Self-Pay Stream Professional

The CARES Act is the largest economic stimulus package in U.S. History, earmarking 175 million dollars for healthcare providers. Jeff, Lisa, and Hayden talk with Tony Andrade, Partner at the accounting firm Moss Adams, about how healthcare institutions can use these funds wisely and navigate the Paycheck Protection Program and Healthcare Enhancement Act. Music for this episode provided by JDUB Studio.

In a time of uncertainty, leadership is all the more important. Jeff, Lisa, and Hayden talk with Tammy Bickle, Director of Revenue Cycle at Oregon Health and Science University, about leadership during the Covid-19 chaos. The team learns how the OHSU workforce is adapting not only to the Covid-19 pandemic but also to managing the crisis from home.

A denial, according to HealthInsurance.org, “is the refusal of an insurance company or carrier to honor a request by an individual, or his or her provider, to pay for healthcare services obtained from a healthcare professional." According to Becker’s & Conifer Health Solutions, “an estimated $262 billion of the $3 trillion in claims submitted by hospitals in 2016 were initially denied, representing an average of $4.9 million in potential losses per hospital, according to a 2017 study of more than 3 billion hospital transactions. In part two of a two-part series, our hosts Jeff Johnson, Lisa Kirk and Hayden Reece discuss Large Balance Denials in the context of VA Reimbursements with Kirby Yawn, Senior Vice President, Solution Strategy at Argos Health in Augusta, GA.

A denial, according to HealthInsurance.org, “is the refusal of an insurance company or carrier to honor a request by an individual, or his or her provider, to pay for healthcare services obtained from a healthcare professional." According to Becker’s & Conifer Health Solutions, “an estimated $262 billion of the $3 trillion in claims submitted by hospitals in 2016 were initially denied, representing an average of $4.9 million in potential losses per hospital, according to a 2017 study of more than 3 billion hospital transactions. In part one of a two-part series our hosts Jeff Johnson, Lisa Kirk and Hayden Reece discuss Large Balance Denials with Michael Jacobson who is the Director of Reimbursement and Recovery at Providence Health & Services, and Justin Murphy who is a Compliance Attorney of Professional Credit.

The topic of Medicare tends to elicit an "Ok Boomer" response in millennials, but we haven't seen much dialogue about this program. In this episode, our hosts Jeff Johnson, Lisa Kirk and Hayden Reese discuss the problems associated with Medicare, how technology is helping to address this issue, and what we can all do to make improvements on our healthcare system.

A recent article from Forbes reports “In the U.S. alone, there were 47.8 billion robocalls made in 2018, and is a staggering 56.8% increase compared to 2017, which is concerning for a lot of Americans." In this episode, our hosts Jeff Johnson, Lisa Kirk and Hayden Reece unpack robocalls: what they are, how they are used and what consumers should know about how to deal with them.