Best Appeal Academy Podcasts (2024)

1
Why mediation matters: Improving outcomes in FOI appeals | L'importance de la médiation : Améliorer les résultats des appels en matière d'accès à l'information 37:43

7d ago37:43

37:43

Mediation is a powerful and efficient way to resolve freedom of information appeals. This episode explores the value-add of mediation and how building trust, active listening, and education can lead to win-win settlements for both parties. Commissioner Kosseim speaks with Shaun Sanderson, a mediator at the IPC, about how mediation works, what parti…

1
35. Back to the Future (1985 - 1990): The Timeless Appeal of a Beloved Trilogy 1:00:28

3h ago1:00:28

1:00:28

"I just thought it was absolutely amazing" Summary In this episode, Stephen and Paul discuss the beloved movie trilogy, Back to the Future. They talk about their love for the first movie, its great cast, and timeless humor. They also discuss the impact of the movie and how it has stood the test of time. They share their personal experiences of watc…

1
Season 7 - Episode 47 - #TerryTuesday - Navigating the Challenges of Telehealth Services and Billing 42:49

15d ago42:49

42:49

In this episode, Sean and Terry discuss the recent incident where Sean accidentally went live with colorful language during a recording. They also dive into the proposed changes to the telehealth services and fee structure for 2025. Terry explains the challenges and limitations of telehealth services, especially when it comes to billing and coding.…

1
Season 7 - Episode 46 - #TerryTuesday - Privilege or No Privilege "That is the Question" 29:50

1h ago29:50

29:50

This is a controversial topic depending on which side of the yellow line you stand on... The question is does all work with a consultant require attorney client privilege... This is a great discussion for those of you looking to engage in coding and billing audits.

1
Season 7 - Episode 45 - Monday Auditing, Coding, and Compliance Roundtable 58:35

1h ago58:35

58:35

This was a great live show! Sean was joined by Terry, Christine, and Paul to discuss Medical Decision-Making for levels of EM service when Rx Management is involved. There was a lot to unpack in this episode so don't miss this one!

1
Season 7 - Episode 44 - #TerryTuesday - Words Matter 22:43

1h ago22:43

22:43

Terry and Sean take on the importance of words in the medical record. There is no slowing of the audit trend so providers better buckle up!

1
34. Batman and Robin (1997) - Franchise Freeze? 21:13

1M ago21:13

21:13

"Joel Schumacher's tongue-in-cheek attitude hits an unbearable limit in Batman and Robin" Summary In this episode, Stephen and Paul discuss the 1997 film Batman and Robin. They critique the movie's campy and kid-friendly approach, highlighting its flaws such as cheesy puns, over-the-top characters, and unrealistic plot elements. They also mention a…

1
Addressing intimate partner violence: Information sharing, trust, and privacy | Lutter contre la violence conjugale : Échange de renseignements, confiance et confidentialité 30:47

28d ago30:47

30:47

Timely information sharing is crucial to prevent harm resulting from intimate partner violence (IPV). Sometimes, however, professionals may hesitate to share information due to misunderstandings about privacy laws. Priya Shastri, Director of Programs at WomanAct, provides insights from the front lines on information sharing, building trusting relat…

1
Season 7 - Episode 43 - #TerryTuesday - Flat-lining! 29:09

14d ago29:09

29:09

In this episode Terry and Sean take on what it means to flat-line with your coding and how to avoid unnecessary scrutiny!

1
Season 7 - Episode 42 - Defending Your Claims Action 29:21

21d ago29:21

29:21

This one is a head-scratcher for The Compliance Guy for so many reasons... Not going to give it away but this is a really good episode you are gonna want to catch!

1
Season 7 - Episode 41 - Monday Auditing, Coding and Compliance Roundtable 52:50

21d ago52:50

52:50

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 servic…

1
33. The Omen Movies - Which Are The Spawn of Satan? 1:20:36

1M ago1:20:36

1:20:36

"She's smiling when she's doing it, and that's what makes it scarier." Summary In this episode of Trimming the Movie Fat, Stephen and Paul discuss the Omen franchise. They rank and review each film, starting with the original 1976 classic. They praise the film's brilliant cast, memorable scenes, and impactful kills. They also discuss the iconic end…

1
Season 7 - Episode 40 - #TerryTuesday - G2211 and Some Payors Refusal to Pay 27:49

1M ago27:49

27:49

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 discu…

1
Season 7 - Episode 39 - Dana McMahon Chief Compliance Officer / Stryker 34:39

2M ago34:39

34:39

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 s…

1
Season 7 - Episode 38 - #TerryTuesday 32:37

1M ago32:37

32:37

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.

1
Season 7 - Episode 37 - Monday Auditing, Coding and Compliance Roundtable 1:02:12

2M ago1:02:12

1:02:12

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...

1
Season 7 - Episode 36 - #TerryTuesday 35:13

2M ago35:13

35:13

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!

1
32. Batman Forever (1995) - A Neon Nightmare? 18:42

2M ago18:42

18:42

"It's one of those ones that I enjoyed at the time" Summary In this episode, Stephen and Paul discuss Val Kilmer’s sole outing as the Caped Crusader in 1995’s Batman Forever. They talk about the plot, box office performance, and ratings of the movie. They also share their personal experiences and opinions on the film, including the casting, music, …

1
Season 7 - Episode 35 - #TerryTuesday 29:34

2M ago29:34

29:34

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!

1
Season 7 - Episode 34 - Monday Auditing, Coding and Compliance Roundtable 1:02:47

2M ago1:02:47

1:02:47

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.

1
Artificial intelligence in health care: Balancing innovation with privacy | L’intelligence artificielle dans les soins de santé : mettre en balance l’innovation et la protection de la vie privée 37:30

2M ago37:30

37:30

Dr. Devin Singh is an emergency physician and lead of clinical AI and machine learning in Paediatric Emergency Medicine at The Hospital for Sick Children (SickKids). He is also co-founder and CEO of Hero AI. Combining medicine and machine learning [2:21] A patient death as a spark for thinking differently about health care delivery [3:27] Demystify…

1
31. The Police Academy Movies: Part Two (4 - 7) - The Decline of the Franchise 46:44

3M ago46:44

46:44

"With the exception of Mission to Moscow, this film is high in the running to become the worst movie in the franchise." Summary In this episode, Stephen and Paul review the Police Academy movie series. They discuss each film from Police Academy 4 to Police Academy: Mission to Moscow, highlighting the decline in quality with each installment. They s…

1
Season 7 - Episode 33 - #TerryTuesday - Employment Requirement of Incident-To 24:31

2M ago24:31

24:31

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.

1
Season 7 - Episode 32 - Monday Auditing, Coding and Compliance Roundtable 1:03:31

2M ago1:03:31

1:03:31

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...

1
30. Batman Returns (1992) - A Flawed But Fun Sequel? 17:17

3M ago17:17

17:17

SummaryIn this episode, Stephen and Paul discuss Tim Burton's 1992 film Batman Returns. They talk about the plot, box office performance, and ratings of the movie. They also share their personal experiences and opinions on the film, including the casting, set design, and focus on the villains. Finally, they rank the film top, middle or lower tier B…

1
Season 7 - Episode 31 - Brian Lobley - CEO Tango 46:38

3M ago46:38

46:38

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 Commerci…

1
Season 7 - Episode 30 - #TerryTuesday 35:08

3M ago35:08

35:08

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.

1
Season 7 - Episode 29 - #TerryTuesday 27:17

4M ago27:17

27:17

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

1
Season 7 - Episode 28 - Monday Auditing, Coding, and Compliance Roundtable 1:00:29

4M ago1:00:29

1:00:29

The full panel! Scott Kraft, John Paul Spencer, Terry Fletcher CPC CEMC CCC CCS CCS-P CMC ACS-CA SCP-CA PACS QMPM, Stephanie Allard, CPC, CEMA, RHIT and Christine Hall CHC was back with all new topics! 1. Weight loss drugs and all the confusion on medical necessity 2. Physician disclaimers and the misnomers 3. Developing the next generation of code…

1
29. Batman (1989) - Burton’s Bat 13:37

4M ago13:37

13:37

SummaryTim Burton's Batman (1989) was a cultural phenomenon and a game-changing movie. The film's success was evident in its box office gross and critical reception. It also had a profound effect on podcast host Stephen Nicholson. Join Stephen now as he shares his personal experiences with the movie; provides Batman information; picks his favourite…

1
Season 7 - Episode 27 - Non-compete Agreements - "The Road Ahead" 45:29

4M ago45:29

45:29

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!

1
No government ID: Navigating homelessness, identity, and privacy | Pas de carte d'identité gouvernementale : Gérer son itinérance, son identité et sa vie privée 31:54

4M ago31:54

31:54

Robert Fabes is a registered psychotherapist. His focus is on meaning-based existential mental health and addictions counselling. In addition to counselling clients in his private practice, he’s an addictions and trauma counsellor at The Ottawa Mission. Misconceptions about homelessness [5:06] Privacy concerns for people experiencing homelessness […

1
Season 7 - Episode 26 - #TerryTuesday 28:17

4M ago28:17

28:17

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!

1
Season 7 - Episode 25 - Monday Auditing, Coding and Compliance Roundtable 1:00:52

4M ago1:00:52

1:00:52

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!

1
28. The Police Academy Movies: Part One (1 - 3) 1:00:20

4M ago1:00:20

1:00:20

Summary In this episode of 'Trimming the Movie Fat,' hosts Stephen and Paul discuss the Police Academy franchise. They rank the first three films and share their favourite scenes. They also discuss the outdated and controversial elements of the movies, such as stereotypes and sexism. The hosts reminisce about their fond memories of watching the fil…

1
Season 7 - Episode 24 - #TerryTuesday 28:06

5M ago28:06

28:06

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

1
Season 7 - Episode 23 - Monday Auditing, Coding and Compliance Roundtable 1:01:36

5M ago1:01:36

1:01:36

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

1
27. Batman: The Movie (1966) - A Camp Classic? 15:09

5M ago15:09

15:09

Like Batman without Robin, Stephen is leaving behind co-host Paul as he travels to Gotham City to critique each of the Batman movies. Summary Batman the movie from 1966 is a campy and humorous take on the iconic superhero. It features Batman and Robin battling various villains in an over-the-top and tongue-in-cheek manner. The movie was a financial…

1
At face value: Facial recognition technologies and privacy | La technologie de reconnaissance faciale et la protection de la vie privée 35:28

5M ago35:28

35:28

Cynthia Khoo is a technology and human rights lawyer and most recently, a senior associate at the Center on Privacy and Technology at Georgetown Law, in Washington, D.C. She is a research fellow at the University of Toronto’s Citizen Lab. How facial recognition technology works [4:09] Use of facial recognition technology by government agencies [8:0…

1
Season 7 - Episode 22 - #TerryTuesday - IPPE and AWE (Medicare) 43:59

5M ago43:59

43:59

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.

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

5M ago1:03:55

1:03:55

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

1
Season 7 - Episode - 20 - Christine Hall - Coding and Compliance 45:01

5M ago45:01

45:01

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!

1
Season 7 - Episode 19 - #TerryTuesday - OIG Compliance Program Guidance 36:32

6M 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!

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

6M 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

1
26. Indiana Jones 2008 - 2023: Tarnishing the Legacy? 50:02

6M ago50:02

50:02

SummaryIn this episode, TTMF hosts Stephen and Paul discuss the Indiana Jones films, focusing on Kingdom of the Crystal Skull (2008) and The Dial of Destiny (2023). They provide interesting facts, review the movies, and discuss their rankings. They also discuss the use of CGI and the aging of the characters. Ultimately, they decide to remove the la…

1
Season 7 - Episode - 17 - #TerryTuesday - Bad Coding = Bad Business 25:39

6M 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!

1
Season 7 - Episode 16 - Monday Auditing, Coding and Compliance Roundtable 56:22

6M 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…

1
In their own words: Students from Westboro Academy speak out about privacy | Des élèves de l’Académie Westboro parlent de protection de la vie privée 39:46

6M ago39:46

39:46

Commissioner Kosseim speaks with Elyane Ruel, Head of School, and Grade 7 and 8 students from Westboro Academy in Ottawa, Ontario. Do kids even care about privacy anymore? [2:01] What does privacy mean, how would you define it? [3:43] Sharing information with some, but not with others [5:56] Strategies for protecting yourself online [8:22] Respecti…

1
25. Indiana Jones 1981 - 1989: The Glory Years 1:16:52

7M ago1:16:52

1:16:52

We’re donning our fedora and picking up our whip to bring you another episode of Trimming The Movie Fat. And it’s the first episode of a two parter celebrating the legacy of the Indiana Jones franchise, starring Harrison Ford. In part one we celebrate the glory years of the world’s most famous archaeologist: - Raiders of the Lost Ark (1981) - Templ…

1
Season 7 - Episode 15 - Dan Cohen - PainScript 50:27

6M ago50:27

50:27

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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