Underpaid Care, Overdue Revenue

Underpaid Care, Overdue Revenue

Author: Accuity Education Team November 17, 2025 Duration: 21:37
Send us Fan Mail We talk with Accuity's CFO about underpayment, rising AI-driven denials, and how to trace the cash from clinical care to collected dollars. The strategy blends technology with physician review to lower final denials to around one percent and deliver material, auditable ROI for hospitals of any size. • financial pressure on hospitals and underpayment • AI-based denials and due process concerns • pairing technology with physician-led clinical validation • focusing on complex c...

Chart Check Up is a unique audio series from the Accuity Education Team that exists at the critical intersection where patient care meets the business of healthcare. This podcast digs into the often-overlooked but essential middle revenue cycle, translating complex clinical and administrative processes into actionable knowledge. Each episode leverages real clinical perspectives to unpack how documentation, coding, and data flow directly impact financial health and operational efficiency. You'll hear clear explanations on navigating frequent coding updates, dissecting new industry trends, and applying practical clinical knowledge to everyday challenges. The discussions are designed to offer tangible support for professionals who must stay current in a rapidly evolving field, bridging the gap between the exam room and the backend systems that keep healthcare organizations running. Tune in for a focused, insightful listen that moves beyond theory to deliver insights with real-world impact for those in health, management, and technology roles. Find Chart Check Up wherever you get your podcasts.
Author: Language: en-us Episodes: 8

Chart Check Up
Podcast Episodes
On-ramps and routes to Health Information Management [not-audio_url] [/not-audio_url]

Duration: 23:58
Send us Fan Mail We talk with Accuity's Vice President of Revenue Cycle Operations, Jennifer Miecznikoski, about health information management careers and how an HIM foundation can lead to operations, IT, analytics, and…
Gamification: Measuring the Metrics of Motivation in Education [not-audio_url] [/not-audio_url]

Duration: 25:46
Send us Fan Mail In this episode, we meet with Britanny Shelledy to break down gamification as a practical way to boost engagement and recall for lifelong learners in healthcare. We dig into where gamification comes from…
Navigating Nephrology [not-audio_url] [/not-audio_url]

Duration: 25:30
Send us Fan Mail We explore how nephrology documentation can be both clinically faithful and coder-ready, focusing on AKI vs ATN, linking diagnoses to causes, and reducing avoidable queries. We share practical tactics, f…
Distinguishing Delirium in the Encephalopathy Enigma [not-audio_url] [/not-audio_url]

Duration: 16:10
Send us Fan Mail Joined by Accuity's Senior Director of CDI, Verona Lodholz, we walk through how to distinguish delirium from encephalopathy using DSM-5 criteria, CAM tools, and clear coding pathways, and we show where t…
Hidden Tactics of Healthcare Denials [not-audio_url] [/not-audio_url]

Duration: 16:57
Send us Fan Mail Dawn Carey, Director of Denials and Appeals at Accuity, joins us to explore the evolving landscape of healthcare claim denials and the tactical responses needed to address them effectively. She reveals h…
Confronting the Phoenix Criteria [not-audio_url] [/not-audio_url]

Duration: 29:32
Send us Fan Mail Episode Outline: • Phoenix Criteria overview • Challenges identified with Phoenix Criteria as stand-alone Sepsis diagnostic tool • The payer landscape: Reimbursements & denials • Considerations for CDI p…