Workers' Comp Unwrapped 114: Decoding Medical Billing Objections; Navigating Common Challenges and Their Root Causes

Workers’ Comp Unwrapped

#Fitness #Medical Lien Management #Medicine #Mental Health #Workers Compensation #Healthcare Providers #Workers Comp #USA #California #Medical Provider Podcasts #Medical Help #New #Workers Comp Law #Attorney #Doctor Who

22:42

We are here recording live at Medallia Experience at the Wynn in Las Vegas, and have been seeing and hearing some amazing things about how AI can enhance the customer experience as well as enable teams at organizations to create more meaningful connections with customers. Today we’re going to talk about how AI can help to create better experiences for customers before, during, and after their interactions. To help me discuss this topic, I’d like to welcome Fabrice Martin, Chief Product Officer at Medallia. RESOURCES Medallia: https://www.medallia.com Catch the future of e-commerce at eTail Boston, August 11-14, 2025. Register now: https://bit.ly/etailboston and use code PARTNER20 for 20% off for retailers and brands Don't Miss MAICON 2025, October 14-16 in Cleveland - the event bringing together the brights minds and leading voices in AI. Use Code AGILE150 for $150 off registration. Go here to register: https://bit.ly/agile150 Connect with Greg on LinkedIn: https://www.linkedin.com/in/gregkihlstrom Don't miss a thing: get the latest episodes, sign up for our newsletter and more: https://www.theagilebrand.show Check out The Agile Brand Guide website with articles, insights, and Martechipedia, the wiki for marketing technology: https://www.agilebrandguide.com The Agile Brand podcast is brought to you by TEKsystems. Learn more here: https://www.teksystems.com/versionnextnow The Agile Brand is produced by Missing Link—a Latina-owned strategy-driven, creatively fueled production co-op. From ideation to creation, they craft human connections through intelligent, engaging and informative content. https://www.missinglink.company…

大约1年之前 15:47

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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.

Support the show

#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

For more info
Call 📱 888-296-1109
Book Appointment Now | https://medicallienmgt.com/contact/

37集单集

Workers' Comp Unwrapped 114: Decoding Medical Billing Objections; Navigating Common Challenges and Their Root Causes

Workers’ Comp Unwrapped

published 大约1年之前

MP3•单集首页

Send us a text

Support the show

For more info
Call 📱 888-296-1109
Book Appointment Now | https://medicallienmgt.com/contact/

37集单集

All episodes

1
Workers' Comp Unwrapped 218; Q&A Session by MLM Experts 13:20

10天之前13:20

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Send us a text After successful Season 01 and ongoing Season 02, MLM is now introducing a session where our workers' comp experts answer your most asked questions and discuss strategies for medical providers to overcome the hurdles. Support the show #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 For more info Call 📱 888-296-1109 Book Appointment Now | https://medicallienmgt.com/contact/…

1
Workers' Comp Unwrapped 218: Exploring the Role of Blockchain in Workers’ Comp Billing 18:29

11天之前18:29

18:29

Send us a text Episode 18: Exploring the Role of Blockchain in Workers’ Comp Billing Blockchain technology is poised to revolutionize workers’ comp billing , making claims more transparent, secure, and efficient . But how does it actually work, and what does it mean for medical providers, insurers, and claims professionals ? In this episode of Workers’ Comp Unwrapped , Max & Ayesha break down: ✅ What blockchain is and how it works (in simple terms!) ✅ How blockchain enhances transparency in claims processing ✅ How it prevents fraudulent billing and duplicate claims ✅ How smart contracts can automate approvals and speed up reimbursements ✅ Real-world examples of blockchain being used in healthcare and insurance ✅ Challenges to adoption and what’s next for the industry With billions lost to fraud and inefficiencies in workers’ comp billing every year, blockchain has the potential to streamline payments, secure medical records, and improve trust between all parties . Whether you’re a medical provider, billing specialist, or industry professional , this episode will help you understand how blockchain could shape the future of workers’ comp . 🎧 Listen now on Spotify, Apple Podcasts, or your favorite streaming platform! Support the show #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 For more info Call 📱 888-296-1109 Book Appointment Now | https://medicallienmgt.com/contact/…

1
Workers' Comp Unwrapped 217; Q&A Session by MLM Experts 31:52

12天之前31:52

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17天之前15:11

15:11

Send us a text Episode 17: The Rise of Virtual Hearings in Workers’ Compensation Cases Virtual hearings are reshaping the workers’ compensation system , making legal proceedings faster, more accessible, and cost-effective . But what does this shift mean for medical providers, attorneys, and injured workers ? In this episode of Workers’ Comp Unwrapped , Max & Ayesha break down: ✅ How virtual hearings are transforming workers’ comp litigation ✅ The pros and cons of remote legal proceedings ✅ Best practices for medical providers testifying in virtual depositions ✅ How to set up a professional virtual environment for expert testimony ✅ Key legal and technical requirements for remote hearings With states like California, New York, and Texas making virtual hearings the new normal , medical professionals need to be prepared . Whether you’re providing expert testimony or submitting medical reports , this episode will help you navigate remote hearings with confidence . 🎧 Tune in now on Spotify, Apple Podcasts, or your favorite streaming platform! Support the show #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 For more info Call 📱 888-296-1109 Book Appointment Now | https://medicallienmgt.com/contact/…

1
Workers' Comp Unwrapped 216; Q&A Session by MLM Experts 26:37

18天之前26:37

26:37

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Workers' Comp Unwrapped 216: Leveraging Analytics to Improve Workers’ Comp Billing Outcomes 15:05

25天之前15:05

15:05

Send us a text How data analytics can help providers identify patterns in denials, underpayments, and treatment trends to optimise revenue? Episode 16: Leveraging Analytics to Improve Workers’ Comp Billing Outcomes Workers’ comp billing can be a financial and administrative nightmare — claim denials, underpayments, and slow reimbursements can drain revenue from medical practices. But what if you could predict and prevent these issues before they happen? In this episode of Workers’ Comp Unwrapped , Max & Ayesha dive into how data analytics can transform your billing process, helping you: ✅ Identify and fix claim denial patterns before submission ✅ Spot hidden underpayments and recover lost revenue ✅ Track insurer payment trends to hold payers accountable ✅ Optimize billing workflows to reduce delays and maximize collections ✅ Implement key performance indicators (KPIs) that drive higher reimbursements With 30-40% of workers’ comp claims facing delays or denials , staying on top of your data isn’t just important—it’s critical to your bottom line . 📊 Are you using analytics to take control of your billing? If not, this episode is a must-listen! 🎧 Tune in now on Spotify, Apple Podcasts, or your favorite streaming platform! Support the show #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 For more info Call 📱 888-296-1109 Book Appointment Now | https://medicallienmgt.com/contact/…

1
Workers' Comp Unwrapped 215; Q&A Session by MLM Experts 13:33

28天之前13:33

13:33

Send us a text After successful Season 01 and ongoing Season 02, MLM is now introducing a session where our workers comp experts answer your most asked questions and discuss strategies for medical providers to overcome the hurdles. Support the show #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 For more info Call 📱 888-296-1109 Book Appointment Now | https://medicallienmgt.com/contact/…

1
Workers' Comp Unwrapped 215: Workers’ Comp Fraud- What Every Provider Needs to Know 25:57

5 weeks之前25:57

25:57

Send us a text Workers’ Comp Fraud – What Every Provider Needs to Know Workers’ compensation fraud is a multi-billion-dollar problem that affects medical providers, employers, and the entire healthcare system . But how do you spot fraud, and more importantly, how do you protect your practice from being caught in the middle? In this episode of Workers’ Comp Unwrapped , Max and Ayesha break down: ✅ The three major types of workers' comp fraud : employee, employer, and provider fraud ✅ Red flags that signal a fraudulent claim, from exaggerated injuries to falsified documentation ✅ Real-world fraud cases and their legal consequences ✅ How employers manipulate the system to lower premiums and pressure providers ✅ Best practices for medical providers to avoid legal risks and ensure compliance With billions lost to fraud annually , staying informed is critical. Whether you're a medical provider, billing specialist, or legal expert , this episode gives you the tools to spot fraud before it impacts your practice . 🎧 Listen now on Spotify, Apple Podcasts, or your favorite streaming platform! Support the show #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 For more info Call 📱 888-296-1109 Book Appointment Now | https://medicallienmgt.com/contact/…

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Workers’ Comp Unwrapped 214: How to Handle Complex Workers’ Comp Cases with Multiple Providers 18:20

7 weeks之前18:20

18:20

Send us a text Handling complex workers’ comp cases doesn’t have to be overwhelming. In this episode of Workers Comp Unwrapped , we tackle the challenges and solutions for managing cases involving care from multiple specialists. Here’s what you’ll learn: Why some workers’ comp cases require multidisciplinary care and the challenges they create. Best practices for improving communication among providers and creating unified treatment plans. Strategies for submitting consolidated RFAs and ensuring accurate billing. Tools to streamline workflows and enhance outcomes for injured workers and providers.Whether you’re coordinating care or navigating the billing intricacies of multi-provider cases, this episode provides the insights you need to simplify complexity and optimize results. Tune in now to master the art of managing complex workers’ comp cases! Support the show #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 For more info Call 📱 888-296-1109 Book Appointment Now | https://medicallienmgt.com/contact/…

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Workers' Comp Unwrapped 213: Specialty Series- Navigating Workers’ Comp for Psychiatry and Psychology 14:00

8 weeks之前14:00

14:00

Send us a text Mental health care is essential in workers’ compensation—but navigating the system isn’t always easy. In this episode of Workers Comp Unwrapped , we explore the challenges and solutions for mental health providers in workers’ comp cases. Here’s what we cover: The critical role of psychiatry and psychology in treating workplace trauma, PTSD, and chronic pain-related mental health issues. Documentation best practices to meet workers’ comp requirements and secure approvals. Common coding and billing challenges and how to address them. Tips for submitting effective RFAs and overcoming medical necessity objections. Whether you’re a psychiatrist, psychologist, or someone supporting mental health services in workers’ comp, this episode equips you with the tools to navigate the system successfully and ensure your patients get the care they need. Support the show #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 For more info Call 📱 888-296-1109 Book Appointment Now | https://medicallienmgt.com/contact/…

1
Workers' Comp Unwrapped 212: Specialty Series- Billing Best Practices for Chiropractic Care 23:28

8 weeks之前23:28

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Send us a text Chiropractic care is critical in workers’ comp—but navigating billing and treatment approvals can be a challenge. In this episode of Workers Comp Unwrapped , we focus on best practices for chiropractors in the workers’ compensation system. Here’s what you’ll learn: Common billing challenges chiropractors face, from RFAs to medical necessity disputes. How to align chiropractic treatments with MTUS guidelines for better approval rates. Practical tips for strengthening documentation and tracking measurable progress. Solutions to overcome denials, delayed reimbursements, and overutilization objections.Whether you’re a seasoned chiropractor or just starting in workers’ comp, this episode provides the tools you need to deliver exceptional care while navigating the complexities of the system. Tune in now to master chiropractic billing and maximize your impact in workers’ compensation! Support the show #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 For more info Call 📱 888-296-1109 Book Appointment Now | https://medicallienmgt.com/contact/…

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Workers’ Comp Unwrapped 211: RFAs Demystified- Filing Successful Requests for Authorization 13:57

9 weeks之前13:57

13:57

Send us a text 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: The essential components of an effective RFA. How to align RFAs with California’s MTUS guidelines to improve approval rates. The most common mistakes that lead to RFA denials—and how to prevent them. Best practices for streamlining the RFA process, from using templates to leveraging technology.Whether you’re a seasoned provider or new to the workers’ comp world, this comprehensive guide will help you refine your RFA process, minimize delays, and ensure smoother workflows. Tune in now to master RFAs and take the hassle out of treatment approvals! Support the show #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 For more info Call 📱 888-296-1109 Book Appointment Now | https://medicallienmgt.com/contact/…

1
Workers’ Comp Unwrapped 210: The Defense Attorney’s Role; Protecting Employers and Insurers 14:42

9 weeks之前14:42

14:42

Send us a text 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: The responsibilities and strategies of defense attorneys in workers’ compensation cases. How they influence treatment approvals and provider reimbursements. Common challenges providers face when working with defense attorneys. Tips for improving communication, strengthening documentation, and preparing for depositions.This episode is a must-listen for providers seeking to understand defense attorneys’ objectives and foster better collaboration in the workers’ comp system. Tune in now to discover how defense attorneys shape claims—and how providers can navigate their involvement effectively! Support the show #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 For more info Call 📱 888-296-1109 Book Appointment Now | https://medicallienmgt.com/contact/…

1
Workers’ Comp Unwrapped 209: The Applicant Attorney’s Role in Contested Claims 12:31

10 weeks之前12:31

12:31

Send us a text #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: The role of applicant attorneys in the workers’ compensation system. How they challenge claim and treatment denials through legal processes. Their impact on medical treatment approvals and provider reimbursements. Practical tips for providers to build stronger partnerships with attorneys.Whether you’re a provider or part of the workers’ comp community, this episode will deepen your understanding of the applicant attorney’s role and how it shapes the outcomes of complex claims. Tune in now to learn how providers and attorneys can work together for better results! Support the show #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 For more info Call 📱 888-296-1109 Book Appointment Now | https://medicallienmgt.com/contact/…

1
Workers’ Comp Unwrapped 208: Injured Worker Responsibilities in Workers’ Compensation Claims 30:02

10 weeks之前30:02