The all star panel is back for another bite at the apple! Great discussion on incident-to, inference when it comes to medical documentation to support billing of ancillary services, split/shared services, and much more!  

Jared Walker, CEO of Dollar For joins Sean to discuss the world of medical debt and hospital charity care. This is an episode that whether you are a hospital C-Suite or consumer of health care services at a hospital you are not going to want to miss. Jared exposed the dark-side of medical debt and how to detect the schemes and scams some try to get over on the unsuspecting. 

Don't miss this one! 

Visit Dollar For at: www.dollarfor.org 

Dollar For is the official charity of The Compliance Guy Podcast for the month of February! Let's Crush Medical Debt!!! 

Jordan sits down with Sean to discuss some of the more interesting, political and hairbrained issues impacting healthcare operations and compliance efforts! 

Topics include: 

1. ChatGPT - is this Artificial Intelligence (AI) really here? How is it and will it impact billing, coding, compliance, clinical care, documentation, and operations? Who’s afraid of ChatGPT? AI in healthcare could save $360B (mmm-online.com) 

2. Rural Healthcare - The continued shortage, hospitals shutting down and equity in healthcare. 

3. Digital Healthcare  - Envelop Please

Rural Hospital Crisis - Magnolia Tribune

https://ontheflyingbridge.wordpress.com/2023/01/22/digital-health-in-2023-envelope-please/

What this could mean:

ChatGPT passes MBA exam given by a Wharton professor (nbcnews.com)

In this episode Sean is joined by the full All Star Panel (Christine Hall, Paul Spencer, Scott Kraft, Stephanie Allard, and Terry Fletcher)! Topics include:

1. Changes to the United Health Care Appeal Process

2. Rendering Telehealth Service over state lines

3. Behavioral Health and the increased interest in auditing these services and why

4. The Reasonable, Necessary Standard established by CMS

Such a dynamic discussion! 

Terry joins Sean to discuss Chronic Care Management (CCM) Services, what they are, how they are billed, and what documentation is required to support them. But, what happens when you get it all wrong or don't have documentation to support the billing and reimbursement of these services? 

Jordan Johnson sits down with Sean to discuss the ins and outs of the FTC Proposed Rule on Non-Competes for Employees. This is a full breakdown of the proposed rule. The conversation then shifts to physician shortages by specialty and what should and can be done about it.

Below are the 2 links from the show: 

Percentage Change in the Number of Active Physicians by Specialty, 2016-2021 | AAMC 

Non-Compete Clause Rulemaking | Federal Trade Commission (ftc.gov)

Terry joins Sean to discuss training and education, or lack thereof at the payers and why they are not being held accountable! If you don't like humor skip the first 12 minutes but if you enjoy humor and fun stories listen to the who episode! 

Monday's Roundtable on the compliance guy podcast will be a lively discussion about #payeraudits and what to do when the "letter" arrives!

Christine Hall CHC CPC , CPB, CPMA, CRC, CEMC, CPC-I John Paul Spencer Stephanie Allard, CPC, CEMA, RHIT Terry A Fletcher BS CPC CEMC CCC CCS CCSP CMC ACS-CA SCP-CA, QMPM and Scott Kraft will provide insight into why:

1. Having great #yelpreviews won't protect you against being audited...

2. Steps to take when #adr letter, audit #letters are received...

3. Missing #deadlines and why that leads to #recoupments...

4. Why size doesn't matter...

There is so much to unpack in this one!!! Don't miss this #allstar panel at 12pm EDT / Monday, January 16, 2023!

In this episode Jordan Johnson sits down with Sean to discuss operational concerns in physician practices driving them to abandon their practice and join large groups, hospital networks, and integrated delivery health systems. The discussion the transitions to the impact of nurse strikes and what it will take to get them aligned with their employers. This episode is a bit charged but hey, someone has to stand-up for America's Elite! 

Terry joins Sean for a discussion on what it means to stay in your lane and not create liability situation for your clients or yourself. This episode gets a bit salty so buckle up and enjoy the ride!