Struggling with denied RFAs or delays in treatment approvals? This episode is for you.
In Workers Comp Unwrapped, we tackle the art and science of filing successful Requests for Authorization (RFAs) in the workers’ compensation system.
Here’s what you’ll learn:
Tune in now to master RFAs and take the hassle out of treatment approvals!
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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Defense attorneys are a vital part of the workers’ compensation system, representing employers and insurers in contested claims. In this episode of Workers Comp Unwrapped, we examine their role in protecting their clients’ interests, from challenging treatment requests to managing claim costs.
Here’s what you’ll learn:
Tune in now to discover how defense attorneys shape claims—and how providers can navigate their involvement effectively!
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
When workers’ compensation claims are denied or disputed, applicant attorneys play a critical role in advocating for injured workers and securing their benefits. In this episode of Workers Comp Unwrapped, we take a closer look at how these attorneys support workers and collaborate with providers to navigate contested claims.
Here’s what we cover:
Tune in now to learn how providers and attorneys can work together for better results!
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
Did you know that injured workers have specific responsibilities in the workers’ compensation process that directly impact their claims? In this episode of Workers Comp Unwrapped, we dive into what is expected of injured workers, how their compliance (or non-compliance) affects claims, and how providers can play a key role in supporting them.
Here’s what we cover:
Tune in now to learn how empowering injured workers can benefit everyone involved!
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
Filing a workers’ comp claim isn’t just a paperwork exercise for employers—it’s a critical process with strict timelines and significant legal requirements. In this episode of Workers Comp Unwrapped, we explore the employer’s role in workers’ compensation claims, focusing on how to handle the process effectively and avoid common pitfalls.
Tune in to learn:
Listen now to ensure your workers’ comp claims process is seamless, compliant, and supportive of your employees!
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
About Episode:
Lien withdrawals are an inevitable part of workers’ compensation billing, but they’re often misunderstood and mishandled. In this episode of Workers Comp Unwrapped, we break down everything medical providers need to know about handling lien withdrawals correctly while avoiding costly mistakes.
Here’s what we’ll cover:
Whether you’re a provider, billing specialist, or legal professional, this episode will help you approach lien withdrawals with confidence and clarity.
Tune in now to learn how to handle lien withdrawals the right way!
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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Are your third-party billing reports creating more problems than solutions? In this episode of Workers Comp Unwrapped, we dive deep into the challenges of inconsistent billing reports and how they impact your revenue cycle. From missing data to delayed updates, we explore the common pitfalls that lead to denied claims, compliance risks, and financial losses.
Tune in to learn:
Listen now to take control of your billing process and protect your practice’s financial health!
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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In this episode, we explore the often-overlooked but vital relationship between insurance representatives and collections representatives in California workers’ compensation. These two roles frequently find themselves at odds with competing goals that can lead to delays, disputes, and inefficiencies.
We discuss the challenges these teams face, such as communication barriers, mistrust, and regulatory complexities, and why strengthening their collaboration is essential for faster claim resolutions, accurate payments, and reduced disputes. You’ll also learn practical strategies for building trust, streamlining processes, and fostering mutual understanding between these critical stakeholders.
Using real-world examples and actionable insights, we demonstrate how better relationships lead to better outcomes—for insurers, providers, and patients alike.
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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Struggling with denial after denial? You’re not alone! In this episode of Workers Comp Unwrapped, we tackle Inappropriate Reasoning in Appeals, breaking down how medical providers in California can successfully overturn workers’ comp claim denials.
From understanding common denial tactics to crafting compelling appeals, we provide a roadmap for tackling everything from documentation issues to fee schedule disputes. Plus, hear real-world examples and a case study that showcase how persistence and preparation pay off.
Whether you’re a doctor, billing specialist, or anyone in the workers’ comp ecosystem, this episode is packed with insights, strategies, and a touch of humor to make denial management a little less painful.
Tune in now to learn how to reclaim your revenue and fight back against inappropriate denials!
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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Where do doctors usually struggle with their follow-up strategies? How does it affect the delay of payments?
In this episode, we tackle one of the most challenging aspects of managing workers’ compensation claims: accounts receivable (A/R) follow-ups. Many medical providers struggle with delayed payments due to inefficient processes, lack of prioritization, and communication breakdowns.
We explore the most common A/R pain points, such as outdated technology, insufficient staffing, and poor documentation, and how they contribute to longer cash flow cycles and revenue loss. By the end of this episode, you’ll learn actionable strategies to streamline follow-ups, prioritize high-value claims, and leverage technology to improve collections. With real-world case studies and step-by-step solutions, this episode will help you regain control of your A/R process and minimize financial headaches.
Episode Description
Is your accounts receivable (A/R) piling up faster than you can keep up? You’re not alone. In this episode of Workers Comp Unwrapped, we take a deep dive into the follow-up headaches medical providers face when managing A/R in California workers’ compensation.
From missed deadlines to outdated systems, we unpack why delayed payments happen and how they impact your bottom line. More importantly, we offer solutions:
Tune in now to learn how to stop chasing payments and start collecting them!
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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Struggling with denial after denial? You’re not alone! In this episode of Workers Comp Unwrapped, we tackle Inappropriate Reasoning in Appeals, breaking down how medical providers in California can successfully overturn workers’ comp claim denials.
From understanding common denial tactics to crafting compelling appeals, we provide a roadmap for tackling everything from documentation issues to fee schedule disputes. Plus, hear real-world examples and a case study that showcase how persistence and preparation pay off.
Whether you’re a doctor, billing specialist, or anyone in the workers’ comp ecosystem, this episode is packed with insights, strategies, and a touch of humor to make denial management a little less painful.
Tune in now to learn how to reclaim your revenue and fight back against inappropriate denials!
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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Missed deadlines for Second Bill Reviews (SBRs) are a silent revenue killer for healthcare providers. In the fast-paced world of workers’ compensation billing, submitting SBRs on time is non-negotiable—but many providers overlook this crucial step, leading to delayed payments, denied claims, and significant revenue loss.
In this episode, we dive deep into:
✅ What Second Bill Reviews (SBRs) are and why they matter.
✅ The consequences of missing SBR deadlines, including real-world case studies.
✅ Common challenges providers face in filing SBRs—and how to overcome them.
✅ A step-by-step guide to submitting timely and accurate SBRs.
✅ Emerging industry trends like automation and AI that are reshaping the billing process.
Whether you’re a healthcare provider, billing professional, or administrator, this episode is packed with actionable insights and strategies to streamline your SBR process and optimize your financial outcomes.
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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Billing denials and objections can feel like a constant battle for medical providers, especially in the intricate world of workers’ compensation claims. From duplicate claims to coding errors, these roadblocks disrupt revenue cycles, create administrative burdens, and even impact patient satisfaction. But what causes these denials, and more importantly, how can you address them?
In this episode, we break down:
✅ The most common billing objections, including medical necessity denials, coding errors, and missing information.
✅ The root causes of these denials, from administrative errors to complex insurance policies.
✅ How these objections impact healthcare providers financially and operationally.
✅ Strategies and tools to prevent and resolve billing objections, with real-world examples.
Whether you’re a medical provider, billing specialist, or someone navigating the complexities of workers’ comp claims, this episode is packed with actionable insights to streamline your billing process and maximize reimbursements.
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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This episode provides a comprehensive guide to filing a Declaration of Readiness to Proceed (DOR) in California’s workers' compensation system. We dive into the essential prerequisites for filing, including completing discovery and documenting good faith efforts to resolve disputes. A detailed, step-by-step walkthrough of the DOR form ensures you know exactly how to submit a complete and accurate application.
We also explore common challenges, such as objections and incomplete documentation, and provide actionable tips for overcoming these hurdles. With real-world case studies and insights into industry trends, this episode equips you with the tools and knowledge to handle the DOR process like a pro.
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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Episode Description:
Filing a Declaration of Readiness to Proceed (DOR) is a critical step in California's workers' compensation process, signaling that all parties are ready to move forward with a hearing. But how do you ensure your DOR meets all the regulatory requirements and avoids unnecessary delays?
In this episode, we dive deep into the prerequisites for filing a DOR, including completing discovery, making good faith efforts to resolve disputes, and adhering to state-specific regulations. We’ll explore:
- Common challenges providers face when filing a DOR.
- Real-world case studies demonstrating the importance of preparation.
- Proven strategies to address objections and ensure compliance.
We also discuss the latest industry trends and regulatory updates affecting the DOR process, equipping you with the knowledge to navigate this crucial step confidently. Whether you’re a medical provider, billing professional, or legal practitioner, this episode is packed with actionable insights to simplify your workers’ compensation journey.
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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The holidays aren’t just about decking the halls—they’re also a peak season for workers’ comp claims. In this festive episode, Max and Ayesha bring you The 12 Claims of Christmas, a fun and insightful look at some of the most common injuries medical providers encounter this time of year.
Here’s what we cover:
🎄 Frostbite risks for outdoor workers
🎄 Roof falls while hanging lights
🎄 Holiday decorating accidents with glass ornaments
🎄 Sledding mishaps at employer-sponsored events
🎄 Retail worker injuries in crowded stores
🎄 Wrapping paper-related cuts
With practical tips on documentation, safety protocols, and claim management, this episode is a must-listen for medical providers, employers, and anyone navigating the workers’ comp landscape during the holidays.
🎧 Tune in now to streamline your claims process while keeping the holiday spirit intact. Don’t forget to subscribe for more actionable insights!
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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"Streamlining Claims with UAN: A Fun and Informative Guide to Registration and Billing Optimization"
The Universal Account Number (UAN) might not sound glamorous, but it’s a game-changer for medical providers managing workers’ compensation claims in California. In this episode, [Host Name] and [Co-Host Name] walk you through:
🎯 What the UAN is and why it’s essential for lien filing in EAMS.
🎯 A step-by-step guide to registering for a UAN with the DIR.
🎯 Practical tips for integrating the UAN into your billing processes.
🎯 Common challenges and expert solutions for UAN registration and usage.
🎯 A real-world case study showcasing the UAN’s impact on reducing claim rejections.
With practical insights, a conversational tone, and a few laughs along the way, this episode is packed with everything you need to master the UAN process and optimize your workers’ comp claims.
🎧 Don’t miss out—tune in now and take your lien management to the next level!
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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In the fast-paced world of workers’ compensation, deadlines are everything—especially when it comes to lien filings. In this episode of [Podcast Name], we explore why timely filings are critical for ensuring payment, maintaining legal compliance, and safeguarding your financial health.
From understanding key deadlines to navigating industry trends and legal precedents, we leave no stone unturned. Plus, we’ll share practical strategies, must-have tools, and a real-world case study that highlights the costly consequences of missing the mark.
Whether you’re a healthcare provider, attorney, or someone navigating the workers’ comp system, this episode is packed with actionable advice, a touch of humor, and everything you need to stay ahead of the clock.
Tune in and learn:
Don’t miss this episode—it could save you thousands (and a lot of stress).
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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In "Lien Documentation Mastery: Ensuring Compliance and Payment," we delve deep into the essential documentation required for filing medical liens effectively. This episode explores the intricacies of the documentation process, providing a detailed checklist and expert advice to ensure that healthcare providers can secure their financial rights without legal pitfalls. Tune in to learn how to master the documentation process for healthcare liens and ensure timely and full payment recovery.
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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In this episode, we explore the often-overlooked roles of clearinghouses and third-party administrators (TPAs) in healthcare billing and administration. We break down how clearinghouses streamline claims processing by verifying and "scrubbing" claims to reduce errors and ensure faster reimbursements. Listeners will also hear about the functions of TPAs, who manage claims, eligibility, and compliance for providers, easing administrative burdens and enhancing financial stability for self-insured plans. Whether you're in healthcare or just curious about the hidden gears of the billing cycle, tune in to discover how these entities keep the revenue flowing smoothly.
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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Workers’ Comp Made Simple: Tailored Solutions for Every Medical Specialty
Navigating workers’ compensation billing can feel overwhelming, especially when it comes to the unique requirements of different medical specialties. In this episode, we break down the essentials of workers’ comp billing for providers in orthopedics, physical therapy, dentistry, pain management, psychiatry, and chiropractic care.
Learn how to:
Don’t miss our next episode on Workers’ Comp Appeals: Strategies for Reversing Denied Claims.
#MedicalBilling #WorkersComp #HealthcarePodcast
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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In this episode, we compare electronic and paper billing methods to understand how each impacts medical practice efficiency and revenue. We dive into the pros and cons of both, from the error-reducing automation and faster claim cycles of electronic billing to the low startup costs and simplicity of paper-based submissions. Listeners will learn about the challenges each approach presents, such as the long-term costs and inefficiencies of paper billing and the technical setup needs for electronic systems. Tune in to explore which billing method is best suited to different practice sizes and financial goals.
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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Accurate coding is critical for timely reimbursement in medical billing, as errors or outdated codes can lead to costly delays and denied claims. Incorrect billing codes disrupt the revenue cycle by prompting claim rejections from insurers, leading to delays that require additional time and resources for correction and resubmission. When codes are mismatched or incomplete, insurers may question the claim's validity, often resulting in denials that further stretch administrative resources and can strain cash flow in a practice. Over time, these compounded delays reduce overall revenue and disrupt financial stability for medical providers.
To mitigate these risks, several best practices are recommended. Regular training for coding staff ensures they stay updated with evolving coding guidelines, such as those released by the AMA and CMS. Additionally, implementing internal audits to review coding accuracy helps detect and address common issues proactively. Technology also plays a vital role, with coding validation tools and claims-editing systems allowing for real-time verification to catch errors before claims are submitted
Accurate coding doesn’t just prevent denials; it also supports compliance, documentation integrity, and patient satisfaction, as error-free billing reduces unexpected charges and administrative burdens on patients and providers alike.
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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In this episode, we explore the importance of submitting Requests for Authorization (RFAs) on time and how delays can seriously impact a healthcare practice's revenue cycle. We discuss the potential financial repercussions of missed authorization windows, including claim denials, rework costs, and cash flow disruptions. From the risks of delayed reimbursements to practical strategies for implementing efficient RFA protocols, join us to learn how practices can avoid common pitfalls, streamline RFA processing, and boost revenue retention by staying proactive in their authorization workflows.
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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In this episode, we dive into the often-overlooked process of patient data verification before billing submission and why it’s a game-changer for healthcare practices. Billing without verifying insurance and patient details can lead to costly denials, lost revenue, and prolonged disputes with insurers. We discuss real-world examples of practices struggling with rejected claims due to minor inaccuracies and how automated verification systems, clear workflows, and improved patient communication can streamline operations, reduce errors, and ultimately safeguard a practice’s bottom line. Join us to learn key steps for ensuring billing success by getting data right the first time.
#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims
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