Zotec Answers - A Healthcare Podcast

As AI use accelerates in healthcare, what does it mean for physicians, their practices, and policymakers?

Tue, 14 Apr 2026 04:00:00 +0000

Rock Health Survey
Previous AI-focused Zotec Answers episode

How are payer policies affecting the practice and business of healthcare?

jmewborn@zotecpartners.com (Ed Gaines, Anders Gilberg, Zotec Partners, MGMA) — Thu, 26 Mar 2026 04:00:00 +0000

Review MGMA's 2026 Advocacy Agenda here.

If you've found this episode to be helpful, be sure to like, subscribe, and share the podcast. And if you have feedback or a topic you'd like us to explore, you can reach us anytime at zotecanswers@zotecpartners.com.

Why is Urgent Care's recognition in the Medicare Physician Fee Schedule significant, and what comes next in policy and practice?

jmewborn@zotecpartners.com (Joey Mewborn) — Thu, 19 Mar 2026 04:00:00 +0000

Ready to take the next step in your advocacy journey? Check out our Healthcare Advocacy Toolkit to get involved!

Learn more about the Urgent Care Association's Advocacy efforts.

If AI is already embedded in healthcare workflows, how should physicians and policymakers respond?

Thu, 12 Mar 2026 04:00:00 +0000

Listen to the previous episode in our AI series here.

What do payer incentives tell us about today's reimbursement and denial environment?

jmewborn@zotecpartners.com (Ed Gaines, Ron Howrigon, Zotec Partners) — Tue, 3 Mar 2026 05:00:00 +0000

In this episode of Zotec Answers, Ed Gaines, Vice President of Regulatory Affairs and Industry Liaison for Zotec Partners, sits down with Ron Howrigon, President and CEO of Fulcrum Strategies, to break down how health insurance payers are shaping today's reimbursement and denial landscape. Drawing on insider payer strategy, they explore why denial rates are rising, how insurers approach reimbursement policy, and what clinicians can do to respond effectively in an evolving revenue cycle environment.

What's driving AI in healthcare, and what should physicians be paying attention to?

jmewborn@zotecpartners.com (Jennifer Fox, Megan Applegarth) — Wed, 18 Feb 2026 05:00:00 +0000

Check out our previous AI update podcast episode.

How can CMS's recently released IDR Public Use Files help physicians strengthen arbitration, negotiations, and financial planning?

jmewborn@zotecpartners.com (Ed Gaines, Zotec Partners) — Thu, 12 Feb 2026 05:00:00 +0000

Ed Gaines analyzes the CMS IDR Process PUF data for Q1-Q2 2025 and explains what it means for physician arbitration, payer negotiations, and revenue strategy.

Learn how recent Transparency in Coverage (TiC) rule changes are affecting physicians in this episode of Zotec Answers.
Read more on the release of the IDR Public Use Files.

What did Congress question health insurers about, and why does it matter for healthcare?

jmewborn@zotecpartners.com (Megan Applegarth, Jennifer Fox) — Tue, 3 Feb 2026 05:00:00 +0000

Fact-based summary of the hearings on the A to ZPAC blog
In late January, the House Budget Committee held a hearing on skyrocketing health care costs. To learn more about that hearing, check out this press release.

What changed at the end of 2025 for Transparency in Coverage rules and NSA fees?

jmewborn@zotecpartners.com (Ed Gaines) — Tue, 20 Jan 2026 05:00:00 +0000

Comments are due on February 23, 2026.
CMS: List of certified independent dispute resolution entities

How will Zotec and Microsoft's TODAZ solution change physician workflows?

Tue, 6 Jan 2026 05:00:00 +0000

Zotec and Microsoft partner to bring intelligent automation to radiology workflows - Read more here.

What is the latest on a possible federal moratorium on state AI legislation?

jmewborn@zotecpartners.com (Zotec Partners, Jennifer Fox, Megan Applegarth) — Fri, 12 Dec 2025 05:00:00 +0000

This episode was recorded and produced just before the Executive Order establishing a federal moratorium on state-level AI regulation was signed (12/11/2025). The order creates a unified federal framework, directs a new AI Litigation Task Force, and ties certain broadband funding eligibility to state compliance. We’ll continue to monitor these developments and share updates as they become available.

For more information, refer to the White House Fact Sheet and recent news coverage on the Executive Order.

What is Zotec unveiling with Microsoft at RSNA 2025?

Tue, 2 Dec 2025 05:00:00 +0000

Zotec and Microsoft partner to bring intelligent automation to radiology workflows at RSNA 2025 - Read more here.

How will the 2026 MPFS final rule impact patient access and physician practices?

Tue, 25 Nov 2025 05:00:00 +0000

Are the states outpacing Congress in regulating AI?

jmewborn@zotecpartners.com (Jennifer Fox, Megan Applegarth) — Mon, 17 Nov 2025 05:00:00 +0000

In this episode of Zotec Answers, Jennifer Fox and Megan Applegarth explore whether states are taking the lead over Congress in crafting AI regulations. They examine how differing state policies are setting the standard for national regulations and what this means for innovation, technology development, and the responsible use of AI across industries.

Why is payer price transparency impactful for physicians and physician practices?

Wed, 29 Oct 2025 04:00:00 +0000

Review ZPAC's monthly newsletter.
Visit PayerPrice or contact Roger at roger@payerprice.com.
Check out our new white paper on Medicare physician reimbursement.

How will AI shape the future of breast cancer screening and equity?

jmewborn@zotecpartners.com (Dr. Amy Patel, Mark Isenberg) — Thu, 9 Oct 2025 04:00:00 +0000

Support the Find It Early Act today by sending a message to your lawmakers! Take action here or by texting ZPFIND to 50457.

Will AI in healthcare be governed by a national framework or a state-by-state patchwork?

jmewborn@zotecpartners.com (Jennifer Fox, Megan Applegarth) — Wed, 24 Sep 2025 04:00:00 +0000

In this episode of Zotec Answers, Jennifer Fox and Megan Applegarth explore the evolving world of AI in healthcare, with a focus on how it's being regulated. They share insights on the latest developments at both the state and federal levels and discuss how varying state approaches are shaping the national landscape.

What are the potential "PAYGO" sequestration cuts & what do they mean for Medicare?

jmewborn@zotecpartners.com (Ed Gaines) — Wed, 3 Sep 2025 04:00:00 +0000

In this episode of Zotec Answers, Ed Gaines, Vice President of Regulatory Affairs and Industry Liaison for Zotec Partners, breaks down a frequently mentioned, but often misunderstood, term in Washington, D.C.: "PAYGO" sequestration cuts. In this quick, crash-course style discussion, Ed explains what these cuts are, how they work, and what they mean for healthcare.

How are recent court decisions and new legislation shaping the No Surprises Act?

jmewborn@zotecpartners.com (Ed Gaines) — Tue, 26 Aug 2025 04:00:00 +0000

Take action today by clicking here or by texting ZPNSA to 50457.
Download and review our Healthcare Advocacy Toolkit.
Access the NSA timeline.

What should we expect when Congress returns in September?

jmewborn@zotecpartners.com (Joey Mewborn) — Tue, 12 Aug 2025 04:00:00 +0000

Get Involved: Access our updated Healthcare Advocacy Toolkit for resources and talking points.

Take Action: Urge Congress to support the Medicare Patient Access and Practice Stabilization Act of 2025 (H.R. 879/S. 1640) here or text ZPFIX to 50457.

What's in the 2026 Medicare Physician Fee Schedule Proposed Rule?

jmewborn@zotecpartners.com (Mark Isenberg, Ed Gaines) — Tue, 29 Jul 2025 04:00:00 +0000

Review the Specialty Impact Table (Table 92).
H.R. 879 and S. 1640.
Read more on the new CMS "efficiency adjustment" in a recent A to ZPAC blog post.

What is the significance of the No Surprises Act Enforcement Act?

jmewborn@zotecpartners.com (Mark Isenberg, Ed Gaines) — Thu, 24 Jul 2025 19:00:00 +0000

Take action today! Visit our Action Center or simply text ZPNSA to 50457.

Review the legislation here: H.R. 4710 and S. 2420.

What has the Advocacy Team been up to so far in 2025?

jmewborn@zotecpartners.com (Jennifer Fox, Megan Applegarth) — Wed, 9 Jul 2025 04:00:00 +0000

Take Action Today!

The Medicare Patient Access and Practice Stabilization Act of 2025 (H.R. 879/ S. 1640) - Text ZPFIX to 50457
The Find It Early Act (S. 1410) - Text ZPFIND to 50457

Become an Advocate Today. Text ZOTEC to 50457.

Visit our Get Involved page.

Check Out Our Resources:

What do you need to know about the No Surprises Act (NSA) and TMA III litigation?

jmewborn@zotecpartners.com (Joey Mewborn) — Thu, 19 Jun 2025 04:00:00 +0000

Listen to previous episodes of Zotec Answers.
McDermott No Surprises Act Resource Center

Do you have a question or topic you'd like us to cover in a future episode? We'd love to hear from you. Just send us an email at zotecanswers@zotecpartners.com.

2025 a pivotal year for advocacy; how can radiologists and other physicians make their voices heard?

jmewborn@zotecpartners.com (Mark Isenberg, Dr. Amy K. Patel) — Wed, 11 Jun 2025 04:00:00 +0000

Take action today by texting ZPFIND to 50457.

What is the latest intel from this week's EDPMA Washington D.C. Fly-in?

jmewborn@zotecpartners.com (Ed Gaines, Dr. Jennifer Raley) — Tue, 13 May 2025 04:00:00 +0000

Take Action Today! On the go? Simply text ZPFIX to 50457 to take action.

If you haven't yet listened to the previous episode of Zotec Answers, where Ed Gaines spoke with Dr. Jennifer Raley, you can listen to it here.

Interested in learning more about the Budget Reconciliation process? Check out this helpful graphic.

References & Resources:

How does Budget Reconciliation work and why is it critical to patient access to care?

jmewborn@zotecpartners.com (Mark Isenberg, Ed Gaines) — Wed, 30 Apr 2025 04:00:00 +0000

Take action today! On the go? Simply text ZPFIX to 50457 to take action.

Interested in learning more about the Budget Reconciliation process? Check out this helpful graphic.

Where does breast cancer screening coverage stand today?

jmewborn@zotecpartners.com (Mark Isenberg, Zachary Brunnert) — Thu, 24 Apr 2025 04:00:00 +0000

Want to know what breast cancer screening coverage looks like in your state? Visit densebreast-info.org for up-to-date state-by-state information.

Curious about how artificial intelligence (AI) is changing the landscape of breast cancer diagnosis? Dive into our previous A to ZPAC blog post to explore some of the latest developments.

What will the RAND report mean for the future of emergency medicine?

jmewborn@zotecpartners.com (Ed Gaines, Dr. Jennifer Raley) — Thu, 17 Apr 2025 04:00:00 +0000

References & Resources:

What are the latest advocacy updates regarding the NSA?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 19 Mar 2025 04:00:00 +0000

In this episode of Zotec Answers, Ed Gaines, Vice President of Regulatory Affairs and Industry Liaison at Zotec Partners, shares key updates on the latest developments surrounding the No Surprises Act. He also provides insights from a recent meeting between physicians and newly appointed, and confirmed, Health and Human Services Secretary, Robert F. Kennedy Jr.

What’s next for physicians and patients since the Medicare ‘Doc Fix’ was dropped from the Continuing Resolution?

jmewborn@zotecpartners.com (Joey Mewborn) — Thu, 13 Mar 2025 04:00:00 +0000

Take action today! On the go? Simply text ZPDOC to 50457.

What are the biggest reimbursement challenges anesthesia providers are facing in 2025?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 5 Mar 2025 05:00:00 +0000

Advocacy is powered by active participants. Physicians are experts in healthcare, and policymakers need their insights.

Make your voice heard today! Take action by urging your members of Congress to cosponsor and support H.R. 879. On the go? Simply text ZPFIX to 50457.

What are the top advocacy priorities for radiology in 2025?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 19 Feb 2025 05:00:00 +0000

Advocacy is powered by active participants. Physicians are experts in healthcare, and policymakers need their insights.

Make your voice heard today! Take action by urging your representatives to cosponsor H.R. 879! On the go? Simply text ZPFIX to 50457.

What is the latest update on Medicare reimbursement cuts and what Congress must do to fix them?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 12 Feb 2025 05:00:00 +0000

Take action today by urging your representatives to cosponsor H.R. 879!

On the go? Simply text ZPFIX to 50457.

How can artificial intelligence and machine learning technology improve coding for emergency medicine?

jmewborn@zotecpartners.com (Joey Mewborn) — Thu, 6 Feb 2025 05:00:00 +0000

Learn how AI-driven coding solutions are enhancing accuracy and efficiency in emergency medicine. For more insights, check out Zotec Partners' white paper on Automated Coding Solutions for Emergency Medicine.

For inquiries about Zotec's coding solutions, contact Ed Gaines at egaines@zotecpartners.com.

What recent litigation and guidance was issued by CMS/CCIIO on the NSA?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 22 Jan 2025 05:00:00 +0000

In this episode of Zotec Answers, Ed Gaines, Vice President of Regulatory Affairs and Industry Liaison for Zotec Partners, explores the latest updates on the No Surprises Act, including recent litigation developments and new guidance issued by CMS/CCIIO that impact the physician community.

How will removing medical debt from credit reports impact healthcare and physician reimbursement?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 15 Jan 2025 05:00:00 +0000

In the first Zotec Answers of 2025, Mark Isenberg, Executive Vice President of Healthcare Advocacy for Zotec Partners, breaks down the recent announcement from the Biden-Harris administration and the Consumer Financial Protection Bureau (CFPB), revealing a final rule to remove medical debt from credit reports. Isenberg delves into the potential effects of this change on healthcare and its implications for the already strained Medicare physician reimbursement.

How did the 2024 election and policy updates set the stage for healthcare in 2025?

jmewborn@zotecpartners.com (Joey Mewborn) — Tue, 10 Dec 2024 05:00:00 +0000

Take action today!

What is the latest No Surprises Act Update for TMA III?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 6 Nov 2024 05:00:00 +0000

In this episode of Zotec Answers, Ed Gaines, Vice President of Regulatory Affairs and Industry Liaison at Zotec Partners, discusses the recent United States Court of Appeals ruling for the Fifth Circuit on the TMA III case. Ed breaks down the court’s decision and explores its potential impact on healthcare and physician reimbursement.

Why is voting more important than ever for patients, physicians, and healthcare?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 30 Oct 2024 04:00:00 +0000

Access our Election Center today to prepare to vote!

Simply text ZPVOTE to 50457 or visit our website.

Check out our Healthcare Advocacy Toolkit to learn more about the challenges physicians are facing.

How does your vote impact physician reimbursement and patient access to care?

jmewborn@zotecpartners.com (Joey Mewborn) — Mon, 28 Oct 2024 04:00:00 +0000

What can you do today?

Early voting and absentee voting are already underway in many states. If you won't be able to vote on November 5, 2024, explore your early and absentee voting options with our Election Center to ensure your voice is heard.
Tell Congress to Stop Cuts to the Medicare PFS by visiting our website or by texting ZPFIX to 50457.
As you prepare to vote, check out our Election Center! You can access it on our website or on the go by texting ZPVOTE to 50457. The Election Center allows you to view who is on your ballot and find your polling place.

What is happening with the No Surprises Act in the last quarter of 2024?

jmewborn@zotecpartners.com (Joey Mewborn) — Thu, 10 Oct 2024 15:30:00 +0000

In this episode of Zotec Answers, Ed Gaines, Vice President of Regulatory Affairs and Industry Liaison for Zotec Partners, shares timely updates on the No Surprises Act (NSA). He highlights two key developments: the introduction of the No Surprises Act Enforcement Act (HR 9572) in Congress and the U.S. Department of Justice's amicus brief in an air ambulance case. He also discusses the potential impact of these legal actions on NSA enforcement and the potential impact of HR 9572.

What is the latest on the Find It Early Act?

jmewborn@zotecpartners.com (Joey Mewborn) — Mon, 30 Sep 2024 17:59:00 +0000

For more information on the new FDA breast density notification requirements, view this resource.

For more information on the Find It Early Act and to view what legislation your state has in place, click here.

Additional Resources:

What is California's Proposition 35 and why is it so important to physicians and hospitals?

jmewborn@zotecpartners.com (Joey Mewborn) — Tue, 24 Sep 2024 14:55:00 +0000

Click here to view the website for Proposition 35.

How are bad payor policies and tactics impacting healthcare and revenue cycle management?

jmewborn@zotecpartners.com (Joey Mewborn) — Mon, 9 Sep 2024 04:00:00 +0000

If you have not yet listened to Ed Gaines' episode on how bad payor policies and tactics are impacting emergency physicians in 2024, you can listen here.

What are the latest developments in the litigation regarding the No Surprises Act (NSA)?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 21 Aug 2024 04:00:00 +0000

In this episode of Zotec Answers, Ed Gaines provides an update on the latest developments in the litigation regarding the No Surprises Act (NSA) and discusses the meaning and significance of the appellate court's decision in this case.

How are bad payor policies and tactics impacting emergency physicians in 2024?

jmewborn@zotecpartners.com (Joey Mewborn) — Mon, 12 Aug 2024 04:00:00 +0000

In this episode of Zotec Answers, Ed Gaines discusses the impact of unfair practices by major health insurers on emergency medicine physicians. He explores how these practices not only affect emergency medicine but also have broader implications across various healthcare specialties, especially in the context of the evolving nature of healthcare and revenue cycle management.

Is there a doctor in the house?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 24 Jul 2024 04:00:00 +0000

Access the white paper mentioned in the podcast episode here.

What does the reversal of the Chevron deference doctrine mean for critical issues in healthcare?

jmewborn@zotecpartners.com (Joey Mewborn) — Thu, 11 Jul 2024 18:30:00 +0000

In this episode of Zotec Answers, Ed Gaines provides an overview of the Supreme Court case that overturned the Chevron deference doctrine and discusses the implications this decision could have on healthcare.

What is the latest data on the NSA IDR Process and OON reimbursement?

jmewborn@zotecpartners.com (Joey Mewborn) — Mon, 17 Jun 2024 14:15:00 +0000

In the latest episode of Zotec Answers, Ed Gaines discusses the latest data on the No Surprises Act (NSA) Independent Dispute Resolution (IDR) Process and Out-of-Network (OON) reimbursement.

What do you need to know before you cast your ballot this year?

jmewborn@zotecpartners.com (Joey Mewborn) — Mon, 3 Jun 2024 10:00:00 +0000

In this episode, Mark Isenberg discusses the critical healthcare issues voters must consider before casting their ballots, including Medicare physician reimbursement, the No Surprises Act, physician shortages, and the importance of electing knowledge healthcare professionals into office.

What are the key points of the new Federal Trade Commission (FTC) final rule on noncompete agreements?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 15 May 2024 10:00:00 +0000

In this episode, Ed Gaines discusses the new FTC final rule banning noncompete agreements, its key provisions, exceptions, and potential impacts on healthcare, including its implications for physicians and healthcare organizations.

What are the biggest concerns or advantages for women's health in light of the recent final USPSTF recommendations for breast cancer screenings?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 8 May 2024 10:00:00 +0000

In this episode of the Zotec Answers podcast, Dr. Cathrine Keller joins host Mark Isenberg to discuss the final recommendations from the US Preventive Services Task Force (USPSTF) regarding breast cancer screenings. Dr. Keller shares her expert insights, exploring the implications of these recommendations and their significance for both patients and healthcare providers.

What are the latest developments in the NSA rule making that could improve the overall IDR process?

jmewborn@zotecpartners.com (Joey Mewborn) — Thu, 25 Apr 2024 10:00:00 +0000

In this episode, Ed Gaines discusses the latest developments in the NSA rule making that could improve the overall IDR process.

What are the top healthcare advocacy challenges for 2024 and what topics are you most excited to discuss at RBMA's PaRADigm meeting in April?

jmewborn@zotecpartners.com (Joey Mewborn) — Mon, 8 Apr 2024 10:00:00 +0000

In this episode of Zotec Answers, Mark Isenberg sits down with Christopher Crancer, a prominent leader at the RAYUS Quality Institute and President of the RBMA, to discuss some of the top advocacy challenges for healthcare in 2024 and a preview of topics that will be discussed at this year's RBMA PaRADigm meeting later this month.

What information was gleaned from a recent trip to Capitol Hill including the latest on the MPFS?

jmewborn@zotecpartners.com (Joey Mewborn) — Tue, 12 Mar 2024 10:00:00 +0000

In this episode of Zotec Answers, Mark Isenberg discusses his recent visit to Capitol Hill where he had the opportunity to speak with legislators and their staffers regarding the Medicare physician fee schedule (MPFS).

What are some of the current challenges that provider enrollment is facing in 2024?

jmewborn@zotecpartners.com (Joey Mewborn) — Fri, 8 Mar 2024 11:00:00 +0000

In this episode of Zotec Answers, Anne Witsken discusses challenges that provider enrollment is facing and asks listeners to share struggles that they are experiencing with provider enrollment.

What are the latest developments from CMS data on the No Surprises Act IDR process?

jmewborn@zotecpartners.com (Joey Mewborn) — Tue, 27 Feb 2024 11:00:00 +0000

In the latest episode, Ed Gaines breaks down the newest developments on the No Surprises Act (NSA) and the IDR process from a February 2024 CMS report.

What is the latest on the looming government shutdown and fixing the Medicare physician payment issue?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 21 Feb 2024 11:00:00 +0000

In the latest episode, Mark Isenberg discusses the implications of the looming government shutdown, specifically what may be on the horizon for physician reimbursement.

Part II: Why are states and Medicaid managed care entities still trying to ignore the Prudent Layperson standard?

jmewborn@zotecpartners.com (Joey Mewborn) — Tue, 6 Feb 2024 14:00:00 +0000

In Part II of this two-part series on the Prudent Layperson Standard, Ed Gaines delves into how some states are trying to restrict patients from accessing emergency care.

Part I: Why are states and Medicaid managed care entities still trying to ignore the Prudent Layperson standard?

jmewborn@zotecpartners.com (Joey Mewborn) — Tue, 6 Feb 2024 13:00:00 +0000

Ed Gaines, JD, CCP kicks off Part I of a two-part podcast on the importance of the Prudent Layperson Standard (PLP). He will lay the background for this historic and important law.

What are the latest developments regarding the litigation over the No Surprises Act?

jmewborn@zotecpartners.com (Joey Mewborn) — Mon, 29 Jan 2024 05:00:00 +0000

In this latest episode, Ed Gaines talks through the latest developments in the litigation surrounding the NSA, in particular, the details surrounding the Dr. Daniel Haller case.

What are the key points from the CMS final rule on NSA administrative and IDRE fees issued on December 18, 2023?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 10 Jan 2024 05:00:00 +0000

Ed Gaines, JD, CCP kicks this podcast off with a history of rulings around the NSA administrative and IDR fees, and he summarizes key points from the new CMS final rule that clinicians should be aware of.

What are the inflationary updates for the QPA for 2024 dates of service?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 10 Jan 2024 05:00:00 +0000

In this podcast, Ed Gaines, JD, CCP summarizes the functions of the QPA and dates that healthcare organizations should be aware of in 2024.

What are the latest proposed rules issued by the departments under the NSA regarding administrative and IDRE fees, and for IDR operations?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 22 Nov 2023 05:00:00 +0000

In this podcast, Ed Gaines, JD, CCP talks through the proposed rules for IDR operations, plus administrative and IDRE fees. Hear him interpret the latest from the departments under the NSA so you can go into 2024 better prepared.

What are the unintentional repercussions of eliminating medical debt from consumer credit reports?

jmewborn@zotecpartners.com (Joey Mewborn) — Mon, 13 Nov 2023 05:00:00 +0000

Hear from Zotec's EVP of Healthcare Advocacy, Mark Isenberg, as he talks through some unintended results of new rules to eliminate debt from consumer credit reports.

Why is Indiana's new Medicaid reimbursement model revolutionary?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 18 Oct 2023 04:00:00 +0000

In this episode, Zotec's EVP of Healthcare Advocacy outlines what's so unique about Indiana's new Medicaid reimbursement model, and why other states should follow suite.

What are the latest updates from the House Ways and Means Committee hearing on the No Surprises Act held on Sept. 19, 2023?

jmewborn@zotecpartners.com (Joey Mewborn) — Mon, 25 Sep 2023 04:00:00 +0000

If you're looking for the most recent updates around the No Surprises Act, you've come to the right place. In this podcast, Ed Gaines and Stephanie Caruso share the latest from the House Ways and Means Committee hearing.

What are the latest developments around the TMA litigation on the NSA and the TMA III decision on 8/24/23?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 30 Aug 2023 04:00:00 +0000

Ed Gaines, JD, CCP has been keeping a close eye on the latest developments around the TMA litigation and the TMA III decision. In this podcast, he shares the updates on the litigation from August 24, 2023. This is important as you continue to navigate IDR and the interpretations of the NSA.

Why hasn’t the physician fee schedule kept up with inflation and what are the latest efforts to try to change that situation?

jmewborn@zotecpartners.com (Joey Mewborn) — Tue, 8 Aug 2023 04:00:00 +0000

Medicare physician payment is NOT keeping up with inflation. Tune into this episode, where Ed Gaines and Mohak Dave' talk about what's needed to fix Medicare physician payment NOW.

What are the latest developments regarding Texas Medical Association’s (TMA) litigation & the TMA IV decision regarding the No Surprises Act?

jmewborn@zotecpartners.com (Joey Mewborn) — Tue, 8 Aug 2023 04:00:00 +0000

In this episode, Ed Gaines keeps you updated on the TMA litigation and the TMA IV decision regarding the No Surprises Act. Tune in to be in the know on these important regulatory issues.

What does the future of provider enrollment look like with CMS (PECOS 2.0)?

jmewborn@zotecpartners.com (Joey Mewborn) — Thu, 20 Jul 2023 04:00:00 +0000

Zotec has been actively involved in roundtable discussions with CMS and CMS contractors for several years. We've provided helpful feedback to them pertaining to various elements of the process to better the experience for the entire billing and provider community.

What are the latest developments concerning CMS' approval of Virginia Medicaid's ED downcoding policy?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 28 Jun 2023 04:00:00 +0000

In this episode, Ed Gaines, JD, CCP digs into developments on Virginia Medicaid's new downcoding policy. Are patients still protected in Virginia and other states? To find out what may happen next, listen to Ed's answer.

What are the key takeaways from the latest departmental reports on the No Surprises Act released on April 27th?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 10 May 2023 04:00:00 +0000

Ed Gaines, JD, CCP continues his updates around the No Surprises Act in this podcast, sharing highlights and statistics from two key reports, giving clinicians and healthcare professionals more insights as they continue to navigate changes around the IDR process in 2023.

What can physicians do to help mitigate over 15 million Medicaid recipients from losing their benefits?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 10 May 2023 04:00:00 +0000

In this episode, Mark Isenberg reveals ways physicians can help their patients navigate Medicaid benefits, sharing key insights about government provisions at the onset of the COVID-19 pandemic and beyond.

How do you determine if you are receiving IDR determinations based on ineligible grounds?

jmewborn@zotecpartners.com (Joey Mewborn) — Tue, 28 Mar 2023 04:00:00 +0000

In this episode, listeners will understand how they can determine, under the NSA, if they are receiving IDR determinations based on ineligible grounds.

What is the new guidance issued by CMS to resume IDR Payment Determinations?

jmewborn@zotecpartners.com (Joey Mewborn) — Tue, 28 Mar 2023 04:00:00 +0000

On March 17, 2023, CMS issued guidance on the resumption of IDR Payment Determinations, and in this episode of Zotec Answers, Ed Gaines, JD, CCP helps listeners understand the history of the decisions and when to resume IDR payment determinations.

How should emergency medicine departments monitor their Work-RVUs and E&M acuity levels in order to preserve their revenue?

jmewborn@zotecpartners.com (Joey Mewborn) — Tue, 28 Mar 2023 04:00:00 +0000

In this Zotec Answers episode, emergency medicine groups hear from Mohak Dave', MD, FACEP on ways they can maintain their revenue by closely analyzing the right data sets.

What are the known, unknowns of the No Surprises Act today?

jmewborn@zotecpartners.com (Joey Mewborn) — Tue, 7 Mar 2023 05:00:00 +0000

In this five-part Zotec Answers series, Ed Gaines, JD CCP continues to break down complex information about the No Surprises Act. Here he discusses a few "known, unknowns" of the Act that will help clinicians continue to navigate this important regulation.

Why do we need a paradigm shift in how physicians are compensated for HDHPs?

jmewborn@zotecpartners.com (Joey Mewborn) — Tue, 7 Mar 2023 05:00:00 +0000

In this episode, Mark Isenberg, Zotec's EVP of Healthcare Advocacy talks about how high deductible health plans are having a negative impact on clinician reimbursement and physician shortages, and how healthcare organizations can work with payers and RCM partners to prevent the impact while also raising the quality and availability of care nationwide.

What are the best sources of data in support of the Independent Dispute Resolution Process?

jmewborn@zotecpartners.com (Joey Mewborn) — Mon, 13 Feb 2023 20:00:00 +0000

In this latest episode, Ed Gaines talks about objective sources and sets of data that clinicians and healthcare professionals can refer to in the Independent Dispute Resolution Process.

What are the most common, non-compliance issues physician groups are experiencing with the NSA-IDR?

jmewborn@zotecpartners.com (Joey Mewborn) — Mon, 13 Feb 2023 20:00:00 +0000

In this final Zotec Answers series around the NSA and IDR, Ed Gaines details the most common, non-compliance issues physician groups are experiencing from health plans and NSA/IDR process, and ways they can address them.

What is the latest government report on the No Surprises Act - Independent Dispute Resolution Act?

jmewborn@zotecpartners.com (Joey Mewborn) — Mon, 13 Feb 2023 19:00:00 +0000

In this Zotec Answers podcast, Ed Gaines dives deeper into government reports on the No Surprises Act and Independent Dispute Resolution Act.

What is the latest update on the litigation regarding the No Surprises Act?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 8 Feb 2023 17:57:39 +0000

In this Zotec Answers, Ed Gaines, JD, CCP gives a thorough update on the latest litigation over the NSA, including a brief recap about the Texas Medical Association ruling.

Why is Medicare reform needed, and how can it benefit physicians and address health equity?

jmewborn@zotecpartners.com (Joey Mewborn) — Tue, 18 Oct 2022 17:00:00 +0000

In this episode, Zotec's EVP of Healthcare Advocacy, breaks down how inflation and Medicare compensation are currently impacting physicians and healthcare organizations, and why reform is needed. He shares which bills are negatively impacting physicians across the country, and the ways you can participate in the advocacy process as they continue to evolve.

Why did the Texas Medical Association file another No Surprises Act lawsuit?

jmewborn@zotecpartners.com (Joey Mewborn) — Tue, 11 Oct 2022 19:00:00 +0000

In this Zotec Answers, Ed Gaines explores some legislative history behind the No Surprises Act and reasons why the TMA filed yet another NSA lawsuit, alleging the mechanisms for arbitrating payments unfairly favor insurers.

What are specific ways healthcare organizations can enhance the patient experience while increasing payment recovery?

jmewborn@zotecpartners.com (Joey Mewborn) — Tue, 13 Sep 2022 04:00:00 +0000

This Zotec Answers episode digs deep into ways to enhance the patient experience while also making sure providers get paid what they are owed. Listen as Dan Simile, Zotec's EVP of Client Relationships, outlines ways healthcare organizations can incorporate an omni-channel approach for happier patients.

What Steps Can Healthcare Systems and Leaders Take to Focus on Wellness and Avoid Burnout?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 7 Sep 2022 04:00:00 +0000

Tom Hustead, CEO and Co-Founder of the Referent Group believes there are three things leaders can do to combat burnout and create teams that thrive together. Walk away motivated in this Zotec Answers podcast.

How Can Healthcare Leaders Improve the Leadership Potential of Women in their Organization

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 7 Sep 2022 04:00:00 +0000

Diane Kaiser, DO, FACEP, President of Farmington Emergency Medicine Associates suggests there's one major thing leaders can do to improve leadership potential among women and ALL employees in the healthcare setting. Tune into this Zotec Answers podcast to learn what it is.

What Can Radiology Practices Do to Collect More for Procedures Amid Current HDHP Trends?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 7 Sep 2022 04:00:00 +0000

Troy Purcell, Practice Administrator with Lake Medical Imaging, details how his radiology practice has increased co-pays and deductibles by more than 4x since employing new collections strategies.

When it comes to medical billing, why is meeting patients where they are more important than ever?

jmewborn@zotecpartners.com (Joey Mewborn) — Thu, 16 Jun 2022 19:00:00 +0000

Hear what new credit policies around medical debt reporting has to do with meeting your patients where they are, in this podcast featuring Mike Conklin, Zotec's RVP of Business Development.

What is the importance of moving guarantor responsibility back to the insurance payor?

jmewborn@zotecpartners.com (Joey Mewborn) — Tue, 24 May 2022 20:00:00 +0000

In this Zotec Answers episode, Tom Cavanaugh, VP of Product Management, answers the question of why moving guarantor responsibility to the payor is so important.

Why is it important for revenue cycle management companies to focus on healthcare advocacy?

jmewborn@zotecpartners.com (Joey Mewborn) — Tue, 17 May 2022 16:00:00 +0000

Zotec's EVP of Healthcare Advocacy, Mark Isenberg answers the important question of why RCM companies should focus on healthcare advocacy and the ways it can positively impact physicians nationwide.

What elements are key to optimizing cashflow when transitioning to a new RCM partner or system?

jmewborn@zotecpartners.com (Joey Mewborn) — Tue, 17 May 2022 16:00:00 +0000

Hear Jeff Fowler, Zotec's NVP, Business Development in Emergency Medicine and Anesthesiology, provide an answer for medical groups seeking to optimize cashflow when transitioning to a new RCM partner or system.

How can healthcare organizations use revenue cycle technology to address staffing shortages?

jmewborn@zotecpartners.com (Joey Mewborn) — Wed, 11 May 2022 16:00:00 +0000

In this episode, Evelyn Grabinski, a Manager of Client Relationships with Zotec, answers how healthcare organizations can use RCM technology to address staffing shortages.

What should we expect in the Medicare Fee Schedule between now and 2023?

jmewborn@zotecpartners.com (Ed Gaines) — Wed, 11 May 2022 16:00:00 +0000

In this episode, Zotec's Ed Gaines, VP of Regulatory Affairs and Industry Liaison, gives an answer as to what physicians and healthcare leaders should expect from the MPFS between now and 2023.