Episodes

It's hard to believe that the final Season 2 episode of the Wilshire IT RevCast is here, but we're thrilled to reveal the revenue cycle trends for 2024 and updates from the past year. Take a break from the holiday rush, grab a cup of eggnog or any beverage you choose, and tune in to our podcast! We truly enjoyed recording this and hope you find it entertaining and informative.

In this episode, Jacqueline Jordan, System Director of Patient Access at the University of California San Diego Health, and Wilshire's Director of Growth and Business Development, Patti Consolver, join Daniel and Evan to discuss the benefits of NAHAM and HFMA and the friendly debate on the Marriage between Pricing Transparency and Patient Estimates.

In this episode, Freeman Jenkins, Director of Partnership at The Wilshire Group, joins Daniel and Evan to provide a Special Field Report about his journey to Becker’s Conference and what RCM and IT departments should be on the lookout for Solutions / Start-Ups are on the horizon to support their operations.

In this episode, Tim Holland co-host with Daniel and they are joined Dr. Steve Kim Co-Founder & CEO of Voluware, Inc.. They explore the regulatory realities of prior authorization, gold carding, how deep and complex prior authorization is, and what AI and Machine Learning is doing to improve the RCM workflows.

In this spooky time of year, Evan and Daniel are taking a week off to re-release THE FEAR of AI. The guys were joined to kick off this season by Claims Capitals C.E.O. Austin Sober and The Director of Client Operations, Spencer Dunlap. The guys will discuss Healthcare I.T. and Revenue Cycle Operations fears around A.I. solutions and how they recommend that organizations start to overcome the fear and look at the long-term ROI.

In this episode, Shawnda Akers, Vice President of Revenue Cycle Operation at Allegheny Health Network, and Jenn Krebs, Client Success Director of the Wilshire Group, join Daniel and Evan to chat about how RCM and IS teams are partnering to put Automation in Action to support daily operations and improve the financial outcomes for health systems.

In this episode, Daniel and Evan pause and talk about what is current in the Revenue Cycle and IT news for health care and reflect on the first half of the year. It sure has not been easy for revenue cycle leaders – between declining operating revenue, denials, a frustrated workforce, and AI, Evan and Daniel have much to discuss.

The traditional thinking of revenue cycle workforce planning is no longer. With Covid-19 and advances in technology, the revenue cycle transformed not only the method to conduct business but the current environment to do it in. In this episode, Daniel and Evan visit with Amanda De Los Reyes and Kelly Smith to look at their current work environment; they will explore the current and future state of workforce planning in their respective revenue cycles. They discuss how their organizations are cur...

IIn this episode, Evan and Daniel are joined by Gretchen Case and Hank Smither, Co-Founders and Managing Partners of The Wilshire Group. Even the most robust revenue integrity and billing departments have challenges, and the common issue that causes friction between these two areas is a lack of collaboration. Industry experts feel that the key to becoming a cross-functional revenue cycle is aligning these two areas around the CDM. At the core of the revenue cycle, the hospital CDM is extensive. ...

In this episode, Daniel and Evan are re-joined by Marcie Carlton and Tim Holland to continue this season’s conversation around Life-Long Learning. They focused on tools and resources they personally use to continue their personal and professional growth.

In this episode, Daniel and Evan are joined by Aidéo Technologies, Director of Coding Marsha Diamond, and Vice President of Operations Marcia Leighton. They talk about the future of A.I. in the coding space and the impact it will have to the role of the coder.

In this episode, Evan and Daniel are joined by Chris Ahern, Director of Data Science at Janus. Chris educates the guys on Machine Learning and Generative artificial intelligence (A.I.) and how they can be used in healthcare today.

This is the second part of Estimates Today, where Evan and Daniel were re-joined by Tim Holland and Matt Perron for an exciting two episodes to talk about the current world of patient estimates and the projected future of what organizations will need to plan for.

In this episode, Evan and Daniel are re-joined by Tim Holland and Matt Perron for an exciting two episodes to talk about the current world of patient estimates and the projected future of what organizations will need to plan for.

In this episode, Daniel Bianchini and Evan Martin are joined by Wilshire's own Marcie Carleton, Talent Acquisition & Retention Manager. Tim Holland, Director of People and Culture, will join. Marice and Tim share how the healthcare industry responds to expectations from future employees and how small organizations can respond.

In this episode, Daniel and Evan are joined by Wilshire’s own Melissa Hill & Matt Perron to share their experience and how healthcare access leaders embrace decision trees.

In this episode, Evan and Daniel are joined by NAHAM's Current President, Stephanie Benintendi, and Vice President, Philip Quick. Along with TWG's own Tim Holland to discuss The Rise of Patient Access and how the National Association of Healthcare Access Management (NAHAM.ORG) offers resources to Revenue Cycle Leadership to morph with continual changes. They will also take time to answer listeners' questions.

In this episode, Evan and Daniel are re-joined by Marcie Carlton and Tim Holland to discuss How Leaders Maintain the education and professional development of the industry.

In this episode, Evan and Daniel are joined by Allison Perez of Stanford Health Care and Patti Consolver of The Wilshire Group to discuss how IT/IS Governance can directly impact the daily operations of the Revenue Cycle. They will discuss creative ways organizations have developed Governance and structure to employ a unique partnership between operational departments.

This is a special re-release of Season one Episode 2, The Single Path: In this Episode, Evan and Daniel are joined by Jess Bowden from Allegheny Health Network, and TWG's own Jenn Krebs to discuss Leveraging Single Path coding, Flex Time/ Schedules and answer listeners' questions.

In this episode, Danie and Evan are re-joined by Jen Krebs, Director of Client Success, and for the first time, Hank Smither, Co-Founder and Managing Partner of the Wilshire Group. The gang will discuss Wilshire’s unique way of continuing to engage clients and some of the foundational items from their primary operations experience that organizations should consider in holding partners/vendors accountable.

Stories from the deployment field, In this episode, Evan and Daniel are joined by Elizabeth Larson, Sr. Strategic Advisor & Spencer Thielmann, Managing Partner and V.P. of Operations, to reflect on past development stories and share the success themes and challenges that always arise.

In this episode, Daniel and Evan, joined by Betty Johnson, RN A.C.M of Cedar Sinai's Compliance and Revenue Integrity department, Rick Lash, Principle of Lash Consulting Group, and Wilshire's very own Gretchen Case, will join in again to discuss the Evolution of Governmental Audit Programs (G.A.P.) in the Revenue Integrity and Hospital Billing Arena.

In this episode, Evan and Daniel are joined by Claims Capitals C.E.O. Austin Sober and The Director of Client Operations, Spencer Dunlap. The guys will discuss Healthcare I.T. and Revenue Cycle Operations fears around A.I. solutions and how they recommend that organizations start to overcome the fear and look at the long-term ROI. You can email Spencer at spencer@claim-capital.com