Welcome to episode 13 of the RevTech Rx Podcast- Your prescription for a healthy revenue cycle! This episode is powered by Streamline Health, a leader in pre-billing financial performance improvement.

As the second installment of our discussions with KLAS Research, this episode is focused on ‘How KLAS Helps Identify Market Needs for Providers.’ This episode features Dustin Cragun, Vice President of Revenue Cycle Management at KLAS Research, and Jawad Shaikh, Chief Strategy Officer for Streamline Health. They discuss how KLAS Research uses its role as an objective reviewing entity to help identify the need for innovation and services to further support providers.

Building on feedback generated from providers during their assessment of existing HIT solutions and services, KLAS’s staff assesses where additional opportunities exist and explores how providers might add features or services to address them.

With dedicated SMEs who are well-versed in the current state of provider needs, KLAS is adept at identifying early indicators for functionality that the market may need. To learn more about it, be sure to tune in to this informative episode.

Connect with our panel of experts:

David Kosloski- Host
https://www.linkedin.com/in/david-kosloski/

Dustin Cragun, Vice President – Revenue Cycle Management, KLAS Research
https://www.linkedin.com/in/dustin-cragun-7747431/

Jawad Shaikh, Chief Strategy Officer, Streamline Health
https://www.linkedin.com/in/jwshaikh/

• (0:00) - Introduction and Guest Backgrounds
• (1:25) - Evolution of KLAS Research Categories
• (4:10) - Using KLAS to Identify Healthcare Gaps
• (10:00) - AI & Machine Learning in Healthcare
• (12:24) - Importance of Provider Voice Amplification
• (14:31) - Responding to Operational & Financial Challenges
• (27:38) - Empowering Employees for Better Outcomes
• (28:47) - Meeting Providers Where They Are
• (29:52) - Importance of Empathy and Implementation
• (30:16) - Don't forget to subscribe

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Welcome to the RevTech Rx Podcast- Your prescription for a healthy revenue cycle! This episode is powered by Streamline Health, a leader in pre-billing financial performance improvement.

‘The Balancing Act at KLAS' features two great guests. Steve Low, President of KLAS Research, and Jawad Shaikh, Chief Strategy Officer for Streamline Health, discuss the role that KLAS Research has played in helping healthcare providers find objective, actionable insights into the performance of HIT vendors supporting the spectrum of delivery settings.

Starting with the origin story of KLAS itself, our panel reviews the initial goals of setting up an independent, transparent source of information on the various technology and service vendors supporting healthcare providers.

By including internal and external views of the role of KLAS, they discuss how its mission has evolved, all while retaining its neutrality and adapting to myriad changes in the HIT market.

As the premier source of objective research in the HIT space, providers of all sizes and specialties should tune in to learn how KLAS came to be and how it’s positioned to continue serving the market well into the future.

Connect with our panel of experts:

David Kosloski- Host
https://www.linkedin.com/in/david-kosloski/

Steve Low, President, KLAS Research
https://www.linkedin.com/in/stevenlow/

Jawad Shaikh, Chief Strategy Officer, Streamline Health
https://www.linkedin.com/in/jwshaikh/

Chapters

• (0:40) Origins of KLAS
• (3:44) Pursuing Best of KLAS
• (4:54) The need for transparency
• (8:04) Audience feedback
• (10:00) KLAS guidance for vendors
• (12:02) Vendor application of feedback
• (13:07) Extending the mission to improve HIT
• (14:20) What sets KLAS apart
• (16:26) KLAS in five years
• (18:28) An outsider’s perspective
• (20:45) Best practices & gap analysis
• (23:10) Closing
  
  

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Welcome to episode eleven of the RevTech Rx Podcast- Your Prescription for a healthy revenue cycle! This episode is powered by Streamline Health, a leader in pre-billing financial performance improvement.

Episode eleven is focused on ‘Common Operational Problems New Tech Can Fix' and features two great guests. Randy Notes, Managing Director at Impact Advisors, and Greg Forshey, Vice President, Strategic Accounts for Streamline Health, share their views on some common operational issues at provider organizations that can be effectively addressed via technology.

Using an approach focused on financial ROI (whether direct like increased revenue capture or indirect like improved quality measures), our guests break down some key issues impacting healthcare operations where the proper application of available technology can drive substantial improvements.

By exploring these issues and opportunities, with specific examples in each case, this episode delivers sound guidance for providers of all sizes.

Connect with our panel of experts:

David Kosloski- Host
https://www.linkedin.com/in/david-kosloski/

Randy Notes- Managing Director at Impact Advisors
https://www.linkedin.com/in/randynotes/

Greg Forshey - Vice President of Strategic Accounts at Streamline Health
https://www.linkedin.com/in/greg-forshey/

Chapters

00:00 Introduction

01:50 Opportunities around Perioperative Services

09:04 Optimizing material utilization across cases

11:20 Benefit and payment validation tasks

12:40 Point of Service engagement

16:55 Simplifying charge reconciliation

20:20 Successful request strategies

22:10 Conclusion

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Welcome to episode ten of the RevTech Rx Podcast- Your prescription for a healthy revenue cycle! This episode is powered by Streamline Health, a leader in pre-billing financial performance improvement.

Episode 10 is focused on 'Exploring Partners for Revenue Cycle Management' and features two great guests. Adam Seymour, Chief Product & Strategy Officer for Alpha II, and Hal Walsh, Vice President, Channel Partners for Streamline Health share their views on the pros & cons of selecting a partner to help optimize your revenue cycle.

From approaching partner discovery with a clear objective and an open mind to knowing when and where to assess progress and consider if it's worth continuing, this episode delivers lots of good insights.

Connect with our panel of experts:

David Kosloski- Host
https://www.linkedin.com/in/david-kosloski/

Adam Seymour- Chief Product & Strategy Office at Alpha II
https://www.linkedin.com/in/adam-seymour-372b45/

Hal Walsh - Vice President of Channel Partners at Streamline Health
https://www.linkedin.com/in/halwalshmba/

Chapters

00:00 Introduction

01:14 What does an ideal partnership look like?

05:17 Separating what providers want vs. what they potentially need

06:55 Hallmarks of a good partner candidate

10:04 Examples of bad partnerships

12:02 Establishing responsibilities prior to kickoff

13:35 Warning signs when considering candidates

15:05 Being prepared to pivot to new developments

16:48 Summary of positive partner attributes

17:45 Conclusion

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Welcome to episode nine of the RevTech Rx Podcast- Your Prescription for a healthy revenue cycle! Streamline Health, a leader in pre-billing coding optimization, powers this episode.

Learning how to prevent medical billing denials is crucial for healthcare providers as claim denials continue to rise and inflate billing- and insurance-related costs (BIR). Our panel of experts discusses their five tips for denial prevention, which include simply communicating and verifying insurance prior to authorization. We also dig into more complicated tips such as setting up a line of communication between patient financial service teams and the clinical team for case management.

With these tips, revenue cycle professionals can gut-check their existing processes and perhaps learn new opportunities to reduce denials.

Connect with our panel of experts:

David Kosloski- Host

https://www.linkedin.com/in/david-kosloski/

Ian Sullivan- Senior Director at HealthRise Solutions

https://www.linkedin.com/in/iansullivan1/

Jodi Stewart- Senior Vice President of Services at Streamline Health

https://www.linkedin.com/in/jodi-stewart-8244a316/

Chapters

00:00 Introduction

00:43 Tip # 1 From Jodi: Using Pre-bill Auditing Technology

1:34 Tip # 1 From Ian: Understanding Payer Contracts

3:13 Tip # 2 From Jodi: Have an Updated Chargemaster

3:36 Tip # 2 From Ian: Establish a Revenue Integrity Team

5:40 Tip # 3 From Jodi: Expanding on the Revenue Integrity Team

6:45 Tip # 3 From Ian: Implementing a Pre-service Team

9:59 Tip # 4 From Jodi: Managing Out-Patient Claims

10:40 Tip # 4 From Ian: Optimize your H.I.S.

12:01 Tip # 5 From Jodi: Establish Key Performance Indicators

13:05 Tip # 5 From Ian: Build a Partnership Between Case Managers and the Revenue Cycle Team

14:03 How to Prevent EMR Gaps

15:48 The Importance of a Revenue Integrity Team

18:08 The Valley Between Case Managers and the Revenue Integrity Team?

20:00 Jodi's Summary of Her 5 Tips for Preventing Denials

20:20 Ian's Summary of His 5 Tips for Preventing Denials

21:00 Conclusion

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Welcome to episode eight of the RevTech Rx Podcast- Your Prescription for a healthy revenue cycle! This episode is powered by Streamline Health, a leader in pre-billing coding optimization.

Medical coding is where medical records from healthcare providers are translated into alphanumeric codes that inform the billing of treatment received. Coding patient records include important information such as diagnoses, severity, procedures, and services rendered. Medical coding also allows for in-depth analysis that informs the financial decisions of the hospital for the benefit of the community they serve.

Once the coding is complete, claims are submitted to the patient's insurance company or the billing department for reimbursement. When coding errors are present, healthcare facilities face a wide range of problems from over-billing, underbilling, compliance scrutiny, and even recoupment from insurance companies. When the stakes are so high for healthcare facilities, medical coders are tasked to uphold high standards. For medical coders, the goal is to have only five errored charts out of 100 charts coded.

95% accuracy is impressive in itself. There are, however, roadblocks that can get in the way of good medical coding. Errors can occur in the form of how the healthcare industry currently records patient records and support the medical coder. When hospitals invest in hiring experienced coders, providing consistent feedback, aligning communication with other healthcare facilities in the health system, and investing in software programs to validate medical coding feedback; medical coding professionals are enabled to break the 95% industry standard.

There are, however, other considerations healthcare facilities need to take into account when supporting the medical coders. Culture plays a major role in keeping good coders working. As the growing trend of quiet quitting ramps up, pay is just one of the concerns for many employees. Our panel also provides insights on how to build a sticky culture and support a successful career in the healthcare industry.

In this episode of RevTech Rx, we are joined by experts in the medical coding field to not only give you the six pillars to medical coding success but also how to keep good coders through professional development and support.

Connect with our panel of experts:

David Kosloski- Host

https://www.linkedin.com/i

NEW TO THE SHOW?

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Welcome to episode seven of the RevTech Rx Podcast- Your prescription for a healthy revenue cycle! This episode is powered by Streamline Health, a leader in pre-billing coding optimization.

Mid-revenue cycle optimization is tremendously influenced by the accuracy—or lack thereof— of the chargemaster. Healthcare providers have many hurdles to consider when it comes to chargemaster optimization, especially when chargemaster review is a manual process and can have as many as 10,000+ entries to consider. Chargemaster maintenance is something many healthcare organizations complete only twice a year alongside CPT code updates. When a health system performs maintenance only twice a year, revenue integrity is impacted.

For revenue integrity professionals, ensuring chargemaster accuracy is crucial as it impacts other areas of the revenue cycle, such as charge capture. While the benefits of mid-revenue cycle management are clear, having organizational buy-in for best practices is just one of the many challenges to mid-revenue cycle integrity.

Connect with our panel of experts:

David Kosloski- Host and Director of Marketing

https://www.linkedin.com/in/david-kosloski/

Dawn Castro- VP of Client System Integrations at Conifer Health Solutions

https://www.linkedin.com/in/dawn-castro/

Zach Johnson- VP of Client Operations at Avelead

https://www.linkedin.com/in/zach-johnson-cc/

Chapters:

1. Intro- 0:00-0:34

2. Common problems with the chargemaster- 0:34-3:18

3. Chargemaster alignment- 3:19-7:38

4. Chargemaster quick fixes for small and large hospitals- 7:39-13:21

5. Getting your chargemaster quick fixes “unstuck”- 13:21-16:40

6. The fear of change- 16:40-22:03

7. Seeing the why- 22:03-24:03

8. Conclusion- 24:03-24:23

Supervision of your hospital’s revenue integrity can be complex and time-consuming. With an ever-shifting landscape of rules and regulations, it can be difficult to keep up with the world of revenue cycle management. Welcome to RevTech Rx, a podcast designed to educate and inform about revenue integrity and revenue cycle management strategies. Kickstart (or restart) your revenue cycle tactics with tips from industry though

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Healthcare leaders, want more groundbreaking content? Be sure to follow our LinkedIn page for the latest topics to get your hospital in the most efficient form possible.

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Welcome to episode six of the RevTech Rx Podcast- Your Prescription for a healthy revenue cycle!

This episode is powered by Streamline Health, a leader in pre-billing coding optimization.



Today's experts are talking about the Price Transparency Mandate, which went into effect on January 1st, 2021. The mandate stipulates that hospitals do two things:

✅ Have a machine-readable file with all items and services

✅ Display shoppable services in a consumer-friendly format



The goal of the mandate is to empower consumers to shop and compare prices at various hospitals to be better equipped with an estimate of how much their financial obligations will be. There are, however, complications that are causing many hospitals to remain non-compliant.


While posting healthcare costs has helped some consumers, there is still a long way to go before this mandate reaches its full potential to benefit the consumer. CMS estimates that it would take the average health system 150 hours to become compliant; however, this isn't a one-size-fits-all answer to compliance. Faced with the current staffing shortages as well as narrowing margins, many hospitals are consciously choosing limited or even outright noncompliance. New technologies are coming online to help patients access pricing information and educational resources about their bills. This enables patients to make informed decisions regarding healthcare services while easing the compliance burden for providers. The future of price transparency is on the way as self-service tools come online so healthcare systems and healthcare consumers can flourish.

Connect with our panel of experts:

David Kosloski- Director of Marketing
https://www.linkedin.com/in/david-kosloski/

Laurence Kessler- Senior VP, Growth and Partnerships at HealthRise
https://www.linkedin.com/in/ljkessler/

Zach Johnson- VP of Solutions, Avelead
https://www.linkedin.com/in/zach-johnson-cc/

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NEW TO THE SHOW?

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Healthcare leaders, want more groundbreaking content? Be sure to follow our LinkedIn page for the latest topics to get your hospital in the most efficient form possible.

• RevTech Rx LinkedIn