Summary
In this episode, Sean and Terry discuss various topics related to healthcare compliance. They start by sharing their recent experiences, including Sean's trip to Alaska. Then, they dive into the theme of the episode, which is when things are as clear as mud in the healthcare community. They discuss the challenges of finding clear guidelines and regulations for certain situations, such as timely completion of medical records and coding for patient visits without symptoms. They emphasize the importance of creating internal policies and best practices to navigate these ambiguous situations.

Takeaways
<ul>
 <li>Finding clear guidelines and regulations in the healthcare community can be challenging.</li>
 <li>Creating internal policies and best practices is crucial to navigate ambiguous situations.</li>
 <li>Timely completion of medical records is important for credibility and believability.</li>
 <li>Referring a patient to a specialist is considered minimal to low risk, not moderate.</li>
 <li>Prescription drug management is only a part of the overall medical decision-making process.</li>
 <li>Coding for patient visits without symptoms requires careful documentation and consideration of the appropriate codes.</li>
 <li>Having internal policies can help mitigate fines and refunds during audits.</li>
 <li>Being proactive and compliant is essential in the ever-changing healthcare landscape.

</li>
</ul>

Summary In this episode, Sean and Terry discuss various topics related to healthcare compliance. They start by sharing their recent experiences, including Sean's trip to Alaska. Then, they dive into the theme of the episode, which is when things are as clear as mud in the healthcare community. They discuss the challenges of finding clear guidelines and regulations for certain situations, such as timely completion of medical records and coding for patient visits without symptoms. They emphasize the importance of creating internal policies and best practices to navigate these ambiguous situations. Takeaways Finding clear guidelines and regulations in the healthcare community can be challenging. Creating internal policies and best practices is crucial to navigate ambiguous situations. Timely completion of medical records is important for credibility and believability. Referring a patient to a specialist is considered minimal to low risk, not moderate. Prescription drug management is only a part of the overall medical decision-making process. Coding for patient visits without symptoms requires careful documentation and consideration of the appropriate codes. Having internal policies can help mitigate fines and refunds during audits. Being proactive and compliant is essential in the ever-changing healthcare landscape.

Season 7 - Episode 49 - #TerryTuesday - When It's Clear As Mud!

Sean is the host of “The Compliance Guy” a live production dedicated to the intersection of regulatory compliance and the business of medicine. The show provides timely, accurate, and easy to digest information to healthcare professionals.
The show features interviews of industry leaders, government officials, and others helping to shape the healthcare landscape.
Sean M. Weiss (AKA – The Compliance Guy) has been an industry respected name for more than 25-years. A physician and health system advocate, Sean engages with clients to ensure a “level-playing-field” and due process when allegations and/or accusations of impropriety are leveled by a payor or government investigation agency.


When Sean is not engaging in administrative, civil and criminal matters on behalf of more than 30 nationally recognized law firms and clients, he is serving as a third-party compliance officer for a dozen organization across the country ranging in size and specialty to ensure a “Culture of Compliance”!


Sean is a proud member in good-standing with the National Society of Certified Healthcare Business Consultants (NSCHBC), American Health Lawyers Association (AHLA), National Alliance of Medical Auditing Specialists (NAMAS), and the American Academy of Professional Coders (AAPC). Sean holds (CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC, CMC, CMIS, CMOM) national certifications from the Health Care Compliance Association, The National Alliance of Medical Auditing Specialists, The American Academy of Professional Coders and Practice Management Institute.

Business

Sean is the host of “The Compliance Guy” a live production dedicated to the intersection of regulatory compliance and the business of medicine. The show provides timely, accurate, and easy to digest information to healthcare professionals. The show features interviews of industry leaders, government officials, and others helping to shape the healthcare landscape. Sean M. Weiss (AKA – The Compliance Guy) has been an industry respected name for more than 25-years. A physician and health system advocate, Sean engages with clients to ensure a “level-playing-field” and due process when allegations and/or accusations of impropriety are leveled by a payor or government investigation agency. When Sean is not engaging in administrative, civil and criminal matters on behalf of more than 30 nationally recognized law firms and clients, he is serving as a third-party compliance officer for a dozen organization across the country ranging in size and specialty to ensure a “Culture of Compliance”! Sean is a proud member in good-standing with the National Society of Certified Healthcare Business Consultants (NSCHBC), American Health Lawyers Association (AHLA), National Alliance of Medical Auditing Specialists (NAMAS), and the American Academy of Professional Coders (AAPC). Sean holds (CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC, CMC, CMIS, CMOM) national certifications from the Health Care Compliance Association, The National Alliance of Medical Auditing Specialists, The American Academy of Professional Coders and Practice Management Institute.

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Season 7 - Episode 49 - #TerryTuesday - When It's Clear As Mud!

Season 7 - Episode 49 - #TerryTuesday - When It's Clear As Mud!

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