Claims Theory

Lindsay Gross

Claims Theory is a revenue cycle management consulting firm that specializes in audits, process improvement, staffing and so much more. Our episodes will feature topics and guests related to revenue cycle management, healthcare and medical billing.

  1. 2월 19일 ·  비디오

    Money, Multiples, & Margins: The Real State of ASC M&A in 2026

    In this episode of the Claims Theory Podcast, Lindsay sits down with Chad Zoretic of VMG Health to break down what is really happening in ambulatory surgery center M&A right now. Are valuations stabilizing or compressing? What EBITDA multiples are buers actually paying in 2026? Is this a buyer's market or a seller's market? And how much does revenue cycle performance really impact deal value? Chad works at the intersection of ASCs, private equity, and high-level financial strategy. Together, the unpack: Current ASC deal flow trends EBITDA multiples for single-site vs. platform deals What buyers are prioritizing right now Financial red flags that kill valuation How disciplined operations drive premium exits Where the ASC market is headed over the next 3-5 years If you own, operate, invest in, or advise ASCs, this is a must-listen.  Because in 2026, preparation is not optional. Discipline drives valuation.

    30분

  2. 2025. 12. 18. ·  비디오

    Where Numbers Meet Culture: Building Strong Businesses the Right Way

    In this episode, Lindsay sits down with Matthew Litzelfelner, CPA, owner of A One Towing and former CFO across private equity backed healthcare services and professional services organizations. Together, they explore why paying attention to the right numbers matters most, especially at year end, and why budgeting and forecasting in revenue cycle management is so challenging. The conversation also dives into leadership, accountability, and how strong culture and financial discipline can, and should, coexist when building resilient, high performing organizations. And, don't take yourself too seriously...

    27분

  3. 2025. 11. 19. ·  비디오

    Optimizing EPIC: Tech-Enabled Transformation with Chris Blackerby

    In this episode, Lindsay Gross sits down with Chris Blackerby, Founder and CEO of Incisive Consultants, to explore how health systems can unlock real performance gains through Epic optimizations. From workflow design to tech-enabled transformation, Chris breaks down what it takes to get more out of Epic, strengthen  operations, and drive measurable results. A practical, insightful conversation for anyone looking to elevate their operation through better technology and smarter execution.

    24분

  4. 2025. 10. 16. ·  비디오

    Operational Excellence: What It Really Takes

    In this episode of The Claims Theory Podcast, host Lindsay Gross sits down with Krista Rock, Vice President of Revenue Cycle Management at MainStreet Family Care, to explore what operational excellence truly means in today's healthcare environment.  Krista shares her perspective on how strong operations aren't built overnight, they're built through clarity, consistency, and culture. Together, they discuss what separates good teams from great ones, how to lead through change, what metrics really matter, and the poeple-first habits that sustain excellence over time. Whether you lead a revenue cycle team, manage operations, or simply want to strengthen the systems behind your success, this episode delivers practical wisdom you can apply right away.

    18분

  5. 2025. 09. 11. ·  비디오

    Audits, Investigations, and the Revenue Cycle: A Compliance Insider's View

    In this episode of the Claims Theory Podcast, Lindsay Gross sits down with Sean Weiss- better know as The Compliance Guy- to unpack the most common compliance issues that trigger audits, investigations, and even litigation. From documentation pitfalls and coding errors to government enforcement trends from OIG, DOJ, and CMS, Sean shares real-world insights and practical steps providers can take to stay audit-ready. Whether you're a healthcare exectuive, revenue cycle leader, or compliance professional, this episode will give you a clear view into how compliance protects both revenue and reputation.

    34분

  6. 2025. 08. 19. ·  비디오

    From Psychiatry to Insurance Verification: How Dr. Ashish Mandavia Is Rewiring the Front End of Revenue Cycle

    From psychiatry to revenue cycle tech- Dr. Ashish Mandavia's journey is anything but traditional. In this episode, Lindsay Gross talks with the founder and CEO of Sohar Health about his path from practicing psychiatry in the UK to building two healthcare technology companies, including his latest venture focused on automating insurance verification and fron-end RCM workflows. Together they explore why the front end of revenue cycle is still such a stubborn bottleneck, what "smart automation" really looks like, and how clinical insight shapes better tech.

    28분

  7. 2025. 07. 14. ·  비디오

    Building and Scaling High-Performing RCM Teams with Kari Sewell

    In this episode, Lindsay Gross sits down with Kari Sewell, Vice President of Revenue Cycle at Optum, to explore what it really takes to build and scale high-performing revenue cycle teams. From hiring and onboarding to leadership strategies and team culture, Kari shares her perspective on how to create teams that not only meet metrics, but exceed expectations. Whether you're leading and RCM department or building one from the ground up, this conversation offers valuable insight and practial takeaways.

    26분

  8. 2025. 06. 27. ·  비디오

    Building a Data-Driven Culture in Healthcare with Carly Wagner

    In this episode of Claims Theory, Lindsay Gross sits down with Clinical Data Scientist Carly Wagner to explore what it really means to be data-driven in healthcare. From building a culture of data literacy to dealing with messy, inconsistent data sources, Carly shares her perspective on what it takes to turn analytics into action. They dive into the importance of leadership, clean data, cross-functional alignment, and the practical steps healthcare organizations can take to move from static reports to meanigful decisions. A must-listen for any leader navigating healthcare operations, RCM, or clinical data strategy.

    22분
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Claims Theory is a revenue cycle management consulting firm that specializes in audits, process improvement, staffing and so much more. Our episodes will feature topics and guests related to revenue cycle management, healthcare and medical billing.

정보

  • 제작진
    Lindsay Gross
  • 방송 연도
    2025년 - 2026년
  • 에피소드
    13
  • 등급
    전체 연령 사용가
  • 저작권
    © 2025
  • 웹사이트 보기
    Claims Theory