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For The Love of Revenue CycleAuthor: Vanessa Moldovan
Did you ever wish that you had a physician revenue cycle expert and mentor with over 20 years of experience whispering success secrets in your ear? That's exactly what you will get when you tune into For the Love of Revenue Cycle hosted by me, Vanessa Moldovan. My career and my life have brought me a wealth of knowledge and I can't wait to share with you. My passion is to help others in the industry to reach their full potential and find success in the wonderful, crazy world of physician revenue cycle. Whether you are a beginner, expert, physician, consultant, educator or just plain curious, each episode is designed to immediately apply to your career, business and operations. Join me each week as we tackle the topics, trivia and triumphs of revenue cycle. Let's discover our full potential together. Language: en Genres: Education, Health & Fitness, How To, Medicine Contact email: Get it Feed URL: Get it iTunes ID: Get it |
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Episode 57: Risk Adjustment with Lisa Purnell
Tuesday, 25 August, 2026
In this episode of For the Love of Revenue Cycle, host Vanessa Moldovan interviews Lisa Purnell, Director of Risk Adjustment at Community Health Choice in Houston. Lisa explains risk adjustment as measuring population sickness to predict future costs, centered on accurate diagnosis coding and documentation that supports patient complexity and resource needs. She describes how risk adjustment affects many health plan departments, why revenue cycle teams often misunderstand it, and how it informs premiums and care management. 00:00 Welcome and Big News 00:14 AI Playbook Announcement 01:14 Episode Topic Risk Adjustment 02:18 Meet Lisa Purnell 03:35 Lisa's Path to Risk 05:30 Risk Adjustment Explained 06:48 Who Benefits and How 10:13 Why Rev Cycle Misses It 13:45 Outpatient vs Inpatient 15:50 Documentation Storytelling 17:49 January 1 Reset Myth 20:54 Compliance Guardrails 23:40 Why It Matters Now 25:04 Action Steps to Start 27:35 Marketplace and Risk Scores 29:50 Final Takeaways and Wrap 31:31 Outro and Contact Info
