Claims Transparency, Quality Metrics, and Staffing Shortages with Kimberly Carleson & Linda Komisak
"In what other industry could a purveyor put out 99% bad bills and stay in business?" - Linda Komisak
“They're diagnosing things for things that you don't even have. And that’s scary.” - Kimberly Carleson
Kimberly Carleson, CEO of US Beacon, and Linda Komisak, founder of Upturn Consulting LLC, joined me to talk about two critical ways of increasing healthcare transparency: claims reviews and quality metrics.
These two topics are key to understanding why the healthcare system is so broken. If you buy any other service, you can (a) expect to only be billed for the services that were performed and (b) have the ability to research the quality of vendors and pick the best one.
Why can’t we do that in healthcare?
This is an incredibly informative episode, and we cover more than just those two topics including nurse staffing shortages, how to identify the best hospital systems, and why it’s so important to gather feedback from nurses.
Chapters:
00:00:00 Meet Kimberly Carleson and Linda Komisak
00:01:11 Taking Feedback from Nurses
00:06:30 Nurses' Impact on Hospital Quality
00:11:31 Why Are There Nursing Shortages?
00:18:18 Nurse Advocacy for Enhanced Patient Experience
00:25:18 Quality Metrics and Patient Billing Integrity
00:39:11 The Importance of Nurse Feedback
00:49:17 Surgeon Incentives in Billing
00:58:12 Healthcare Cost Savings Through Billing Review
Key Links for Social:
@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFunded
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Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286
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Key Words:
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