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Ep. 39 Mastering Payment Analysis with Stacy Calvaruso

For The Love of Revenue Cycle
For The Love of Revenue Cycle
Episode • May 6 • 33m

Mastering Payment Analysis: Best Practices with Stacy Calvaruso In this episode of 'For The Love of Revenue Cycle,' host Vanessa Moldovan and expert Stacy Calvaruso discuss the often-overlooked yet crucial topic of payment analysis. The episode differentiates between contract modeling and payment analysis, addressing common issues like underpayments and silent downcoding. They share actionable steps for ensuring proper payment using both advanced technologies and spreadsheets. The discussion also covers the importance of data in running a revenue cycle, triggers for payment analysis, and strategies for contract negotiation. Practical advice on identifying and rectifying underpayments is provided, emphasizing the need for regular review and collaboration within the organization. Whether you're a large hospital or a smaller clinic, this episode offers valuable insights into maintaining revenue integrity.  Here is the link to the analysis sheet referenced in the call: Payment Analysis Lost Revenue Tracker

00:00 Introduction and Episode Overview

00:56 Meet Stacy Calvarusso: Revenue Cycle Expert

02:49 The Importance of Data in Revenue Cycle Management

03:52 Contract Modeling vs. Payment Analysis

05:50 Understanding Payment Variances and Underpayments

08:53 Contract Negotiation Strategies

14:51 Triggers and Tools for Payment Analysis

18:47 Practical Tips for Payment Analysis

32:14 Conclusion and Final Thoughts

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