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Welcome to RevDive! For those of you who are new to the Podcast, we use this space to hear from and share with healthcare leaders inside and out of the Revenue Cycle. Our Guest today is Kevin Mulcahy, Senior Director of Payer Relations, Special Billing & Provider Enrollment for Mass General Physician Organization. Kevin discusses the trickle-down effect Provider Enrollment and Payer Contract management plays in the overall Revenue Cycle.
What you’ll get out of this episode:
- Remote Central Business Office workforce optimization best practices
- National trends and solutions to address provider enrollment delays
- Incorporating provider enrollment and payer contracting compliance standards into RCM workflows
- Cross-functional knowledge sharing to avoid loss of information in the midst of workforce turnover
Quotables
“Provider enrollment impacts patients access to care”
“Delays in provider enrollment for non-delegated payers are around 90-120 days, smaller health plans are delayed between 150-180 days”
“Payer staffing issues are slowly getting filled but we’re all vying for the same people”
“During the public health emergency Medicare and Medicaid turned off many revalidations creating a backlog”
“Getting documentation from licensing boards has been a struggle which impacts care”
“There are long-term effects of knowledge loss when we have staff attrition”
Sponsored by: Inovalon
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This podcast is produced by Slice of Healthcare LLC.
