MGMA Podcasts podcast

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Vor neun Jahren hinzugefügt

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<div class="span index">1</div> <span><a class="" data-remote="true" data-type="html" href="/series/ted-business">TED Business</a></span>

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TED Business

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Whatever your business conundrum, there’s a TED Talk for that—whether you want to learn how to land that promotion, set smart goals, undo injustice at work, or unlock the next big innovation. Every Monday, host Modupe Akinola of Columbia Business School presents the most powerful and surprising ideas that illuminate the business world. After the talk, you'll get a mini-lesson from Modupe on how to apply the ideas in your own life. Because business evolves every day, and our ideas about it should, too. Follow Modupe on Instagram @mnakinola and LinkedIn @mnakinola Hosted on Acast. See acast.com/privacy for more information.

MGMA Podcasts

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Welcome to the MGMA Podcast Network, your gateway to insightful discussions and expert analysis on key topics in healthcare management. Dive into a diverse array of shows tailored to meet the interests and needs of healthcare professionals like you. Explore the experiences and perspectives of trailblazing women in healthcare on "Women in Healthcare," or discover innovative strategies and solutions for your practice on "Business Solutions." Stay updated on the latest industry trends and news with "Week in Review," and gain valuable insights from industry leaders and MGMA members on "Member Spotlight." Don't miss our flagship show, "MGMA Insights," where we delve deep into the most pressing issues facing healthcare organizations today. Whether you're seeking inspiration, practical advice, or in-depth analysis, the MGMA Podcast Network is your trusted companion on your journey towards excellence in healthcare management. Tune in and join the conversation today!

705 Episoden

#MGMA #Business #Fitness #Medicine #Healthcare #Medical Practice #Medical Group #Physicians #Nursing #Doctor Who #Health and Well-Being #Rev Cycle #RCM #Staffing

MGMA Podcasts

17 subscribers

updated vor 2 Tagen

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705 Episoden

#MGMA #Business #Fitness #Medicine #Healthcare #Medical Practice #Medical Group #Physicians #Nursing #Doctor Who #Health and Well-Being #Rev Cycle #RCM #Staffing

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MGMA Podcasts

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Business Solutions: AI's Transformative Power in Healthcare Workflows 23:08

vor 2 Tagen23:08

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In this episode of the MGMA Business Solutions Podcast, host Daniel Williams sits down with Aaron Reinke, MD, a board-certified family physician and director of clinical informatics. Together, they explore how artificial intelligence and technology are transforming healthcare delivery. With a background in engineering and medicine, Dr. Reinke shares insights into reducing administrative burdens, improving patient interactions, and leveraging AI tools like Microsoft Dragon Copilot to help physicians rediscover the joy of practicing medicine. Key Takeaways: Rural Healthcare Technology Challenges [05:11] Limited internet connectivity can impact telemedicine Aging populations may be initially suspicious of new technologies Requires transparent communication about AI and technology tools Physician Burnout Mitigation [08:37] Technology can reduce hours spent on administrative tasks after work AI helps physicians focus on healing and human connection Allows more time for meaningful patient interactions Administrative Burden Reduction [09:38] AI tools like DAX Co-Pilot can dramatically reduce documentation time Physicians spend less time typing and more time connecting with patients Helps level the technological playing field for providers with varying tech skills Patient Acceptance of AI Tools [12:17] Transparency is key to building patient trust Explain HIPAA compliance and data protection Highlight how AI improves overall patient care experience AI Implementation Best Practices [17:06] Provide one-on-one support for technology adoption Use early adopters to mentor and guide less tech-savvy providers Personalize training to individual learning styles and practice needs Future of AI in Healthcare [19:08] AI will help integrate patient information more efficiently Shift from data collection to meaningful patient connection Goal is treating patients as whole persons, not just medical cases Resources: Microsoft Dragon Copilot - Learn more here Connect with Dr. Aaron Reinke on LinkedIn Additional Resources: MGMA Playbooks MGMA Events MGMA Consulting MGMA DataDive MGMA Stat MGMA Podcasts Email us at dwilliams@mgma.com if you would like to appear on an episode. If you have a question about your practice that you would like us to answer, send an email to advisor@mgma.com . Don't forget to subscribe to our network wherever you get your podcasts. Podcast Sponsor Boost Lingo This episode is brought to you by Boost Lingo, the language services platform behind MGMA Translate, interpreter delays and high agency fees, strain budgets, and staff morale. Boost lingo on demand fixes both tap once and a qualified medical interpreter joins in about 13 seconds. Video or phone on any device. No steep learning curve. It just works. Tap, connect, care. Choose from 14,000 interpreters covering over 300 languages. Fully HIPAA compliant. Your staff will love the ease and your patients will too. Plus MGMA members save 20%. Visit https://boostlingo.com/mgma/ to see it in action today. Podcast Sponsor MGMA Analytics Are you making decisions based on gut instinct—or on real data? With MGMA Analytics, you get the benchmarking and business intelligence tools to drive smarter strategies. From provider compensation to operational costs, MGMA Analytics gives you access to the most trusted data in the industry. So whether you’re adjusting staffing, setting salaries, or planning for growth, make your next move with confidence. Visit MGMA Analytics to learn more.…

MGMA Podcasts

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Ask MGMA: How to Right-Size Patient Panels Without Burning Out Your Providers 13:29

vor 4 Tagen13:29

13:29

In this episode of Ask MGMA, host Daniel Williams and co-host Cristy Good delve into the complexities of panel size management for medical group practices. They discuss the importance of capacity planning, workforce utilization, care team strategy, and burnout prevention. The episode includes practical insights into panel attribution, right-sizing based on risk and resources, workload distribution, and the role of technology in optimizing care. Cristy also shares tips on measuring and monitoring key metrics to ensure successful implementation of panel management strategies. 00:51 – Introduction and Welcome 01:22 – Understanding Panel Size Management 04:12 – Right Sizing with Risk and Resources 05:38 – Distributing Workload Across Care Teams 06:42 – Optimizing Schedules for Panel Management 07:38 – Aligning Compensation with Panel Size 10:12 – Key Metrics and Checkpoints 11:12 – Final Thoughts and Resources Additional Resources: MGMA Playbooks MGMA Events MGMA Consulting MGMA DataDive MGMA Stat MGMA Podcasts Email us at dwilliams@mgma.com if you would like to appear on an episode. If you have a question about your practice that you would like us to answer, send an email to advisor@mgma.com . Don't forget to subscribe to our network wherever you get your podcasts. Podcast Sponsor Boost Lingo This episode is brought to you by Boost Lingo, the language services platform behind MGMA Translate, interpreter delays and high agency fees, strain budgets, and staff morale. Boost lingo on demand fixes both tap once and a qualified medical interpreter joins in about 13 seconds. Video or phone on any device. No steep learning curve. It just works. Tap, connect, care. Choose from 14,000 interpreters covering over 300 languages. Fully HIPAA compliant. Your staff will love the ease and your patients will too. Plus MGMA members save 20%. Visit https://boostlingo.com/mgma/ to see it in action today. Podcast Sponsor MGMA Analytics Are you making decisions based on gut instinct—or on real data? With MGMA Analytics, you get the benchmarking and business intelligence tools to drive smarter strategies. From provider compensation to operational costs, MGMA Analytics gives you access to the most trusted data in the industry. So whether you’re adjusting staffing, setting salaries, or planning for growth, make your next move with confidence. Visit MGMA Analytics to learn more.…

MGMA Podcasts

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MGMA Week in Review: Summit Insights, Compensation Strategy, and the Future of Patient Tech 17:57

vor 7 Tagen17:57

17:57

In this episode of the MGMA Week in Review podcast, hosts Daniel Williams and Colleen Luckett share timely insights on the most pressing issues in healthcare. They cover key takeaways from the MGMA Summit, explore the latest compensation strategies, and highlight innovative trends shaping the connected patient experience. You'll also hear discussion on CMS policy changes, violence in healthcare settings, and how practices can improve engagement and workplace safety. 00:51 Introduction and Podcast Overview 02:01 MGMA Stat Poll: Compensation Strategy Insights ( MGMA Stat ) 03:44 Highlights from the MGMA Summit Digital Conference ( MGMA Summit ) 09:42 CMS Rescinds Emergency Abortion Guidance ( Fierce HealthCare ) 11:44 Violence Against Healthcare Workers: A Growing Concern ( Chief Healthcare Executive ) 15:07 The Connected Patient Experience: Embracing Innovation ( Med City News ) 16:38 Conclusion and Upcoming Content Additional Resources: MGMA Playbooks MGMA Events MGMA Consulting MGMA DataDive MGMA Stat MGMA Podcasts Email us at dwilliams@mgma.com if you would like to appear on an episode. If you have a question about your practice that you would like us to answer, send an email to advisor@mgma.com . Don't forget to subscribe to our network wherever you get your podcasts. Podcast Sponsor Boost Lingo This episode is brought to you by Boost Lingo, the language services platform behind MGMA Translate, interpreter delays and high agency fees, strain budgets, and staff morale. Boost lingo on demand fixes both tap once and a qualified medical interpreter joins in about 13 seconds. Video or phone on any device. No steep learning curve. It just works. Tap, connect, care. Choose from 14,000 interpreters covering over 300 languages. Fully HIPAA compliant. Your staff will love the ease and your patients will too. Plus MGMA members save 20%. Visit https://boostlingo.com/mgma/ to see it in action today. Podcast Sponsor MGMA Analytics Are you making decisions based on gut instinct—or on real data? With MGMA Analytics, you get the benchmarking and business intelligence tools to drive smarter strategies. From provider compensation to operational costs, MGMA Analytics gives you access to the most trusted data in the industry. So whether you’re adjusting staffing, setting salaries, or planning for growth, make your next move with confidence. Visit MGMA Analytics to learn more.…

MGMA Podcasts

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Member Spotlight: Mentorship and Building Meaningful Connections 31:41

vor 9 Tagen31:41

31:41

In this episode of the MGMA Member Spotlight Podcast, host Daniel Williams sits down with Dr. Dea Robinson, a healthcare leader with extensive experience in hospital medicine, consulting, and organizational learning. Dr. Robinson shares her career path, insights on physician burnout, the importance of mentorship, and strategies for building meaningful connections in healthcare. Key Takeaways: [01:02] Dr. Robinson's journey into healthcare [05:43] Mentorship through MGMA [09:34] High engagement and burnout among physicians [14:13] Clinical vs. non-clinical engagement [18:58] The importance of intentional human connection [22:23] The importance of mentorship for professional development [26:07] Guiding younger physician leaders and embedding accountability [29:11] Using the workplace as a learning laboratory Resources: Connect with Dr. Dea Robinson on LinkedIn Receive expert guidance through the MGMA Mentor Program Dr. Dea Robinson's co-authored AJM study: The 5 Rs of Cultural Humility Additional Resources: MGMA Playbooks MGMA Events MGMA Consulting MGMA DataDive MGMA Stat MGMA Podcasts Email us at dwilliams@mgma.com if you would like to appear on an episode. If you have a question about your practice that you would like us to answer, send an email to advisor@mgma.com . Don't forget to subscribe to our network wherever you get your podcasts. Podcast Sponsor Boost Lingo This episode is brought to you by Boost Lingo, the language services platform behind MGMA Translate, interpreter delays and high agency fees, strain budgets, and staff morale. Boost lingo on demand fixes both tap once and a qualified medical interpreter joins in about 13 seconds. Video or phone on any device. No steep learning curve. It just works. Tap, connect, care. Choose from 14,000 interpreters covering over 300 languages. Fully HIPAA compliant. Your staff will love the ease and your patients will too. Plus MGMA members save 20%. Visit https://boostlingo.com/mgma/ to see it in action today. Podcast Sponsor MGMA Analytics Are you making decisions based on gut instinct—or on real data? With MGMA Analytics, you get the benchmarking and business intelligence tools to drive smarter strategies. From provider compensation to operational costs, MGMA Analytics gives you access to the most trusted data in the industry. So whether you’re adjusting staffing, setting salaries, or planning for growth, make your next move with confidence. Visit MGMA Analytics to learn more.…

MGMA Podcasts

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MGMA Week in Review: PTO Policies, Behavioral Health Integration, and Patient Care Enhancement 9:31

vor 11 Tagen9:31

9:31

In this episode of the MGMA Week in Review podcast, host Daniel Williams shares timely updates on key issues facing medical practices. The episode begins with a look at how organizations are managing paid time off (PTO) and why effective PTO policies are vital to workplace culture and employee retention. It then explores the growing integration of behavioral health into primary care, with a focus on collaborative care models. The episode wraps with a spotlight on the phrase “We’ll take care of that,” and how those five words can significantly enhance the patient experience. 00:00 Introduction and Technical Difficulties 00:43 Welcome to MGMA Week in Review 01:07 Handling Medical Practice Staff's PTO ( MGMA Stat ) 03:38 Integrating Behavioral Health into Primary Care ( Axios ) 05:59 The Power of 'We'll Take Care of That' ( Physicians Practice ) 07:11 Conclusion and Next Week's Preview Additional Resources: MGMA Playbooks MGMA Events MGMA Consulting MGMA DataDive MGMA Stat MGMA Podcasts Email us at dwilliams@mgma.com if you would like to appear on an episode. If you have a question about your practice that you would like us to answer, send an email to advisor@mgma.com . Don't forget to subscribe to our network wherever you get your podcasts. Podcast Sponsor Boost Lingo This episode is brought to you by Boost Lingo, the language services platform behind MGMA Translate, interpreter delays and high agency fees, strain budgets, and staff morale. Boost lingo on demand fixes both tap once and a qualified medical interpreter joins in about 13 seconds. Video or phone on any device. No steep learning curve. It just works. Tap, connect, care. Choose from 14,000 interpreters covering over 300 languages. Fully HIPAA compliant. Your staff will love the ease and your patients will too. Plus MGMA members save 20%. Visit https://boostlingo.com/mgma/ to see it in action today. Podcast Sponsor MGMA Analytics Are you making decisions based on gut instinct—or on real data? With MGMA Analytics, you get the benchmarking and business intelligence tools to drive smarter strategies. From provider compensation to operational costs, MGMA Analytics gives you access to the most trusted data in the industry. So whether you’re adjusting staffing, setting salaries, or planning for growth, make your next move with confidence. Visit MGMA Analytics to learn more.…

MGMA Podcasts

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Ask MGMA: How to Cut Costs and Improve Efficiency in Your Medical Practice 15:14

vor 11 Tagen15:14

15:14

In this episode, host Daniel Williams talks with senior advisor Cristy Good about practical ways to cut costs and boost efficiency in medical practices. They address key challenges like rising labor, tech, and inflation-driven expenses, and explore solutions such as cloud-based tools, smarter scheduling, strategic outsourcing, and cross-training staff. The episode also covers how to avoid overspending and make better use of group purchasing organizations. Cristy offers advice for leaders feeling overwhelmed by vendor costs and explains how MGMA members can get additional support. 00:50 Introduction and Welcome 01:21 Today's Topic: Reducing Expenses and Boosting Efficiency 02:15 Challenges in Cost Management 04:25 Effective Cost-Cutting Strategies 09:54 Cross-Training and Scheduling Innovations 11:14 Leveraging Group Purchasing Organizations 13:12 Conclusion and Contact Information Additional Resources: MGMA Playbooks MGMA Events MGMA Consulting MGMA DataDive MGMA Stat MGMA Podcasts Email us at dwilliams@mgma.com if you would like to appear on an episode. If you have a question about your practice that you would like us to answer, send an email to advisor@mgma.com . Don't forget to subscribe to our network wherever you get your podcasts. Podcast Sponsor Boost Lingo This episode is brought to you by Boost Lingo, the language services platform behind MGMA Translate, interpreter delays and high agency fees, strain budgets, and staff morale. Boost lingo on demand fixes both tap once and a qualified medical interpreter joins in about 13 seconds. Video or phone on any device. No steep learning curve. It just works. Tap, connect, care. Choose from 14,000 interpreters covering over 300 languages. Fully HIPAA compliant. Your staff will love the ease and your patients will too. Plus MGMA members save 20%. Visit https://boostlingo.com/mgma/ to see it in action today. Podcast Sponsor MGMA Analytics Are you making decisions based on gut instinct—or on real data? With MGMA Analytics, you get the benchmarking and business intelligence tools to drive smarter strategies. From provider compensation to operational costs, MGMA Analytics gives you access to the most trusted data in the industry. So whether you’re adjusting staffing, setting salaries, or planning for growth, make your next move with confidence. Visit MGMA Analytics to learn more.…

MGMA Podcasts

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MGMA Insights: Compliance, Consent, and the Psychology of Defiance 33:07

vor 16 Tagen33:07

33:07

In this MGMA Insights podcast episode, Daniel Williams sits down with Dr. Sunita Sah, a tenured professor at Cornell University and author of Defy. Together, they explore the subtle but powerful psychology behind compliance and informed consent. Drawing from her experiences as a physician and organizational psychologist, Dr. Sah discusses why patients — and even medical professionals — often follow advice they disagree with, and how we can build greater confidence, clarity, and autonomy in healthcare decision-making. [00:04:00] The Scan She Didn’t Want Dr. Sah tells a personal ER story that sparked her research into why we comply, even when we know we shouldn't. [00:09:00] The Five Elements of True Consent A breakdown of capacity, knowledge, understanding, freedom to say no, and personal authorization — and how this differs from compliance. [00:14:00] Why It’s Hard to Speak Up “Insinuation anxiety” is the discomfort we feel when we risk questioning those in power — even when the stakes are high. [00:20:00] Leadership Lessons from Healthcare Classrooms Dr. Sah shares how physicians in her Cornell classes are rethinking how they lead and communicate through values-driven decision-making. [00:24:00] False Defiance vs. Real Defiance Not all resistance is rooted in values. Dr. Sah explains how to recognize the difference between performative opposition and meaningful dissent. Resources: Dr. Sunita Sah’s Website Defy by Dr. Sunita Sah - Buy on Amazon or Listen on Audible Join the MGMA Book Club — Defy is featured in an upcoming session More MGMA Insights Episodes Additional Resources: MGMA Playbooks MGMA Events MGMA Consulting MGMA DataDive MGMA Stat MGMA Podcasts Email us at dwilliams@mgma.com if you would like to appear on an episode. If you have a question about your practice that you would like us to answer, send an email to advisor@mgma.com . Don't forget to subscribe to our network wherever you get your podcasts. Podcast Sponsor Boost Lingo This episode is brought to you by Boost Lingo, the language services platform behind MGMA Translate, interpreter delays and high agency fees, strain budgets, and staff morale. Boost lingo on demand fixes both tap once and a qualified medical interpreter joins in about 13 seconds. Video or phone on any device. No steep learning curve. It just works. Tap, connect, care. Choose from 14,000 interpreters covering over 300 languages. Fully HIPAA compliant. Your staff will love the ease and your patients will too. Plus MGMA members save 20%. Visit https://boostlingo.com/mgma/ to see it in action today. Podcast Sponsor MGMA Analytics Are you making decisions based on gut instinct—or on real data? With MGMA Analytics, you get the benchmarking and business intelligence tools to drive smarter strategies. From provider compensation to operational costs, MGMA Analytics gives you access to the most trusted data in the industry. So whether you’re adjusting staffing, setting salaries, or planning for growth, make your next move with confidence. Visit MGMA Analytics to learn more.…

MGMA Podcasts

1
MGMA Week in Review: AI Trends in Medical Practices, Virtual Care Growth, and Medicaid Cuts 17:30

vor 21 Tagen17:30

17:30

In this episode of the MGMA Weekend Review, hosts Daniel Williams and Colleen Luckett discuss major trends affecting independent medical practices, including the rise of AI tools that lessen administrative burdens and combat physician burnout. Additionally, they explore the potential impacts of the U.S. House's recently passed Medicaid cuts, urging listeners to stay informed and advocate for their needs. 00:50 Introduction and Weekly Catch-Up 02:09 AI in Medical Practices ( Healthcare IT News ) 05:26 Managing Stress and Burnout ( MGMA Stat ) 08:08 Virtual Care: The Future of Healthcare ( Medical Economics ) 12:06 Medicaid Cuts and Their Impact ( Healthcare Dive ) 16:07 Conclusion and Sign-Off Additional Resources: MGMA Playbooks MGMA Events MGMA Consulting MGMA DataDive MGMA Stat MGMA Podcasts Email us at dwilliams@mgma.com if you would like to appear on an episode. If you have a question about your practice that you would like us to answer, send an email to advisor@mgma.com . Don't forget to subscribe to our network wherever you get your podcasts. Podcast Sponsor Boost Lingo This episode is brought to you by Boost Lingo, the language services platform behind MGMA Translate, interpreter delays and high agency fees, strain budgets, and staff morale. Boost lingo on demand fixes both tap once and a qualified medical interpreter joins in about 13 seconds. Video or phone on any device. No steep learning curve. It just works. Tap, connect, care. Choose from 14,000 interpreters covering over 300 languages. Fully HIPAA compliant. Your staff will love the ease and your patients will too. Plus MGMA members save 20%. Visit https://boostlingo.com/mgma/ to see it in action today. Podcast Sponsor MGMA Analytics Are you making decisions based on gut instinct—or on real data? With MGMA Analytics, you get the benchmarking and business intelligence tools to drive smarter strategies. From provider compensation to operational costs, MGMA Analytics gives you access to the most trusted data in the industry. So whether you’re adjusting staffing, setting salaries, or planning for growth, make your next move with confidence. Visit MGMA Analytics to learn more.…

MGMA Podcasts

1
MGMA Insights: Aligning Your Mind For Effective Healthcare Leadership 29:20

vor 23 Tagen29:20

29:20

Author and psychotherapist Britt Frank returns to the MGMA Insights podcast to discuss her new book, Align Your Mind. She and host Daniel Williams explore the power of "parts work," how to navigate the inner critic, manage stress during high-pressure times, and lead yourself with more clarity and compassion. Key Takeaways: 00:45 — Welcoming back Britt Frank; Introduction to her new book, Align Your Mind ; book availability at local and national retailers. 02:15 — Why "Align" Your Mind, Not "Fix" It: Britt compares mental health to tire or spinal alignment — a shift in thinking about how we manage ourselves. 06:10 — Introduction to "Parts Work": Understanding the mind as a system of different parts and voices; practical everyday examples (e.g., "part of me wants to relax, part of me wants to work"). 09:10 — How to Build a Relationship with Your Inner Critic: Instead of fighting it, validate it ("That's a little bit true") to deactivate stress responses. 13:30 — Real-World Mindfulness: Daniel shares his retreat disappointment; Britt explains how to "diffuse" from negative thinking and find alternative truths. 18:50 — Managing Stress in Healthcare Settings: How to realign expectations realistically when facing staff shortages, flu season, and patient overflow. 22:30 — Micro-Yes Strategy: How to break big challenges into tiny, doable steps to prevent overwhelm and support momentum. Resources: Britt Frank’s Website: brittfrank.com Purchase Align Your Mind at Amazon , Barnes & Noble or Target Connect with Britt Frank on LinkedIn Additional Resources: MGMA Playbooks MGMA Events MGMA Consulting MGMA DataDive MGMA Stat MGMA Podcasts Email us at dwilliams@mgma.com if you would like to appear on an episode. If you have a question about your practice that you would like us to answer, send an email to advisor@mgma.com . Don't forget to subscribe to our network wherever you get your podcasts. Podcast Sponsor Boost Lingo This episode is brought to you by Boost Lingo, the language services platform behind MGMA Translate, interpreter delays and high agency fees, strain budgets, and staff morale. Boost lingo on demand fixes both tap once and a qualified medical interpreter joins in about 13 seconds. Video or phone on any device. No steep learning curve. It just works. Tap, connect, care. Choose from 14,000 interpreters covering over 300 languages. Fully HIPAA compliant. Your staff will love the ease and your patients will too. Plus MGMA members save 20%. Visit https://boostlingo.com/mgma/ to see it in action today. Podcast Sponsor MGMA Analytics Are you making decisions based on gut instinct—or on real data? With MGMA Analytics, you get the benchmarking and business intelligence tools to drive smarter strategies. From provider compensation to operational costs, MGMA Analytics gives you access to the most trusted data in the industry. So whether you’re adjusting staffing, setting salaries, or planning for growth, make your next move with confidence. Visit MGMA Analytics to learn more.…

MGMA Podcasts

1
Ask MGMA: How AI is Driving Payer Downcoding and What Medical Practices Can Do About It 14:24

vor 25 Tagen14:24

14:24

In this episode of the Ask MGMA Podcast, hosts Daniel Williams and Christy Good dig into one of the most urgent issues medical practices are facing: payer downcoding and the increasing influence of artificial intelligence in reimbursement decisions. Discover why evaluation and management (E/M) claims are being reduced without medical record review, how automated systems are affecting your revenue, and what actions you can take to identify, track, and appeal unjustified downcodes. Whether you're feeling the impact already or want to stay ahead of the curve, this conversation offers practical tips and valuable resources to support your team. Key Highlights 0:53 – Welcome & Topic Overview Daniel and Christy introduce the episode and the rising issue of AI-driven downcoding. 1:53 – What is Payer Downcoding? Christy explains how downcoding works, what’s changed with AI, and why it goes against CMS guidelines. 3:19 – How AI Flags Claims An inside look at how AI uses historical data to decide what gets downcoded — and why that’s problematic. 4:05 – The Impact on Providers More than lost revenue — learn how this practice increases administrative burden, delays payments, and affects provider profiles. 6:04 – Spotting the Red Flags Key signs your practice may be getting downcoded and what to look for on remittance advice. 6:39 – What to Do If You’re Affected Steps to track, appeal, and escalate — and why reporting to MGMA and AMA matters. 8:15 – Strengthening Your Documentation Avoid copy-paste notes and use specific language to reflect true complexity of care. 11:23 – Using AI to Your Advantage How practices can deploy AI tools to clean up claims and reduce rejections — plus why human oversight is still key. 12:53 – Advocacy and Policy Action How to get involved with MGMA’s Government Affairs team, the AMA, and your state’s insurance department. 14:51 – Top Three Takeaways Christy recaps what every practice should remember: be vigilant, be proactive, be connected. Direct Links and Resources 📧 Contact Ask MGMA: advisor@mgma.com 🧠 MGMA Consulting Services: consulting@mgma.com 💬 Join the MGMA Community Discussion 📢 Report Issues to MGMA Government Affairs: govaff@mgma.com Additional Resources: MGMA Events MGMA Consulting MGMA DataDive MGMA Stat MGMA Podcasts Podcast Sponsor Boost Lingo This episode is brought to you by Boost Lingo, the language services platform behind MGMA Translate, interpreter delays and high agency fees, strain budgets, and staff morale. Boost lingo on demand fixes both tap once and a qualified medical interpreter joins in about 13 seconds. Video or phone on any device. No steep learning curve. It just works. Tap, connect, care. Choose from 14,000 interpreters covering over 300 languages. Fully HIPAA compliant. Your staff will love the ease and your patients will too. Plus MGMA members save 20%. Visit https://boostlingo.com/mgma/ to see it in action today. Podcast Sponsor MGMA Analytics Are you making decisions based on gut instinct—or on real data? With MGMA Analytics, you get the benchmarking and business intelligence tools to drive smarter strategies. From provider compensation to operational costs, MGMA Analytics gives you access to the most trusted data in the industry. So whether you’re adjusting staffing, setting salaries, or planning for growth, make your next move with confidence. Visit MGMA Analytics to learn more.…

MGMA Podcasts

1
MGMA Week in Review: Medicaid Cuts, Medical Gaslighting, and Mental Health Awareness Month 17:25

vor 28 Tagen17:25

17:25

In this episode of the MGMA Weekend Review podcast, hosts Daniel Williams and Colleen Luckett discuss a range of pressing healthcare industry topics. The episode starts with an in-depth look at the proposed GOP budget plan that could significantly cut Medicaid funding, putting millions of Americans at risk of losing healthcare coverage. This is followed by a discussion on the harmful effects of medical gaslighting on patients, as revealed by a comprehensive Rutgers Health report. The hosts also delve into current healthcare staff turnover trends and highlight the importance of personalized mental health care during Mental Health Awareness Month. The episode concludes with a forward-looking piece on the FDA's plans to integrate AI in its drug review process by 2025. 00:50 Introduction and Hosts Welcome 01:28 Debate Over GOP's Proposed Medicaid Cuts ( Chief Healthcare Executive ) 03:49 Impact of Medical Gaslighting on Patients ( Medical Economics ) 06:59 MGMA Stat Polling Results on Staff Turnover ( MGMA Stat ) 09:18 Generational Mental Health Needs ( Fierce Healthcare ) 13:01 FDA's AI Integration in Drug Review ( G-Med ) 15:49 Conclusion and Mental Health Awareness Reminder Additional Resources: MGMA Playbooks MGMA Events MGMA Consulting MGMA DataDive MGMA Stat MGMA Podcasts Email us at dwilliams@mgma.com if you would like to appear on an episode. If you have a question about your practice that you would like us to answer, send an email to advisor@mgma.com . Don't forget to subscribe to our network wherever you get your podcasts. Podcast Sponsor Boost Lingo This episode is brought to you by Boost Lingo, the language services platform behind MGMA Translate, interpreter delays and high agency fees, strain budgets, and staff morale. Boost lingo on demand fixes both tap once and a qualified medical interpreter joins in about 13 seconds. Video or phone on any device. No steep learning curve. It just works. Tap, connect, care. Choose from 14,000 interpreters covering over 300 languages. Fully HIPAA compliant. Your staff will love the ease and your patients will too. Plus MGMA members save 20%. Visit https://boostlingo.com/mgma/ to see it in action today. Podcast Sponsor MGMA Analytics Are you making decisions based on gut instinct—or on real data? With MGMA Analytics, you get the benchmarking and business intelligence tools to drive smarter strategies. From provider compensation to operational costs, MGMA Analytics gives you access to the most trusted data in the industry. So whether you’re adjusting staffing, setting salaries, or planning for growth, make your next move with confidence. Visit MGMA Analytics to learn more.…

MGMA Podcasts

1
Business Solutions: Is Medicine Still a Calling? Insights from Physician Purpose and Satisfaction 22:54

vor 4 weeks22:54

22:54

In this episode of the MGMA Business Solutions Podcast, host Daniel Williams sits down with Helen Falkner, Regional Vice President of Recruiting at Jackson Physician Search, and Dr. Miechia Esco, Chief Medical Resource Officer at Locum Tenens.com. Based on a groundbreaking report titled "Is Medicine Still a Calling?", the discussion explores physician satisfaction, purpose, and strategies for maintaining passion in healthcare. Key Takeaways: 01:47 – Why the Report Was Created Dr. Esco explains the systemic challenges in healthcare that led to the central question: Is medicine still a calling? 02:55 – Purpose and Provider Retention Helen Falkner discusses how a sense of purpose directly impacts physician well-being, engagement, and retention. 06:39 – Why Passion Fades Over Time Dr. Esco explores how administrative demands dilute a clinician’s original motivation for entering medicine. 08:20 – Four Keys to Organizational Alignment Helen outlines four ways healthcare organizations can align with providers’ values: communication, support, mentorship, and realistic expectations. 11:11 – How to Stay Connected to Purpose in Tough Times Dr. Esco emphasizes the importance of institutional culture and mission clarity in supporting clinicians during burnout. 12:59 – Re-engaging Disconnected Clinicians Helen describes how mentorship, leadership opportunities, and flexible work-life balance initiatives can help clinicians feel valued. 15:01 – Lessons from High-Purpose Specialties Dr. Esco explains why specialties like behavioral and women’s health report higher purpose, rooted in deep patient connection. 16:44 – Reducing Administrative Burden Helen stresses how cutting down on tasks like documentation and pajama time can reignite clinicians’ joy in practicing medicine. Resources: Full Report: Is Medicine Still a Calling? by Jackson Physician Search and Locum Tenens.com Jackson Physician Search website Locum Tenens website Connect with Helen Falkner on LinkedIn Dr. Miechia Esco executive bio Additional Resources: MGMA Playbooks MGMA Events MGMA Consulting MGMA DataDive MGMA Stat MGMA Podcasts Email us at dwilliams@mgma.com if you would like to appear on an episode. If you have a question about your practice that you would like us to answer, send an email to advisor@mgma.com . Don't forget to subscribe to our network wherever you get your podcasts.…

MGMA Podcasts

1
Member Spotlight: Dave Jenkins on Behavioral Health, Staffing and Lifelong Learning 21:40

vor 5 weeks21:40

21:40

In this episode, host Daniel Williams speaks with Dave Jenkins, healthcare executive at Cone Health and adjunct faculty at Winston-Salem State University. Jenkins shares his journey into healthcare leadership, the operational dynamics at Cone Health, and the evolving challenges in behavioral health. He dives into the critical role of technology, workforce engagement, and leadership development—offering valuable insights for anyone aspiring to lead in today’s healthcare environment. 00:50 Introduction and Guest Welcome 02:00 Dave Jenkins' Career Pathway 02:57 Overview of Cone Health 04:15 Day-to-Day Operations at Cone Health 05:33 Challenges and Opportunities in Healthcare 06:50 Leadership Principles and Approaches 08:39 Addressing Behavioral Health Needs 11:23 Workforce Engagement and Staffing 13:45 Involvement with MGMA 15:25 Educator Role at Winston-Salem State University 17:14 Future Trends in Healthcare Administration 18:52 Advice for Aspiring Leaders 20:01 Conclusion and Farewell Resources: MGMA Fellowship Program Cone Health Winston Salem State University MHA Program Connect with Dave Jenkins on LinkedIn Additional Resources: MGMA Playbooks MGMA Events MGMA Consulting MGMA DataDive MGMA Stat MGMA Podcasts Email us at dwilliams@mgma.com if you would like to appear on an episode. If you have a question about your practice that you would like us to answer, send an email to advisor@mgma.com . Don't forget to subscribe to our network wherever you get your podcasts. Podcast Sponsor Boost Lingo This episode is brought to you by Boost Lingo, the language services platform behind MGMA Translate, interpreter delays and high agency fees, strain budgets, and staff morale. Boost lingo on demand fixes both tap once and a qualified medical interpreter joins in about 13 seconds. Video or phone on any device. No steep learning curve. It just works. Tap, connect, care. Choose from 14,000 interpreters covering over 300 languages. Fully HIPAA compliant. Your staff will love the ease and your patients will too. Plus MGMA members save 20%. Visit https://boostlingo.com/mgma/ to see it in action today. Podcast Sponsor MGMA Analytics Are you making decisions based on gut instinct—or on real data? With MGMA Analytics, you get the benchmarking and business intelligence tools to drive smarter strategies. From provider compensation to operational costs, MGMA Analytics gives you access to the most trusted data in the industry. So whether you’re adjusting staffing, setting salaries, or planning for growth, make your next move with confidence. Visit MGMA Analytics to learn more.…

MGMA Podcasts

1
MGMA Week in Review: Healthcare Staffing Issues, Crisis Leadership, and Cybersecurity in Healthcare 18:57

vor 5 weeks18:57

18:57

In this episode of the MGMA Week in Review podcast , hosts Daniel Williams and Colleen Luckett cover key healthcare headlines, from the ongoing shortage of medical assistants and tips to close staffing gaps, to the leadership lessons in crisis response and fallout from the Change Healthcare cyberattack. They also share findings on nurse retention from McKinsey’s latest survey and close with a nod to National Nurses Week. 00:49 Introduction and Hosts 01:36 MGMA Stat Poll Results ( MGMA Stat ) 05:08 Healthcare Leadership in Crisis ( Physicians Practice ) 09:12 HHS Restructuring and Interoperability ( MedCity News ) 11:30 United Health Cyber Attack Fallout ( New York Times ) 15:16 National Nurses Week and Leadership ( Health Leaders Media ) 17:29 Conclusion and Farewell Additional Resources: MGMA Playbooks MGMA Events MGMA Consulting MGMA DataDive MGMA Stat MGMA Podcasts Email us at dwilliams@mgma.com if you would like to appear on an episode. If you have a question about your practice that you would like us to answer, send an email to advisor@mgma.com . Don't forget to subscribe to our network wherever you get your podcasts. Podcast Sponsor Boost Lingo This episode is brought to you by Boost Lingo, the language services platform behind MGMA Translate, interpreter delays and high agency fees, strain budgets, and staff morale. Boost lingo on demand fixes both tap once and a qualified medical interpreter joins in about 13 seconds. Video or phone on any device. No steep learning curve. It just works. Tap, connect, care. Choose from 14,000 interpreters covering over 300 languages. Fully HIPAA compliant. Your staff will love the ease and your patients will too. Plus MGMA members save 20%. Visit https://boostlingo.com/mgma/ to see it in action today. Podcast Sponsor MGMA Analytics Are you making decisions based on gut instinct—or on real data? With MGMA Analytics, you get the benchmarking and business intelligence tools to drive smarter strategies. From provider compensation to operational costs, MGMA Analytics gives you access to the most trusted data in the industry. So whether you’re adjusting staffing, setting salaries, or planning for growth, make your next move with confidence. Visit MGMA Analytics to learn more.…

MGMA Podcasts

1
Member Spotlight: Robin Fagala Wins Maternal Health Grant for Arkanas 25:45

vor 5 weeks25:45

25:45

This episode of the MGMA Member Spotlight Podcast features Robin Fagala, Practice Manager at Conway OBGYN in Arkansas. Discussing her groundbreaking advocacy for maternal health, Fagala shares her journey of addressing critical healthcare challenges, securing increased Medicaid reimbursements, and ultimately helping to secure a $17 million federal grant to improve maternal health outcomes in Arkansas. Episode Highlights: Healthcare Career and Professional Background 01:22 Robin's 26-year healthcare journey 03:32 Conway OBGYN practice overview Maternal Health Crisis in Arkansas 07:12 Maternal mortality rates and challenges 11:28 Lack of Medicaid-accepting OB/GYN providers 14:53 Financial impact on healthcare providers Advocacy and Data-Driven Problem Solving 13:11 Using MGMA Data Dive platform 15:17 Developing comprehensive documentation 16:53 Persistent communication with state leaders Reimbursement and Healthcare Policy 14:53 Detailed analysis of OB/GYN procedure code reimbursements 15:17 Presenting financial sustainability challenges 22:35 Successful negotiation for fee schedule increases Professional Networking and Collaboration 19:28 Leveraging MGMA and regional healthcare networks 22:35 Importance of collaborative problem-solving 23:08 Using professional resources to drive healthcare improvements Resources: Arkansas Foundation for Medical Care (AFMC) Connect with Rob Fagala on LinkedIn Conway OB-GYN Additional Resources: MGMA Playbooks MGMA Events MGMA Consulting MGMA DataDive MGMA Stat MGMA Podcasts Email us at dwilliams@mgma.com if you would like to appear on an episode. If you have a question about your practice that you would like us to answer, send an email to advisor@mgma.com . Don't forget to subscribe to our network wherever you get your podcasts. Podcast Sponsor Boost Lingo This episode is brought to you by Boost Lingo, the language services platform behind MGMA Translate, interpreter delays and high agency fees, strain budgets, and staff morale. Boost lingo on demand fixes both tap once and a qualified medical interpreter joins in about 13 seconds. Video or phone on any device. No steep learning curve. It just works. Tap, connect, care. Choose from 14,000 interpreters covering over 300 languages. Fully HIPAA compliant. Your staff will love the ease and your patients will too. Plus MGMA members save 20%. Visit https://boostlingo.com/mgma/ to see it in action today. Podcast Sponsor MGMA Analytics Are you making decisions based on gut instinct—or on real data? With MGMA Analytics, you get the benchmarking and business intelligence tools to drive smarter strategies. From provider compensation to operational costs, MGMA Analytics gives you access to the most trusted data in the industry. So whether you’re adjusting staffing, setting salaries, or planning for growth, make your next move with confidence. Visit MGMA Analytics to learn more.…

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