In this episode, hosts Brad and Michael, and series regular Jay Reyero share the story of a reconstructive plastic surgeon who joined a cosmetic surgery practice. Although initially excited about the opportunity, he soon encountered unexpected challenges as the practice shifted from a cash-based model to accepting insurance for his procedures. Tune in as we explore the complexities of in-network vs. out-of-network billing, the critical compliance requirements surrounding insurance regulations, and the importance of accurate billing and coding practices. Learn how these insurance-related compliance issues can impact financial outcomes when shifting a medical practice's model.
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