75. Cracking the Code: Mastering Medical Billing in Alberta

In this conversation, Dr. Jordan Vollrath and Dawn Osland discuss the evolving landscape of healthcare billing in Alberta, focusing on the increasing administrative burden faced by physicians. They explore the complexities of billing codes, the impact of fee-for-service models on physician stress, and the introduction of the new PCPCM model. Dawn shares insights on the importance of diagnostic coding, the ideal demographic for the new billing model, and the role of technology in streamlining healthcare administration. The discussion highlights the need for better tools and support for physicians to navigate the challenges of billing and patient management.

Hosted by Dr Jordan Vollrath and produced by Cherry Health

00:00 Dawn Osland Introduction
01:24 The Evolving Administrative Burden in Healthcare
04:22 Navigating the Complexity of Medical Coding
06:52 The Impact of Fee-for-Service on Physician Stress
09:22 Cherry Health
10:56 Understanding the New PCPCM Model
13:26 The Ideal Demographic for PCPCM
16:14 Challenges and Conflicts in Patient Panel Management
19:12 Reality vs. Expectations of the PCPCM Model
29:13 Cherry Health
31:01 Real Data vs. Projections in Healthcare Billing
33:32 Understanding Physician Satisfaction with New Models
34:27 Navigating Mixed Practice Scenarios
36:43 Maximizing Billing in the PCPCM Model
38:35 The Importance of Time Tracking for Physicians
39:32 Introducing the Track My Time App
41:31 Preparing for Audits in Healthcare Billing
43:15 The CMGP Calculator: Addressing Missed Revenue
46:03 Managing Billing Rejections with AI Assistance
48:33 The Future of AI in Healthcare Administration

With over two decades of experience in Alberta's primary care system, Dawn Osland is a leading medical billing expert dedicated to combating the administrative crisis facing physicians. She understands the immense challenge of navigating the notoriously complex 1200-page Schedule of Medical Benefits. Through her company, Osland Billing Tools, Dawn is pioneering solutions to simplify this chaos. Her latest innovation is BETTI, a powerful AI agent designed to act as a "secret decoder ring" for the billing schedule, empowering doctors to reduce uncompensated work, optimize their earnings, and reclaim valuable time for patient care.

Connect with us!
Dawn Osland on LinkedIn: https://www.linkedin.com/in/dawn-osland/
Dr Jordan Vollrath on LinkedIn: https://www.linkedin.com/in/jordanvollrath/
Osland Medical Billing Tools on LinkedIn: https://www.linkedin.com/company/cmgp-calculator/

Learn more:
Find out about Cherry Health's medical and healthcare recruiting solutions: https://ca.cherry.health/
Find professional billing support from Osland Medical Billing Tools: https://cmgpcalculator.ca/

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