On Kilo Kish's 'Negotiations', robotic soundscapes mirror the transactional, 'churned-out' side of the music industry. She asks "what am I worth?" - not to an unforgiving business model, but to herself. In this interview, we discuss this tension, & the importance of art on one's own terms. Find Kilo Kish on Spotify: https://open.spotify.com/artist/7lsnwlX6puQ7lcpSEpJbZE?si=LkhaVZsZTs-7Xaky7StGSA On Apple Music: https://music.apple.com/us/artist/kilo-kish/487657156 Instagram: https://www.instagram.com/kilokish/ TikTok: https://www.tiktok.com/@kilokish Subscribe: https://beforethechorus.bio.to/listen Sign up for our newsletter: https://www.beforethechorus.com/ Follow on Instagram: @beforethechoruspodcast & @soundslikesofia About the podcast: Welcome to Before the Chorus , where we go beyond the sounds of our favourite songs to hear the stories of the artists who wrote them. Before a song is released, a record is produced, or a chorus is written, the musicians that write them think. A lot. They live. A lot. And they feel. A LOT. Hosted by award-winning interviewer Sofia Loporcaro, Before the Chorus explores the genuine human experiences behind the music. Sofia’s deep knowledge of music and personal journey with mental health help her connect with artists on a meaningful level. This is a space where fans connect with artists, and listeners from all walks of life feel seen through the stories that shape the music we love. About the host: Sofia Loporcaro is an award-winning interviewer and radio host who’s spent over 8 years helping musicians share their stories. She’s hosted shows for Amazing Radio, and Transmission Roundhouse. Now on Before the Chorus, she’s had the chance to host guests like Glass Animals, Feist, Madison Cunningham, Mick Jenkins, & Ru Paul's Drag Race winner Shea Couleé. Learn more about your ad choices. Visit megaphone.fm/adchoices…
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محتوای ارائه شده توسط Medical Lien Management. تمام محتوای پادکست شامل قسمت‌ها، گرافیک‌ها و توضیحات پادکست مستقیماً توسط Medical Lien Management یا شریک پلتفرم پادکست آن‌ها آپلود و ارائه می‌شوند. اگر فکر می‌کنید شخصی بدون اجازه شما از اثر دارای حق نسخه‌برداری شما استفاده می‌کند، می‌توانید روندی که در اینجا شرح داده شده است را دنبال کنید.https://fa.player.fm/legal
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Workers' Comp Unwrapped 228; Filing Amendments to Workers’ Comp Claims: Best Practices
Manage episode 489914028 series 3610420
محتوای ارائه شده توسط Medical Lien Management. تمام محتوای پادکست شامل قسمت‌ها، گرافیک‌ها و توضیحات پادکست مستقیماً توسط Medical Lien Management یا شریک پلتفرم پادکست آن‌ها آپلود و ارائه می‌شوند. اگر فکر می‌کنید شخصی بدون اجازه شما از اثر دارای حق نسخه‌برداری شما استفاده می‌کند، می‌توانید روندی که در اینجا شرح داده شده است را دنبال کنید.https://fa.player.fm/legal
Subtitle: If You Don’t Update the Claim, You’re Updating Your Write-Off List
In this episode of Workers Comp Unwrapped, Max is joined by Ayesha to break down why timely and accurate claim amendments are essential in California workers’ compensation. From new diagnoses and expanded body parts to treatment plan changes, they cover when and how to file amendments to avoid denials, delays, and lost revenue. Get actionable steps, real-world examples, and insider tips on staying compliant with CCR § 9785 and Labor Code § 4061.
🔍 Learn:
- When claim amendments are legally required
- Best practices for PR-2s, RFAs, and billing updates
- Common mistakes that lead to denied payments
- How MLM supports providers through the amendment process
#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/
55 قسمت
اشتراک گذاریManage episode 489914028 series 3610420
محتوای ارائه شده توسط Medical Lien Management. تمام محتوای پادکست شامل قسمت‌ها، گرافیک‌ها و توضیحات پادکست مستقیماً توسط Medical Lien Management یا شریک پلتفرم پادکست آن‌ها آپلود و ارائه می‌شوند. اگر فکر می‌کنید شخصی بدون اجازه شما از اثر دارای حق نسخه‌برداری شما استفاده می‌کند، می‌توانید روندی که در اینجا شرح داده شده است را دنبال کنید.https://fa.player.fm/legal
Subtitle: If You Don’t Update the Claim, You’re Updating Your Write-Off List
In this episode of Workers Comp Unwrapped, Max is joined by Ayesha to break down why timely and accurate claim amendments are essential in California workers’ compensation. From new diagnoses and expanded body parts to treatment plan changes, they cover when and how to file amendments to avoid denials, delays, and lost revenue. Get actionable steps, real-world examples, and insider tips on staying compliant with CCR § 9785 and Labor Code § 4061.
🔍 Learn:
- When claim amendments are legally required
- Best practices for PR-2s, RFAs, and billing updates
- Common mistakes that lead to denied payments
- How MLM supports providers through the amendment process
#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
Send us a text Workers’ Comp Unwrapped Episode 308: Explore billing for freelance worker injuries under SB 988 in California. Learn verification steps, documentation requirements, and billing best practices to ensure compliance and timely reimbursements. #WorkersCompUnwrapped #Episode308 #WorkersCompBilling #FreelanceWorkers #GigEconomy #IndependentContractors #HealthcareReimbursement #MedicalBilling #BillingCompliance #CaliforniaWorkersComp #InsuranceBilling #ReimbursementTips #ProtectFreelancers #ClaimsAdjusters #KnowTheLaw 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
Send us a text Workers’ Comp Unwrapped Episode 307: Navigating gig worker injuries under California’s Proposition 22 can be tricky for providers. In this episode, Max and Ayesha break down the rules for billing, common claim challenges, and strategies to maximize reimbursements while staying compliant. Learn how to handle approvals, coding, documentation, and appeals for gig worker claims. #WorkersComp #GigEconomy #Proposition22 #WorkersCompUnwrapped #MedicalBilling #RevenueCycle #ClaimsManagement #HealthcareBilling #ProviderTips #InjuryCoverage #CaliforniaLaw #BillingBestPractices #MedicalProviders #GigWorkerRights #DeniedClaims #ReimbursementStrategies #WorkInjuryClaims #OccupationalHealth #HealthcareCompliance #BillingErrors 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
Send us a text Ep. 306 – Billing for Vocational Rehabilitation Services in Workers’ Comp Injured workers often need vocational rehab to get back to work—but how do you bill for those services correctly in workers’ comp? In this episode, Max and Ayesha explore the ins and outs of billing for voc rehab services, including the correct codes, documentation requirements, and common billing mistakes to avoid. Learn the key strategies to ensure your voc rehab claims get paid without delays or denials. #WorkersComp #VocationalRehabilitation #MedicalBilling #WorkersCompBilling #VocRehab #BillingTips #ClaimsProcessing #RevenueCycleManagement #MedicalCoding #BillingErrors #ClaimsDenials #BillingCompliance #HealthcareBilling #WorkersCompClaims #BillingBestPractices 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
1 Workers Comp Unwrapped 305; Higher Disability Payments: Optimizing Billing for TTD Increases 15:54
Send us a text Ep. 305 – Higher Disability Payments: Optimizing Billing for TTD Increases The California TTD rate is rising 3.8% in 2025—good news for injured workers, but a billing challenge for providers. In this episode, Max and Ayesha explain how the new rates affect medical billing, med-legal evaluations, and claim timelines. Learn best practices to stay accurate, avoid disputes, and keep collections moving. #WorkersCompUnwrapped #TTD2025 #CaliforniaWorkersComp #MedicalBilling #TTDIncrease #HealthcareProviders #MedLegalTips #BillingAccuracy #WorkersCompPodcast #ProviderInsights #Podcast #NewEpisode #HealthcarePodcast #WorkersComp #MedicalBilling #MedicalCoding #CPTCodes #FeeSchedules #CaliforniaDWC #PhysicianBilling #DrugPricing #ReimbursementStrategy #BillingUpdates2025 #BuzzsproutPodcast #HealthcareFinance #RevenueCycleManagement #InsuranceBilling #DenialPrevention #MedicalPracticeManagement #NowStreaming #ListenNow 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
1 Workers Comp Unwrapped 304; New Physician and Pharmaceutical Fee Schedules: What’s Changing in 2025 15:34
Send us a text Ep. 304 – New Physician and Pharmaceutical Fee Schedules: What’s Changing in 2025 California’s DWC has released updated physician and pharmaceutical fee schedules for 2025. In this episode, Max and Ayesha unpack the new CPT codes, drug pricing benchmarks, and conversion factors, and explain how accurate coding prevents denials and maximizes reimbursements. Learn what’s changing, common mistakes to avoid, and how to prepare your billing team for a smooth transition. #Podcast #NewEpisode #HealthcarePodcast #WorkersComp #MedicalBilling #MedicalCoding #CPTCodes #FeeSchedules #CaliforniaDWC #PhysicianBilling #DrugPricing #ReimbursementStrategy #BillingUpdates2025 #BuzzsproutPodcast #HealthcareFinance #RevenueCycleManagement #InsuranceBilling #DenialPrevention #MedicalPracticeManagement #NowStreaming #ListenNow 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
1 Workers Comp Unwrapped 303; Impact of the 2025 Pure Premium Rate Increase on Provider Billing 16:20
Send us a text Ep. 303 – Impact of the 2025 Pure Premium Rate Increase on Provider Billing The WCIRB has approved an 11.2% increase to the 2025 pure premium rate—but what does that mean for California medical providers? In this episode, Max and Ayesha break down the ripple effect this has on reimbursement, preauthorization, denials, and provider billing strategy. Learn how to strengthen documentation, reduce revenue loss, and prepare your workflow for a more aggressive payer environment. 🎙️ Includes: What the 11.2% rate increase really means The link between premium hikes and payer behavior Practical billing and IBR tips to stay protected in 2025 Real talk about tech, timelines, and treatment approvals #WorkersComp #ProviderBilling #MedicalBilling #WCIRB #ReimbursementStrategy #PurePremiumRate #PayerPolicy #CaliforniaHealthcare #HealthcarePodcast #BillingTips #RevenueCycle #ClaimsDenials #MedicalProviders #UtilizationReview #PreAuthorization 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
Send us a text Ep. 302 – Liberty Mutual’s Excessive Refund Requests: How to Fight Back Liberty Mutual has been sending refund requests for authorized, properly billed medical services, but do you really have to pay them back? In this episode, Max and Ayesha break down the legality of these demands, explain how to challenge them through California’s Independent Bill Review (IBR) process, and share real cases where providers successfully fought back. Learn what the law says, how to respond to refund letters, and how to protect your practice from improper recoupments. 🎙️ Highlights: Why these refund demands are often invalid Step-by-step process to dispute and win through IBR Key California labor codes and CCRs to quote Proactive steps to avoid future refund issues 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
Send us a text Ep. 301 – Navigating PPO Contracts and Silent PPOs: Maximizing Revenue In this season opener, Max and Ayesha break down the world of PPO contracts and expose the hidden impact of silent PPOs on your workers’ comp reimbursements. Learn how to identify unauthorized discounts, challenge underpayments, and protect your revenue using the tools and regulations available to California medical providers. Whether you're a doctor, biller, attorney, or employer—this is your playbook for fighting back. 🎙️ Topics Covered: What PPO and silent PPO contracts really mean How to detect improper repricing Step-by-step guide to filing SBR and IBR Real cases and how they were wonPractical tools and legal tips for staying ahead 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
Send us a text Subtitle: If You Don’t Update the Claim, You’re Updating Your Write-Off List In this episode of Workers Comp Unwrapped , Max is joined by Ayesha to break down why timely and accurate claim amendments are essential in California workers’ compensation. From new diagnoses and expanded body parts to treatment plan changes, they cover when and how to file amendments to avoid denials, delays, and lost revenue. Get actionable steps, real-world examples, and insider tips on staying compliant with CCR § 9785 and Labor Code § 4061. 🔍 Learn: When claim amendments are legally required Best practices for PR-2s, RFAs, and billing updates Common mistakes that lead to denied payments How MLM supports providers through the amendment process 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
Send us a text In this episode of Workers Comp Unwrapped , Max and Ayesha dive into the frustrating world of post-acute care claim denials, where even the most necessary treatments can be deemed "not medically necessary." They explore common reasons for denials, including lack of prior authorization, coding errors, and medical necessity disputes. Ayesha shares strategies to prevent denials, offering insights into how to submit better claims and fight back when denials occur. From home health care to skilled nursing and physical therapy, providers must navigate these challenges to ensure timely reimbursements and avoid financial losses. Tune in to learn how to streamline your claims process and improve your success rate with post-acute care billing. 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
Send us a text In this must-listen episode, Max and Ayesha dive into the critical documents every provider, employer, and insurer must have to stay compliant—and paid—in California’s workers’ comp system. From first reports to lien filings, discover the exact forms, legal requirements, and common documentation pitfalls that can cost thousands in denied claims and penalties. Whether you're new to workers' comp or overdue for a documentation overhaul, this episode breaks it down with clarity, compliance tips, and real-world examples. #WorkersComp #CaliforniaCompliance #HealthcareCompliance #WorkersCompensation #MedicalBilling #DWC #OccupationalHealth #ClaimsManagement #WorkersCompAudit #DocumentationMatters #HealthcareProviders #HRCompliance #WorkplaceSafety 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
1 Workers' Comp Unwrapped 225; Avoiding Pitfalls in Workers’ Comp Timelines: From Filing to Follow-Up 15:45
Send us a text In this episode of Workers Comp Unwrapped , Max and Ayesha break down the most important—and often missed—deadlines in California workers’ comp. From bill submissions to lien filings and UR appeals, every stage of the claims process has a strict timeline. And missing even one can mean losing your right to payment. Ayesha shares practical tips to avoid common mistakes, track critical dates, and implement systems that prevent revenue loss. Whether you’re billing, appealing, or filing liens, this episode helps you stay compliant—and get paid. 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
Send us a text In this episode of Workers Comp Unwrapped , Max and guest expert Ayesha dive into the real impact of Maximum Medical Improvement (MMI) on providers. While MMI signals medical stability for injured workers, it opens a new chapter of billing challenges, lien deadlines, and heightened scrutiny for healthcare providers. Learn what MMI truly means under California law, how it affects treatment approvals, and why failing to act quickly post-MMI can jeopardize your payments. Ayesha shares actionable insights on lien strategy, UR compliance, and how to avoid the most common mistakes providers make after MMI is declared. If you're a provider navigating the complexities of workers' comp claims, this episode is your roadmap to staying protected—and paid—after MMI. 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
1 Workers' Comp Unwrapped 223; Collaborative Strategies Between Adjusters, Attorneys, and Providers 11:57
Send us a text 🎙 Workers Comp Unwrapped – Episode 223 Title: Collaborative Strategies Between Adjusters, Attorneys, and Providers Subtitle: Because "We Didn’t Get Your Email" Isn’t a Strategy This week, Max sits down with Ayesha to unpack why poor communication keeps claims delayed and payments missing—and what providers can do about it. From broken email chains to lost authorizations, they explore how early, consistent collaboration between adjusters, attorneys, and providers can speed up authorizations, reduce lien disputes, and get bills paid faster. 🔎 Topics covered: Why communication breaks down in workers' comp 3 key stages where collaboration changes outcomes Proven strategies to stay documented, stay visible, and stay paid Whether you’re a provider, a billing team, or just tired of “we didn’t get your email,” this episode offers practical steps to take control of your claims. 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
Send us a text Workers Comp Unwrapped – Episode 222 Topic : When to Involve Utilization Review in Workers’ Comp Cases Subtitle : How to Survive UR, Get Approvals, and Actually Get Paid Host : Max Guest : Ayesha Description : Utilization Review (UR): the gatekeeper of treatment approvals and the bane of every provider's existence. In this episode, Max and guest Ayesha dive deep into the what, when, and how of UR in California workers’ comp cases. From understanding Labor Code § 4610 to decoding why your RFAs keep getting denied, this episode unpacks the rules, timelines, and strategies that separate denied claims from paid ones. You’ll learn: What UR actually is and why it exists When you must submit an RFA—and how to do it right Common reasons RFAs get denied (and how to fix them) What happens after a denial—and when IMR can save the day How teams like MLM boost approval rates with smart submission strategies Whether you're a physician, biller, or just tired of the phrase “we didn’t get your RFA,” this episode is packed with practical insights and compliance-critical tips. Key Takeaways : UR delays = payment denials Incomplete RFAs = fast rejections Missed timelines = lost revenue Strategy = survival Bonus: Ayesha answers real UR survival questions from the field, including how MLM ensures your RFAs don’t just get sent—they get approved. Tune in, take notes, and take control of your UR process. #WorkersCompUnwrapped #UtilizationReview #WorkersComp #MedicalBilling #RFA #CaliforniaWorkersComp #IMR #ProviderSupport #MLM #ClaimsApproval 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
1 Workers' Comp Unwrapped 221: Understanding Workers’ Comp Subrogation- What Providers Should Know 18:38
Send us a text 🎙️ Episode 221 – Understanding Workers’ Comp Subrogation: What Providers Should Know Guest: Ayesha | Host: Max Subrogation: that frustrating word insurers love to use when they don’t want to pay your bill. In this episode, Max is joined by returning expert Ayesha to break down what subrogation actually means, how it impacts provider payments, and what you can do to protect your revenue. From legal rights under California Labor Code to common pitfalls and lien strategies, this episode turns a complex legal mess into clear, actionable steps for providers. ✅ Learn what subrogation is (and isn’t) ✅ Know your rights under LC § 4603.2 and § 3856 ✅ Avoid payment delays with lien best practices ✅ Hear how MLM gets providers paid—even when subrogation is in play 📌 If subrogation has ever stalled your payments, this is the episode you can’t afford to miss. 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
Send us a text Episode 20 – Unpacking the DOGE Controversy While MLM: Expose the Real Risk In this eye-opening episode, we dive into the growing controversy surrounding Elon Musk’s promotion of DOGE—specifically how his crypto maneuvers are slashing critical maternal health funding, all while publicly advocating for higher birth rates. The contradiction isn’t just ironic—it’s dangerous. We break down what this funding shift means for maternal care programs, healthcare providers, and workers’ compensation systems already under pressure. You'll learn how these economic decisions ripple into real-life consequences for frontline medical professionals and families alike. And while all this unfolds, MLM—Multi-Level Marketing—is often overlooked as a protective structure. We unpack why MLM frameworks might offer the financial buffer and structural resilience healthcare workers and entrepreneurs need in uncertain times like these. If you're a healthcare worker, policymaker, or someone simply trying to make sense of how crypto hype and public health collide—this episode is for you. 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
Send us a text $1M Workers’ Comp Fraud Case: How Being with MLM Could Save You" In this episode of Workers’ Comp Unwrapped , Max Cooper is joined by compliance expert Ayesha Malik to unpack a high-profile fraud case involving a California plumbing contractor ordered to pay over $1 million in restitution. The discussion dives into what went wrong, how the fraud was detected, and what employers can learn from it. More importantly, we explore how working with Medical Lien Management (MLM) could have prevented this situation altogether. From payroll discrepancies to audit red flags, MLM’s oversight and compliance support help businesses avoid legal risks, protect revenue, and stay ahead of workers' comp regulations. 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/…
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/…
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Workers’ Comp Unwrapped
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/…
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/…
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Workers’ Comp Unwrapped
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/…
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/…
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Workers’ Comp Unwrapped
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/…
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/…
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Workers’ Comp Unwrapped
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
1 Workers’ Comp Unwrapped 214: How to Handle Complex Workers’ Comp Cases with Multiple Providers 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
1 Workers' Comp Unwrapped 213: Specialty Series- Navigating Workers’ Comp for Psychiatry and Psychology 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/…
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Workers’ Comp Unwrapped
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
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/…
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Workers’ Comp Unwrapped
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/…
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Workers’ Comp Unwrapped
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/…
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Workers’ Comp Unwrapped
1 Workers’ Comp Unwrapped 208: Injured Worker Responsibilities in Workers’ Compensation Claims 30:02
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 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: The essential responsibilities of injured workers, including reporting injuries, attending appointments, and following treatment plans. The common mistakes injured workers make and how providers can address them. Strategies for educating and guiding injured workers to fulfill their roles effectively. Tools and resources to ensure better engagement and compliance throughout the claims process.Whether you’re a medical provider, case manager, or part of the workers’ comp ecosystem, this episode will help you foster better outcomes for injured workers and streamline the claims process. Tune in now to learn how empowering injured workers can benefit everyone involved! 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
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 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: The employer’s specific responsibilities in filing workers’ comp claims in California. A step-by-step guide to ensure compliance with state-mandated timelines. Common mistakes and strategies to prevent penalties and disputes. Best practices for supporting injured employees and improving claim outcomes.Whether you’re an HR professional, business owner, or supervisor, this episode will give you the tools to navigate California’s workers’ comp system with confidence. Listen now to ensure your workers’ comp claims process is seamless, compliant, and supportive of your employees! 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/…
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 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: What liens are and why withdrawals are necessary. The risks of improper lien withdrawals and how to avoid them. A step-by-step guide to withdrawing liens properly in compliance with California regulations. Best practices to minimize financial risks and protect your practice. 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! 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
Send us a text 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: How to identify and address inconsistencies in billing reports. The most effective strategies for auditing, correcting, and improving report accuracy. Proven methods to hold your billing company accountable and prevent future issues.With practical advice and a real-world case study, this episode is your guide to optimizing billing reports and securing your revenue. Listen now to take control of your billing process and protect your practice’s financial health! 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
Send us a text 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. 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
1 Workers' Comp Unwrapped 203: Interpretation Charges vs Market Price- Struggles of Getting Paid! 28:27
Send us a text 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! 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
1 Workers’ Comp Unwrapped 202: Follow-Up Headaches Faced by Providers with Accounts Receivable (A/R) 13:51
Send us a text 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: How to prioritize aging and high-value claims. Ways to use technology to track and resolve unpaid claims faster. Best practices for documenting payer interactions and avoiding missed opportunities.With insights into common mistakes and success stories from the field, this episode is your ultimate guide to improving A/R processes and getting paid what you’re owed. Tune in now to learn how to stop chasing payments and start collecting them! 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
1 Workers’ Comp Unwrapped 201: How Medical Providers Counter Inappropriate Denials and Successfully Overturn them? 20:34
Send us a text 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! 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
1 Workers’ Comp Unwrapped 115: The Clock Is Ticking; The Critical Role of Timely Second Bill Reviews in Healthcare Revenue 23:56
Send us a text 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. 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
1 Workers' Comp Unwrapped 114: Decoding Medical Billing Objections; Navigating Common Challenges and Their Root Causes 15:47
Send us a text 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/…
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Workers’ Comp Unwrapped
Send us a text 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. 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
1 Workers' Comp Unwrapped 112: Mastering the Declaration of Readiness to Proceed; Prerequisites, Challenges, and Insights 15:00
Send us a text 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. 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
1 Workers' Comp Unwrapped 111: Holiday Injuries and Workers’ Comp Insights; 12 Workers’ Comp Lessons for the Holiday Season 18:00
Send us a text 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! 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
1 Workers' Comp Unwrapped 110: Streamlining Claims with UAN-How to Register and Optimize Billing in Workers' Comp 7:21
Send us a text "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! 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
1 Workers' Comp Unwrapped 109: The Time Crunch of Lien Filings – Why Deadlines Matter and How to Keep Up 16:38
Send us a text 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: The critical deadlines you can’t afford to miss. How industry trends and automation are changing the lien landscape. Tools and strategies to make sure you’re always on time. Don’t miss this episode—it could save you thousands (and a lot of stress). 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
Send us a text 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. 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
Send us a text 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. 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
Send us a text 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: Address common objections like treatment necessity and duration Document effectively to justify claims and avoid denials Handle specialty-specific challenges with tailored strategies Stay compliant with state laws and ethical standardsWe’ll share real-life examples of successful claims and discuss best practices to streamline your workflow, improve communication, and secure timely reimbursements. Tune in to gain practical tips and insights for tackling the complexities of workers’ comp billing with confidence. Don’t miss our next episode on Workers’ Comp Appeals: Strategies for Reversing Denied Claims. #MedicalBilling #WorkersComp #HealthcarePodcast 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
1 Workers' Comp Unwrapped 105: Paper or Digital? Choosing the Right Billing Method for Your Practice 25:45
Send us a text 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. 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
1 Workers' Comp Unwrapped 104: Code Right, Get Paid Right; Avoiding Costly Mistakes in Medical Billing 27:04
Send us a text 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. 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
1 Workers' Comp Unwrapped 103: Timing is Everything: The Critical Role of Timely Authorization Requests in Healthcare Revenue 23:22
Send us a text 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. 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
1 Workers’ Comp Unwrapped 102: The High Cost of Overlooking Verification: How Small Data Errors Lead to Big Revenue Losses 14:53
Send us a text 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. 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/…
Send us a text This episode provides a clear and simple explanation of workers’ compensation in California. Hosts Ayesha and Max, along with expert guest Jake Harris, discuss what workers’ compensation is, why it's important, and what to do if you get hurt at work. They cover key topics like reporting injuries, understanding benefits (medical care, lost wages, disability), and what happens if your claim is denied . Plus, they explain how California's system differs from other states. If you're an employee in California, this episode is a must-listen! 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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