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Healthcare Crossroads

Healthcare Crossroads

By Spark Advisory Network

A podcast showcasing the connections in Healthcare Data, Compliance and Patient Care
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What is your Linkedin Profile saying?

Healthcare Crossroads Nov 01, 2022

00:00
12:26
Flipping the Script: Healthcare Upside Down

Flipping the Script: Healthcare Upside Down

In today's episode, we have a captivating discussion about a groundbreaking book that turns our understanding of healthcare as we know it today.

Joining us is the esteemed Dr. Henry Buchwald, a seasoned healthcare professional who has witnessed the transformation of healthcare over the past 50 years. Drawing from his vast experience and keen observations, Dr. Buchwald offers a unique perspective on the current state of healthcare in the United States.

Dr. Buchwald unveils a startling truth—that our healthcare system has strayed from its core purpose of prioritizing patient well-being. Instead, it seems to cater more to administrators and bureaucracy, resulting in an expensive and impersonal system that may not truly serve the best interests of the nation or its people.

Dr. Buchwald fearlessly addresses the broken doctor-patient relationship and explores the profound effects of pandemics like COVID-19 on our healthcare system. He leaves us with his vision for the future and the areas where he believes our healthcare efforts should be focused.

Prepare to have your perspectives challenged and your curiosity ignited as we venture into the world of "Healthcare Upside Down" with Dr. Henry Buchwald. So, grab a cup of coffee, sit back, and get ready to reexamine what you thought you knew about healthcare

Grab a copy of this transformative masterpiece Now by visiting https://www.amazon.com/Healthcare-Upside-Down-Critical-Examination/dp/303107162X

Jun 23, 202327:40
Safeguarding Healthcare in the Digital Age

Safeguarding Healthcare in the Digital Age

In this episode we delve into the critical issue of healthcare cybersecurity and its increasingly vital role in protecting sensitive patient data. As digital transformation accelerates within the healthcare industry, the risks and challenges associated with cybersecurity have become more pronounced.


Join our expert guest, Britton Burton with Corl Technologies. Britton is a cybersecurity specialist in the healthcare sector. He shares invaluable insights and practical advice on fortifying healthcare systems against cyber threats. Britton brings a wealth of experience in safeguarding patient privacy, mitigating vulnerabilities, and implementing effective cybersecurity strategies.


During this engaging conversation, we explore the evolving landscape of healthcare cybersecurity, highlighting the following key topics:


  • The Current Threat Landscape
  • Emerging Cybersecurity Technologies
  • Best Practices for Healthcare Organizations
  • The Human Factor

Join us for this eye-opening episode as we unpack the challenges and opportunities within healthcare cybersecurity and discover practical strategies to safeguard patient data and maintain trust in the digital era.

Jun 08, 202340:57
Revolutionizing Healthcare: Embracing Digital Transformation for Better Patient Care

Revolutionizing Healthcare: Embracing Digital Transformation for Better Patient Care

In this captivating episode, we delve into the realm of digital transformation in healthcare and explore its profound impact on patient care. Our expert guest in digital transformation Unmesh Srivastava, will shed light on various facets of this transformation, including the adoption of value-based care, harnessing the power of AI technology, and the crucial aspect of cultural sensitivity.


Join us as we uncover how healthcare providers are redefining their practices to prioritize value-based care. Discover how value-based care not only improves patient satisfaction but also enhances overall health outcomes while reducing costs.

We then delve into the vast potential of AI technology in revolutionizing healthcare. We will discuss cutting-edge applications, such as predictive analytics, machine learning, and natural language processing, which are transforming the way healthcare is delivered. Learn how AI-powered systems can streamline diagnosis, personalize treatment plans, and optimize resource allocation, ultimately leading to improved patient care and more efficient healthcare workflows.


But amidst the rapid technological advancements, our discussion takes a thoughtful turn towards cultural sensitivity in healthcare. We explore the importance of recognizing and respecting diverse cultural backgrounds, beliefs, and practices in the context of patient care. Our guests highlight the need for healthcare organizations to foster cultural competence, train their staff, and leverage technology to bridge cultural gaps, ensuring equitable and inclusive healthcare for all.

Learn more about what Clever Healthcare is doing to advance digital transformation in healthcare.

May 24, 202331:25
Building human centered relationships in healthcare organizations

Building human centered relationships in healthcare organizations

This episode will discuss how to build meaningful relationships with patients, caregivers, and healthcare professionals. You will learn to build strong relationships with your teams, peers and external stakeholders. We will provide insights on how to build and maintain relationships that are beneficial to the organization as a whole. We will interview Jennifer Krippner Chief Experience Officer at the Institute for Healthcare Excellence


Developing trust, communication, accountability, feedback and teamwork.

Impacts that health care organizations have on the broader community, which will help leaders better understand the big picture.

Valuable lessons that will equip and empower leaders to improve their relationships.




Guest

Jennifer Krippner
Chief Experience Officer

The Institute for Healthcare Excellence

Jennifer Krippner is a leading expert on patient experience and relationship centered care. Jennifer has more than 20 years of expertise in strategic planning, patient experience, physician development and employee/community engagement. Prior to her lead role at The Institute for Healthcare Excellence, she was director of physician development and guest relations at Maple Grove Hospital in Minnesota. While there, she led staff-driven patient experience advisory teams and developed projects that directly contributed to consistent top tier performance in key patient and staff satisfaction results.
May 04, 202325:09
Current Data trends for Pharmacy Services
Apr 19, 202340:43
Support for Primary Care: Post PHE reminders

Support for Primary Care: Post PHE reminders

In this episode, we are showing our support for primary care physicians and how we can help them improve documentation.Primary care physicians are the backbone of our healthcare system. They provide comprehensive health care services to patients and serve as the first line of defense against illness and disease.
Unfortunately, primary care physicians often struggle to keep up with the mountain of documentation requirements required which means that their time spent with patients is diminished, resulting in less efficient patient care.
That’s why we are here today, to discuss ways that primary care physicians can improve their documentation without sacrificing the quality of their patient care.
We will chat with our special guest, national speaker, and risk adjustment expert Christine Hall CHC (AAPC Instructor) CPC , CPB, CPMA, CRC, CEMC, CPC-I
Let's break down HCC and documentation areas of concern to improve efficiency, and calculation of true patient risk and help improve the quality of care.

Direct Supervision and Telehealth post-PHE
What is extended until 2024?
Proper telehealth communication post-PHE
Documentation that supports clinical indicators
Apr 05, 202328:51
Unraveling Evaluation and Management : Documenting the Cheif Complaint

Unraveling Evaluation and Management : Documenting the Cheif Complaint



The documentation of the chief complaint is a crucial part of a patient's medical record. The chief complaint is the primary reason a patient seeks medical attention, and it is important to document it accurately to ensure proper diagnosis and treatment. In this episode, we will discuss


Documentation vs Guidelines
What the payers are saying



There is a level of critical thinking needed by coders and auditors. Our advisors will discuss these areas in detail
Let's tune in to our advisors

Jennifer McNamara CCS,CPC,CDEO,CPMA,CRC,CGSC,COPC AAPC Approved Instructor

Email Jennifer at ⁠jmcnamara@oncospark.com⁠
Visit her website: ⁠https://www.sparkadvise.com⁠
Hear her speak at RevCycle Symposium and AAPC Healthcon

Terry A Fletcher BS CPC CEMC CCC CCS CCSP CMC ACS-CA SCP-CA, QMPM

Email Terry at ⁠terryfletchercpc@aol.com⁠
Visit her website: ⁠http://www.terryfletcher.net/⁠

Christine Hall CHC(AAPC Instructor) CPC,CPB,CPMA,CRC,CEMC,CPC-I

Email Christine at ⁠christine.hall.guru@gmail.com⁠
Visit her website: ⁠https://www.stirlingglobalsolutions.com/⁠
Hear her speak at various ⁠Oncospark Conferences⁠

Betty Hovey, BSHAM CCS-P CDIP CPC COC CPMA CPCD CPB CPCI
Email Betty at ⁠bettyhovey@chcs.consulting⁠
Visit her website: ⁠https://chcs.consulting/⁠
Follow Betty to a location near you: ⁠https://chcs.consulting/events/⁠

Sonal Patel, BA, CPMA, CPC, CMC, ICDCM

Email Sonal at ⁠paintthemedicalpicturepodcast@gmail.com





Mar 22, 202320:11
Breaking down CDI

Breaking down CDI

In this episode, we are joined by our friend Glenn Krauss from CORE-CDI. Glenn and I had the opportunity to sit down and review the CDI programs for Inpatient and Outpatient and how important CDI is to the healthcare industry. We will discuss the following:


The medical record as a communication tool versus a reimbursement tool
Physician documentation improvement must be physician-centric and physician driven
Compliance and ethics in Physician Documentation Improvement must be an integral part of any program
Can CDI programs elevate compliance risk unknowingly without proper precautions being taken?

Find Glenn at the upcoming Pain Management Compliance Symposium on April 13 and CDI Symposium 2023 on September 13-14
Mar 08, 202335:32
Unraveling Evaluation and Management: Individual Patient Risk

Unraveling Evaluation and Management: Individual Patient Risk

In the second installment of our series on Evaluation and Management, we dive into the importance of two keys areas Prescription Drug Management Major vs Minor surgery There is a level of critical thinking needed by coders and auditors. Our advisors will discuss these areas in detail Let's tune in to our advisors Jennifer McNamara CCS,CPC,CPMA,CRC,CGSC,COPC AAPC Approved Instructor Email Jennifer at jmcnamara@oncospark.com Visit her website: https://www.sparkadvise.com Hear her speak at RevCycle Symposium and AAPC Healthcon Terry A Fletcher BS CPC CEMC CCC CCS CCSP CMC ACS-CA SCP-CA, QMPM Email Terry at terryfletchercpc@aol.com Visit her website: http://www.terryfletcher.net/ Christine Hall CHC(AAPC Instructor) CPC,CPB,CPMA,CRC,CEMC,CPC-I Email Christine at christine.hall.guru@gmail.com Visit her website: https://www.stirlingglobalsolutions.com/ Hear her speak at RevCycle Symposium Betty Hovey, BSHAM CCS-P CDIP CPC COC CPMA CPCD CPB CPCI Email Betty at bettyhovey@chcs.consulting Visit her website: https://chcs.consulting/ Follow Betty to a location near you: https://chcs.consulting/events/ Sonal Patel, BA, CPMA, CPC, CMC, ICDCM Email Sonal at paintthemedicalpicturepodcast@gmail.com  She is  speaking  @1pm EST on February 20 and 21, 2023 at Assent Global on Auditing in 2023 Part I: Focus on New E/M Standards in the Office/Outpatient Setting; and Auditing in 2023 Part II: Focus on New E/M Standards in the Inpatient Setting, respectively. She has a weekly Compliance & Auditing Tip for NAMAS® on 2/23/2023 titled, Dawning of a New Era: The Sun Rises on New E/M Standards in 2023 and Beyond.
Feb 22, 202347:08
Organized Healthcare Chaos with Jordan Johnson

Organized Healthcare Chaos with Jordan Johnson

The world of healthcare is in a state of chaos. With the rising costs of medical care, the increasing complexity of healthcare systems, and the changing landscape of insurance and payment options, it can be difficult for patients and providers to navigate the system. While there are some efforts to organize healthcare chaos, there is still much work to be done.
In this episode, we sit down with Healthcare data and expert Jordan Johnson, MSHA, iMPaCT to discuss:

Staff Shortages
️SDOH
️Population Health
️Coding and Billing Challenges

Learn more at the RevCycle Symposium on Feb 23, 2023
Grab Tickets HERE
Feb 08, 202330:53
Unraveling Evaluation and Management: Understanding a patients' condition

Unraveling Evaluation and Management: Understanding a patients' condition

In this exciting three-part series we will hear from our advisors all about how to unravel the E/M guidelines and how to interpret areas of documentation. In this episode, we will look at how to interpret some key definitions in the MDM  that affect a patient's condition. The meaning of acute vs chronic Exacerbated conditions vs severe exacerbations Complicated vs uncomplicated conditions There are many areas to dissect and you simply cannot do it without research, communication, and a good understanding of anatomy and disease processes. . Let's tune in to our advisors  Jennifer McNamara CCS,CPC,CPMA,CRC,CGSC,COPC AAPC Approved Instructor Email Jennifer at jmcnamara@oncospark.com Visit her website: https://www.sparkadvise.com Hear her speak at RevCycle Symposium and AAPC Healthcon Terry A Fletcher BS CPC CEMC CCC CCS CCSP CMC ACS-CA SCP-CA, QMPM Email Terry at terryfletchercpc@aol.com Visit her website: http://www.terryfletcher.net/ Christine Hall CHC(AAPC Instructor) CPC,CPB,CPMA,CRC,CEMC,CPC-I Email Christine at christine.hall.guru@gmail.com Visit her website: https://www.stirlingglobalsolutions.com/ Hear her speak at RevCycle Symposium Betty Hovey, BSHAM CCS-P CDIP CPC COC CPMA CPCD CPB CPCI Email Betty at bettyhovey@chcs.consulting Visit her website: https://chcs.consulting/ Follow Betty to a location near you: https://chcs.consulting/events/ Sonal Patel, BA, CPMA, CPC, CMC, ICDCM Email Sonal at paintthemedicalpicturepodcast@gmail.com  She is  speaking  @1pm EST on February 20 and 21, 2023 at Assent Global on Auditing in 2023  Part I: Focus on New E/M Standards in the Office/Outpatient Setting; and Auditing in 2023  Part II: Focus on New E/M Standards in the Inpatient Setting, respectively. She has a weekly Compliance & Auditing Tip for NAMAS® on 2/23/2023 titled, Dawning of a New Era: The Sun Rises on New E/M Standards in 2023 and Beyond.
Jan 26, 202337:01
Navigating the Minefield of Compliance

Navigating the Minefield of Compliance

In our first episode of Season two, we start out with a very important topic that affects all in healthcare-Compliance!
It's more than understanding what it is, but also how we view it and how we navigate the many levels. Today we sit down and chat with Compliance and Legal expert Susan Walberg JD, a consultant, and writer in all things compliance.
Susan will tell us all about her latest Compliance Books and Non-Fiction books that are designed to shed light on meeting industry standards and navigating the legal minefields in healthcare. We will discuss

What compliance is and why we need it
Areas of Compliance concern Better communication skills are needed between clinical and business teams
Compliance hot topics such as Privacy/Security and OSHA
Compliance and Technology concerns


Prepare your practice and facility for compliance challenges and jump over to Amazon to check out all things Compliance with Susan Walberg
Susan Walberg Books on Amazon :
Insiders Guide to Compliance for Physician Practices Paperback – November 28, 2019
Insider's Guide to Compliance: Real-World Advice for Building a Successful Compliance Program Paperback – February 20, 2018
Jan 11, 202335:26
Reboot: Are you a Patient Advocate?
Dec 28, 202222:11
Improving Patient Communication

Improving Patient Communication

Do you communicate effectively with your patients? Is your business staff up to the challenge of the necessary communication needed to keep your patients happy?
Let's chat about necessary conversations that require communication

Explaining Financial responsibility
Communication regarding Prior Authorizations
Effectively communicating prior to the patient appointment

Legal requirements for Copays
Join us fo the RevCycle Symposium February 23, 2023 Online and On Demand
Dec 15, 202224:14
Conversation with a Surgeon: Does your patient come first?

Conversation with a Surgeon: Does your patient come first?

In this episode I had the privilege of interviewing my friend Dr. Michael Cross.
Conversation with a Surgeon: Does your patient come first?
-Unique challenges in Breast Oncology
-Burdens physicians face
-Communication with teams
-Patient education
-Preventative measures and cost
Nov 30, 202241:36
Diabetes Awareness Month: Documentation and Risk

Diabetes Awareness Month: Documentation and Risk

In this episode we discuss Diabetes. November is Diabetes awareness month and we want to understand the impact on patient care and reimbursement and the cost of treating the condition.

How Diabetes affects Cost in Value-Based Care
ICD10-CM Coding Guidelines
Documentation and Risk

Learn more by scheduling an onsite review and education session with your physicians - Contact our Advisory Network
Nov 16, 202235:15
What is your Linkedin Profile saying?

What is your Linkedin Profile saying?

We have a bonus episode this week, to take a look at how we portray ourselves on Linkedin. Do we understand the proper etiquette? Have we made our profile attractive to a future or current employer? Let's take a break and get Linkedin Savvy!
Nov 01, 202212:26
Value Based Care Mindset
Oct 26, 202224:14
Unpacking the Global Package
Sep 22, 202240:53
Physician and Coder: The Dynamic Duo
Sep 14, 202232:11
Decreasing the Prior Authorization Burdens
Aug 31, 202232:35
Behind the Curtain with an Auditor
Aug 20, 202244:21
MPFS Indicators

MPFS Indicators

Check out me with my friend Pam Vanderbilt as we talk about Medicare and Modifiers.

We will discuss the MPFS Indicators and why all in the Revenue Cycle need to know how Medicare processes claims, because Guess What?

"Coding can change based on these Indicators"
Jul 29, 202245:41
Communication Barriers in the Business of Healthcare

Communication Barriers in the Business of Healthcare

Join me and my special guest Leslie Boles, BA, CCS, CPC, CPMA, CHC, CPC-I, CRC as we discuss the shift that needs to happen in the Business of Healthcare. As the Co-Owner & President at Revu Healthcare Leslie and her team offer comprehensive regulatory compliance solutions to healthcare providers, hospitals, health systems, physician groups, and other healthcare entities.

In the past 10-15 years there has been a progression of gaps in communication between physicians and coders. Has technology played a role? What happened to good old-fashioned educated conversations? Do your coders and billers have access to the Physicians and Clinicians in your practice? We will also look at what Physicians are facing and how we can help them succeed. 

  • Burdens physicians face in patient care
  • What can we do to be their advocate?
  • Compliance issues we have seen in the documentation before and during PHE
  • How administrators can bridge the gap between coders and billers and encourage open communication
  • Do you know your EMR?


Technology tools enhance a successful practice and do not do all the work

Check out Code Interceptor Video and visit Oncospark to see all their technology solutions that may be the solution for your practice or facility.


Jul 20, 202249:33
Are you just a Medical Coder?

Are you just a Medical Coder?

This week we dive into the Revenue Cycle as it relates to Medical Coding. We encourage all to think about how their role as a Medical Coder is a peice of that Cycle and how we approach that role will effect all members of a Healthcare facility. Ultimately it effects the patient. Do you know you are more than a Medical Coder?
Jul 13, 202230:13
Breaking Down the Global Package for ENT Services
Jul 06, 202254:41
Unpacking the Global Package
Jun 29, 202222:56
Modifier 25: A Story of Compliance
Jun 22, 202252:21
Replay: Telehealth challenges during the PHE and Beyond

Replay: Telehealth challenges during the PHE and Beyond

We are on Vacation this week. Check out a replay of one of my favorite episodes with my dear friend Christine Hall
Jun 17, 202245:17
Are you a Patient Advocate?

Are you a Patient Advocate?

In this episode we will chat with Jared Walker, Founder at Dollar For where the goal is Advocating for patients to eliminate medical debt. We are all patients at one point in our life. The Burdens to provide healthcare are great for providers and healthcare staff but the burden for patients are great indeed! 

According to Jared " Many patients are involved in payment agreements and going into debt for medical bills they do not have to pay"

Let's discuss:

  • Charity Care
  • Patient Advocacy
  • Medical Bill Education
  • Being a proactive patient

Want to volunteer? Join NOW as a Volunteer and help Dollar For continue to #crush medical debt 

Jared and I will both be speaking at the Healthcare Advocate Summit September 7-9 in New Orleans. Get your Tickets: https://www.healthcareadvocatesummit.com/



 


Jun 08, 202225:24
Podiatry 101

Podiatry 101

We have a great Bonus Episode for everyone with my special guest Jessyka Burke. We discuss the ins and outs of Podiatry Billing and Coding Challenges.

  • Routine Footcare
  • NCCI
  • Bunion Coding
  • Hammertoe
  • Know your LCD Policies


Jun 01, 202258:31
Are you a Healthcare Advocate?

Are you a Healthcare Advocate?

In this episode we highlight why we are all here in the Business of Healthcare. To provide access to care for the patient population. It doesn’t matter what our role is, we have an obligation to fight for the patient so they can get what they need to improve their quality of life and in many cases save their life.

I had the privilege of speaking with two Healthcare Advocates and I am sharing that conversation with you all. Elizabeth Johnson and Melissa Paige join me today to talk about how they became Patient and Healthcare Advocates and how Healthcare Advocate Summit came about.

Learn more about our guests:

Elizabeth Johnson is the Chief Executive Officer for MedicoCX, a group of independent specialists unified by patient centric access to biologics in a timely and cost effective manner, as well as a co-founder and the President of NAMAPA, National Association of Medication Access & Patient Advocacy, Inc. Their goal is to empower healthcare advocates by providing a collaborative community focused on resources to navigate medication access and support.

Melissa Paige is the Co-Founder of HealthCare Advocate Summit, and the Co-Founder of NAMAPA. She is  Recognized as an expert in patient access programs and navigation. She is a Prolific public speaker and educator. She uses her Leadership skills to oversee and coordinate process improvement projects that enhance business models and redesign workflows for improved efficiencies. Her passion for the patient and this drives her to break down access barriers and seek avenues for the highest quality care.

The Healthcare Advocate Summit is LIVE in person September 7-9 in New Orleans.

Grab your Tickets Today and support this very important event.

Jun 01, 202241:33
Is your staff up to the Challenge?

Is your staff up to the Challenge?

In this week's episode I dig into the heart of getting your providers paid. Many of the breakdown starts with the data collected at the time of the appointment. In my career I started at the front desk. The most important role beside the Physician! I will walk you through my career from Receptionist to Consultant
May 25, 202237:38
What's the Law got to do with it?
May 19, 202225:48
What Triggers a Behavioral Health Audit?

What Triggers a Behavioral Health Audit?

Welcome to Episode 1 of Season 6!

We are happy to invite our first guest of the Season Laurie Bouzarelos MHA,CPC on the show today to talk about Behavioral Health audits. 

Laurie Bouzarelos, MHA, CPC is a health care consultant with a special interest in supporting the unique business needs of behavioral health practices. Laurie works with psychiatrists and behavioral health providers to improve practice revenue and address compliance shortfalls. Laurie helps providers understand their revenue and facilitates operational changes to meet managed care and government payer requirements and state and federal laws. Areas of focus include managed care contracting, documentation improvement, EHR templates, coding accuracy and medical billing.

We will discuss the recent OIG audit that was done in NY and what we can learn from it.

Read more

Our focus will be on the areas of:


  • Treatment Plans
  • Frequency
  • Documentation
  • Incident to requirements
  • Time documentation
  • Telehealth
  • Know the OIG Workplan



May 11, 202257:02
The Who, What, Where, When, Why and How of LCD Policies 1 CEU
May 04, 202247:53
So you Wanna be a Medical Coder
Apr 27, 202257:46
The Truth about Anxiety Stress and Success

The Truth about Anxiety Stress and Success

In this final episode of our 4 part series with Behavioral Health I wanted to close out with awareness of Stress and Anxiety awareness. 

April is #stressawarenessmonth and we discuss the damage prolonged stress can have on our mental and physical health.

🔸️Stress and Anxiety Awareness
🔸️Final Rule and Behavioral Health
🔸️Exam Anxiety

Exam Anxiety Tips


Do not miss our Specialty Conference series! We have specialties:

  • OBGYN
  • Pediatrics
  • Cardiology
  • Oncology
  • Orthopedics

Find out more at ozarkinstitute.oncospark.com

Apr 20, 202225:29
The Clinical Side of Behavioral Health

The Clinical Side of Behavioral Health

Let's discuss the Clinical side of Personality Disorders. I have a special guest Paul Sheesley MA, LPC,LCPC,LCADC a clinical Psychotherapist and Consultant specializing in Personality disorders and Substance Abuse.

We will discuss:

  • Personality Disorders
  • Presentation of these disorders
  • Effect on Family and Society
  • Risks
  • Early Detection
  • Effect on Anxiety, Depression and Overall Health

Paul's Bio:

Paul Sheesley, is a mental health practitioner with almost 20 years of experience in the field of clinical psychology and human behavior. He equips high-powered professionals, prominent couples, and families committed to healthy interpersonal relationships with personalized support, tailored treatment, and necessary steps to regain a balanced self that positively impacts all areas of life.

Paul Sheesley, is an expert in the treatment of narcissism and borderline personality disorders and offers a specialized use of schema therapy in the treatment room. Schema Therapy is a systematic approach that draws on the cognitive-behavioral, attachment, psychodynamic, and emotion-focused traditions and conceptualizes patients who have personality disorders.

Located in Washington, DC and Maryland his practice is available to assist clients and loved ones experiencing  personality, emotional, and behavioral challenges associated with such challenges common in BPD and NPD.

Check out our Amazing new Prior Authorization tool for Behavioral Health Services and many other service lines at www.Authparency.com

This Saturday we welcome our Industry Leaders and attendees to the Pediatric Summit where we will dig into some Behavioral Disorders for Pediatrics

Register Here

Apr 13, 202234:33
The Behavioral Health Crisis: Social Determinants of Health and Risk 1 CEU

The Behavioral Health Crisis: Social Determinants of Health and Risk 1 CEU

In this episode I am joined by my colleague and friend Barbara Shaw, CPC, CPCO, CDEO, CRC, CEDC . W will discuss Risk adjustment and Social Determinants of health as it relates to Mental Health Services


  • What is Risk Adjustment?
  • Important reminders about SDOH
  • Risk Adjustment Documentation 
  • Mental Health and SDOH

Join the Risk Adjustment Masterclass created by Risk Adjustment leaders and educators.

Ask us about our special programs for Hospital Employee education 

This episode qualifies for 1 CEU for our Patreon Squad Members. Jump over to www.patreon.com/lifeasacoder

Apr 06, 202255:59
The Behavioral Health Crisis in the Workplace
Mar 31, 202228:18
Virtual Education is here to Stay
Mar 23, 202241:32
Oncology Discussion: Surgical, Medical and Radiation

Oncology Discussion: Surgical, Medical and Radiation

Join me and my special guest Stephanie Thebarge CPC, CPMA, CPPM, CPB, CEMC, CHONC, PESC talking about all things #Oncology

We discuss the differences in Surgical Oncology, Medical Oncology and Radiation Oncology.

We discuss the necessity of a proper understanding of Guidelines, Payer requirements and the natural desire to be a good reseacher. This specialty requires a desire to know all you can about how Oncology drugs happen and truly caring about the patients and being a #patientadvocate

Do not miss her #infusion presentation at #Healthcon22 "Breaking Down Billing for New Drugs" #session 3G


Learn more about #authparency at https://authparency.com/


You will not want to miss Hyperoncology Summit 2022!

Mar 16, 202245:54
March Madness and Modifiers

March Madness and Modifiers

In this Bonus Episode Kimberly Jolivette Williams CPC CPB CPMA CANPC CCC CEMC   is my special guest.  Its March Madness with Modifiers and we are here to talk about our favorite ones and some very important tips and guidance.   *Always check your state and local plan websites for Modifier guidance  Why do we use modifiers? Modifier 24,25, and 57  Modifier 58,78,79  New F Modifiers  Modifier TC,26  Modifier 50 and 59  Modifier List Medicare  Proper Use of Modifiers 59 & –X{EPSU}  OIG Modifier 25  OIG Modifier 59   CMS PHE Modifiers  UHC  Do not miss our upcoming Conferences that are Virtual, On demand and have CEUS!  Visit our Conference Page Earn 1 CEU for becoming a All access or VIP member of the patreon squad at www.patreon.com/lifeasacoder
Mar 11, 202201:12:02
From Coder to Instructor and our CPC Exam Tips
Mar 09, 202253:30
Be Successful in your Appeals Process

Be Successful in your Appeals Process

In this Episode I invite back my friend and fellow Podcaster Terry A Fletcher BS CPC CEMC CCC CCS CCSP CMC ACS-CA SCP-CA, QMPM. She is the host of the #codecast podcast. In our years working in the business of healthcare we have seen so much fraud, waste and abuse. Much of the waste is simply not understanding the appeals process. So much money is left on the table by needless Denials and decisions not to appeal. This is a #donotmiss episode 

Become a Patreon Subscriber to get CEUS at www.patreon.com/lifeasacoder

Listen to the Codecast Podcast on your favorite podcast station Do not miss Terry and our Special Guests at the Virtual Cardiology Summit May 21-22. Learn More

Mar 02, 202244:10
Navigating Workers Compensation, Tricare and Auto Insurance Billing

Navigating Workers Compensation, Tricare and Auto Insurance Billing

Join me and my Special Guest Jessyka Burke, BSHA, CPC, COSC, CASCC as we dive into the world of billing for Workers Compensation, Tricare and Auto Insurance Billing. We thought these are areas of Billing that often get misunderstood or billed incorrectly. It takes organization and constant follow up. We give you the tips to be successful.

  • Getting organized
  • Know state guidelines 
  • Different types of military insurance
  • Challenges in getting visits approved with Tricare.  
  • Suggestions for Billing Auto claims

Tricare Breakdown Tool

Schedule a Demo of our Authparency Software Solution: https://authparency.com/


If your Orthopedic practice is 60-70% Workers comp you will want to listen to this episode and do not forget to Join Jessyka and I at our upcoming Ortho-Care Virtual Conference July 15-16

Buy Tickets

We have a special 10% off for our listeners with CODE ORTHO22

✔️ICD10-CM Guidelines for Orthopedics


✔️Documentation for 2021 E/M for Orthopedics


✔️ICD10- PCS for Musculoskeletal


✔️Fracture Care: Closed vs ORIF


✔️Arthroscopy: Shoulder, Knee, Ankle


✔️Total Joints


✔️Appeals and Denials


✔️Spine Coding 


✔️Podiatry


✔️Hand and Wrist


✔️ASC Billing


✔️Pain Management


✔️DME


✔️Stay Legal with No Surprise Billing


✔️Office Procedures and Injections


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Feb 23, 202240:09
Your Role in the Revenue Cycle
Feb 16, 202252:14
Surgery Coding: Dissecting an Operative Note

Surgery Coding: Dissecting an Operative Note

I get many questions about how to read and dissect an operative report. In an effort to answer some of those questions I have decided to talk about the process in this episode.

  • Operative Report Elements
  • Getting Organized
  • Understanding the Medical Necessity

Learn more about Surgery coding for OBGYN Services at our conference Saturday 2/12/22

www.obgynsummit.com

Join our Annual Patreon membership to get CEUS for select episodes. www.patreon.com/lifeasacoder

Feb 09, 202242:11
Telehealth challenges during the PHE and Beyond 1 CEU available
Jan 12, 202247:55