The Edge of Healthcare

Welcome to The Edge of Healthcare, your premier destination for insightful discussions and actionable insights. In each episode, we dive deep into conversations with industry leaders, exploring the dynamic landscape of healthcare. From overcoming hurdles to embracing breakthroughs, join us as we discover firsthand the strategies and experiences of healthcare trailblazers. Whether it's payer and health system leaders or innovative solutions, we're here to empower you with knowledge that drives real change in the industry. Don't just listen—be part of the transformation.

The Edge of Healthcare is a business podcast hosted by Martin Cody, with 37 episodes on record and a Required Pod Score of 80.

Martin Cody hosts The Edge of Healthcare, a business show with 37 episodes published.

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  The Edge of Healthcare

  Ep. 002: Stop Cutting Costs. Find the Missing Revenue, with Davia Ward, Founder and CEO of Healthcare Partners Consulting and Billing

  Sep 16, 202627 min

  Your practice may be losing revenue long before a claim ever gets denied. In this episode, Davia Ward, Founder and CEO of Healthcare Partners Consulting and Billing, discusses the hidden revenue-cycle issues that can prevent behavioral health practices from collecting the money they are owed. She explains why eligibility and benefits verification, patient collections, documentation, and strong internal processes are critical to preventing revenue leakage. Davia also shares how better visibility, dashboards, and SOPs can help practices identify where their processes are breaking down and recover lost revenue. She discusses the role of AI and technology in healthcare billing while emphasizing that knowledgeable, adaptable people remain essential to keeping revenue cycles running effectively. Tune in to learn where revenue may be hiding in your practice and how stronger processes can help protect your bottom line. Resources: Connect with and follow Davia Ward on LinkedIn. Learn more about Healthcare Partners Consulting and Billing on their LinkedIn and explore their website!

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  The Edge of Healthcare

  Ep. 001: The Insurance Payment Scam Hiding in Your RCM, with Tyler Lewis, CEO and Founder of Sentrii RCM

  Aug 26, 202620 min

  What if your practice is getting paid exactly what the remittance says, but your bank account tells a different story? In this episode, Tyler Lewis, CEO and Founder of Sentrii RCM, talks about hidden revenue leakage caused by fees on virtual credit card payments from insurance companies. Tyler explains how practices can see the full payment amount in their billing systems while receiving 2–3% less in their bank accounts because payment data is fragmented across multiple systems. He shares how Sentrii uncovered a $3,000 shortfall on a $100,000 payment and helped one client recover more than $100,000 in fees over 12 months. Tyler's advice is simple: follow the money by tracing large insurance payments from remittance to bank and understanding exactly what it costs to collect them. Tune in to discover where hidden insurance payment fees can drain revenue and how to find them before they add up. Resources: Connect with and follow Tyler Lewis on LinkedIn. Learn more about Sentrii RCM on their LinkedIn and visit their website! Things You’ll Learn: Virtual credit card fees can quietly reduce the amount of insurance revenue that reaches a healthcare practice's bank account. The billing system and remittance can show a full payment even when the bank receives a smaller net amount. Payment fragmentation across billing systems, processors, and banks makes revenue leakage difficult to identify. Insurance payment processing fees typically range from 2–3%, but the AMA has warned that they can reach 5%. Practices can request fee-free ACH payments from insurers, although implementing the change can require significant effort. Following large insurance payments from remittance to the bank can reveal previously invisible financial leaks. Transparency, curiosity, and the integration of fragmented financial data can turn assumptions about revenue collection into verified results.

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  The Edge of Healthcare

  Episode 001: Spoiler, The Data Was Never Clean. You Ready for This?

  Jun 17, 20263 min

  Provider data drives every payment, every credentialing decision, every provider directory in U.S. healthcare, and it's broken almost by design. Broken by Default is a new podcast from Madaket Health hosted by Ed Calderon. With 20 years of experience across healthcare IT, clinical operations, pharmacy, and revenue cycle, Ed brings together operators, executives, and innovators to tackle one of healthcare's most persistent and costly problems, head-on. In this intro episode, Ed lays out what the show is about, who it's for, and why this conversation can't wait any longer. New episodes drop soon. Subscribe so you don't miss them, and if you're dealing with provider data challenges or know someone who should be a guest, reach out. We'd love to have you on the show. 🎙️ Available on Spotify, Apple Podcasts, and YouTube.

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  The Edge of Healthcare

  Ep. 137. Sick Systems Can’t Heal People, with Jill Piazza, VP and COO of the Population Health Services Organization at AdventHealth

  Aug 14, 202521 minS0

  <p>What if the key to fixing healthcare starts with listening differently?</p> <p>In this episode, Jill Piazza shares how personal experiences shaped her passion for preventative care and whole-person health. She explores the shift to value-based care, the power of addressing social determinants of health, and the importance of staying grounded, embracing growth, and leading with purpose.</p> <p>Tune in and learn how Jill Piazza is reshaping care at AdventHealth through real stories, bold strategies, and a deep focus on prevention, equity, and whole-person health!</p> <p><br> </p>

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  The Edge of Healthcare

  Ep. 136. Healthcare’s Dirty Secret: Broken Provider Data, with Eric Demers, CEO of Madaket Health

  Jul 31, 202517 minS0

  <p>Even with insurance, nearly half of Americans delay care simply because they can’t find a doctor in their network.</p> <p>In this episode, Eric Demers discusses how inaccurate provider data is causing nearly half of Americans, especially millennials, to delay or avoid medical care despite having insurance. Demers explains that outdated and unsynchronized data between payers and providers leads to major access issues, and Madaket is working to fix this by connecting and updating data systems to improve accuracy and care access.</p> <p>Tune in to learn how broken provider data is quietly undermining healthcare access an...

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