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The one and only Ronald Chapman II of the Chapman Law Group joins Sean to discuss their latest (5 in 12 months) of acquittals for Dr. Loey Kousa. Sean and Ron lay out what went right for the defense and why the prosecution's case failed. If you are a provider charged with a crime in healthcare or an attorney looking for strategies to ensure a level playing field and due process for your client then this episode is a must!
Sean and Terry take on the world of Pre-ops and provide clarification of the different types of visits and what is required to satisfy billing of these services.
Sean and Terry are back and taking on Stark from a practical standpoint in this episode of The Compliance Guy.
The panel is back for this outstanding discussion on when it's appropriate to make changes to CPT Code Selection(s) and when it is not!
Just because you go paid doesn't mean you billed it right... just because you got paid doesn't mean you get to keep it... just because you got paid once doesn't mean you will be paid again! Terry and Sean tackle an issue that we know is prevalent in all medical groups.
The all star panel was back live to discuss the latest in healthcare billing, coding, compliance, and documentation issues and strategies. On the topic list for this episode was the impact of cyber-terrorism on healthcare facilities and the false sense of security physicians have by relying on their EMR Templates. Truly a great discussion!
This episode was mind boggling to yours truly! Just when you think you understand a Medicare process you realize you really need brilliant health care attorneys like Ashley Morgan and Robert Liles to help you make sense of things! Don't miss this one
Sean was joined by Hassan Abdallah of ATLAH to take on a wide-range of topics directly impacting healthcare compliance, audits, private equity, and so much more!
About Hassan F. Abdallah
Hassan F. Abdallah is a proven and recognized professional in the field of organizational
compliance with extensive experience in designing and managing compliance based solution
systems. Throughout his career he has worked and consulted exclusively with some of the top
healthcare institutions in the country, assisting them in navigating and understanding regulatory
requirements through a strategic and analytical view.
Mr. Abdallah is a co-founder and former Board Member of the SAFE Substance Abuse
Coalition. SAFE is a grassroots organization that aims to lead and support local communities in
dispelling myths and stigmas about substance abuse and drug addiction. In his two years as
Executive Director, SAFE had become a leader in substance abuse prevention and education in
the Dearborn and Dearborn Heights communities.
As he progressed throughout his professional career, Mr. Abdallah climbed the corporate ranks
throughout two different organizations achieving great success in the field of regulatory
compliance. In previous positions, Hassan F. Abdallah served as the Chief Compliance Officer
of Health Alliance Plan (HAP) becoming the youngest C-suite executive in the company’s
history. In that capacity, he managed compliance activities in the broad range of U.S. regulatory
obligations including Consumer Privacy, Consumer Protection, CMS, and HIPAA; as well as
global regulatory obligations such as EU General Data Protection Regulation, and Consumer
Data Protection.
Prior to joining HAP, Hassan
Terry is back in the hot seat to discuss facility vs pro-fee coding... lots to unpack in the episode!
The entire gang is back for this one... Terry, Christine, Stephanie, Scott and Paul teamed up with Sean to discuss:
1. AI and the impact on healthcare...
2. Q3014 Site of Service Fee Differential...
3. Patient Centered Care...
4. Statistically Valid Random Sample (SVRS) when and how can it be used...
From the publisher's feed
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.