Best Aapc Podcasts (2024)

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.

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Season 7 - Episode 21 - Monday Auditing, Coding and Compliance Roundtable 1:03:55

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24d ago1:03:55

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The Panel takes on the most pressing issues facing healthcare providers today! 1. Medicare Physician Fee Schedule Update 2. G0136 - SD0H HCPCSII Code Dos and Don'ts 3. TPE Targeting Level II and IV EM Services

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Season 7 - Episode - 20 - Christine Hall - Coding and Compliance 45:01

1M ago45:01

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It was such a treat to have Christine Hall of Stirling Global Solutions (https://www.stirlingglobalsolutions.com/) join The Compliance Guy Podcast to discuss compliance and coding issues surrounding Chronic Care Management (CCM), Providers Failing to Issue Voluntary Refunds, and so much more!

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Season 7 - Episode 19 - #TerryTuesday - OIG Compliance Program Guidance 36:32

1M ago36:32

36:32

In this episode Terry and Sean take on the updated Compliance Program Guidance from the OIG and more specifically the section dealing with quality and substandard care leading to prosecution. Don't miss this one!

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Season 7 - Episode 18 - Monday Auditing, Coding and Compliance Roundtable 1:03:52

1M ago1:03:52

1:03:52

Join Sean, Stephanie, Scott, Christine, and Terry as they take on: 1. Collaboration Agreements 2. CERT Studies and error rate

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Season 7 - Episode - 17 - #TerryTuesday - Bad Coding = Bad Business 25:39

2M ago25:39

25:39

Terry and Sean take on providers who render services but choose to bill for a higher level of service than what was actually performed or what they are able to support with their documentation. Oh, but there is more... so much more!

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Season 7 - Episode 16 - Monday Auditing, Coding and Compliance Roundtable 56:22

2M ago56:22

56:22

The panel is back for a much-needed discussion on two critical topics that are generating a ton of issues for providers. We'll be addressing G2211, a code that requires specific requirements and documentation components to support it, and Incident-to, a provisional billing service that continues to wreak havoc on providers. Unfortunately, self-proc…

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Season 7 - Episode 15 - Dan Cohen - PainScript 50:27

2M ago50:27

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Dan Cohen of PainScript joined Sean to discuss their innovative solution for managing opioid prescriptions. As the focus on prescriber compliance intensifies, Dan and his team have developed a HIPAA-compliant app that connects physicians with their chronic pain and SUD patients daily. Through real-time data and daily digital care, patients are more…

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Season 7 - Episode 14 - #TerryTuesday - HIPAA and The Unknown 22:48

2M ago22:48

22:48

Terry joined Sean to discuss some of the more obscure aspects of HIPAA and what practices should be doing to cover their assets!

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Season 7 - Episode 13 - The AI Modifier and Taking on Medicaid 39:09

2M ago39:09

39:09

What do you do when a State Medicaid program and their contractor fail to comply with their own published guidance... you call The Compliance Guy! Listen to this episode and hear an unbelievable story of incompetence and what happens when folks dig their heels in to deep and lose in the end. Paul Spencer Joins Sean to discuss all the details of thi…

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Season 7 - Episode 12 - #TerryTuesday - When Audit Results Are Ignored 37:47

2M ago37:47

37:47

Sean and Terry take on the risks associated with not following audit results whether internal or external results. Don't miss this one!

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Season 7 - Episode 11 - Monday Coding and Compliance Roundtable 1:01:19

2M ago1:01:19

1:01:19

The team was back and took on when it does and does not make sense to employ remote workers as well as the do's and don'ts. The team also took on AI and the inherent risks associated with EHRs deploying this technology into their systems.

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Season 7 - Episode 10 - #TerryTuesday - Incident-To 38:30

2M ago38:30

38:30

Before you say, "not again" keep in mind these are the problem child of providers and the government. The provisional services continue to create problems and until the ambiguous aspects of these services are more clearly defined we will have to continue threading the needle to keep you compliant.

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Season 7 - Episode - 9 - Monday Auditing, Coding and Compliance Roundtable 1:00:32

2M ago1:00:32

1:00:32

The entire cast is back this week taking on the most complex and challenging issues tied to medical auditing, coding, and compliance...

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TCG The Best of The Best "Effective Leadership" 43:00

3M ago43:00

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In this episode Sean takes on effective leadership and what it takes to lead a team. While Sean is known as "The Compliance Guy" he started his professional career in practice management back in the mid-90s amid all the consolidation and acquisitions by the health systems "Physician Services" Groups. Take a listen... you just may be surprised at wh…

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Season 7 - Episode - 8 The Return of Clint Pulver 45:08

3M ago45:08

45:08

The one and only Clint Pulver returns to The Compliance Guy to provide an update on his upcoming 2024 speaking tour, his new documentary (Finding Hill on YouTube), The Master Class Program, and so many more unbelievable amazing things Clint and his team are undertaking! Clint Pulver is a professional keynote speaker, author, musician, pilot, and wo…

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Season 7 - Episode 7 - Legal with Liles/Parker 57:49

3M ago57:49

57:49

In the first Legal with Liles/Parker episode of 2024, Robert and Ashley sit down with Sean to discuss Compliance Risks in 2024! The list is long and distinguished...

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Season 7 - Episode 6 - #TerryTuesday - Cloning and Clinical Plagiarism 30:38

3M ago30:38

30:38

Terry and Sean take on Cloning, Cut and Paste and Clinical Plagiarism... It is not as clear cut as you would think it is! Don't miss this one because the end-results could cost you dearly!

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Season 7 - Episode 5 - Monday Coding and Compliance Roundtable 58:07

3M ago58:07

58:07

The All Star Panel was back taking on the latest in auditing, coding and compliance challenges for healthcare professionals.

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Season 7 - Episode 4 - Dr. Katie Deming 57:14

3M ago57:14

57:14

Katie Deming, MD sits down with Sean to discuss engaging with those diagnosed with cancer. Dr. Deming, host of the Born to Heal Podcast and a #tedxspeaker, provides insightful and invaluable advice on communication. Don't miss this opportunity to change your outlook on how we engage with those diagnosed with cancer...…

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Season 7 - Episode 3 - #TerryTuesday - Artificial Intelligence in Healthcare 31:50

3M ago31:50

31:50

There is no doubt the machines are taking over! Terry and Sean explore how AI both helps and hurts providers of medical services and what they need to do to ensure they don't find themselves in a trap!

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Season 7 - Episode 2 - Monday Coding and Compliance Roundtable 1:01:41

3M ago1:01:41

1:01:41

The All Star Panel is back for the first roundtable discussion of 2024 and what a great discussion it was. Topics Include: 1. G2211 - The New Add-on for Evaluation and Management Codes... The Dos and Don'ts 2. Medical Students - What they can and cannot provide as a services and the PATH Guidelines... 3. Laboratory Compliance - The world of lab ser…

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Season 7 - Episode 1 - David J Zetter 48:20

4M ago48:20

48:20

David sits down with Sean to discuss avoiding 2024 pitfalls with provider enrollment, credentialing, and contracting in addition to so much more. David is one of the most celebrated healthcare professionals and for good reason. Don't miss this one! Zetter Consulting Website: https://zetter.com/ NSCHBC Website: https://nschbc.org/…

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Season 6 - Episode 50 - #TerryTuesday - Non-retaliation 26:23

4M ago26:23

26:23

In this final episode of season 6 and the overall final episode of 2023 Terry joins sean to take on the critical nature of having a non-retaliation policy for your organization! You can't have a compliance program without one of these!

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Season 6 - Episode 49 - Monday Coding and Compliance Roundtable 26:23

4M ago26:23

26:23

In this final roundtable discussion of 2023 the all star cast was back to address: 1. CPT Coding Changes for 2024 2. Impact of a transmittal change by CMS for chemo and Rheumatology Infusion Drugs 3. The impact of medical necessity 4. Documentation standards 5. The impact bad behavior has on a case at trial…

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Season 6 - Episode 48 - #TerryTuesday - G2211 Add-on Code 29:12

5M ago29:12

29:12

CMS is at it once again with a new HCPCSII Code that will only lead to confusion and potential long-term audits and claw backs! Take a listen as Sean and Terry break down this one...

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Season 6 - Episode 47 - Monday Coding and Compliance Roundtable 1:01:51

5M ago1:01:51

1:01:51

Terry, Scott, Paul, and Christine joined Sean for a great discussion... Topics include: 1. Holding on to overpayments when a refund, corrected claim, and/or self-disclosure should be made; 2. How to teach audit results... painting the wrong picture; 3. Wound care; 4. Critical mistakes providers make that lead to charges of healthcare fraud and/or f…

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Season 6 - Episode 46 - Monday Coding and Compliance Roundtable 36:15

5M ago36:15

36:15

Split/Shared Services is the theme of this episode and you do not want to miss this in-depth discussion!

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Season 6 - Episode 45 - Monday Coding and Compliance Roundtable 56:22

5M ago56:22

56:22

The Allstar team was back together to discuss the latest changes to the AMA CPT Manual, Risk to Providers who Clone medical records, and so much more!

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Season 6 - Episode 44 - #TerryTuesday - AMA/CMS 2024 Changes to Telehealth 24:47

5M ago24:47

24:47

Terry and Sean take on 2024 changes from AMA/CMS regarding telehealth!

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Episode 1 2:02

5M ago2:02

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Best Medical Coding Training Institute in Hyderabad Medical Coding is a standard operative procedure documented in a coded format it is coded with 3 standard books which include standard procedure guidelines called medical coding. Claxon Best Medical Coding and CPC Certification Training Institute in Ameerpet Hyderabad Are you seeking a rewarding a…

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Season 6 - Episode 43 - #TerryTuesday - Compliance as a Culture 26:20

6M ago26:20

26:20

This episode is all about compliance... So much to unpack in so little time!

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Eason 6 - Episode 42 - Monday Coding and Compliance Roundtable 52:38

6M ago52:38

52:38

Terry, Christine, and Stephanie joined Sean to discuss a variety of pressing topics impacting compliance and operations. Topics for Discussion: - Billing for bundled or non-covered services “hoping” to get paid and then writing it off if you don’t. - trying to bill to insurance an injection code when it’s on the list of “likely self administered” b…

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Season 6 - Episode 41 - #TerryTuesday - Don't Do That... It's Stupid! 25:09

6M ago25:09

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This is a very special episode of The Compliance Guy #TerryTuesday... There is some signing, and somethings that we refer to as "Don't Do That... It's Stupid!

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Season 6 - Episode 40 - Monday Coding and Compliance Roundtable 1:03:28

6M ago1:03:28

1:03:28

Join Stephanie, Terry, Christine, Scott, and Paul as they sit down with Sean to discuss a variety of coding and compliance topics including: 1. Traveling overseas and needing medical attention... who is going to pay for it? 2. Modifier 25 CMS/AMA Joint Definitional Change...

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Season 6 - Episode 39 - #TerryTuesday - RCM 30:42

6M ago30:42

30:42

In this episode, Sean and Terry take on Revenue Cycle Management and the role of compliance in operations.

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Season 6 - Episode 38 - #Terry Tuesday 23:20

7M ago23:20

23:20

You favorite dynamic duo is back and at it again! In this episode Sean and Terry take on the different types of audits... This episode is a must for every type of healthcare organization!

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Season 6 - Episode 37 - Monday Coding and Compliance Roundtable 1:04:23

7M ago1:04:23

1:04:23

The entire crew (Christine, Terry, Scott, Paul, and Stephanie) is back for an outstanding roundtable discussion that is wide-ranging and full of great content! 1. Orders for tests and how the EMR impacts how specific tests are displayed in a note and the impact given for credit for towards data and MDM. 2. Cyber Security Attacks on healthcare provi…

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Season 6 - Episode 36 - #Terry Tuesday 27:33

7M ago27:33

27:33

Terry and Sean take on can I do this because the doctor down the street does it... and what happens when you don't stay in your lane!

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Season 6 - Episode 35 - Monday Coding and Compliance Roundtable 1:01:57

7M ago1:01:57

1:01:57

We had a great line-up of topics on this episode: 1. Orders for tests and how the EMR impacts how specific tests are displayed in a note and the impact given for credit for towards data and MDM. 2. Cyber Security Attacks on healthcare providers (CMS Warning) and how to be diligent in your efforts! 3. The impact of private equity money and the lates…

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Season 6 - Episode 34 - Dr. Carolyn Ward / Particle Health 42:26

7M ago42:26

42:26

Sean was joined by Dr. Carolyn Ward, Director of Clinical Strategy for Particle Health to discuss challenges with interoperability and other dynamic challenges facing healthcare professionals... About Dr. Ward: Carolyn Ward is a dynamic and driven internal medicine physician with a passion for physician empowerment and data-driven decision making. …

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Season 6 - Episode 33 - Dr. Brian Fengler of EvidenceCare 41:42

7M ago41:42

41:42

On this episode, Sean was joined by Dr. Brian Fengler of EvidenceCare to discuss the state of healthcare and what he as an Emergency Room Physician has see as opportunities to gain access to evidence based care information to assist in the treatment of patients at bedside faster and more accurately. About Dr. Fengler: (https://evidence.care/) Dr. B…

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Season 6 - Episode 32 - #TerryTuesday - Split/Shared and Incident-to Services 33:21

7M ago33:21

33:21

Terry and Sean take on the giant headache of split/shared and incident-to services. This one gets a bit heated for legitimate reasons. You're gonna love this one!

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Season 6 - Episode 31 - Monday Coding and Compliance Roundtable 1:02:13

7M ago1:02:13

1:02:13

The entire team is back for this episode! There was a lot to discuss with so many issues coming to light in the areas of coding, billing, documentation, and compliance. Don't miss one minute of this one!

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Season 6 - Episode 30 - #TerryTuesday 32:53

8M ago32:53

32:53

What is a compliance plan and how to build one that is effective and meets OIG and DOJ requirements!

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Season 6 - Episode 29 - Monday Coding and Compliance Roundtable 1:00:01

8M ago1:00:01

1:00:01

This was an epic episode that you do not want to miss. Scott, Terry, Stephanie and Christine joined Sean to discuss the False Claims Act, Anti-Kickback Statute, Template issues, and so much more!

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Season 6 - Episode 28 - #TerryTuesday 31:26

8M ago31:26

31:26

Terry and Sean take on Telehealth access. Clients are getting letters about not having Telehealth available for disabled patients, which is required under the Federal Disabilities Act. Physicians telling patients they don't have in-person options for care, ONLY Telehealth is not okay.

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Season 6 - Episode 27 - Monday Coding and Compliance Roundtable 55:43

8M ago55:43

55:43

The panel was back at it with a great breakdown of the Medicare Physician Fee Schedule Rule Changes for 2024... as always it was a lively discussion about the proposed rule changes and their impact on providers. Topics Included: 1. Split/shared services – the definition of substantive portion will remain the same as it is now through 12/31/2024... …

Podcasts Worth a Listen

Aapc Podcasts

Podcasts Worth a Listen

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