The Compliance Guy

Brian Lobley brings over 20 years of experience leading healthcare businesses, operations, and strategy. Prior to joining tango, he served as the executive vice president, chief operating officer, and president of Health Markets at Independence Health Group, the parent company of Independence Blue Cross, LLC. He was responsible for leading Commercial, Consumer, and Medicare lines of business and the company’s group pharmacy business and Operations, Business Technology Services, Informatics, and Innovation departments. He provided oversight for the company’s subsidiaries: AmeriHealth New Jersey, and AmeriHealth Administrators. 

He has also served on numerous boards across non-profit and for-profit sectors. 

Brian earned his Bachelor of Science in Industrial Engineering at Lehigh University. 

https://tangocare.com/

In this episode Sean and Terry take on Addendums, Corrections, and Late Entries, and when you can make them, when you shouldn't, and when clinical summaries are a better options.

Sean and Terry are back with an all new #TerryTuesday episode that you are not going to want to miss!

1. Weight loss drugs and all the confusion on medical necessity

2. Physician disclaimers and the misnomers

3. Developing the next generation of coders, and the difficulties practices are having retaining experienced coders in this economy

Bryan Meek of Brennan, Manna, and Diamond joins Sean to discuss last weeks final rule issued by the Federal Trade Commission and what it means at this point, where things are headed and how to navigate through all the noise.

Don't miss this episode!

Sean and Terry are at it again, taking on the most perplexing and head-scratching auditing, coding and compliance topics and bringing a sense of sanity to insane situations!

Most of the all star team was back for this one and it was an outstanding discussion of the G2211, Medical Necessity vs. Correct Coding, SNF Visits and Medical Necessity, and so much more!

Sean and Terry are back at it with another great episode focusing on the most challenging issues facing healthcare providers and their organizations.

The all star panel is back together again with an all new episode.

1. Clean Claims

2. Misapplication of Diagnosis Codes

3. Change Healthcare Debacle

Terry and Sean take on Medicare's IPPE and AWV and all the misinformation and dos and don'ts! Hear directly from a Medicare Auditor on her thoughts and opinions on direct supervision / incident-to regarding these services.