Join Chuck Buck every Monday when he welcomes RACmonitor contributing editors and special guests for the latest regulatory audit news and information from CMS, OIG and OMHA. And gain valuable context and perspective that can only be found when you’re listening to the long-running and popular Monitor Mondays. Register to attend live here: https://racmonitor.medlearn.com/racmonitor/podcasts/
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Veteran Oversight Now is an official podcast of the Department of Veteran Affairs, Office of Inspector General. Each episode features interviews with key stakeholders, discussions on high-impact reports, and highlights of recent oversight work. Listen regularly for the inside story on how the VA OIG investigates crimes and wrongdoings, audits programs that provide benefits and services to veterans, and inspects medical facilities to ensure our nation’s veterans receive safe and timely health ...
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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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Inside Oversight is an official podcast of the Department of Veteran Affairs, Office of Inspector General. Each episode examines in detail some of our more nuanced oversight reporting. To understand the complexities of the topics, we talk with the report authors to gain insight into how the team conducted its work, what it found, and the impact on veterans and the public. Visit the VA OIG website for recently published reports.
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The NASS Podcast is a great way to consume education content on-the-go! The episodes offer in-depth discussions of a variety of topics in spine from key opinion leaders, including: 3D Printing; ACDF vs. Cervical Disc Replacement; Complications; Laminoplasty vs. ACDF; Neuromonitoring During Spine Surgery; Cellular-Based Allografts; Is Surgery for Axial Back Pain Still an Option?; Surgical Management of Degenerative Spondylolisthesis; SpineLine Author Discussions.
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If you’re concerned about revenue at your hospital, then The Hospital Finance podcast is your go-to source for information and insights that can help you protect and enhance the revenue your hospital has earned. From regulatory changes to revenue cycle optimization, readmissions to bundled payments, you’ll get important perspectives, news and strategies from leading experts in healthcare finance. For show notes and additional resources from BESLER, visit https://www.besler.com/podcasts
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Sonal Patel, CPMA, CPC, CMC, ICD-10-CM serves as the host on her Paint The Medical Picture Podcast series. The series is focused on providing listeners with the latest healthcare industry news in medical coding, medical billing, auditing, compliance, and reimbursement. It dives into best practice tips to improve clinical documentation and coding accuracy to garner correct reimbursement levels the first time around. The series will also include updates on cases of fraud, waste, and abuse to h ...
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TalTech Digital Health podcast is for current and future health care change managers and healthcare enthusiasts in general. We talk about digitalisation of healthcare, which goes hand-in-hand with smart change management. We ask, how to implement positive change in healthcare? We discuss change at system, organisation and individual level. Our guests are innovators, clinicians, scientists, regulators from the digital society of Estonia and around the world. The podcast is hosted by Priit Kru ...
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Listen to Interview about USPS on WZRD 88.3 fm radio Chicago Karen M. Nielsen USPS Employee Also see: UnemployDeJoy.com and google: Dominick VS Louis DeJoy (The Guardian). Also IWP DeJoy. Hi I'm KaRi. I started TPSradio in 1999, podcasting Feb 2005. The rage became "Live Internet TV" (mogulus, etc.) in 2008 and in 2012 TPS returned to cable access TV. TPS college radio was heard on campus at CSULB via the internet, live webcast with simultaneous audio broadcast over Community Television. TPS ...
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On September 28, 2012, Massachusetts state chemist Annie Dookhan was arrested and charged with obstruction of justice and falsification of academic records. Approximately four months later another chemist, Sonja Farak, was arrested for using the drugs she was supposed to be testing and the Massachusetts Drug Lab Scandal was born. Hosts Jamie Folk and Ilyas Rona will be exploring the William H Hinton, UMass Amherst and State Police crime labs associated with this scandal and speak with the la ...
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OIG Advisory Opinion Cautions Against 'Surgeon Deals' in Neuromonitoring
40:07
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Authors Rich Vogel, PhD, DABNM, FASNM and Eric D. Fader, JD discuss their recent article, "OIG Advisory Opinion Cautions Against 'Surgeon Deals' in Neuromonitoring" with moderator Alex P. Michael, MD. Vogel is in Nashville, TN; Fader is in Guilford, CT; Michael is in St. Louis, MO Link to the fullarticle: https://spinelinemag.spine.org/marapr24/sec…
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1
Newsworthy OIG Work Plan for May 2024, Trusty Tip on G2211, and Henry Ford's Spark
19:22
19:22
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19:22
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. Thanks to all of you for making this a Top 15 Podcast for 3 Years: https://blog.feedspot.com/medical_billing_and_coding_podcasts/ I'd love your continued support of this content-rich, value-add podcast to help you succeed in…
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1
OIG On the Prowl: Semi-Annual Report to Congress
31:15
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They’re looking for fraudsters, going on the prowl for bad actors, as revealed in the latest semi-annual report to Congress compiled by the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG). In this latest report, the government watchdog identified more than $2.76 billion in expected recoveries and receivables. Pr…
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1
Management of Anterolisthesis in the Lumbar Spine
3:55
3:55
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Moderator Renee Rosati, DO sits down with Akhil Chattre, MD to discuss Management of Anterolisthesis in the Lumbar Spine.
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Use of Condition Codes in the Transfer Rule Webinar
10:35
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In this episode, Mary Devine, BESLER's VP-Revenue Integrity, provides a glimpse into our next webinar, Use of Condition Codes in the Transfer Rule, coming live July 10, at 1 PM ET.By Kelly Wisness
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Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. Thanks to all of you for making this a Top 15 Podcast for 3 Years: https://blog.feedspot.com/medical_billing_and_coding_podcasts/ I'd love your continued support of this content-rich, value-add podcast to help you succ…
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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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Special Alert: DOJ Cracks Down on Nearly 200 Involved in Major Healthcare Fraud Schemes
28:55
28:55
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In a late-breaking press release, the U.S. Department of Justice (DOJ) announced late Thursday that the agency had charged nearly 200 individuals accused with involvement in various healthcare fraud schemes estimated at $2.7 billion. Charges were brought against nurses, physicians, and others in a national sweep, and it was estimated that more than…
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1
Is Endoscopic Spine Surgery Really Gaining Acceptance in North America?
13:54
13:54
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Ask the Experts: Is Endoscopic Spine Surgery Really Gaining Acceptance in North America? Choll W. Kim, MD, PhD; Michael Y. Wang, MD; Meng Huang, MD; Timothy Wang, MD
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1
Declutter Your Office Space and Your Mind for a Successful Workday
16:38
16:38
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In this episode, Julie Coraccio, Certified Life Coach & Author, discusses how to Declutter Your Office Space & Your Mind for a Successful Workday.By Kelly Wisness
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1
Newsworthy Month of Fraud, Waste, and Abuse, Trusty Tip on LCA Update on Sacroiliac Injections, and Booker T. Washington's Spark
27:17
27:17
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Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, BA, CPMA, CPC, CMC, ICDCM. Let's celebrate this 200th episode!! Thanks to all of you for making this a Top 15 Podcast for 3 Years: https://blog.feedspot.com/medical_billing_and_coding_podcasts/ I'd love your continued support of this content-r…
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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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1
How a Different Type of Whistleblower Created a Lesson Worth Learning
28:57
28:57
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A recent federal court decision in New Jersey demonstrates the viability of a different kind of whistleblower – in this case, a privately defrauded party. The most common type of a whistleblower under the False Claims Act (FCA) tends to be a corporate insider who sees fraud committed against the government by their employer or a company they work w…
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1
Patients Delayed Care Due to Failure to Follow Behavior Health Consult and Scheduling Process
23:15
23:15
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In the latest episode of Veteran Oversight Now, a VA OIG healthcare inspection hotline director discusses allegations that some patients’ behavioral health consults were being discontinued at the Oklahoma City VA Medical Center, which resulted in some significant delays in patients receiving recommended behavioral health services. This podcast edit…
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When Insurance Denies the Procedure, Cash Payment Options
2:20
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Akhil Chhatre, MD, a physiatrist at Johns Hopkins Medicine, chats with moderator Renee Rosati, DO about "When Insurance Denies the Procedure, Cash Payment Options."
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In this episode, Christina Brown, BESLER's Director of Reimbursement Services, provides us with a glimpse into webinar, Reimbursement Updates 2024, coming Wednesday, July 17, at 1 PM ET.By Kelly Wisness
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Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. Thanks to all of you for making this a Top 15 Podcast for 3 Years: https://blog.feedspot.com/medical_billing_and_coding_podcasts/ I'd love your continued support of this content-rich, value-add podcast to help you succee…
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1
The Human Touch at the Intersection of Artificial Intelligence and Denied Claims
28:50
28:50
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Artificial intelligence (AI) is fast becoming a fixture in healthcare revenue cycle management (RCM), where finance leaders are desperate for ways to relieve understaffed departments struggling under unprecedented volumes of third-party audit demands and rising denial rates without sacrificing accuracy or precision. During the next live edition of …
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Disability and Functional Assessments in Spine Patients: Where We Are Today and How to Move Forward
18:38
18:38
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Ask the Experts: Disability and Functional Assessments in Spine Patients: Where We Are Today and How to Move Forward Ram Haddas, PhD, MBA; Jessica P. Aidlen, MD; Tobias A. Mattei, MD
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Combating Hospital Readmissions to Improve Health System and Patient Outcomes
22:11
22:11
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In this episode, Dr. Ahzam Afzal, Co-founder/CEO of Puzzle Healthcare, & Matt Nieukirk, Dir. of Skilled Nursing Practice at OSF, discuss combating hospital readmissions to improve health system & patient outcomes.By Kelly Wisness
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Season 7 - Episode 33 - #TerryTuesday - Employment Requirement of Incident-To
24:31
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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Is Private Practice in 2024 Even Possible?
16:00
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Recent SpineLine 20 Under 40 winner Daniel Choi, MD, of Spine Medicine & Surgery of Long Island, talks to moderator Renee Rosati about whether private practice is even possible in 2024.
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In this episode, Cody Bales, BESLER Reimbursement Manager, provides a glimpse into our next webinar, Organ Acquisition Principles, live on June 12, at 1 PM ET.By Kelly Wisness
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Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. Thanks to all of you for making this a Top 15 Podcast for 3 Years: https://blog.feedspot.com/medical_billing_and_coding_podcasts/ I'd love your continued support of this content-rich, value-add podcast to help you succeed …
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Most healthcare investigations by the U.S. Department of Justice (DOJ) result in settlements. Many times, the complete details of the settlements in underlying government cases are not fully disclosed. But sometimes, a provider ends up at trial. And when that happens, it often offers insights into what it takes to get hit with hefty fines – and pos…
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1
Management of DVT and Post-Op Venous Complications
24:02
24:02
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Ask the Experts: Management of DVT and Post-Op Venous Complications Thomas T. Terramani, MD, FACS; Sigurd H. Berven, MD; Brian Kuhn, MD; Johnathan N. Grauer, MD
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1
#16 Doris Kaljuste & Peeter Ross: We need more digital health experts
58:17
58:17
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ENG Is digital health about just another app development or collaboration methodology? In this episode of the TalTech Digital Health podcast, host Priit Kruus talks with digital health curriculum program manager Doris Kaljuste and e-health professor Peeter Ross about the early days of the curriculum and its current role in the healthcare landscape.…
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IG Missal Highlights 91st Semiannual Report to Congress
22:45
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In the latest episode of Veteran Oversight Now, VA Inspector General Michael J. Missal discusses the VA OIG’s latest Semiannual Report to Congress that covered our oversight work from October 1, 2023, to March 31, 2024. Specifically, he shares results of our most recent work related to VA’s Electronic Health Record Modernization program. To date, t…
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The Impacts of Regulations on the Revenue Cycle
26:48
26:48
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In this episode, Rodney Adams, VP of Research & Reimbursement for Tennessee Hospital Association, discusses the impacts of regulations on the revenue cycle.By Kelly Wisness
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1
Newsworthy Month of Fraud, Waste, and Abuse, Trusty Tip on Hospice Claims Edits, and Napoleon Hill's Spark
20:13
20:13
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20:13
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, BA, CPMA, CPC, CMC, ICDCM. Thanks to all of you for making this a Top 15 Podcast for 3 Years: https://blog.feedspot.com/medical_billing_and_coding_podcasts/ I'd love your continued support of this content-rich, value-add podcast to help you succ…
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Moderator Renee Rosati, DO sits down with Stanford Medicine's Joshua Levin, MD to talk about "Sedation: Do You Offer It?"
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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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The Role of Case Management in Revenue Cycle Webinar
13:00
13:00
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In this episode, Meliza Weiner, BESLER's Sr. Manager of Revenue Cycle, provides us with a glimpse into our next webinar, The Role of Case Management in the Revenue Cycle, presented live on May 29, at 1 PM ET.By Kelly Wisness
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1
Interview & Trusty Tips with Keisha Wilson - Her Journey
38:59
38:59
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Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, BA, CPMA, CPC, CMC, ICDCM. Thanks to all of you for making this a Top 15 Podcast for 3 Years: https://blog.feedspot.com/medical_billing_and_coding_podcasts/ I'd love your continued support of this content-rich, value-add podcast to help …
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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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New Medical Technologies: Are They Audit-Proof?
27:01
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A deep dive into microbiology can reveal an up-close look at the cells that make up organs of the human body – and corresponding cancer treatments that leave no trace of damage. The science of medicine appears to be moving at the speed of light lately. But will new healthcare technologies be audit-proof? Monitoring these escalating changes and thei…
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The Vital Role of Radical Surgery in Modern Oncology
14:02
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Ask the Experts: The Vital Role of Radical Surgery in Modern Oncology Daniel M. Sciubba, MD; Sheng-fu Larry Lo, MD, MHS; Joseph H. Schwab, MD
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1
Transforming Financial Performance--Expert Advice and Guidance on Hospital Revenue Optimization From a CFO
38:03
38:03
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In this episode, Garrick Stoldt, CFO at Saint Peter's Healthcare System, discusses Transforming Financial Performance-Expert Advice & Guidance on Hospital Revenue Optimization From a CFO.By Kelly Wisness
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Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. Thanks to all of you for making this a Top 15 Podcast for 3 Years: https://blog.feedspot.com/medical_billing_and_coding_podcasts/ I'd love your continued support of this content-rich, value-add podcast to help you succeed in…
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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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Healthcare Whistleblower Roundup: Recent Settlements Reach Nearly $10 Million
28:21
28:21
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Two recent settlements to resolve allegations of violating the False Claims Act – both involving the virulent COVID-19 – are the latest in a series of actions that will be reported on during the next edition of Monitor Mondays by famed whistleblower Mary Inman, who also notes that her company, Whistleblower Partners, LLP, is poised to announce anot…
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Season 7 - Episode 27 - Non-compete Agreements - "The Road Ahead"
45:29
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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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In this episode, Kristen Eglintine, BESLER's Coding Manager of Revenue Integrity Services, provides us with a glimpse into webinar, OIG Workplan Summary.By Kelly Wisness
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Newsworthy OIG Work Plan for April 2024, Trusty Tip on Lower Extremity Endovascular Procedures, and Helen Keller's Spark
16:27
16:27
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16:27
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. Thanks to all of you for making this a Top 15 Podcast for 3 Years: https://blog.feedspot.com/medical_billing_and_coding_podcasts/ I'd love your continued support of this content-rich, value-add podcast to help you succeed in t…
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1
The AI Arms Race in Healthcare Auditing: Handicapping Winners and Losers
29:07
29:07
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The arms race is heating up. On one side there are healthcare providers, and on the opposing side, an army operated by the auditors. Who will be the winners and losers? Are you safe? And how do you protect your facility from claim denials and takebacks, especially when auditors are using artificial intelligence (AI)? RACmonitor investigative report…
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Ask the Experts: Discitus Osteomyelitis Matthew L. Goodwin, MD, PhD, FACSM; Wende N. Gibbs, MD, MA
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State of Hospital Financial Assistance Programs 2024
26:09
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In this episode, Nick McLaughlin, Founder & CEO of Breez Health, discusses the state of hospital financial assistance programs in 2024.By Kelly Wisness
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