PODCAST · business
The Lumiknox Health Brief
by Gabrielle Walsh
Welcome to The Lumiknox Brief, a podcast by Lumiknox.Every dollar lost to a coding error, a missed diagnosis, or an unprevented overpayment is a dollar that should have stayed in the system - funding care, not fixing mistakes.With every episode we go deeper into the operational realities of payment integrity, revenue integrity, and risk adjustment for US health plans, MA organizations, and TPAs and give you a clear-eyed perspective on what it actually takes to build a payment function that scales. Honest conversations that ops leaders need to move from reactive recovery to strategic intel.
-
1
The $84 Billion Blind Spot: Why Payment Integrity is Still Healthcare's Most Under-Solved Problem
In Episode 001 of The Lumiknox Health Brief, Gabrielle Walsh (Account Manager, Lumiknox) and Daniel Brown (Vice President, Lumiknox) break down why payment integrity remains healthcare's most expensive unsolved problem and what the organizations actually fixing it are doing differently.Covered in this episode: The $84 billion Medicare Advantage over payment figure and what it means for commercial payers. Why one in five claims is denied and 80% of those denials are preventable. The HCC risk adjustment bind under coding costs revenue, over coding triggers RADV audits. The Payment Integrity Maturity Curve - three stages from reactive recovery to strategic intelligence. What separates plans that scale payment integrity from those that plateau.For TPAs, regional health plans, and Medicare Advantage organizations.Contact: [email protected] · Free 50-encounter coding accuracy assessment under signed BAA.
We're indexing this podcast's transcripts for the first time — this can take a minute or two. We'll show results as soon as they're ready.
No matches for "" in this podcast's transcripts.
No topics indexed yet for this podcast.
Loading reviews...
ABOUT THIS SHOW
Welcome to The Lumiknox Brief, a podcast by Lumiknox.Every dollar lost to a coding error, a missed diagnosis, or an unprevented overpayment is a dollar that should have stayed in the system - funding care, not fixing mistakes.With every episode we go deeper into the operational realities of payment integrity, revenue integrity, and risk adjustment for US health plans, MA organizations, and TPAs and give you a clear-eyed perspective on what it actually takes to build a payment function that scales. Honest conversations that ops leaders need to move from reactive recovery to strategic intel.
HOSTED BY
Gabrielle Walsh
CATEGORIES
Loading similar podcasts...
Frequently Asked Questions
How many episodes does The Lumiknox Health Brief have?
The Lumiknox Health Brief currently has 1 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.
What is The Lumiknox Health Brief about?
Welcome to The Lumiknox Brief, a podcast by Lumiknox.Every dollar lost to a coding error, a missed diagnosis, or an unprevented overpayment is a dollar that should have stayed in the system - funding care, not fixing mistakes.With every episode we go deeper into the operational realities of payment...
How often does The Lumiknox Health Brief release new episodes?
The Lumiknox Health Brief has 1 episodes. Check the episode list to see recent publication dates and frequency.
Where can I listen to The Lumiknox Health Brief?
You can listen to The Lumiknox Health Brief on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.
Who hosts The Lumiknox Health Brief?
The Lumiknox Health Brief is created and hosted by Gabrielle Walsh.
URL copied to clipboard!