S1E22: Tackling 90-95% of Preventable Claim Denials in Healthcare | HT2C Podcast with Bert Fernandez

HealthTech2Care (HT2C) Podcast featuring Fred Allen, Vice President of Business Development at MediBillMD Fred Allen (Guest): 🌐 MediBillMD: https://www.medibillmd.com 🔗 LinkedIn: https://www.linkedin.com/in/fred-allen-804897309  📺 YouTube: http://www.youtube.com/@MedibillMD  Bert Fernandez (Host): 🌐 HealthTech2Care: https://www.healthtech2care.com 🔗 LinkedIn: https://www.linkedin.com/in/bert-fernandez 📺 YouTube: https://www.youtube.com/@HealthTech2Care 🎙️ In this episode, Fred Allen reveals how up to 90–95% of healthcare claim denials can be prevented before they ever happen. He shares the origin story of MediBillMD's pivot from telemedicine to a fully end-to-end RCM solution, their trademark free audit that pinpoints the top denial drivers, and the playbook they use to achieve a 97% clean claim rate on first submission. Plus, Fred outlines the next frontier—data security in the wake of major industry breaches—and even teases MediBillMD's own upcoming EMR platform, with a free pilot for early adopters. ⏱️ Timestamps:  00:00 Intro: Up to 95% of claim denials are preventable 00:29 The backstory behind MediBillMD and its RCM mission 02:31 Why RCM isn't handled the way it should be 04:43 Practice revenue loss: aging claims and missing follow-up 06:01 The growing need for outsourced billing vs. in-house limitations 08:00 How MediBillMD earns trust with free audits and full-service RCM 11:00 Beyond billing: staffing, marketing, virtual front desk, and more 13:02 Working with startups, surgical practices, and denied claims  17:27 How MediBillMD prevents denials and achieves a 97% clean claim rate 22:32 The next frontier in RCM: data security, AI, and payer complexity 25:22 What's next: launching a new EMR with free pilot access for early adopters 🔑 Highlights:  Preventing vs. fixing denials: the 90–95% opportunity Hand-crafted, end-to-end RCM that "gets the claim paid" Free audit uncovers revenue leaks and prescribes solutions Achieving a 97% clean-claim rate with robust scrubbing Why data security demands urgent attention in 2025  MediBillMD is coming up with its own EMR 👉Learn more about MediBillMD's approach to revenue cycle excellence: https://www.medibillmd.com 🔔 Subscribe to our YouTube channel for more conversations with standout voices in U.S. healthcare & life sciences: https://www.youtube.com/@HealthTech2Care #RCM #ClaimDenials #RevenueCycleManagement #HealthcareInnovation #DataSecurity #MediBillMD #CleanClaims #EndToEndRCM #EMRLaunch #HealthTech2Care