The Compliance Guy

We had a great program on Monday with Terry Fletcher CPC CEMC CCC CCS CCS-P CMC ACS-CA SCP-CA PACS QMPM Christine Hall Stephanie Allard, CPC, CEMA, RHIT Scott Kraft and John Paul Spencer and their take on some hard-hitting issues:

1. Practices wanting to use RNs or MAs to do post of visits after 90-global surgery

2. Medical necessity for E/M services and the fact that a face-to-face visit has occurred in the office not being the only required component to be able to bill.

And so much more!

Terry Fletcher CPC CEMC CCC CCS CCS-P CMC ACS-CA SCP-CA PACS QMPM and #TheComplianceGuy, addressed critical issues in the latest #TerryTuesday episode. In this episode, we delved into current events affecting our country, marking a significant departure from our usual content.

Listeners can fast forward to the 15-minute mark for an insightful discussion on Untied Healthcare and Aetna's decision to stop covering the G2211. The reason? Misinterpretation of the concept of a longitudinal relationship by the majority and over-utilization of the code. Other payors are sure to follow!

A heartfelt thank you to all the #linkedin family, friends, followers, and listeners for your continuous support and engagement. Join us as we navigate through the world of #COMPLIANCE.

Peace and Love!

Sean

Sean sat down with Dana McMahon, Chief Compliance Officer for Stryker to discuss all the great things she and her team are doing to ensure a culture of compliance and to lead Stryker into the future. Beyond that Dana is the Global President for Stryker Women's Network (see bio below)!

This is one great discussion you do not want to miss!

Bio

Dana serves as Chief Compliance Officer for Stryker and is responsible for overseeing the global compliance, privacy, and enterprise risk programs and functions. Under her leadership, the Compliance function has been focused on driving value for Stryker by partnering across the businesses to enable growth and manage risk. Dana also currently serves as the global president for Stryker Women’s Network, which seeks to improve Stryker’s results by fostering an open and inclusive culture, with a focus on attracting, developing, and retaining talented women.

Dana has more than 20 years of experience in the life sciences industry. She joined Stryker in 2017 as Chief Legal Counsel, leading a global legal team advising on regulatory and quality, manufacturing and supply, technology and cybersecurity, commercial and government contracting, and privacy. Prior to Stryker, she served as Assistant General Counsel at Novo Nordisk, where during her 14-year career she held several positions of escalating responsibility within the legal team, overseeing support to the commercial, clinical, medical affairs, R&D, compliance, and government affairs organizations. Dana has worked extensively on matters related to product development and commercialization, market access and reimbursement, and compliance and risk management. Previously, Dana worked in private practice at O’Melveny in New York City.

Dana received her law degree from New York University School of Law and her bachelor’s degree from Hamilton College.

Terry and Sean sat down to discuss credentialing vs contracting. What are the main differences, how do you handle various aspects of each and the pitfalls to avoid.

The full panel was back this week taking on an array of topics impacting healthcare organizations across the country! Join Stephanie, Paul, Scott, Christine and Terry as they discuss and debate HCC Coding Issues, No Charging Physicians and others who refer to the practice and so much more...

This episode Terry and Sean take on adding services to your revenue mix and the costs for doing so if "Medical Necessity" is not met. There is a ton to unpack in the episode.

Sean also blogged about this topic on LinkedIn Monday, July 1, 2024... take a look at that blog!

Terry and Sean are back at it once again taking on the big issues impacting healthcare providers! It's all about risk mitigation and creating a culture of compliance!

The Monday Roundtable is back with all new segments and compliance centered topics. Join Sean, Terry, Christine, Scott, Paul and Stephanie as they tackle the biggest issues in healthcare.

Don't let the title fool you... this is not just another incident-to podcast. This episode focuses on the employee/employment requirement(s) and how organizations continue to make significant mistakes.

Terry, Christine, Stephanie, Paul, and Scott were all back for this new episode of the Monday Roundtable. It was quite the discussion on various payor guidelines regarding G2211, The Anatomy of CPT Codes, Split/Shared Services, EMR as a Tool, and so much more...