Shows
NSCHBC Edge PodcastOutsourced Billing vs. In-House Billing RevisitedIn-house billing offers enhanced internal control and potential return on investment but entails higher costs and staffing challenges. Conversely, outsourcing is cost-effective, transparent, and consistent but may result in skewed control of financial operations and introduce hidden costs.Terry discusses this important topic with healthcare consultant Donna White, covering the best option for different-sized practices.2025-05-1326 minNSCHBC Edge Podcast6 Steps to Hiring a ConsultantOn this edition of the Edge Podcast, Terry welcomes Healthcare Compliance Consultant, Stephanie Allard. The hosts discuss objectives when hiring an external consultant, such as budgets, objectives, outcomes, expectations, and more.Tune into this important and informative episode to make sure you are prepared2025-04-0841 min
Healthcare Connections PodcastMaximizing Profitability Amid Rising Costs & Lower ReimbursementsIn this episode of the Healthcare Connections podcast, host Jeremy Winn interviews Jackie Coult, founder and CEO of Complete Healthcare Business Consulting. They discuss the challenges physicians face in maintaining profitability amidst rising expenses and decreasing reimbursements. Jackie shares effective strategies for increasing revenue, the importance of understanding payer contracts, and the role of the National Society of Certified Healthcare Business Consultants (NSCHBC) in supporting healthcare professionals. The conversation emphasizes the need for transparency in healthcare pricing and the value of collaboration among consultants to enhance service delivery.2025-03-1217 minNSCHBC Edge PodcastDental vs. Medical: Is it the same thing for reimbursement?Are Dental Billing and Medical Billing the Same Thing?Terry Fletcher discusses the similarities, differences, and where crossover between dental and medical billing.Tune in for advice that can assist clients on both sides to be accurate in their coding and billing processes.2025-03-1111 minNSCHBC Edge PodcastRemote vs. In-Person Workers: What is More Efficient?This month on the NSCHBC Edge Podcast, Terry welcomes back, NSCHBC member, Merikay Hunt CHBC, to discuss the pros and cons of a remote versus in-person versus hybrid workforce. When comparing corporate and healthcare sectors, remote work generally tends to be a better option for corporate roles due to the nature of many corporate jobs being more easily adaptable to digital platforms. However, healthcare often requires in-person patient interaction, making remote work less feasible in most cases. The best choice depends on the specific role and individual needs within each sector.2025-02-1133 minNSCHBC Edge Podcast51 How to spot or find suspected theft in a medical or dental practiceOn today’s NSCHBC Edge Podcast, Terry speaks with healthcare attorney and fellow NSCHBC member, Ericka Adler, to identify suspected theft in a medical practice. Terry and Ericka discuss how to identify and prevent theft, plus educate your staff and providers so you are aware of potential red flags. Some areas to focus on include cash handling, prescription drug inventory, and billing practices. The hosts also talk about what to do if you find suspicious activity, how you can further investigate with the use of proper documentation, and the potential involvement of external auditors or le...2025-01-1428 minNSCHBC Edge PodcastShould Medical Practices have CPAs or Bookkeepers?CPA versus bookkeeper: what is the role comparison in Healthcare, and medical practices? What does a physician or a physician practice need and why?A bookkeeper, although helpful for day-to-day accounting, payroll, and expenditures accounting. When the medical provider needs tax breaks information, provider relief funding accounting and deadlines, and retirement planning, what’s the better option and why?Terry talks with Healthcare CPA and NSCHBC President Shane Pickett on the best option for success.2024-12-1022 minNSCHBC Edge PodcastASC vs OBL: How to choose for your practice?In this episode of the NSCHBC Edge podcast, Terry welcomes back David Zetter of Zetter Healthcare to discuss Ambulatory Surgery Centers (ASCs) versus Office Based Labs (OBLs).Topics of discussion include:Which one is easier to get funding for?Are there differences in OSHA safety protocols?Is there an approved list for each that differs?And finally, which one have you seen as more profitable?2024-11-1228 minNSCHBC Edge PodcastPros and Cons of Remote Workers in Healthcare: Are You Compliant?The NSCHBC Edge Podcast welcomes fellow NSCHBC member, Rozmin Bapat to the show to discuss remote workers.Rozmin joins us from CodeRite Healthcare Consulting, based in Allen, TX. They are a billing, consulting and RCM company specializing in physician billing services.Terry and Rozmin define what it means to be a remote worker.What are some of the pros and cons of remote work and managing it. Also, how does remote work compare versus bringing everyone back in-person either hybrid or full-time?Healthcare jobs can be tricky in this sense. This...2024-10-0826 minNSCHBC Edge PodcastHiring NPP/QHP in a Medical PracticeMany practices hire nurse practitioners and physician assistants (known as mid-level providers) along with RNs, MAs, and other clinical staff. Still, sometimes the lines get blurred on what services they can individually provide. Terry Fletcher, with fellow healthcare consultant and industry expert, Betty Hovey, discusses these compliance issues and gives medical practices insight into the pros and cons of these hires.2024-09-1031 minNSCHBC Edge PodcastHealthcare and Politics in an Election YearHealthcare policies, Medicare cuts, and election year promises and rhetoric all affect how a patient will receive or not receive benefits. We have so many Congressional policy rules on the table that will impact not only Medicare patients, but all patients as we may get a new HHS director as well when the presidency changes. Listen to this episode of the Edge podcast to know what is real and what is noise, as Terry Fletcher and Sean Weiss discuss healthcare and politics in 2024.2024-08-1330 minNSCHBC Edge PodcastHow to deal with staffing shortages in healthcare practicesStaffing shortages continue to plague the healthcare industry, creating a vicious cycle where overworked healthcare professionals question their ability to continue.A recent NIL report showed that 81% of clinicians want states to implement laws governing staff-to-patient ratios, which they ranked as one of the biggest considerations when taking a job.As more medical professionals leave hospitals, physician practices, and clinics, consumers find their access to quality care threatened. It’s also not just clinical staff, it is administrative staff in healthcare as well.Terry speaks with consultant Debra Phairas, on this episode of th...2024-07-0931 minNSCHBC Edge PodcastAI In Healthcare: The New FrontierIn the setting of AI - Artificial Intelligence - Healthcare is running head first into possible risk. In this month’s episode of the NSCHBC Edge Podcast Terry and Vinny Sankaran tackle the PROS and CONS of AI in Healthcare.Data suggests AI helps health providers practice their profession and invest their time in engaging with patients rather than spending time on transcribing notes and administrative work. Also, when used safely and appropriately, this could exponentially expand evidence-based medicine to improve health outcomes and people-centered care.However, there are so...2024-06-1128 minNSCHBC Edge PodcastDo's and Don'ts for Physician Practice Start-UpsOn this month’s episode of the Edge Podcast Terry welcomes back Healthcare Consultant Jackie Coult as they discuss the ins and outs of physician and dental practice startups.Terry and Jackie talk about having a plan, financial woes and potential funding, staffing, location and of course, what kind of practice you’d like to have.Join us for a fun and engaging conversation.2024-05-1429 minNSCHBC Edge PodcastPhysician Practice Revenue: Front Desk CollectionsMore than 100,000 doctors have left private practice and become employees of hospitals and other corporate entities since 2019. Today, nearly 3 in 4 physicians are employees of larger health care entities or other corporations — a record high.The cost of managing a medical practice — whether in primary care or a specialty practice — has surged. Not to mention, reimbursement rates from Medicare have not kept pace with higher operational costs. So how does a physician make sure they are collecting all that is due to them, not just from insurance payers, but where it begins: At the front desk?In today’s...2024-04-0935 minNSCHBC Edge PodcastProactive Payer Contract Language = IntraoperabilityTerry welcomes fellow NSCHBC Member and Healthcare Consultant Anthony (Tony) Werner to discuss reducing administrative burden and costs incurred by meeting payer requirements.Most likely there will be resistance from most payers to incorporate intraoperability terms in contracts, including those required by legal or governmental directives. Terry and Tony discuss the complexities of these discussions and how to be successful in the process of contract negotiations.2024-03-1222 minNSCHBC Edge PodcastNon-Competes in Healthcare: An Attorney's PerspectiveThere is always competition for patients and location in healthcare, but how do “non-compete” contracts affect patient care? Or a physician’s ability for career advancement? How do different states handle this hot topic?Healthcare Attorney Amanda Waesch and Edge host Terry Fletcher tackle this discussion today looking at the legal and business angles and relationships that will factor into these agreements.Also, are non-compete clauses always valid and enforceable? Listen to find out.2024-02-1326 minNSCHBC Edge PodcastTelehealth 2024 - It's time to pay attentionChristine Hall and Terry Fletcher, both SMEs in the Telehealth space, discuss the new rules for 2024, what the flexibility extensions “really” mean to physicians, and what traps of FWA not to fall into.For anyone currently participating in the Telehealth delivery of medicine, this is an important podcast to listen to.2024-01-0938 min
The Compliance GuySeason 7 - Episode 1 - David J ZetterDavid sits down with Sean to discuss avoiding 2024 pitfalls with provider enrollment, credentialing, and contracting in addition to so much more.
David is one of the most celebrated healthcare professionals and for good reason. Don't miss this one!
Zetter Consulting Website: https://zetter.com/
NSCHBC Website: https://nschbc.org/2024-01-0348 minNSCHBC Edge Podcast30+ Years of Healthcare InsightsIn this month’s episode of the NSCHBC Edge podcast, Terry talks to life NSCHBC member, Kathy Moghadas, RN, CLHRM, CHBC, CHCC with Associated Healthcare Advisors, to discuss where the healthcare industry started back in the 80’s and where we are headed with all of the digital advancements, including AI.Is it all good? Not even close. Listen and find out why!2023-12-1230 minNSCHBC Edge PodcastBehavioral Health 2024: New Providers and New RevenueAs you know BH and MH services are now being covered by Medicare and many commercial payers. Also, coverage has expanded like nothing we’ve ever seen. Even Telehealth has made some permanent changes to coverage that is only for Behavioral Health and Mental Health Services.To discuss this topic and to look at the proposed Medicare Final Rule and Fee Schedule for 2024, Terry invites fellow NSCHBC member Sonda Kunzi to the podcast.There are some services that we are concerned about and we are wondering where the specific guardrails and payment policies are.2023-11-1430 minNSCHBC Edge PodcastCyber Security Threats and Attacks in Dental and Medical PracticesCyber Security in Healthcare, focuses on preventing attacks by defending systems from unauthorized access, use, and disclosure of patient data. The primary aim is to ensure the availability, confidentiality, and integrity of critical patient data. If compromised, this could put patient lives at risk.The more we add digital access the more interconnectedness between different healthcare systems comes with increasing healthcare cybersecurity threats.Edge podcast host Terry Fletcher discusses this threat to physician and dental practices with Debi Carr of DK Carr and Associates. Debi brings light to the...2023-10-1026 minNSCHBC Edge PodcastCredentialing vs. Contracting for OMS, Dental and MedicalIn Healthcare, is credentialing the same thing as contracting?No, credentialing is the process of reviewing the doctor's qualifications while contracting. Payer enrollment is the process of applying for and obtaining participation contracts with insurance plans for your provider or entity.Award-winning podcast host Terry Fletcher and Healthcare Consultant Scott Graham navigate through these differences while giving tips on how to be successful in payer contract negotiations and provider credentialing.Join us for these important business of medicine tips.2023-09-1225 minNSCHBC Edge PodcastMSO's vs ACO's: Healthcare Administrative ServicesAn MSO is a company that provides non-clinical services to medical practices, ambulatory care facilities, or other healthcare providers. Services provided by an MSO may include some or all of the following: Billing and Collection. Accounts Payable. RCY, Contracting and Credentialing, and Staffing. What can an MSO do for your practice? Can you create your own?In this episode, Terry discusses all options with Healthcare CPA and Financial Consultant Jacki Jacox. Don’t miss this important topic that could provide many practices with administrative relief.2023-08-0825 minNSCHBC Edge PodcastPhysician Practice MergersIs your practice considering a merger? Is the phrase “bigger is better” a true statement when it comes to private medical practices?Join us on this episode of the NSCHBC Edge podcast as SME Reed Tinsley CPA discusses the complexities of practice mergers.It’s not an overnight process to be successful in a merger. Reed offers tips to work your way through the myriad of issues and processes.2023-07-1130 minNSCHBC Edge PodcastShould physicians have a CPA or handle financials themselves?On this episode of the Edge Podcast, Terry welcomes fellow NSCHBC member Sandy Shecter. Sandy is a CPA and the Director of Solutions for Rehmann, a fully integrated, professional advisory and asset management firm working to empower success for businesses of all sizes and industries.Our topic today is physicians and medical practices who manage their finances in-house. Should they outsource to a CPA who knows the healthcare environment?2023-06-1323 minNSCHBC Edge PodcastGoogle and SEO Presence for Medical and Dental PracticesIn today’s world of marketing, the healthcare provider is sometimes overlooked.Have you asked these questions?What is it about Google that is important to know in the healthcare space?What does SEO presence mean and can anything alter those algorithms?How can a medical or dental practice be sure they are being found in the right space but also the most positive light?In this month’s NSCHBC Edge podcast, Marketing Consultant and SME Expert Carl White joins Terry Fletcher to discuss the best strategy for marketing your...2023-05-0938 minNSCHBC Edge PodcastKeeping healthcare employees motivated during a national staff shortage crisisIs your staff suffering from spring fever? And how can you motivate the “keepers” with the nationwide landscape of staffing shortages?In this episode, Terry Fletcher is joined by healthcare consultant and fellow NSCHBC member Merikay Hunt to discuss the employer-employee relationship, and how to keep the staff you not only want, but also need.2023-04-1135 minNSCHBC Edge PodcastThe Secret to Maximizing your ReimbursementOn this episode of the NSCHBC Edge Podcast, Terry welcomes NSCHBC member and Certified Healthcare Business Consultant, Jackie Coult, who doubles as an SME in practice and revenue cycle transparency and negotiations.Physicians: we have your back! Jackie shares her expertise on how to set gross charges, and what the best practice methods are for setting rates so revenue isn’t lost. The hosts also discuss how practices and providers should monitor the payor reimbursement annually so that changes don’t harm your bottom line.2023-03-1418 minNSCHBC Edge PodcastCompliance Plans or Compliance Programs: Internal Policy ManagementThis month on the NSCHBC Edge Podcast, Terry welcomes a new member, Healthcare Consultant Christine Hall, to discuss the importance of Compliance Programs, Policies, and Accountability for actions in a physician’s practice.They discuss how to start the process of implementing a Compliance Program, and what departments need to have clear rules and best practice policies to be successful. Don’t forget the ACA and OIG state clearly that to collect government funds (Medicare payments, PRF, etc.), as it is “required” to have a compliance program in place.Also, co...2023-02-1418 minNSCHBC Edge PodcastSelf-Reporting: Last Minute Federal Regulations of 2022Terry welcomes back, our own “compliance guy” and NSCHBC member, Sean Weiss, to discuss the last-ditch regulatory add of CFR 42, on self-reporting, and the proposed changes to the 60-day rule for Medicare. This means that if you find an overpayment from a federal payer, what is your responsibility to identify it, return it, and what is the timeline? Terry and Sean discuss the ins and outs of this process and the importance of being proactive in your compliance and self-auditing policies.2023-01-1018 minNSCHBC Edge PodcastPRF Single Audit Act RequirementsIn this episode of the NSCHBC Edge podcast, Terry welcomes back Healthcare attorney and NSHCBC member Amanda Waesch Esq, to discuss the Single Audit Requirements, for providers and recipients that spent $750,000 or more in federal funds, including Provider Relief Fund (PRF) payments.There is some confusion on who has to report, when and why. Amanda and Terry try and clear up this confusion, and give you the tools and cited references for compliance.2022-12-1332 minNSCHBC Edge PodcastPrivate Equity Pros and Cons in the Medical and Dental SpaceWhat is PE? At its core, PE is an alternative investment class consisting of capital that is not listed on a public exchange. PE is comprised of funds and investors that directly invest in private companies. Most PE firms invest in companies and then look to sell their stake in 3 to 5 years for a substantial profit. So how does this translate to the Healthcare field with Medical and Dental practices being courted daily by PE investors? Listen to the NSCHBC Edge Podcast this month to...2022-11-0838 minNSCHBC Edge PodcastRetirement Planning for Physicians and DentistsHow much does the average physician retire with? When is too soon to start planning? What age does a physician usually retire? Did the pandemic change the retirement mindset? Are physicians retiring early due to financial readiness or burnout? Traditional 401(K)s? Pensions? IRA's? What is the right fit for a physician and/or dentist? Listen to this edition of the NSCHBC Edge podcast for all of the answers to these important questions, as Terry talks with fellow NSCHBC member and Healthcare CPA Marc Lion.2022-10-1134 minNSCHBC Edge PodcastRCM Staffing: Right people in the right job?Many practices will hire coders for coding jobs or billers for the billing department, relatives or newbies for the front desk, or hire from within to fill RCM positions in Medical and Dental Practices. But when mistakes are made, or updates are not realized, the RCM suffers. Host, and Healthcare Coding and Reimbursement Consultant, Terry Fletcher, joins fellow NSCHBC Member and industry expert, David Zetter of Zetter Healthcare, to discuss staffing issues and problems that can arise when the wrong people are in the wrong job: and the positives an...2022-09-1342 minNSCHBC Edge PodcastRevenue Cycle Management Tips for Physician PracticesIn this edition of the NSCHBC Edge Podcast, Terry Fletcher invites NSHCBC members Vinod Sankaran and Misty Haralson for an RCM Round table discussion.Hear fellow healthcare consultants in the RCM space discuss physician and dental practice pain points and how to be efficient in your Revenue Cycle Management efforts. Join us for this important discussion focusing on verifying eligibility, billing errors, denial management, and IT.2022-08-0940 minNSCHBC Edge PodcastWhen a Physician or Practice ponders the idea of selling their businessThis edition of the NSCHBC Edge Podcast targets Physician Practice Valuations. Are you asking yourself: "Is it time to sell my practice?", "How do I get started?", or "How long will it take to sell my practice?"If so, you’ve come to the right place! Terry Fletcher, along with fellow NSCHBC member and certified valuation consultant Alex Nechay, CVA CHBC, will be talking about knowing when it is the right time, the process of valuation, and who to go to, to begin the process.2022-07-1229 minNSCHBC Edge PodcastPhysician Practice ValuationsThis edition of the NSCHBC Edge Podcast targets Physician Practice Valuations. Are you asking yourself: "Is it time to sell my practice?", "How do I get started?", or "How long will it take to sell my practice?"If so, you’ve come to the right place! Terry Fletcher, along with fellow NSCHBC member and certified valuation consultant Alex Nechay, CVA CHBC, will be talking about knowing when it is the right time, the process of valuation, and who to go to, to begin the process.2022-07-1229 minNSCHBC Edge PodcastIs this the right time to open an ASC or OBL? Pros and Cons from the expertsIn this month's NSCHBC Edge Podcast, Terry dives into the ASC (Ambulatory Surgery Center) and OBL (Office Base Lab) start-ups and what the market is telling us now when it comes to giving patients options when having their procedures and surgeries.As we all know hospital costs have risen and continue to do so, so what are the pros and cons and options for physicians when considering opening an ASC? What are the Costs? What are the legal challenges?Terry welcomes back NSCHBC members, Healthcare Business Consultant David Zetter...2022-06-0734 minNSCHBC Edge PodcastASC and OBLs: Are you ready to start yours?In this month's NSCHBC Edge Podcast, Terry dives into the ASC (Ambulatory Surgery Center) and OBL (Office Base Lab) start-ups and what the market is telling us now when it comes to giving patients options when having their procedures and surgeries.As we all know hospital costs have risen and continue to do so, so what are the pros and cons and options for physicians when considering opening an ASC? What are the Costs? What are the legal challenges?Terry welcomes back NSCHBC members, Healthcare Business Consultant David Zetter...2022-06-0734 minNSCHBC Edge PodcastIntegrating Behavioral Health Services into your PracticeCan Behavioral Health and Mental Health services be integrated into all specialty practices? Or are they limited to General Practice, Family Practice, Internal Medicine, Psychology Practices, or Psychiatric Practices?In this episode of the NSCHBC Edge Podcast Terry welcomes back Adam Middleton, SME, to talk about this topic.The hosts also discuss how to look at financials and staffing for the Behavioral Health specialty.2022-05-1039 minNSCHBC Edge PodcastBehavioral Health Practice IntegrationCan Behavioral Health and Mental Health services be integrated into all specialty practices? Or are they limited to General Practice, Family Practice, Internal Medicine, Psychology Practices, or Psychiatric Practices?In this episode of the NSCHBC Edge Podcast Terry welcomes back Adam Middleton, SME, to talk about this topic. The hosts also discuss how to look at financials and staffing for the Behavioral Health specialty.2022-05-1039 minNSCHBC Edge PodcastPhysician's getting back to private practice from Hospital System EmployeesTo date, there has been a swing toward physicians becoming employed by hospitals. Initially, joining an academic medical center or hospital system can be a great start for physicians coming out of training. But we NEED private practice providers. Private practice, as we know it, will progressively evolve with new restrictions as we see the consolidation of practices under equity buyout models. Talking about this is Terry Fletcher and Debra Phairas, NSCHBC, Certified Healthcare Business Consultant and owner of Practice Liability Consultants in Napa, CA....2022-04-1242 minNSCHBC Edge PodcastHow does a physician transition from a hospital system to a private practice?To date, there has been a swing toward physicians becoming employed by hospitals. Initially, joining an academic medical center or hospital system can be a great start for physicians coming out of training. But we NEED private practice providers. Private practice, as we know it, will progressively evolve with new restrictions as we see the consolidation of practices under equity buyout models. Talking about this is Terry Fletcher and Debra Phairas, NSCHBC, Certified Healthcare Business Consultant and owner of Practice Liability Consultants in Napa, CA....2022-04-1242 minNSCHBC Edge PodcastPRF and Reporting: Are you prepared for tax season?This important and timely episode of the NSCHBC Edge Podcast focuses on Provider Relief Funding, plus all of the money spent over the past year during the COVID-19 pandemic to assist physicians, dentists, and hospitals. Are you ready for TAX season? Chris Hundt CPA joins Terry Fletcher to discuss all things Provider Relief Funding.It’s time to make sure you've met reporting deadlines, and have documentation of COVID losses, expenses, and funding distributions. Plus, the hosts discuss a surprising source of income with the Employee Retention Credit.2022-03-0832 minNSCHBC Edge PodcastSelf-Disclosures and Self-ReportingBack in 2010, the OIG and HHS established a Medicare self-referral disclosure protocol (SRDP) that sets forth a process enabling providers of services and suppliers to self-disclose actual or potential violations of the physician self-referral statute. Along with self-referrals, CMS published a final rule for the reporting and returning of overpayments that fall under the SRDP protocols. In this episode of the Edge Podcast, Terry Fletcher welcomes back healthcare attorney and NSCHBC member Amanda Waesch, to discuss these topics and how this process works: and what could happen if it’s no...2022-02-0841 minNSCHBC Edge PodcastSocial Media for Medical and Dental PracticesWelcome to the first NSCHBC Edge Podcast of the new year. Terry Fletcher is joined by Maureen Uy of Associated Marketing, to explore the topic of social media for medical and dental practices. What is necessary to make sure you are on top of the information highway? A social media platform can generate both good and bad reactions, but it can also help you grow your patient population.The hosts share their insights on what content to publish and how often, plus what platforms ar...2022-01-1145 minNSCHBC Edge PodcastAre compliance manuals required for physician practices?In this episode of the NSCHBC Edge Podcast Terry Fletcher welcomes fellow NSCHBC Member and Consultant Sean Weiss to discuss compliance plans for physician practices.Having a compliance program in place to address detected offenses and take corrective action is necessary with the advent of the Omnibus vaccine mandates, OSHA regulations for safety, and the OIG's requirement for Medicare and Medicaid providers.It is imperative practices take a look at their corporate compliance programs and how to respond to potential regulatory infractions. Also discussed i...2021-12-1433 minNSCHBC Edge PodcastTelehealth Now: Compliance and RegulationsNearly two years into the current pandemic, Telehealth continues to make headlines.In the latest episode of the NSCHBC Edge Podcast, Terry Fletcher chats with healthcare consultant David Zetter, CHBC, of Zetter Healthcare, about a number of topics. Among those discussed include 1135 Waivers still in place, Patient Consents that have expired, Audio and Video Encounters, and the CARES Act. The hosts also mention individual states that have either extended or waived their state mandates for Telehealth. Are you on top of the current rules? Li...2021-11-0939 min
Not Elsewhere ClassifiedThe Compliance Guy with Sean Weiss | Part 2Sean M. WeissPartner, Vice President of ComplianceCHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPCSean has dedicated his more than 25 – year career to helping healthcare facilities reduce the risk of noncompliance and achieve measurable financial results. An accomplished compliance and management professional, Sean has extensive knowledge of the inner workings of government agencies at both the federal and state level, including the Office of Inspector General, Department of Justice and The United States Attorney’s Office.Sean has earned and maintains numerous certifications including Certified in Healthcare Compliance (CHC), Certified Eval...2021-10-1549 minNSCHBC Edge PodcastHIPAA/HIPPA, plus vaccine mandates: are they legal?In this episode of the NSCHBC Edge podcast, host Terry Fletcher is joined by NSCHBC member and healthcare attorney Amanda Waesch. They discuss the "realities" of HIPAA and what it means in terms of your privacy and rights. For example, can anyone ask you if you're vaccinated? And do you have to reply?This leads to a polarizing discussion of COVID-19 Vaccine Mandates. Is this legal to enforce? Why this virus and not others? And can this have an impact on a physician's status as a participating provider with M...2021-10-1247 minNot Elsewhere ClassifiedThe Compliance Guy with Sean Weiss | Part 1Sean M. WeissPartner, Vice President of ComplianceCHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPCSean has dedicated his more than 25 – year career to helping healthcare facilities reduce the risk of noncompliance and achieve measurable financial results. An accomplished compliance and management professional, Sean has extensive knowledge of the inner workings of government agencies at both the federal and state level, including the Office of Inspector General, Department of Justice and The United States Attorney’s Office.Sean has earned and maintains numerous certifications including Certified in Healthcare Compliance (CHC), Certified Eval...2021-10-0848 minNSCHBC Edge PodcastBest practices for hiring medical practice staffIn this episode of the NSCHBC Edge Podcast, Healthcare Business Consultant Chris Zaenger of Z Management Group, Ltd. joins host Terry Fletcher to discuss hiring the right people in management positions in your practice.
Among those decisions is whether your spouse or relative should be on the hiring list!
Also on the agenda, is salaries, remote workers, and staff members who look good on paper: but are they the best fit?
Join us for this fun and lively topic!2021-09-0700 minNSCHBC Edge PodcastPractice Start-ups and FeasibilityPractice start-up services can be very tedious to get a medical practice off to a solid start and firm foundation.
This episode of the Edge Podcast discusses startups and practice feasibility, going to work for an established private practice, or joining a Kaiser-like model or ACO to get a new physician's feet wet.
Joining Terry is NSCHBC member and Doctor's Management Healthcare Business Consultant Valora Gurganious.
Valora serves clients in all medical specialties. She works with the intricacies in starting a medical practice, feasibility studies, contract, and credentialing services, and more.
...2021-08-1000 minNSCHBC Edge PodcastAdding NPP's to make your practice cost-effective and profitableIt has been reported that Medical Practices with NPP/APP's and other non-physician providers are more profitable and productive.
In this episode of the NSCHBC Edge Podcast, Terry welcomes NSCHBC member and Business Consultant Adam Middleton to discuss how NPPs can increase access, hours expansion, value-based services, and profitability.
Listen in to this discussion to help you make an informed decision to add NPPs or not into your practice!
2021-07-1300 minNSCHBC Edge PodcastShould you outsource your medical billing? Or keep it in-house?
Whether you are an independent, small or large practice, it is important to think about the pros and cons of outsourcing your medical billing.
On this episode of the Edge Podcast, guest Cyndi Walker CHBC joins Terry Fletcher to help you determine if outsourcing is right for your practice – and what factors go into making that decision.
Cyndi and Terry also discuss the difference between outsourcing and offshoring: do you know the difference? Tune in as the hosts provide the answers for all of these important questions and whether keeping your billing in-house may be...2021-06-0800 minNSCHBC Edge PodcastWhen should I hire a healthcare consultant?
Have you sprung a leak in your RCM? Do you renegotiate or review your insurance contract language regularly? What about EOB review?
You may have payment posters, but who in your practice is deciding to appeal or write off denials - or work those denials? Have you checked in on your E/M documentation and coding with the new 2021 rules for office visits?
If you are a primary care are you utilizing your NPPs by adding value-added services, like AWV or CCM?
Terry Fletcher talks with David Zetter, of Zetter Healthcare, to...2021-05-1100 minNSCHBC Edge PodcastFinancial planning in 2021 for medical practices: now and after PHEThis edition of The Edge Podcast focuses on the financial challenges most medical practices have faced during the last year: what did we learn from the pandemic to pivot our Medical Practices Financial Profile to a more profitable future?
Terry welcomes Practice Consultant Ginny Martin to the program to discuss extending hours, APNs, Medicare wellness services, and working AR with our remote RCM staff.
2021-04-1300 minNSCHBC Edge PodcastPPP, EDIL, HHS funding :are you prepared for tax season?During the COVID-19 pandemic a lot has happened: the shutdowns, the halting of elective surgeries and procedures, the pivot to telehealth, and a decline in patient encounters.
The healthcare community had to figure out how they would financially stay afloat during the PHE. Provider Relief Funding came in the form of HHS Funds, EIDL, PPP, AAP and more.
In this episode of the Edge Podcast, Terry Fletcher welcomes Jennifer Pemble CPA CFE, CHBC, of Warren Averett, to discuss all of the offerings and answer pertinent questions.
What is a loan versus...2021-03-0900 minNSCHBC Edge PodcastAre you taking Telehealth seriously? Or is this a "stopgap" during PHE?The Edge Podcast welcomes Doctor's Management Consultant Grant Huang to the show. Grant joins host Terry Fletcher to talk about Telehealth during the PHE and what to expect post-PHE.
With changes to the 2021 Medicare PFS and the CARES act flexibility set to roll back once the PHE ends, the two discuss the future of FaceTime and Skype as an approved platform, how to ready your practice to go all-in on Telehealth for your patients, and what you can do now to prepare for potential changes in reimbursement and coverage.
2021-02-0900 minNSCHBC Edge PodcastEmployee Terminations: simple, aggressive, and contract employees
Today's topic focuses on employment terminations. From simple terminations to aggressive employees, this episode focuses on how to handle challenging situations: including contract employees with a non-compete clause.
Attorneys Amanda Waesch and Brian Meek role-play these real-life employer situations which could occur during or after the pandemic.
2021-01-1200 minNSCHBC Edge PodcastFee for Service Medicine and Front Desk CollectionsWelcome to the latest NSCHBC Podcast where our topic for discussion is "Fee for Service Medicine and Front Desk Collections".
Is Fee for Service Medicine here to stay? Is socialized medicine or a bundled/capitated payment system on our horizon or even a remote possibility?
Also, we discuss being proactive when it comes to front desk collections and payments.
Terry's guest contributor on this episode is the President of NSCHBC David Zetter, of Zetter Healthcare LLC. Together they will tackle these topics and give the current industry reality for a profitable...2020-12-0800 minNSCHBC Edge PodcastNSCHBC Edge Podcast - Premiere EpisodeThe National Society of Certified Healthcare Business Consultants decided it was time to join the podcasting community to bring you healthy business principles, and conversations on what it takes for a medical or dental practice to be successful.
We are bringing the Business of Medicine to you. Taking the time to understand the Business of Medicine is crucial for building a successful career and providing great patient care.
We hope you will join us each month, as we tackle new topics, and breakdown the factors that can affect your practice in all ways, positive and...2020-10-2100 min