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.
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Revenue Cycle Management Podcasts
Strata Studios is the best resource to help you grow your PT or OT Clinic. StrataPT combines your EMR and Billing into one automated system to increase revenue and achieve a 99.99% reimbursement rate for Physical, Occupational, or Speech Clinics. Recently, StrataPT was ranked the #1 Ranked EMR and Billing System in Outpatient Therapy & Rehab from KLAS Research Book a demo with our team today 👉 stratapt.com
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Co-hosted by Taya Moheiser, CMPE, CMOM & Kem Tolliver, CMPE, CPC, CMOM. #revenuecyclemanagement #medicalbilling #RCM
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BillingParadise pushes the envelope to deliver revenue cycle management services that empowers medical practices to stay on top of financial and regulatory challenges
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Revenue Cycle Management (RCM) is a leading medical billing company committed to assisting healthcare providers in enhancing their revenue cycle and boosting their financial performance. We provide a wide range of comprehensive services for revenue cycle management, as well as advanced healthcare IT products and digital marketing solutions. Our dedicated team of experts is here to support you in optimizing your revenue cycle process to maximize reimbursements and minimize the ratio of denied ...
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Welcome to the MGMA Podcast Network, your gateway to insightful discussions and expert analysis on key topics in healthcare management. Dive into a diverse array of shows tailored to meet the interests and needs of healthcare professionals like you. Explore the experiences and perspectives of trailblazing women in healthcare on "Women in Healthcare," or discover innovative strategies and solutions for your practice on "Business Solutions." Stay updated on the latest industry trends and news ...
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Beyond the Stethoscope: Vital Conversations with SHP, is a podcast where you’ll hear about current health news, interesting interviews, and conversation about the topics that are shaping healthcare. Who are we? At Strategic Healthcare Partners we work alongside your team to serve as an extension of your healthcare organization. From Managed Care Contracting to Revenue Cycle Analytics to Provider Enrollment to Outcome-based Care and everything in-between, SHP has you covered from the exam roo ...
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The Business of Healthcare Podcast is presented by the Center for Healthcare Leadership and Management at the Naveen Jindal School of Management. It brings together business leaders and other forward thinkers to discuss how best to meet the challenges of a rapidly changing, increasingly complex healthcare industry. The center is based at The University of Texas at Dallas.
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Healthcare Rap is the leading podcast about consumer-centered care, a.k.a. how the frontiers of digital, retail, and traditional care can work together to make healthcare easier for everyday people. It ranks in the top 5% of all podcasts globally, has been named a Top 20 Healthcare Podcast, and is one of the longest-lasting shows in the industry, with more than 380 episodes and 6 years on the air. Join provocative thinkers Jared Johnson and Zain Ismail as they profile disruptors and trends t ...
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Powerful conversations with thought leaders in the Dental, Veterinary, Optometry and Medical industries. Fortune Management - Extraordinary Practice | Extraordinary Life
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The Med Practice Made Perfect podcast is part of a resource hub where medical practice partners and managers have access to insightful and actionable info. We strive to help you make your practice more efficient, effective, and profitable.
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In the SellingSaas Podcast (Formerly the Sales Leader Network) we break down the topics of Go To Market strategies, Revenue Acquisition, and my favorite topic of Sales Leadership. We have a few versions of the show where we have the traditional guest episode when I bring on someone who is an expert in one of the topics just mentioned, then there will episodes where I’ve been a guest on another show that I share on this show for you, and then there will be solo episodes from yours truly where ...
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Dishing all the advice for Freelancers and Virtual Assistants that you just can’t Google or Youtube. Serve Scale Soar® brings weekly tips and resources to help you start, grow, and scale your online business. And let’s not forget our monthly case studies from freelancers who have grown their revenue, created freedom and flexibility, and embraced the work-from-home lifestyle. Whether you’re a stay-at-home mom, digital nomad, or just looking to start a virtual assistant business these freelanc ...
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Empowered Patient Podcast with Karen Jagoda is a window into the latest innovations in digital health, the changing dynamic between doctors and patients, and the emergence of precision medicine. The show covers such topics as aging in place, innovative uses for wearables and sensors, advances in clinical research, applied genetics, drug development, and challenges for connected health entrepreneurs.
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Welcome to 'Dental Decoders', the podcast where we crack the code on the complexities of dental operations and revenue cycle management (RCM). Hosted by Brittany Rogars and Rebecca Herring, this show is a treasure trove for dental professionals seeking to elevate their practice and enhance their expertise. Each episode of 'Dental Decoders' delves deep into the intricacies of the dental industry. From insightful interviews with seasoned experts to solo episodes packed with actionable advice, ...
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The Patient Revenue Podcast is the only podcast dedicated to helping specialty practices drive more revenue. On the podcast, we will cover an array of topics including boosting patient acquisition, unlocking hidden revenue at patient check-in, and enhancing patient loyalty and value. Hear strategic insights from competitive practice leaders, top-earning physicians and industry leaders. From patient scheduling to payments, registration, intake and communications, steal top tips from some of t ...
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Mindful Practice is the go-to podcast for healthcare professionals and organizations looking to elevate their understanding of the revenue cycle, brought to you by One Source Management Consulting—a trusted leader in the industry for over 20 years. With decades of experience and access to leading industry experts, we deliver actionable insights, success strategies, and practical advice tailored for the complex world of healthcare operations. Whether you’re a seasoned administrator, a new pra ...
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A podcast about what's buzzworthy in healthcare.
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Welcome to Profits in Practice, the podcast where medicine meets money. I'm your host, Sarah Webb, Managing Director of Webb CFO and financial strategist for physicians. This show is all about breaking down the numbers, decoding the tax code, and helping doctors build lasting wealth, one episode at a time.
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Deian Isac explores agency growth and scalability through operational systems in The Agency Engine Room, pulling back the curtain on the hidden infrastructure powering today's most successful marketing agencies. With over 15 years of experience analyzing hundreds of agency operations, Deian reveals what really happens behind the scenes of high-performance agency command centers. Every two weeks, we dive deep into 45-minute conversations exploring the invisible systems that let agency owners ...
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Educating Financial Advisors on the things they should know (but don't). Host Belle Osvath, CFP®, interviews industry thought leaders and professionals targeting meaningful and useful information to help you to stay at the top of your game. No matter how long you have been in the industry there is always more to learn and interesting people to hear from, so join Belle in her mission to become a smarter planner. This Podcast is sponsored by the Financial Planning Association's National Capita ...
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Sean is the host of “The Compliance Guy” a live production dedicated to the intersection of regulatory compliance and the business of medicine. The show provides timely, accurate, and easy to digest information to healthcare professionals. The show features interviews of industry leaders, government officials, and others helping to shape the healthcare landscape. Sean M. Weiss (AKA – The Compliance Guy) has been an industry respected name for more than 25-years. A physician and health system ...
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Welcome to the "Think Outside The Box" podcast, where amazing things happen. Cover art photo provided by Teo Duldulao on Unsplash: https://unsplash.com/@teowithacamera
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Podcast by NAHAM Connections Podcast
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A podcast for healthcare professionals seeking solutions to today’s and tomorrow’s top challenges. Hosted by the editors of Xtelligent Healthcare Media, this podcast series focuses on real-world use cases that are leading to tangible improvements in care quality, outcomes, and cost. Guests from leading provider, payer, government, and other organizations share their approaches to transforming healthcare in a meaningful and lasting way.
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Entrepreneur Inspiring Stories to Help Motivate, Build, & Grow Your Successful Business with a Master Class from Entrepreneurial Thought Leaders that tell it How It Is... Millionaire Interviews is actionable advice for the (future & present) Entrepreneur, Thought Leaders, Solopreneur, Youpreneur, and Small Business Owner. The host interviews Business Founders in the Product, Service, Real Estate, and Tech industries so they can teach you from their experience. Connect with other Listeners @ ...
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Jumping into the world of entrepreneurship calls for strategic planning and careful preparation. It needs a lot of your attention for it to become profitable and successful. But sometimes, even with all your hard work, it still feels like you are accomplishing nothing. You continue to fall short on hitting your goals and earn just enough to get through. What can you do to get out of this hamster wheel? Welcome to Business Smarts, your guide on becoming a more intelligent entrepreneur who bri ...
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Tune in for informative conversations covering a range of topics for post-acute providers. The Post-Acute POV focuses on the importance of innovative technology in care settings, and how it can help home-based and facility-based organizations optimize clinical, operational, and financial processes while delivering exceptional care and support for patients and residents. With new topics and guests on each episode, we explore trends and solutions that make connecting and collaborating across t ...
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Todd Doze, CEO of Janus Health, specializes in bringing AI to hospitals to connect the hospital revenue cycle management with the overall patient experience. Automating some manual RCM tasks, such as prior authorizations and referrals, has led to significant reductions in claim denials, faster processing times, fewer errors, and better compliance w…
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Episode 395 - #TerryTuesday - Understanding Revenue Cycle Management
26:19
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Summary In this episode, Sean M Weiss and Terry Fletcher discuss the complexities of compliance in healthcare, particularly as the year comes to a close. They explore the importance of understanding revenue cycle management, the disconnect between clinical and payer policies, and the necessity of reading contracts thoroughly. The conversation empha…
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Clinical AI Drives Early Detection of Undiagnosed Diseases with Sean Cassidy Lucem Health TRANSCRIPT
Sean Cassidy, CEO and Co-Founder of Lucem Health, is applying AI to identify patients at high risk of undiagnosed conditions like cancer and diabetes. The goal is to facilitate earlier diagnosis and treatment by flagging patients that need screening based on the AI plaform's ability to analyze EHR data and demographics of diverse patient population…
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Clinical AI Drives Early Detection of Undiagnosed Diseases with Sean Cassidy Lucem Health
19:12
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Sean Cassidy, CEO and Co-Founder of Lucem Health, is applying AI to identify patients at high risk of undiagnosed conditions like cancer and diabetes. The goal is to facilitate earlier diagnosis and treatment by flagging patients that need screening based on the AI plaform's ability to analyze EHR data and demographics of diverse patient population…
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AI-Powered Remote Heart Monitoring Transforms Heart Health Model from Reactive to Proactive with Dr. Waqaas Al-Siddiq Biotricity TRANSCRIPT
Dr. Waqaas Al-Siddiq, CEO and Founder of Biotricity, has designed a direct-to-consumer service to shift healthcare from a reactive to a preventive model by simplifying and accelerating access to remote cardiac screening. Applying AI to sift through patient data allows the cardiologist to focus on clinically relevant information and to identify spor…
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#117: The Smart Start Clinic Playbook (Expert Series with Paul Singh)
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Successful practice ownership isn’t about passion or fancy equipment — it’s about understanding demand and reducing risk. In this episode of Strata Stories, Paul Singh breaks down some fundamentals every new grad and clinic owner should master: 1️⃣ How to identify real market gaps — and secure the right early funding 2️⃣ Why passion isn’t enough to…
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AI-Powered Remote Heart Monitoring Transforms Heart Health Model from Reactive to Proactive with Dr. Waqaas Al-Siddiq Biotricity
25:37
25:37
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Dr. Waqaas Al-Siddiq, CEO and Founder of Biotricity, has designed a direct-to-consumer service to shift healthcare from a reactive to a preventive model by simplifying and accelerating access to remote cardiac screening. Applying AI to sift through patient data allows the cardiologist to focus on clinically relevant information and to identify spor…
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Pushing Through Chaos: More Candid Talk About Careers & Leadership (#473)
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Scott Schuster and Therese Lockemy join Jared for his latest candid conversation about careers and leadership at the intersection of healthcare, marketing, and technology. Even in one of the industry’s most challenging times, they find encouragement and acknowledgement while getting very real about how to navigate unexpected twists and turns. All t…
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Diagnostic Tool Unlocks Identification of Inflammatory Back Pain with Neil Klompas Augurex TRANSCRIPT
Neil Klompas, President and CEO of Augurex, has a mission to improve the diagnosis of autoimmune diseases, with a primary focus on axial spondyloarthritis, a form of inflammatory back pain that is often misdiagnosed. The Augurex blood test SpineStat is designed to differentiate axSpA from mechanical back pain by identifying a specific biomarker pre…
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Diagnostic Tool Unlocks Identification of Inflammatory Back Pain with Neil Klompas Augurex
18:34
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Neil Klompas, President and CEO of Augurex, has a mission to improve the diagnosis of autoimmune diseases, with a primary focus on axial spondyloarthritis, a form of inflammatory back pain that is often misdiagnosed. The Augurex blood test SpineStat is designed to differentiate axSpA from mechanical back pain by identifying a specific biomarker pre…
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Targeting Macrophages Instead of T Cells to Overcome Treatment-Resistant Cancers with Dr. Petri Bono Faron Pharmaceuticals TRANSCRIPT
Dr. Petri Bono, Chief Medical Officer at Faron Pharmaceuticals, describes the development of bexmarilimad, a novel first-in-class immunotherapy that, unlike existing checkpoint inhibitors targeting T cells, targets the Clever 1 receptor on macrophages. This treatment is designed to reprogram the tumor microenvironment by switching marcophages from …
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Targeting Macrophages Instead of T Cells to Overcome Treatment-Resistant Cancers with Dr. Petri Bono Faron Pharmaceuticals
20:57
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Dr. Petri Bono, Chief Medical Officer at Faron Pharmaceuticals, describes the development of bexmarilimad, a novel first-in-class immunotherapy that, unlike existing checkpoint inhibitors targeting T cells, targets the Clever 1 receptor on macrophages. This treatment is designed to reprogram the tumor microenvironment by switching marcophages from …
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Summary In this episode, Sean M Weiss engages with Richa Kaul, CEO of Compliance with a Y, discussing the critical role of governance, risk, and compliance (GRC) in today's data-driven world. They explore the mission behind the organization, the importance of risk assessments, and the challenges posed by rapid advancements in AI technology. Richa e…
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Automating Hospital Revenue Cycle Management with Todd Doze Janus Health
16:00
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Todd Doze, CEO of Janus Health, specializes in bringing AI to hospitals to connect the hospital revenue cycle management with the overall patient experience. Automating some manual RCM tasks, such as prior authorizations and referrals, has led to significant reductions in claim denials, faster processing times, fewer errors, and better compliance w…
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Susan Grant, Chief Clinical Officer at symplr, reviews findings from their annual Compass Survey, which revealed the significant challenges hospitals face, driven by financial pressures, clinician burnout, and operational inefficiencies. Fragmented technology systems create significant administrative burdens, and there is growing recognition that u…
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Hospital Leaders Prioritize Combating Inefficiencies with Susan Grant symplr
20:33
20:33
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Susan Grant, Chief Clinical Officer at symplr, reviews findings from their annual Compass Survey, which revealed the significant challenges hospitals face, driven by financial pressures, clinician burnout, and operational inefficiencies. Fragmented technology systems create significant administrative burdens, and there is growing recognition that u…
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Optimizing Provider-Payer Workflow by Addressing Inefficiencies with Fawad Butt Penguin AI TRANSCRIPT
Fawad Butt, Co-Founder and CEO of Penguin AI, is addressing the workflow challenges faced by healthcare payers and providers, particularly in prior authorizations and claims adjudications. These processes are inefficient and often yield inconsistent results because human reviewers interpret rules differently, and patients are denied care due to min…
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Optimizing Provider-Payer Workflow by Addressing Inefficiencies with Fawad Butt Penguin AI
22:40
22:40
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Fawad Butt, Co-Founder and CEO of Penguin AI, is addressing the workflow challenges faced by healthcare payers and providers, particularly in prior authorizations and claims adjudications. These processes are inefficient and often yield inconsistent results because human reviewers interpret rules differently, and patients are denied care due to min…
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Utilizing Largest Coded Medical Library and AI to Create Unified Visual Patient Narratives with Alexander Tsiaras StoryMD TRANSCRIPT
Alexander Tsiaras, CEO and Founder of StoryMD, is addressing the critical problem of the fragmented health information landscape. The StoryMD platform unifies a patient's health history, including clinical records, wearable data, and personal diary entries, along with relevant data from a vast validated medical library of text and strong visualizat…
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Utilizing Largest Coded Medical Library and AI to Create Unified Visual Patient Narratives with Alexander Tsiaras StoryMD
17:55
17:55
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Alexander Tsiaras, CEO and Founder of StoryMD, is addressing the critical problem of the fragmented health information landscape. The StoryMD platform unifies a patient's health history, including clinical records, wearable data, and personal diary entries, along with relevant data from a vast validated medical library of text and strong visualizat…
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Finding Hidden Revenue and Building Human Connection: A Conversation with Jimmie Richmond of Banner Health
26:35
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On this episode of the MGMA Insights Podcast, host Daniel Williams, Senior Editor at MGMA, sits down with Jimmie Richmond, MPH, CHFP, CMPE, CPC, Financial Analysis Consultant at Banner University Medical Center. Jimmie is both a longtime MGMA member and a volunteer on MGMA’s new Human Resources & Compliance Advisory Board. Daniel and Jimmie explore…
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Seth Cohen, President of Cedar, is addressing the affordability of health care by shifting the emphasis from billing functionality to patient financial navigation by using technology to connect patients to underutilized financial resources. The Cedar Cover platform is designed to identify and enroll eligible uninsured or underinsured patients into …
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AI Agent Connects Patients to Untapped Financial Support with Seth Cohen Cedar
19:58
19:58
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Seth Cohen, President of Cedar, is addressing the affordability of health care by shifting the emphasis from billing functionality to patient financial navigation by using technology to connect patients to underutilized financial resources. The Cedar Cover platform is designed to identify and enroll eligible uninsured or underinsured patients into …
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Episode 397 - Daily Dose - The Compliance Officer "The Guardian of Integrity "
19:16
19:16
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Summary In this episode, Sean M Weiss discusses the critical role of compliance officers in healthcare organizations, emphasizing their responsibilities, best practices, and the importance of regulatory compliance. He highlights the need for a proactive approach to risk assessment, the do's and don'ts of compliance, and the necessity of independenc…
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Functional Drug Testing Combined with AI Transforming Cancer Care with Jim Foote First Ascent Biomedical TRANSCRIPT
Jim Foote, Co-Founder and CEO of First Ascent Biomedical, is changing the standard of care for cancer treatment from 'try and hope' to 'test and treat'. The First Ascent platform combines functional drug testing of fresh biopsies, genomic sequencing, and an AI engine to assess a large panel of drugs and identify the most likely to be effective. Cli…
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Functional Drug Testing Combined with AI Transforming Cancer Care with Jim Foote First Ascent Biomedical
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Jim Foote, Co-Founder and CEO of First Ascent Biomedical, is changing the standard of care for cancer treatment from 'try and hope' to 'test and treat'. The First Ascent platform combines functional drug testing of fresh biopsies, genomic sequencing, and an AI engine to assess a large panel of drugs and identify the most likely to be effective. Cli…
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The Only Metric That Matters: Jim Murray on AI Adoption Done Right (#472)
23:41
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Jim Murray, Managing Director of the BDO Center for Healthcare Excellence and Innovation, shares how leaders can balance the excitement of AI innovation with the discipline of proper planning, how he helps organizations decide where to invest first, and why adoption might be the only metric that really matters. All that, plus the Flava of the Week …
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Episode 396 - Daily Dose - Building a Culture of Compliance
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Summary In this episode of the Compliance Guy podcast, Sean M Weiss reflects on the challenges and lessons learned in 2025 regarding compliance in healthcare. He emphasizes the importance of building a robust culture of compliance to prepare for the upcoming year, 2026, which is expected to bring increased scrutiny from federal agencies. Weiss outl…
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Nurse Practitioners and Physician Associates Expanding Their Roles Managing Patient Care with Deb Nevins POCN TRANSCRIPT
Deb Nevins, Director of Product Strategy at POCN, emphasizes the expanding role and importance of Nurse Practitioners and Physician Associates in the American healthcare system. These professionals have evolved from being an extension of the physician to becoming autonomous clinicians who handle a wide range of patient care, including diagnosing, p…
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Nurse Practitioners and Physician Associates Expanding Their Roles Managing Patient Care with Deb Nevins POCN
20:22
20:22
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Deb Nevins, Director of Product Strategy at POCN, emphasizes the expanding role and importance of Nurse Practitioners and Physician Associates in the American healthcare system. These professionals have evolved from being an extension of the physician to becoming autonomous clinicians who handle a wide range of patient care, including diagnosing, p…
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Live from HLTH '25: Manuel Hoyer, Head of Industry for Health & Wellness for North America at TikTok, shares what’s driving health & wellness to be one of the fastest-growing categories on the platform, some simple ways to intentionally build trust with health-related content, and how consumers take action based on what they engage with on TikTok. …
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Mentorship, Retention, and Growth: Insights from Physician Practice Management with Allen Alongi
29:28
29:28
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In this episode of the MGMA Insights Podcast, Sr. Editor and host Daniel Williams speaks with Allen Alongi, MBA, PMP, SSGB, Physician Practice Manager at Northside Hospital in Marietta, Georgia, and one of the newly appointed members of MGMA’s Human Resources and Compliance Advisory Board. Allen shares his journey from patient to healthcare leader;…
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#116: The Best Way To Monetize Your Expertise as a Therapist (Feat. Rafael Salazar)
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Some conversations age well — and this is one of them. I sat down with Rafael Salazar, Owner & CEO of ProActive Rehab & Wellness, to talk about a challenge I see across the therapy world: Most clinicians were trained to treat patients… not to monetize their expertise or build additional revenue streams that create real financial breathing room. In …
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Jill Eubank, Division President of Professional Talent Solutions at Randstad USA, shares key findings from the Randstad Work Monitor Pulse Survey on the current landscape in the medical and healthcare industry. Noted is the significant shift from prioritizing remote work to job security, alignment with leadership values, and how AI is being used to…
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Expectations and Priorities of Healthcare Workers with Jill Eubank Randstad USA
18:22
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Jill Eubank, Division President of Professional Talent Solutions at Randstad USA, shares key findings from the Randstad Work Monitor Pulse Survey on the current landscape in the medical and healthcare industry. Noted is the significant shift from prioritizing remote work to job security, alignment with leadership values, and how AI is being used to…
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Detecting Brain Changes Before Symptoms Appear with AI-Driven Brain Health Platform with David Bates Linus Health TRANSCRIPT
David Bates, CEO and Co-Founder of Linus Health, highlights the need to monitor brain health to identify the earliest signs of cognitive decline. The Linus Health AI-powered platform enables primary care providers to quickly screen for, diagnose, and help manage cognitive issues for an expanding population. Striving to overcome stigma and bias, thi…
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Detecting Brain Changes Before Symptoms Appear with AI-Driven Brain Health Platform with David Bates Linus Health
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David Bates, CEO and Co-Founder of Linus Health, highlights the need to monitor brain health to identify the earliest signs of cognitive decline. The Linus Health AI-powered platform enables primary care providers to quickly screen for, diagnose, and help manage cognitive issues for an expanding population. Striving to overcome stigma and bias, thi…
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Sam Faycurry shares how Fay Nutrition became Amazon’s first nutrition partner, what it means for consumers, and how to make dieticians be a part of more everyday moments. All that, plus the Flava of the Week about doctors still resenting patients for doing their own research. Why did the co-founder of Open Evidence say that informing patients makes…
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AI-Powered Population Management Reveals Surprising Risk Factors with Mike Hoxter Lightbeam Health Solutions TRANSCRIPT
Mike Hoxter, CTO of Lightbeam Health Solutions, is focused on applying AI to population health management by using predictive models to enhance risk stratification for organizations with value-based care contracts. He emphasizes the importance of integrating social determinants of health along with clinical data to create more accurate predictive s…
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AI-Powered Population Management Reveals Surprising Risk Factors with Mike Hoxter Lightbeam Health Solutions
20:16
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Mike Hoxter, CTO of Lightbeam Health Solutions, is focused on applying AI to population health management by using predictive models to enhance risk stratification for organizations with value-based care contracts. He emphasizes the importance of integrating social determinants of health along with clinical data to create more accurate predictive s…
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Episode 394 - USA v Raj - The Trial That Changed Everything
42:22
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Summary In this episode of the Compliance Guy podcast, Sean M Weiss interviews Dr. Raj Bothra, who shares his harrowing experience of being wrongfully accused of Medicare fraud and excessive narcotics distribution. Dr. Bothra discusses the complexities of the case, the role of the DOJ and FBI, and the injustices he faced during his trial. He emphas…
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Mobile Healthcare Model Expands Access and Services for Patients with Adam David Doctors House Calls TRANSCRIPT
Adam David, CEO of Doctors House Calls, has identified a gap in healthcare for homebound, high-acuity patients who lack a primary care physician, which often leads to frequent hospital admissions. This service operates primarily for Medicare patients by deploying physicians, PAs, and nurse practitioners to provide comprehensive care in patients' ho…
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Mobile Healthcare Model Expands Access and Services for Patients with Adam David Doctors House Calls
21:12
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Adam David, CEO of Doctors House Calls, has identified a gap in healthcare for homebound, high-acuity patients who lack a primary care physician, which often leads to frequent hospital admissions. This service operates primarily for Medicare patients by deploying physicians, PAs, and nurse practitioners to provide comprehensive care in patients' ho…
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The Business of Healthcare, Episode 132: A Year in Healthcare: Hard Truths, New Hope
35:59
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This episode flips the script as producer Jimmie Markham interviews host Dan Karnuta about the year's biggest healthcare themes. They revisit discussions form previous episodes on AI governance, operational adoption, workforce resistance, healthcare education pipelines, insurance pitfalls, nursing workflow redesign and physician well-being. Karnuta…
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How AI is Transforming Medical Coding and Impacting Hospital Revenue Cycle Management with Linda Schatz AKASA TRANSCRIPT
Linda Schatz, Director of AKASA, explains the role of Clinical Documentation Integrity (CDI) specialists in ensuring accurate coding and bridging the gap between clinical documentation and specific, accurate codes to ensure proper reimbursement. The complexity of medical coding often leads to errors, which can be nearly eliminated by using AI to re…
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A New Era of Clinical Information Exchange: What Practice Leaders Need to Know About TEFCA and QHINs
22:20
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In this episode of the MGMA Insights Podcast, Sr. Editor and host Daniel Williams speaks with Justin McMartin, Director of Product Innovation at Surescripts, about one of the most important developments in U.S. healthcare interoperability: TEFCA and Qualified Health Information Networks (QHINs). They dig into what TEFCA is (and isn’t), how QHINs op…
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How AI is Transforming Medical Coding and Impacting Hospital Revenue Cycle Management with Linda Schatz AKASA
19:02
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Linda Schatz, Director of AKASA, explains the role of Clinical Documentation Integrity (CDI) specialists in ensuring accurate coding and bridging the gap between clinical documentation and specific, accurate codes to ensure proper reimbursement. The complexity of medical coding often leads to errors, which can be nearly eliminated by using AI to re…
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Optimizing EPIC: Tech-Enabled Transformation with Chris Blackerby
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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 …
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HLTH '25: Counsel Health, Marathon Health & Gene By Gene (#469)
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Live from HLTH '25: Dr. Muthu Alagappan, Founder and CEO of Counsel Health, Ryan Jacobs, SVP of Strategy & Partnerships at Marathon Health, and Lior Rauchberger, CEO of Gene By Gene, discuss the latest opportunities for consumers to get answers from preventive care and genomics. JOIN THE COMMUNITY This show is produced by the Healthcare Rap Communi…
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