they discuss the importance of putting patients at the forefront of healthcare decisions and understanding how in-network and out-of-network benefits can impact healthcare coverage and costs. Our experts will share insights and tips to help you navigate the complexities of health insurance and make informed choices for your medical needs. Tune in for a comprehensive and informative discussion on this crucial aspect of healthcare.Need CEU's and additional opportunities for growth in Healthcare? Join us for the upcoming Virtual CDI Awareness Conference on September 14th and 15th. That's right, this conference is fully online, so you can attend from anywhere in the world.This two-day event is packed with valuable insights and expertise from leading experts in Clinical Documentation Improvement. We'll be covering a wide range of topics related to CDI, ensuring you stay up-to-date with the latest trends and best practices in the field.And here's the best part – you can earn 15+ CEUs (Continuing Education Units) just by participating in this conference! Stay ahead of the curve and fulfill your educational requirements all at once.Whether you're a seasoned CDI specialist or new to the field, this conference is designed to cater to all levels of expertise. Learn from the best and connect with like-minded professionals to broaden your network and exchange ideas.Registration is now open, so secure your spot before it's too late. Head over to our website and sign up today to join the CDI community at this exclusive virtual event.Mark your calendars for September 14th and 15th, and get ready for a knowledge-packed experience that will elevate your CDI skills and career to new heights. Don't miss out on this fantastic opportunity!--- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcare-inspired/message Hosted on Acast. See acast.com/privacy for more information.

In the final part of our denials series we dive deep into the world of coding and backend denials. If you're a medical coder, biller, healthcare provider, or just someone interested in the healthcare revenue cycle, this episode is for you.Join us as we explore the challenges and nuances of coding denials – those frustrating moments when insurance claims are rejected or disputed. Our experts Maya Turner and Jennifer McNamara will unravel the complexities of coding guidelines, documentation requirements, and compliance issues that often lead to claim denials. We'll also shed light on the critical role of accurate coding in ensuring that healthcare providers are fairly reimbursed for their services.In each episode, we'll cover: Understanding Denials: We'll dissect common denial scenarios, exploring the reasons behind them and providing insights into how accurate coding and documentation could have prevented these issues. Coding Guidelines: Dive into the world of coding guidelines for various medical specialties, discussing best practices, updates, and potential pitfalls. Documentation Excellence: Learn how proper medical documentation not only supports accurate coding but also strengthens your organization's defense against denials. Appeals and Resolutions: Explore effective strategies for appealing denials, interacting with payers, and navigating the appeals process successfully. Preventive Measures: Discover proactive measures to minimize denials, streamline the billing process, and optimize revenue cycle managementTune in and empower yourself with the knowledge and skills to conquer coding denials and contribute to a smoother, more efficient healthcare revenue cycle.--- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcare-inspired/message Hosted on Acast. See acast.com/privacy for more information.

In this episode, we delve into an insightful discussion. From specialized skills to leadership development, we cover the spectrum of growth opportunities within healthcare. Today, we have a special guest joining us - the incredible Dr. Lisa Campbellhttps://www.linkedin.com/in/drlisalcampbel. With a wealth of experience in the healthcare field, Dr. Campbell will share her insights on leadership, its challenges, and the remarkable impact it can have on patient care and organizational success. She brings a wealth of wisdom, empathy, and practical insights that will resonate with listeners at every stage of their journey. Episode Highlights: Discovering Your Passion: Uncover the key to a fulfilling healthcare career by aligning your passion with your profession. Navigating Career Transitions: Learn how to successfully transition between healthcare specialties or move from a different industry into healthcare. The Heart of Healthcare: Sr. Lisa shares heartwarming stories that remind us of the true essence of patient care and the impact healthcare professionals can make. Leadership and Mentorship: Understand the pivotal role of leadership and mentorship in shaping your healthcare career trajectory. Balancing Compassion and Self-Care: Explore strategies for maintaining your own well-being while providing exceptional care to others. Excellence in Action: Dr. Lisa's personal journey to excellence and the invaluable lessons she's learned along the way. Hosted on Acast. See acast.com/privacy for more information.

In this enlightening episode, we dive deep into the world of documentation, uncovering the secret sauce that can transform your records from ordinary to extraordinary. Whether you're a healthcare professional, a researcher, or simply someone interested in the power of effective documentation, this episode is a must-listen.We share insights into the art of documentation and its far-reaching impact. We explore the key elements that make documentation truly exceptional, from precision and clarity to the use of innovative technologies. Discover how the right documentation can enhance patient care, streamline research processes, and even influence policy decisions.Join us as we unravel the mysteries of documentation, offering practical tips, real-life examples that highlight the importance of this often-overlooked skill. Whether you're seeking to improve your medical records, research notes, or any other form of documentation, you'll walk away from this episode with the secret sauce you need to make your documents stand out and make a difference. Don't miss it!Grab your tickets now for the upcoming CDI Awareness Conference on September 14-15--- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcare-inspired/message Hosted on Acast. See acast.com/privacy for more information.

In this compelling episode, we go on a transformative journey of a healthcare manager who becomes a patient. Our guest, Kelly Luby shares her personal story of transitioning from a role of authority within the healthcare system to a position that demands vulnerability, empathy, and a deep understanding of patient advocacy. Join us as we explore the challenges, insights, and profound impact this experience had on reshaping perspectives on healthcare.Episode Highlights:A Shift in Perspective:Explore the pivotal moment when Kelly Luby, a seasoned healthcare manager, found herself on the other side of the healthcare system as a patient.We will explore the initial challenges and emotions faced during this unexpected transition.Empathy in Action:Learn the ways in which Kelly navigated her healthcare journey with newfound empathy, understanding the patient experience from the inside.We will share anecdotes and insights that highlight the significance of empathy in healthcare management and advocacy.Challenges and Lessons Learned:Uncover the unique challenges Kelly encountered in advocating for her own healthcare needs.Hear the lessons learned and how these experiences have influenced her approach to healthcare management and patient advocacy.Impact on Professional Practices:Find out how this personal experience has shaped her professional practices as a healthcare manager.Learn the broader implications for improving patient care and the importance of bridging the gap between healthcare providers and those they serve.Speak with Kelly Luby and Others at the upcoming Practice Management Symposium on Feb 16th, 2024. Tickets On Sale Now!--- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcare-inspired/message Hosted on Acast. See acast.com/privacy for more information.

In this episode of Healthcare Inspired, I am joined by Barbara Shaw a leading CDI and Risk Adjustment expert and we will discuss the role that documentation plays in the AI within the business side of healthcare. As technology advances, we need to explore the impact of documentation and discuss how coders can elevate their approach by adopting an auditor's mindset. Show Highlights:The Impact of Documentation in AI-driven HealthcareHow AI is reshaping roles and responsibilities across healthcareSpotlight on coders and the importance of adopting an auditor's mindsetReal-world significance of clear and effective documentation.We encourage listeners to embrace the future of technology and documentation.Tune in as we navigate the intersections of technology, healthcare, and the transformative power of documentation. Let's embark on the journey together and make documentation great again!Learn more from industry leaders at the upcoming Business of Healthcare Colloquium November 11-12--- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcare-inspired/message Hosted on Acast. See acast.com/privacy for more information.

Join us in this insightful episode as we explore the transformative role of AI in healthcare with our guest, Cameron Lewellen. Together, we'll discuss ways AI is reshaping the industry, from streamlining operations to optimizing Electronic Medical Records (EMR) systems. Discover the benefits, challenges, and future trends that healthcare professionals need to be aware of.Role of AI in HealthcareBenefits of AI in HealthcareSpecific Applications in Healthcare OperationsImproving WorkflowCollaboration with Practices and FacilitiesChallenges and SolutionsFuture Trends and ConsiderationsEthical ConsiderationsDon't miss this important conversation with Cameron and gain valuable insights into healthcare technology.--- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcare-inspired/message Hosted on Acast. See acast.com/privacy for more information.

Join us as we discuss the world of #patient advocacy, exploring personal journeys and impactful stories that highlight the significance of patient advocacy and caregiving. In this episode, we share experiences, insights, and the vital role advocacy plays in empowering patients and caregivers. Our special guest Dr Nancy Taylor walks us through her patient advocacy journey and how you can find yours.Origins in Healthcare: We uncover the beginnings of our healthcare journeys and how they led to advocacy.The Advocacy Path: Exploring the transition into advocacy and its profound importance in healthcare.Caregiver Advocacy: Discuss the critical need for advocacy tailored towards caregivers and their pivotal role.Connections at the Summit: Reflecting on our meeting at a healthcare advocate summit and its impact on our advocacy paths.Impactful Stories: Sharing poignant experiences of individuals we've assisted, illustrating advocacy's tangible impact on real lives.Personal Transformation: A heartfelt testimony of how our meeting spurred personal growth and the subsequent journey into advocacy.Family Caregiving Struggles: Revealing personal experiences of navigating the challenges in caregiving for a loved one.Encouragement to Advocate: Discussing pivotal moments of encouragement that led to embracing advocacy and its financial aspects, particularly regarding patient support.Join us in a candid conversation, shedding light on the critical facets of patient advocacy and the profound transformations it can initiate.Join us at the next Healthcare Advocate Summit in Vegas September 2024--- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcare-inspired/message Hosted on Acast. See acast.com/privacy for more information.

Join us on this episode of Healthcare Inspired as we look at career paths, leadership, and finding fulfillment in your journey. Our special guest, Michael Stinnet, known as "The Unstuck Coach," brings insights and expertise on navigating career challenges and embracing various routes to success.In this episode, we explore:Michael Stinnet's Journey: Discover how Michael found his unique place and the moments that shaped his approach to leadership.Unconventional Career Routes: Explore the power of embracing unexpected twists and turns in your career journey, turning challenges into opportunities.Crafting a Leadership Roadmap: Learn about the essential elements that compose a successful leadership roadmap in the healthcare sector, focusing on empathy, adaptability, and innovation.Tune in and discover your path to success!Grab a FREE How to for Linkedin from Michael--- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcare-inspired/message Hosted on Acast. See acast.com/privacy for more information.

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In our Bonus episode we are doing a vendor spotlight for Etactics and how they help effectively manage the non negotiable compliance documents and trainings that all healthcare organizations need.In this episode of we uncover the critical importance of healthcare compliance programs and the often-overlooked risks faced by practices operating without them. We are joined by compliance expert Matt Money Penney from Etactics to explore how adhering to the seven elements of compliance can mitigate the risk of violating the top five federal fraud and abuse laws affecting physicians. We will look at: The importance of regular checkups to ensure the ongoing health of your compliance program.The role of vendors, like Etactics, in organizing and managing compliance policies.Strategies for tracking effectiveness and ensuring employee compliance through efficient management systems.Matt shares insights into the need for organization and efficiency in managing compliance programs.Practical tips and advice from a seasoned compliance professional.Learn more about Etactics and their platform--- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcare-inspired/message Hosted on Acast. See acast.com/privacy for more information.