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Payers are constantly shifting tactics to find new and creative ways to do their favorite thing: Not pay claims. And if you can’t deny? Downgrade!  We’re seeing a lot of new patterns and tactics on this front, especially on the Medicare Advantage/private payer side of the house. And so it was time …
This country does a decent job in our primary schools working with children and young adults with special needs. Certainly many improvements have been made in the last 40-50 years.   But once neurodivergent kids become adults, that support seems to vanish.  Tami Gomez stepped into this large breach…
A lot has changed in the world of Faisal Hussain since he last went under the white-hot spotlight of the Off the Record podcast studios.  A new career path, with a new company.  Growing children, with whom he gets to spend more time.  A surprise award, bestowed by his college alma mater.  And many …
We need a “human in the loop” in mid-revenue cycle work, experts say.  What they fail to answer is the more interesting question:   Where in the loop, exactly? Back-end AI fact-checker? Front-end query authorizer? Or, maybe something like my current OTR guest Penny Jefferson envisions: Medical reco…
Dichiarazione di non responsabilità: Il podcast e la grafica incorporati in questa pagina provengono da Brian Murphy, che è di proprietà del suo proprietario e non è affiliato o approvato da Listen Notes, Inc.