The Compliance Guy

Season 7 - Episode 48 - Monday Auditing, Coding and Compliance Roundtable


Listen Later

Summary

The conversation revolves around the topic of padding medical bills and the importance of clear communication with patients regarding their financial responsibilities. The speakers discuss instances where unnecessary charges are added to the bill, such as billing for lifestyle medicine codes during a visit for a finger fracture or adding charges for services that were not provided. They emphasize the need for providers to stay in their lane and let the billing office handle financial matters. The conversation also touches on the No Surprise Act and the importance of notifying patients about potential changes in billing during procedures. Overall, the speakers stress the importance of running a compliant practice and ensuring patients are not surprised by their financial responsibilities. The conversation covers various topics related to compliance and healthcare, including personal anecdotes, the importance of commenting on proposals, the need for a collective voice in healthcare, the impact of fee schedule reductions, the complexities of telehealth, the role of contracts in telehealth, and the significance of having an effective compliance program. The main takeaways include the importance of staying informed and engaged in healthcare policy, the need for healthcare professionals to advocate for themselves and their patients, the value of having a strong compliance program, and the potential consequences of non-compliance.

Program Takeaways

  • Providers should avoid adding unnecessary charges to medical bills, such as billing for services that were not provided or adding charges for unrelated conditions.
  • Clear communication with patients regarding their financial responsibilities is crucial to avoid surprises and maintain a good patient-provider relationship.
  • Providers should let the billing office handle financial matters and stay focused on providing medical care.
  • Understanding and adhering to the rules and regulations set by insurance companies and government programs is essential to avoid compliance issues.
  • Providers should have a waiver of liability or an advanced beneficiary notification in place for procedures that may convert from preventive to therapeutic or diagnostic services.
  • Running a compliant practice includes educating providers on coding guidelines and ensuring proper documentation to support billed services. Stay informed and engaged in healthcare policy
  • Advocate for yourself and your patients
  • Have a strong compliance program
  • Understand the potential consequences of non-compliance
  • ...more
    View all episodesView all episodes
    Download on the App Store

    The Compliance GuyBy Sean M. Weiss

    • 4.9
    • 4.9
    • 4.9
    • 4.9
    • 4.9

    4.9

    36 ratings


    More shows like The Compliance Guy

    View all
    My Favorite Murder with Karen Kilgariff and Georgia Hardstark by Exactly Right and iHeartPodcasts

    My Favorite Murder with Karen Kilgariff and Georgia Hardstark

    171,951 Listeners

    Compliance Conversations by Healthicity by CJ Wolf

    Compliance Conversations by Healthicity

    18 Listeners

    The Daily by The New York Times

    The Daily

    112,327 Listeners

    Up First from NPR by NPR

    Up First from NPR

    56,375 Listeners

    CodeCast | Medical Billing and Coding Insights by Terry Fletcher

    CodeCast | Medical Billing and Coding Insights

    196 Listeners

    Crime Junkie by audiochuck

    Crime Junkie

    368,549 Listeners

    Talk Ten Tuesdays by ICD10monitor

    Talk Ten Tuesdays

    40 Listeners

    Morbid by Ash Kelley & Alaina Urquhart

    Morbid

    99,056 Listeners

    Monitor Mondays by RACmonitor

    Monitor Mondays

    24 Listeners

    Paint The Medical Picture Podcast by Sonal Patel

    Paint The Medical Picture Podcast

    25 Listeners

    The Ezra Klein Show by New York Times Opinion

    The Ezra Klein Show

    15,967 Listeners

    The Deck by audiochuck

    The Deck

    11,665 Listeners

    For The Love of Revenue Cycle by Vanessa Moldovan

    For The Love of Revenue Cycle

    24 Listeners

    Auditing Antics: Navigating Medical Coding and Auditing by Stephanie Allard Consulting, LLC

    Auditing Antics: Navigating Medical Coding and Auditing

    9 Listeners

    False Claims Act Insights by Jonathan Porter

    False Claims Act Insights

    4 Listeners