Podcasts

Unlocking the Future of Healthcare: Why Outpatient CDI is the New Frontier in Accurate Clinical Documentation

In the latest episode of RCMchat, a podcast hosted by AGS Health, the spotlight was on clinical documentation improvement and utilization management. The host, Michelle Dawn Mooney, conducted a dialogue with Scott Entinger, CEO of CDI Answers, and Eric McGuire, Senior Vice President for Medical Coding and CDI Service Lines at AGS Health. The…

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AGS Health
Unraveling E&M 2023 Code Changes: Impact and Implications on Healthcare

The world of healthcare coding is evolving with the new Evaluation and Management (E&M) 2023 code changes. After nearly 25 years, these E&M code changes promise to reduce the administrative burden for physicians and coders while refining patient care. The shift underlines the healthcare sector’s commitment to streamlining processes, improving efficiency, and emphasizing medical…

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Articles
Understanding New Technology with AGS Health

Technology is continuously evolving, which leaves room for even more evolution and of course, new technology. Healthcare technology in particular has seen its fair share of advancements and up-to-date machinery and tools are the norm in the medical field. Considering current trends, experts forecast that due to significant growth and expansion, healthcare technology jobs,…

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Articles
Trends in Payor Denials in the Healthcare Industry

In the healthcare sector, it is becoming increasingly challenging for patients to receive insurance coverage for their services; payor denials are increasing. Oftentimes, insurance companies are deciding that certain services are not “medically necessary,” making it more difficult for patients to receive access to the care they need. In fact, in 2021, almost 17…

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Articles
Declining Profit Margins

Currently in the U.S., hospitals have been seeing abysmal profit margin numbers. A recent research report showed that since the start of the pandemic, many hospitals are operating at a loss. There are many systemic causes, ranging from labor shortages and costs, supply chain issues for equipment, and the general increased costs in every…

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Articles
Staffing Shortages and Improving Productivity in Healthcare

The healthcare industry endured staffing shortages long before the pandemic. However, the situation has been more critical in the past three years. Many now consider staffing shortages in healthcare a public health crisis. The USC School of Medicine looked at the staffing shortage crisis and found several factors combined to make the situation what…

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network innovations
Network Innovations
May 22, 2025

Brent speaks with Day-Vene Gilliam, VP of National Network Optimization & Business Development at Elevance Health, about how Anthem is evolving its network strategy to deliver greater value to clients and members. From expanding value-based care contracts with over 650,000 providers to leveraging digital tools like HealthOS for real-time data and gap-closure, Anthem is enabling…

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food as medicine
Food As Medicine
May 22, 2025

Dr. Kofi Essel, community pediatrician and Elevance Health’s Food as Medicine Director, joins Brent to discuss how nutrition is becoming a central lever in both preventing and treating chronic disease. With millions of Americans living with diabetes, hypertension, and obesity, Dr. Essel explains how Elevance is building interventions that help members access high-quality food and…

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inclusive care
Inclusive Care
May 22, 2025

Sammy Gonzalez, Regional Vice President at Elevance Health, joins Brent for a deeply personal and impactful conversation on health equity and inclusive care. Sammy shares a powerful story of medical misdiagnosis tied to cultural assumptions, underscoring how bias—even unintentional—can hinder care quality. He highlights Elevance’s work to improve diversity in provider networks, enhance cultural competency,…

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sydney health
Sydney Health Demo
May 22, 2025

In this episode, Christina Firouztash, Executive Advisor of Digital Solutions at Anthem, gives a dynamic walkthrough of the Sydney Health app—Anthem’s flagship digital member experience. Christina showcases how Sydney delivers personalized, simple, and equitable navigation across benefits, including virtual care, pharmacy, financial transparency, and social services access. From contextual chatbots and ID card access to…

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