NSCHBC Edge Podcast

Terry welcomes fellow NSCHBC Member and Healthcare Consultant Anthony (Tony) Werner to discuss reducing administrative burden and costs incurred by meeting payer requirements.

Most likely there will be resistance from most payers to incorporate intraoperability terms in contracts, including those required by legal or governmental directives. Terry and Tony discuss the complexities of these discussions and how to be successful in the process of contract negotiations.

There is always competition for patients and location in healthcare, but how do “non-compete” contracts affect patient care? Or a physician’s ability for career advancement? How do different states handle this hot topic?

Healthcare Attorney Amanda Waesch and Edge host Terry Fletcher tackle this discussion today looking at the legal and business angles and relationships that will factor into these agreements.

Also, are non-compete clauses always valid and enforceable? Listen to find out.

Christine Hall and Terry Fletcher, both SMEs in the Telehealth space, discuss the new rules for 2024, what the flexibility extensions “really” mean to physicians, and what traps of FWA not to fall into.

For anyone currently participating in the Telehealth delivery of medicine, this is an important podcast to listen to.

In this month’s episode of the NSCHBC Edge podcast, Terry talks to life NSCHBC member, Kathy Moghadas, RN, CLHRM, CHBC, CHCC with Associated Healthcare Advisors, to discuss where the healthcare industry started back in the 80’s and where we are headed with all of the digital advancements, including AI.

Is it all good? Not even close. Listen and find out why!

As you know BH and MH services are now being covered by Medicare and many commercial payers. Also, coverage has expanded like nothing we’ve ever seen. Even Telehealth has made some permanent changes to coverage that is only for Behavioral Health and Mental Health Services.

To discuss this topic and to look at the proposed Medicare Final Rule and Fee Schedule for 2024, Terry invites fellow NSCHBC member Sonda Kunzi to the podcast.

There are some services that we are concerned about and we are wondering where the specific guardrails and payment policies are.

Cyber Security in Healthcare, focuses on preventing attacks by defending systems from unauthorized access, use, and disclosure of patient data. The primary aim is to ensure the availability, confidentiality, and integrity of critical patient data. If compromised, this could put patient lives at risk.

The more we add digital access the more interconnectedness between different healthcare systems comes with increasing healthcare cybersecurity threats.

Edge podcast host Terry Fletcher discusses this threat to physician and dental practices with Debi Carr of DK Carr and Associates. Debi brings light to the importance of risk analysis, security compliance plans, and knowing the limitations of your IT department when it comes to this risk.

You don’t want to miss out on this important podcast discussion.

In Healthcare, is credentialing the same thing as contracting?

No, credentialing is the process of reviewing the doctor's qualifications while contracting. Payer enrollment is the process of applying for and obtaining participation contracts with insurance plans for your provider or entity.

Award-winning podcast host Terry Fletcher and Healthcare Consultant Scott Graham navigate through these differences while giving tips on how to be successful in payer contract negotiations and provider credentialing.

Join us for these important business of medicine tips.

An MSO is a company that provides non-clinical services to medical practices, ambulatory care facilities, or other healthcare providers.

Services provided by an MSO may include some or all of the following: Billing and Collection. Accounts Payable. RCY, Contracting and Credentialing, and Staffing.

What can an MSO do for your practice? Can you create your own?

In this episode, Terry discusses all options with Healthcare CPA and Financial Consultant Jacki Jacox. Don’t miss this important topic that could provide many practices with administrative relief.

Is your practice considering a merger? Is the phrase “bigger is better” a true statement when it comes to private medical practices?

Join us on this episode of the NSCHBC Edge podcast as SME Reed Tinsley CPA discusses the complexities of practice mergers.

It’s not an overnight process to be successful in a merger. Reed offers tips to work your way through the myriad of issues and processes.

On this episode of the Edge Podcast, Terry welcomes fellow NSCHBC member Sandy Shecter. Sandy is a CPA and the Director of Solutions for Rehmann, a fully integrated, professional advisory and asset management firm working to empower success for businesses of all sizes and industries.

Our topic today is physicians and medical practices who manage their finances in-house. Should they outsource to a CPA who knows the healthcare environment?