Provident Healthcare Partners discuss various topics in healthcare mergers and acquisitions, including trends we are seeing within the industry and exploring a process. For additional information, visit www.providenthp.com or email podcast@providenthp.com.
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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 ...
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The Regulatory Transparency Project is a nonprofit, nonpartisan effort dedicated to fostering discussion and a better understanding of regulatory policies. On RTP’s Fourth Branch Podcast, leading experts discuss the pros and cons of government regulations and explain how they affect everyday life for Americans.
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Healthcare Regulatory Updates – Navigating Federal and State Regulations for Healthcare Provider Transactions
32:59
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In today’s dynamic healthcare M&A landscape, navigating new antitrust challenges and evolving noncompete regulations have become crucial considerations for shareholders, investors, and providers pursuing transactions. In this episode, Provident’s Director, AJ Shekar, is joined by Katherine Douglas, Shareholder of Fredrikson, who brings extensive ex…
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Deep Dive 294 - West Virginia v. EPA, Two Years Later: Updates on the Major Questions Doctrine
52:43
52:43
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Experts will examine the major questions doctrine, its role in regulatory litigation, and its place in administrative law in light of recent developments. Please register and join us for a live webinar on August 14, 2024 at 11 am EST. Featuring: Paul Ray, Director, Thomas A. Roe Institute for Economic Policy Studies, The Heritage Foundation Elliot …
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Season 7 - Episode 47 - #TerryTuesday - Navigating the Challenges of Telehealth Services and Billing
42:49
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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.…
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Tackling the U.S. Opioid Use Disorder Crisis: Analyzing Medication Assisted Treatment
34:27
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In this episode, Provident’s Craig Sager and Dan O’Brien sit down with Chris Bove, CEO of Clean Slate Centers. Together they examine the world of Medication Assisted Treatment (“MAT”), exploring the challenges MAT aims to address, the related operational and payor dynamics, and key components in driving outcomes for those struggling with addiction.…
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Season 7 - Episode 46 - #TerryTuesday - Privilege or No Privilege "That is the Question"
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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.
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Season 7 - Episode 45 - Monday Auditing, Coding, and Compliance Roundtable
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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!
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Season 7 - Episode 44 - #TerryTuesday - Words Matter
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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!
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Explainer Episode 73 - Changing Presidential Candidates
26:50
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Kathryn Ciano Mauler and Eric Wang join the podcast to discuss the FEC rules behind campaign funds, particularly in the transfer of said funds between candidates. Their discussion breaks down the questions surrounding the recent changes to the 2024 ballot, and how that will affect each campaign's fundraising efforts, especially in a post-Chevron le…
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Explainer Episode 71 - Regulatory Modernization in Idaho and Virginia: What lessons can be learned?
35:28
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Alex J. Adams, Director of Idaho's Department of Health and Welfare is joined by Reeve T. Bull, Director of the Virginia Office of Regulatory Management. Director Adams and Director Bull detail the importance of regulatory reform efforts in Idaho and Virginia, respectively, and discuss the impact that regulatory reform can have on employment opport…
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Explainer Episode 72 - Parental Rights & Student Privacy in Education
48:03
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Legal experts Jonathan Butcher and Jon Riches discuss the debate between parental rights and children’s privacy in education under the Family Educational Rights and Privacy Act (“FERPA”). Moderated by Luke Wake, their discussion examines the debates over the role of student privacy, parental rights, and the role that the governmen…
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Explainer Episode 70 - Litigation Update III: The Supreme Court takes the Vape case--Food and Drug Administration v. Wages and White Lion
26:33
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On July 2, 2024, the US Supreme Court granted certiorari in the case, Food and Drug Administration v. Wages and White Lion Investments, LLC. In Explainer Episode 70, expert Jeff Stier discusses the FDA's regulatory action prohibiting specific vape flavors from being sold by these two companies, and the legal issues that the Supreme Court will revie…
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Season 7 - Episode 43 - #TerryTuesday - Flat-lining!
29:09
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In this episode Terry and Sean take on what it means to flat-line with your coding and how to avoid unnecessary scrutiny!
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Season 7 - Episode 42 - Defending Your Claims Action
29:21
29:21
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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!
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Season 7 - Episode 41 - Monday Auditing, Coding and Compliance Roundtable
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52:50
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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…
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Deep Dive 292 - Utah v. Su: Are DOL (and SEC) regulations that encourage ESG investing lawful?
1:01:48
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The panelists will discuss Biden Administration policies and regulations at the DOL and SEC addressing investing based on environmental, social, and governance (or “ESG”) factors; whether they are consistent with statutory law; and whether the agencies followed appropriate administrative processes in promulgating these ever-evolving policies. Moder…
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Season 7 - Episode 40 - #TerryTuesday - G2211 and Some Payors Refusal to Pay
27:49
27:49
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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…
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Season 7 - Episode 39 - Dana McMahon Chief Compliance Officer / Stryker
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34:39
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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…
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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.
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Season 7 - Episode 37 - Monday Auditing, Coding and Compliance Roundtable
1:02:12
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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...
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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!
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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!
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Season 7 - Episode 34 - Monday Auditing, Coding and Compliance Roundtable
1:02:47
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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.
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Explainer 69 - Discussing the Anti-Semitism Awareness Act
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In this episode of the Fourth Branch Explainer podcast, Prof. Eugene Volokh, from UCLA Law School, and Prof. David Bernstein, from the Antonin Scalia Law School, discuss the features, implications, and possibilities of the Anti-Semitism Awareness Act.By The Federalist Society
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Explainer 68 - Discussing the Pregnant Workers Fairness Act
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The Regulatory Transparency Project’s Fourth Branch Podcast presents Explainer Episode 68. In this Fourth Branch Explainer podcast, Rachel N. Morrison from the Ethics and Public Policy Center (EPPC) discusses the implications of the Pregnant Workers Fairness Act Regulations recently released. Listen in as Morrison discusses the pros and cons …
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Season 7 - Episode 33 - #TerryTuesday - Employment Requirement of Incident-To
24:31
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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.
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Season 7 - Episode 32 - Monday Auditing, Coding and Compliance Roundtable
1:03:31
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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...
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Deep Dive 291 - Assessing the Federal Data Privacy Landscape: A discussion of the American’s Privacy Rights Act
58:31
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Congress has been working on comprehensive federal data privacy legislation for decades without reaching agreement. But the finish line may be closer today than before. With the recent introduction of the American’s Privacy Rights Act (APRA), the chairs of the Senate and House Commerce Committees announced a bipartisan compromise, hoping to end the…
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Explainer 67 - Veterans' Benefits Reforms How Healthcare Influences Foreign Policy
45:32
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The Regulatory Transparency Project’s Fourth Branch Podcast presents Explainer Episode 67. In this Fourth Branch Explainer podcast, health policy experts Michael Cannon and Christina Sandefur discuss the regulatory landscape of veterans’ benefits, and how veterans’ healthcare impacts American foreign policy. The experts discuss Mi…
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Autism Services – Technology Advancement and its Impact on Operations & Care Delivery
24:47
24:47
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Technology advancement, adoption, and integration into ABA therapy is revolutionizing the autism services space. The value technology provides has become increasingly important, not only for optimizing operations, but also to improve care delivery and track outcomes. In this episode, Provident’s Vice President, Tommy Spiegel, is joined by Rick Loew…
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Season 7 - Episode 31 - Brian Lobley - CEO Tango
46:38
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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…
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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.
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Sean and Terry are back with an all new #TerryTuesday episode that you are not going to want to miss!
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Season 7 - Episode 28 - Monday Auditing, Coding, and Compliance Roundtable
1:00:29
1:00:29
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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…
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Season 7 - Episode 27 - Non-compete Agreements - "The Road Ahead"
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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!
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Deep Dive 290 - A Discussion on the Biden Administration’s New Title IX Regulations
1:02:34
1:02:34
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The Regulatory Transparency Project presents a panel of legal experts, including Bob Eitel, Christian Corrigan, Will Trachman, and Kim Richey. Watch as these experts discuss the Biden Administration’s newly released Title IX Regulations and their implications for educational institutions, school districts, students, faculty, and parents. Join us fo…
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Explainer 66 - Strategic Petroleum Reserve
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Earlier this year, the U.S. Energy Information Administration reported that the nation’s Strategic Petroleum Reserve, or SPR, held approximately 358 million barrels, its lowest level in forty years. Is that a problem? What is the SPR and how is it supposed to operate? How much petroleum is it supposed to hold? Listen in on the Regulatory Transparen…
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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!
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Season 7 - Episode 25 - Monday Auditing, Coding and Compliance Roundtable
1:00:52
1:00:52
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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!
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Explainer 65 - Reviewing Michael Cannon's Book "Recovery"
43:36
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In this RTP explainer episode 65, we are joined by Michael Cannon, Director of Health Policy Studies at the Cato Institute, and Christina Sandefur, Executive Vice President of the Goldwater Institute to discuss Michael Cannon’s new book, Recovery. Listen in as these experts consider the role of government agencies like the FDA in health spaces acro…
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Deep Dive 289 - Grading the Biden DOL and NLRB’s Use of Regulatory Authorities
1:04:23
1:04:23
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The Regulatory Transparency Project (RTP) is pleased to host a stellar panel of top labor and employment law experts for a lively discussion in which our panelists will grade the Biden Administration’s administrative, regulatory, and enforcement activity under the Department of Labor (DOL) and the National Labor Relations Board (NLRB). How have the…
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Sean and Terry are back at it with another great episode focusing on the most challenging issues facing healthcare providers and their organizations.
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Season 7 - Episode 23 - Monday Auditing, Coding and Compliance Roundtable
1:01:36
1:01:36
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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
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Healthcare M&A 2023 Recap and 2024 Outlook
25:32
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Over the last 12-18 months, the healthcare services market has shown remarkable dynamism. While many headwinds remain, the sector is not experiencing the same resistance as in 2023. The prevailing perception suggests that interest rates will either remain stable or gradually decline. Despite a cooling inflation rate, the industry continues to grapp…
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Season 7 - Episode 22 - #TerryTuesday - IPPE and AWE (Medicare)
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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
1:03:55
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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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Courthouse Steps Oral Argument: Murthy v. Missouri
1:01:27
1:01:27
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Murthy v. Missouri, originally filed as Missouri v. Biden, concerns whether federal government officials had violated the First Amendment by "coercing" or "significantly encouraging" social media companies to remove or demote particular content from their platforms. Multiple individuals, advocacy groups, academics, and some states sued various offi…
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Season 7 - Episode - 20 - Christine Hall - Coding and Compliance
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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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Autism Services – Building a Payor Relations Platform
22:31
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Establishing a robust payor relationship platform has become increasingly important within today’s business landscape. In this episode, Provident’s Vice Presidents,Steven Grassa and Tommy Spiegel, are joined by Rick Loewenstein, CEO and co-founder of TeamGame Advisors. TeamGame advises ABA and behavioral health providers in overcoming the intricaci…
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Season 7 - Episode 19 - #TerryTuesday - OIG Compliance Program Guidance
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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
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Join Sean, Stephanie, Scott, Christine, and Terry as they take on: 1. Collaboration Agreements 2. CERT Studies and error rate
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