Ep. 43 - 9/9/25: FTLORC Live Denials Q&A!

FTLORC Live Returns with Vanessa Moldovan In this episode of 'For the Love of Revenue Cycle,' host Vanessa Moldovan shares her extensive industry experience and the mission behind the podcast. Listeners are introduced to Vanessa's background in revenue cycle management, her current role at Agentic AI company Magical, and the goals of the podcast, which include offering practical guidance and fostering community discussions. The open Q&A session features real-world challenges such as AI-driven rejections, anesthesia reimbursement nuances, and payer dynamics. Vanessa and participants discuss issues like increasing denials due to AI, leveraging provider contracts for claim escalation, and strategies for dealing with payer resistance. The episode emphasizes the importance of community, the need for technology to ease revenue cycle management, and the value of sharing knowledge among professionals.  00:00 Introduction to Vanessa and the Podcast 00:36 Today's Episode Overview 01:33 Community and Facebook Group 02:16 Vanessa's Career and Focus on Denials 03:08 Participant Introductions 03:20 Nicolette's Experience and Challenges 04:37 Angie's Experience in Anesthesia Billing 09:16 Discussion on AI and Claim Rejections 21:23 Escalating Denied Claims 21:41 Challenges in Claim Resolution 23:04 Strategies for Effective Escalation 27:16 Dealing with Overseas Call Centers 28:45 Leveraging Contracts and Technology 37:00 Community and Continuous Learning 39:15 Conclusion and Next Steps