Episodes

In this episode of the Wilshire IT RevCast Daniel and Evan wrap up this season. The guys have been thinking a lot about cybersecurity too—especially after the big Change Healthcare incident. Organizations are now faster at mitigating threats, showing resilience and adaptability. They also talk about what has been the most eye-opening takeaway for each of them in their professional journey this past year. Listen at https://blubrry.com/wilshireitrevcast/, our YouTube Channel https://www.youtube.co...

Welcome back to another insightful episode of The Wilshire IT RevCast! Today, join Evan Martin and Daniel Bianchini as they delve into the transformative role of Artificial Intelligence (AI) in healthcare. This episode explores how AI is reshaping the landscape from insurance claim denials to medical documentation and clinical decision-making. With the holiday season upon us, we'll also discuss how healthcare professionals are balancing work commitments with personal time while navigating regula...

Daniel and Evan explore how AI technologies, including predictive analytics and robotic process automation (RPA), revolutionize healthcare revenue cycle management. Their guest, Christine Fontaine at Waystart, highlights how these advanced tools can enhance staff productivity, forecast potential revenue challenges, and automate repetitive tasks. Discover how AI provides actionable insights for data-driven decision-making and contributes to a more efficient and financially stable healthcare syste...

Heather Dunn joins Evan Martin and Daniel Bianchini to explore the remarkable synergy between IT innovation and revenue cycle management (The Love Between IT and Revenue Cycle) in the complex healthcare sector. The indispensable fusion of technology and financial operations underpins the success of many healthcare institutions. With a wealth of experience in healthcare and IT, this dynamic trio discusses the critical importance of implementing systems such as Epic to streamline billing, enhance ...

The Wilshire IT RevCast", Daniel and Evan delve into the critical aspects of revenue integrity and charge master management within healthcare organizations. They are joined by Lynne Dossey and Rina Patel from Health Catalyst who provide a comprehensive guide on ensuring all services are billed correctly and compliantly, touching on critical components such as charge capture, coding, and regulatory adherence. Tune in to grasp the foundational elements that form the backbone of an effective revenu...

In this episode of The Wilshire IT RevCast, Gretchen Case joins Evan as a co-host and they delve into the highlights of the National Healthcare Association of Revenue Integrity's annual conference, held recently in Chicago. As the only professional society dedicated to Revenue Integrity, the conference provided a platform for networking, professional development, and sharing the latest trends and innovations. The discussions ranged from the importance of denial management to leveraging advanced ...

In this episode of "The Wilshire IT RevCast," Tim Holland rejoins Daniel and Evan to delve into the intricacies of healthcare consulting with a dedicated look at Revenue Cycle Management (RCM). They discuss the challenges and strategies associated with transitioning from operational roles to consulting positions, emphasizing the critical need for both strategic thinking and detailed project management. The episode also covers the pivotal roles of being an interim leader when organizations need s...

In this episode of The Wilshire IT RevCast, our hosts dive deep into the transformative role of Artificial Intelligence (AI) in healthcare, focusing on enhancing coding accuracy and efficiency with Greg Hobbs, MD, MPH. The discussion explores the complexities surrounding surgical coding and the formidable challenge of pre-authorization denials. The speakers highlight how AI can ease hospital administrative burdens by automating routine and highly complex coding tasks. They showcase how advanced ...

In this episode of "The Wilshire IT RevCast", Daniel and Evan are joined by Soy Chen and Danielle Bergamn from Lightbeam Health Solutions for a deep dive into the adoption and impact of value-based care in healthcare systems. Their discussion highlights the current adoption rates of value-based care, financial and quality incentives driving this approach, and how it integrates with population health. The conversation provides valuable insights into how healthcare organizations are evolving to me...

In this episode of the Wilshire IT RevCast, we explore how modern healthcare organizations are adopting innovative strategies to enhance the crucial task of denial management. Industry leader Sarah Mendiola at Cloudmed guided Evan Martin and Daniel Bianchini through delving into the complexities of denial management and the necessity of implementing strategies to deal with denials when they occur and prevent them.

In today's episode, our hosts, Evan Martin and Daniel Bianchini, with guest Jason Ruiz, share their experiences and expertise on managing vendor relationships and cultivating effective communication for successful long-term partnerships. They delve deeper into how healthcare providers can align immediate needs with strategic goals to optimize the revenue cycle.

Welcome to another enriching episode of The Wilshire IT RevCast. The episode unfurls with an in-depth exploration of the emergence of price transparency and its profound influence on the healthcare arena. Through the conversation, guest Carol Skenes, with hosts Daniel Bianchini and Evan Martin, shed light on the complexity of healthcare billing, the need for a streamlined approach, and the role of claims simplification initiatives in enhancing care affordability. The insightful discussion subseq...

This thoughtful episode of The Wilshire IT RevCaast features guest Mike Green, Chief Information Security Officer at Availity. Evan, Daniel, and Mike dive into the ethical dilemmas and security issues that come with integrating AI into the healthcare industry. As AI continues to revolutionize healthcare practices, it brings with it a plethora of cybersecurity concerns and ethical considerations that we must untangle.

Daniel and Evan dug into Season 1 archives to bring you a Special re-relates episode. In this episode, Wilshire Co-Founder and Managing Partner Gretchen Case rejoins and cohosts with Evan for a total geek session about what exactly RI is and the 8 Pillars of Revenue Integrity. They will explore the industry chatter among colleagues and vendors and what the Wilshire Group has been up to in this space.

In this episode, Ben Bartholomew of Advocaita Solutions joins Daniel and Evan. Ben shared that his journey from family history to football heroism at the University of Tennessee is inspiring. Now, he's applying that legacy mindset to healthcare, championing a care model that's as focused on quality and inspiring team building as it was on the field.

In this episode, Paul Meyer, CEO of Smart Health, and Mike Vigo, Chief Revenue Cycle Officer at UCSD Health, join Evan and Daniel. The episode frames the timely debate around cybersecurity as an IT problem and an organization-wide strategic concern. The episode highlights the role of financial strategies and anticipated legislative responses in strengthening digital infrastructure and mitigating cyber risks. Furthermore, the guest panel discusses the transformative potential of Smart Health solu...

Plus, more than just cookies are evolving – our healthcare system is, too. From Medicare services to provider payments, everything's in flux. It's crucial to stay informed and advocate for clarity and accountability, especially when dealing with complex contracts and the true cost of care. Transparency can be the RCM game-changer here. Daniel and Evan are joined by Travis Gentry, CEO of Hyve Health, and Aundria Mazoros, Director of Revenue Integrity OHSU, to delve deep into the challenges hospit...

Abby Behm joined Daniel and Evan as they delved into the evolving landscape of revenue cycle education and how leading institutions like Stanford Health grapple with the challenges and explore opportunities arising from this transformation. The episode highlights Stanford's innovative strategies of enhancing revenue cycle education through dedicated academies, adjusting to remote work necessitated by COVID-19, and making the most of strategic partnerships and personality assessments. Additionall...

Welcome to another installment of The Wilshire IT RevCast! In this episode, Leslie Bioni and Jenn Krebs join hosts Evan Martin and Daniel Bianchini to explore the crucial contributions of Health Information Management (HIM) professionals in bolstering clinical compliance and legal adherence within organizations. We'll also thoroughly examine the intricacies of the CMS Split Share rule and its implications for physicians and advanced practice providers.

Heather Dunn joins Evan Martin and Daniel Bianchini to explore the remarkable synergy between IT innovation and revenue cycle management (The Love Between IT and Revenue Cycle) in the complex healthcare sector. The indispensable fusion of technology and financial operations underpins the success of many healthcare institutions. With a wealth of experience in healthcare and IT, this dynamic trio discusses the critical importance of implementing systems such as Epic to streamline billing, enhance ...

Get ready for a captivating journey into the world of startups on the frontlines of healthcare innovation in Season 3, Episode 1 of "A Startups' Role in Leveraging Healthcare Data." Our Hosts, Evan Martin and Daniel Bianchini, are joined by expert speakers Austin Sober and Spencer Dunlap, who dissect the challenges and opportunities of integrating data analysis and cutting-edge technology into the healthcare sector. Tune in to uncover how startups are trailblazing and transforming the healthcare...

Evan and Daniel are in the process of getting Season 3 started. Till then, enjoy this special re-release. The traditional thinking of revenue cycle workforce planning is no longer. With COVID-19 and technological advances, the revenue cycle transformed the method of conducting business and the current environment in which to do it. In this episode, the guys visited with Amanda De Los Reyes and Kelly Smith to look at their current work environment; they will explore the current and future state o...

Daniel and Evan are still enjoying the holiday break, so we are bringing you a special re-release of season 2, episode 11. In this episode, Chris Ahern, Director of Data Science at Janus Health, joined the guys. Chris educates them on Machine Learning and Generative artificial intelligence (A.I.) and how it can be used in healthcare today.