Payer enrollment with Megan Struxness скачать в хорошем качестве

Payer enrollment with Megan Struxness

Megan Struxness is Head of Payer Operations and Revenue Cycle Management at Bridge, a healthcare platform that helps telehealth providers accept insurance nationwide. In this episode, Megan and Zack discuss payer enrollment – the industry term for what healthcare providers need to do to accept insurance. They cover payer contracting, credentialing, what superbills are, how out-of-network claims work, and how small operational details – like enrollment and eligibility checks – determine what providers actually get paid. 00:00 Intro 00:27 What is Bridge? 02:20 How Bridge helps providers accept insurance 04:36 Can a brand new practice work with Bridge? 07:31 What is an EMR? 10:27 What it takes for a provider to accept insurance 13:15 What are super bills? 15:41 How out-of-network payments work 18:35 What is payer enrollment? 22:41 The alternative to self-managing revenue cycle management (RCM) 28:50 How does Bridge onboard providers in 45 days? 32:44 What are MSOs? 37:05 Why eligibility checks can’t guarantee payment 41:42 What is guaranteed payment? 44:48 The source of truth for provider contracts 51:36 What would Megan change about RCM? --- Learn more about Bridge: https://www.usebridge.com/ Connect with Megan on LinkedIn:   / megan-struxness-79962866   Referenced in the episode: "Reality has a surprising amount of detail" by John Salvatier: http://johnsalvatier.org/blog/2017/re... --- Listen and subscribe to the Understanding Healthcare with Zack Kanter podcast: YouTube:    • Understanding Healthcare with Zack Kanter   Spotify: https://open.spotify.com/show/6cyz5Ja... Apple Podcasts: https://podcasts.apple.com/podcast/un... RSS feed: https://feeds.transistor.fm/understan...