Improving Coordination of Benefits

October 1, 2023
MarketScale

In this episode, Jeff Tanner from Acclara offers an insightful discussion about the persistent and perplexing issue of medical billing denials. Drawing from years of industry experience, he takes listeners on a journey, tracing the patterns and problems of “Coordination of Benefits” (COB) denials over more than a decade. The recurring challenges faced by healthcare providers, especially those in 2023, surprisingly echo those from 2010. Tanner sheds light on the complexities of the interactions between hospitals, insurance companies, and patients, outlining a system where communication breakdowns lead to substantial financial losses. This candid conversation delves into the intricacies of insurance denials, the convoluted processes hospitals go through, and the often bewildering experiences of patients caught in the middle. Whether you’re in the healthcare industry or a patient trying to navigate the maze of insurance, this discussion offers valuable insights into the challenges and possible paths forward.

Recent Episodes

The Dual Nature of AI: Good Intentions, Bad Outcomes?
View episode

On this episode of the Secured Podcast, hosts Mike Matranga and Mike Monsive from ASAP Security Services delved into the role of artificial intelligence (AI) in enhancing security measures. Despite concerns, AI has revolutionized security protocols by enabling proactive responses to potential threats. Highlighting recent AI advancements such as Google Gemini and updated versions…

consultant
View episode

In this engaging video, Acclara consultant, Ryan O’Hara discusses the exciting journey of building the Aclara brand and their customer-focused approach. As the DVP of Consulting, Ryan aims to revolutionize the consultancy paradigm by emphasizing problem-solving over creating dependency. He stresses the importance of delivering results to create happy customers and fuel business growth. The…

exploration
View episode

In this episode, Jeff Tanner takes a thoughtful exploration into the intricate landscape of healthcare, focusing on the hurdles healthcare providers often encounter concerning revenue and reimbursements. Drawing from his extensive experience and insights gained through his association with Acclara, Jeff delves into patterns he’s observed across numerous healthcare facilities, addressing the nuanced changes in…