Behind The Scenes with Sonda

Why do documentation and compliance issues keep coming back, even after training?

In this episode of Behind the Scenes with Sonda, Sonda explores why lasting compliance takes more than policies, annual education, and corrective action plans. She looks at the role leadership, onboarding, accountability, workflows, and organizational culture play in whether good compliance practices actually become part of the day-to-day work.

This conversation challenges behavioral health leaders to look beyond whether training was completed and ask a bigger question: Does the way our organization operates actually support the behaviors we’re asking our teams to follow?

If your organization keeps seeing the same findings, documentation concerns, or compliance gaps, this episode offers a practical perspective on what may be getting in the way of meaningful change.

Sonda's Links For You:
• Website
• Instagram
• Facebook
• LinkedIn

Multi-million-dollar False Claims Act settlements rarely begin with someone intentionally deciding to commit fraud. More often, they begin with operational shortcuts, documentation gaps, weak oversight, and billing practices no one stops to question.

In this episode, Sonda walks through four real behavioral health settlement cases involving deficient documentation, unreturned overpayments, psychotherapy add-on codes, incident-to billing, and telehealth facility fees. She breaks down what went wrong, how billing data and whistleblowers brought these issues to light, and what organizations should be doing differently.

The lesson is simple: the road to a multi-million-dollar settlement is often paved with small decisions that seemed harmless at the time. Learn from these cases before your organization becomes the next one discussed at a compliance conference.

Sonda's Links For You:
• Website
• Instagram
• Facebook
• LinkedIn

Behavioral health providers across Ohio are adjusting to new utilization management requirements that introduce service limitations many organizations have never experienced. Sonda Kunzi and Gary Humble discuss the reasoning behind the changes, lessons learned since BH Redesign, and how agencies can prepare for a healthcare environment that increasingly emphasizes oversight, accountability, and managed care. 

Sonda's Links For You:
• Website
• Instagram
• Facebook
• LinkedIn

Welcome back to Behind the Scenes! In this brief episode, Sonda is flying solo to highlight the upcoming changes to telehealth in 2025. If you're working in healthcare, you know how quickly guidelines and codes can evolve. Today, Sonda gives a quick overview of what to expect in 2025, including new telehealth codes and how they might impact your practice. 

Join in to hear more on: 

• CMS (Centers for Medicare & Medicaid Services) approach to Telehealth in 2025.
• Removal of restrictions and introduction of new codes in Evaluation and Management.
• The impact of policy changes on behavioral health and other areas.

With regulations constantly changing, it can be confusing. Let’s stay informed and prepared as we head into 2025. Enjoyed the episode? Don’t forget to share, rate, and review on your favorite platform!

Until next time, stay curious, inspired and keep learning!

Links: 

Sonda's Links For You:
• Website
• Instagram
• Facebook
• LinkedIn

Welcome to this episode of Behind The Scenes! Today, Sonda sits down with Julie Miller, a seasoned healthcare professional with a deep background in revenue cycle management, coding, and compliance auditing. Julie’s journey began in accounts receivable at a large FQHC, where she crafted strategies that boosted efficiency across 50 clinics. She later played a transformative role at a small acute care facility, leading efforts to streamline its operations. Now, as a physician compliance auditor for a major Michigan health system, Julie joins Sonda to reflect on their experiences in healthcare and offer valuable advice for anyone looking to start their career in this field.

Join in to hear more on: 

• Personal stories of breaking into healthcare.
• The perks of wearing multiple hats on the job.
• Tips for getting your foot in the door in healthcare.

Each journey into healthcare is unique, and our differences can be our greatest strengths. Tune in for practical advice and personal insights on entering the healthcare world. Enjoy the episode? Don’t forget to share, rate, and review on your favorite platform!

Links: Julie Miller LinkedIn: Julie Miller

Sonda's Links For You:
• Website
• Instagram
• Facebook
• LinkedIn

Welcome to Behind The Scenes! In this episode, Sonda takes the mic solo to share her valuable insights on leadership from her perspective as a health care entrepreneur. Drawing from her extensive experience in the industry, she offers practical wisdom and actionable advice for business owners—whether you're just starting out or looking to elevate your existing practice. Sonda discusses key strategies to better serve your clients, empower your employees, and nurture your own well-being

Join in to hear more on: 

• Difficulties faced by health care entrepreneurs.
• Essential strategies for effective leadership.
• Self cares role in creating meaningful change. 

No matter where you are on your leadership journey, we’re all continually evolving in our abilities. If you’re looking to enhance your leadership skills in business,check out this episode! And if you enjoyed it, be sure to share, rate, and review on your favorite listening platform!

Sonda's Links For You:
• Website
• Instagram
• Facebook
• LinkedIn

Welcome to this episode of Behind The Scenes! In this episode, Sonda sits down with Leslie Boles, Co-Owner and President of Revu Healthcare. With over 15 years of expertise in healthcare coding, auditing, and compliance, Leslie brings a wealth of knowledge to the discussion.Together, Sonda and Leslie delve into their shared experiences as entrepreneurs in the healthcare industry. They explore the lessons learned and offer insights for those wanting to navigate the entrepreneurial world.

Join in to hear more on:
•  Insights on the transformative role of AI in business.
•  The vital importance of collaboration for success in the business world.
•  Striking a balance between leveraging advice and discovering what truly works for you.

The journey of an entrepreneur isn’t always easy. If you’re interested in insights from two seasoned professionals, be sure to tune in! If you enjoyed this episode, we’d love for you to share, rate, and review on your favorite listening platform!

Until next time, stay curious, inspired and keep learning!

Links:
Revu Healthcare: Revu Healthcare
Leslie’s LinkedIn: Leslie Boles LinkedIn

Sonda's Links For You:
• Website
• Instagram
• Facebook
• LinkedIn

Welcome back to Behind The Scenes! In this episode, Sonda shares her insights from the recent John Maxwell Conference. While the healthcare industry typically focuses on consulting, coding, documentation, and compliance, Sonda highlights a different perspective. Inspired by her experiences at the conference, she dives into the significance of personal growth and its relevance in the world of health care.

Tune in to hear more about:

•   Reflecting on Sonda’s experience at the John Maxwell conference.
•   The integral role of leadership in healthcare organizations and communities.
•   10 key takeaways to fuel personal growth.

Personal growth is essential in every aspect of life. If you want to hear valuable tips that can elevate your impact in healthcare and beyond, don't miss this episode! If you enjoyed this one, we would appreciate it if you could share, rate, review on your preferred listening platforms so we can spread the word! 

Until next time, stay curious, inspired, and keep learning!

Sonda's Links For You:
• Website
• Instagram
• Facebook
• LinkedIn

Welcome to this special episode of Behind The Scenes! In this landmark episode, Sonda celebrates the 1-year anniversary of the podcast. Over the past year, Behind The Scenes has been committed to empowering healthcare providers and health entrepreneurs with invaluable insights and advice.

As she reflects on this milestone, Sonda takes a moment to look back on the podcast's journey—its purpose, the growth it has experienced, and her aspirations for the future. She shares the knowledge she has gained throughout the year and continues to offer a range of insightful thoughts and practical advice.

Tune in to hear more on:

• Vision for Behind The Scenes in 2025.
• Sonda’s journey: Personal growth and challenges through podcasting.
• Sonda’s thoughts on AI, remote teams, and generational gaps. 

Thank you for being a part of this journey! Reaching this milestone wouldn’t have been possible without YOU—our incredible listeners and guests. To celebrate, Sonda invites you to share your thoughts by taking the survey linked below. Your feedback and recommendations are greatly appreciated!

Until next time, stay curious, inspired, and keep learning!

Survey Link: https://forms.office.com/r/QKKAHQFrGE 

Sonda's Links For You:
• Website
• Instagram
• Facebook
• LinkedIn

Welcome back to Behind the Scenes! In this episode, Sonda is flying solo once again to tackle a critical topic: cybersecurity. Whether you're running a large corporation, a small business, or simply navigating the digital world as an individual, cybersecurity is something we all need to be mindful of. Drawing from her own recent experience, Sonda delves into the importance of being aware and prepared for potential cyber threats.

Tune in to hear more about:

• Sonda’s personal story of a recent cybersecurity breach, including spoofed emails and diverted funds.
• The importance of collective effort in staying protected against cyber threats. 
• Practical advice on how to avoid cybersecurity risks, including two-factor authentication and ‘fishing expeditions.’ 

Don't miss this episode to arm yourself with the knowledge and tools needed to stay secure in today's digital world!

Until next time, stay curious, inspired, and keep learning!

Sonda's Links For You:
• Website
• Instagram
• Facebook
• LinkedIn