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Showing episodes and shows of
Sonda Kunzi
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Behind The Scenes with Sonda
Telehealth 2025 - Could It Be More Confusing
Welcome back to Behind the Scenes! In this brief episode, Sonda is flying solo to highlight the upcoming changes to telehealth in 2025. If you're working in healthcare, you know how quickly guidelines and codes can evolve. Today, Sonda gives a quick overview of what to expect in 2025, including new telehealth codes and how they might impact your practice. Join in to hear more on: CMS (Centers for Medicare & Medicaid Services) approach to Telehealth in 2025.Removal of restrictions and introduction of new codes in Evaluation and Management.The impact of policy changes on behavioral health and other ar...
2024-12-11
12 min
Behind The Scenes with Sonda
Starting from Scratch: Julie's Healthcare Coding Journey
Welcome to this episode of Behind The Scenes! Today, Sonda sits down with Julie Miller, a seasoned healthcare professional with a deep background in revenue cycle management, coding, and compliance auditing. Julie’s journey began in accounts receivable at a large FQHC, where she crafted strategies that boosted efficiency across 50 clinics. She later played a transformative role at a small acute care facility, leading efforts to streamline its operations. Now, as a physician compliance auditor for a major Michigan health system, Julie joins Sonda to reflect on their experiences in healthcare and offer valuable advice for anyone looking to st...
2024-11-06
29 min
Behind The Scenes with Sonda
Building a Team: Lessons in Leadership and Collaboration
Welcome to Behind The Scenes! In this episode, Sonda takes the mic solo to share her valuable insights on leadership from her perspective as a health care entrepreneur. Drawing from her extensive experience in the industry, she offers practical wisdom and actionable advice for business owners—whether you're just starting out or looking to elevate your existing practice. Sonda discusses key strategies to better serve your clients, empower your employees, and nurture your own well-beingJoin in to hear more on: Difficulties faced by health care entrepreneurs.Essential strategies for effective leadership.Self cares role in cre...
2024-10-23
19 min
Behind The Scenes with Sonda
Navigating Healthcare Entrepreneurship with Leslie Boles
Welcome to this episode of Behind The Scenes! In this episode, Sonda sits down with Leslie Boles, Co-Owner and President of Revu Healthcare. With over 15 years of expertise in healthcare coding, auditing, and compliance, Leslie brings a wealth of knowledge to the discussion.Together, Sonda and Leslie delve into their shared experiences as entrepreneurs in the healthcare industry. They explore the lessons learned and offer insights for those wanting to navigate the entrepreneurial world.Join in to hear more on: • Insights on the transformative role of AI in business.• The vital importance of collaboration for succes...
2024-10-09
47 min
Behind The Scenes with Sonda
Takeaways From the John Maxwell Leadership Conference
Welcome back to Behind The Scenes! In this episode, Sonda shares her insights from the recent John Maxwell Conference. While the healthcare industry typically focuses on consulting, coding, documentation, and compliance, Sonda highlights a different perspective. Inspired by her experiences at the conference, she dives into the significance of personal growth and its relevance in the world of health care.Tune in to hear more about: Reflecting on Sonda’s experience at the John Maxwell conference. The integral role of leadership in healthcare organizations and communities. 10 key takeaways to fuel personal growth.Personal growth is essen...
2024-09-25
34 min
Behind The Scenes with Sonda
Cheers to One Year: A Podcast Milestone
Welcome to this special episode of Behind The Scenes! In this landmark episode, Sonda celebrates the 1-year anniversary of the podcast. Over the past year, Behind The Scenes has been committed to empowering healthcare providers and health entrepreneurs with invaluable insights and advice.As she reflects on this milestone, Sonda takes a moment to look back on the podcast's journey—its purpose, the growth it has experienced, and her aspirations for the future. She shares the knowledge she has gained throughout the year and continues to offer a range of insightful thoughts and practical advice.Tu...
2024-09-11
34 min
Behind The Scenes with Sonda
Unseen Battles: The Importance of Cybersecurity in Everyday Life
Welcome back to Behind the Scenes! In this episode, Sonda is flying solo once again to tackle a critical topic: cybersecurity. Whether you're running a large corporation, a small business, or simply navigating the digital world as an individual, cybersecurity is something we all need to be mindful of. Drawing from her own recent experience, Sonda delves into the importance of being aware and prepared for potential cyber threats.Tune in to hear more about:Sonda’s personal story of a recent cybersecurity breach, including spoofed emails and diverted funds.The importance of collective effort in st...
2024-08-28
17 min
Behind The Scenes with Sonda
The Care-Billing Connection: Why Accurate Diagnosis Codes Matter
Welcome back to Behind the Scenes! In this episode, Sonda goes solo to explore a critical topic: the significance of accurate diagnosis codes. With years of experience, Sonda understands the impact that using incorrect medical codes can have. Although some healthcare providers may use inaccurate codes to secure reimbursement, this practice can have far-reaching consequences. Through personal stories and real-world examples, Sonda highlights why it's essential for all healthcare providers to prioritize accurate coding.Join in to hear more on:Addressing the downfalls of inaccurate diagnosis coding and their implications.Strategies for reducing coding errors and...
2024-08-14
24 min
Behind The Scenes with Sonda
EMR Talk with Alan Tillinghast of Arize
In this episode of Behind The Scenes, Sonda chats with Alan Tillinghast, CEO of Cantata Health Solutions. Alan leads the company's growth in providing behavioral health and human services software. His extensive experience in senior leadership roles gives him a unique perspective on the challenges of implementing and adopting new technology to enhance patient care and efficiency. Together, Sonda and Alan discuss Electronic Medical Records (EMR). Drawing from personal experience, they offer insights into the current challenges and new opportunities for EMR solutions, with a focus on Arize.Listen in as they discuss:Exploring how Arize...
2024-07-31
36 min
Behind The Scenes with Sonda
Behavioral Health Integration
Welcome back to Behind The Scenes! In this solo episode, Sonda delves into the concept of behavioral health integration. She addresses the challenges that both patients and providers encounter in the healthcare system. Sonda explains what integration means, its benefits, and the role it plays in improving overall health outcomes. Join her for an insightful discussion on the importance of embracing this approach.Tune in to hear more on:Benefits of integration for patients struggling with mental health.Core elements of model types: BHI and collaborative care management.Key considerations for Behavioral Health Integration....
2024-07-17
39 min
Behind The Scenes with Sonda
Freestyling Fee Schedules with Gary Humble
In this episode of Behind The Scenes, Sonda talks with Gary Humble, the founder and President of G&M Consulting. With over 40 years in behavioral health and managed care, Gary's expertise spans organizations like the Cleveland Clinic’s Center for Behavioral Health. Since founding G&M Consulting in 1998, he has supported private practices and providers across many states. Together, Sonda and Gary delve into engaging discussions about varying fee schedules with Medicare and commercial carriers. They also draw from their extensive knowledge to highlight the key issues impacting behavioral health providers today.Tune in to hear more on...
2024-07-03
43 min
Behind The Scenes with Sonda
Psychotherapy Audits - Key Insights for Providers
In this solo episode of Behind The Scenes, Sonda sheds light on the world of psychotherapy audits. With audits on the rise in the industry, she breaks down everything you need to know—from understanding the procedures to knowing what auditors are looking for. Sonda shares her personal insights to help listeners feel confident and prepared. Whether you're a seasoned pro or just starting out, this episode is packed with practical advice to keep you informed and ready. Join Sonda as she discusses: What happens to a progress note in the event of an audit. Recommendations on wh...
2024-06-19
36 min
Behind The Scenes with Sonda
Investing in Yourself and Building Lifelong Connections with Damaris Rameriz
In this episode of Behind The Scenes, Sonda is joined by her close friend, Damaris Ramirez, a seasoned consultant from New Jersey with over 25 years of experience in health and wellness. Together, they delve into the significance of building a support system to navigate life's numerous challenges, from career growth to home life. Sharing personal stories, they highlight the importance of accountability and the value of investing in oneself.Tune in to hear more on:The importance of accountability partners and tips for finding one.Challenges in managing expectations as an entrepreneur.Exciting updates from Sonda...
2024-06-05
52 min
Behind The Scenes with Sonda
The Power of the Progress Note
Welcome to Behind The Scenes! In this solo episode, Sonda delves into the world of progress notes. As medical practices shift towards digitalization Sonda unpacks the world of electronic medical records (EMRs) and their evolving role in healthcare. Sharing her own EMR experiences, she offers firsthand insights and invaluable perspectives that can resonate with professionals and patients alike.Join Sonda as she discusses:EMRs: Pros and cons for provider documentation and patient care.Provider documentation evolution: Regulatory and documentation changes.Sonda's call to action: Recommendations for change.As our world becomes more digitized it’s im...
2024-05-22
25 min
Behind The Scenes with Sonda
Breaking into the Coding Business with Allison Smith and Nicole Ward
In this episode of Behind The Scenes, Sonda is joined by Nicole Ward and Allison Smith, two inspiring women navigating the world of medical coding. Nicole has had a diverse journey, spanning from healthcare roles to owning a salon business, all of which have led to her pursuit of excellence in medical billing and coding. Allison is a dedicated new coder transitioning from childcare to medical coding, currently completing Practicode to advance her skills and remove her apprentice designation. As they delve into their experiences, they shed light on the challenges of entering the medical coding world, share personal...
2024-05-08
32 min
Behind The Scenes with Sonda
Creating Boundaries: Learning to Say No with Becky Upchurch
In this week's episode of Behind The Scenes, Sonda is joined by Becky Upchurch, a dedicated mindset coach empowering busy women to prioritize self-care and their goals by mastering the art of saying no without fear or guilt. Women often face numerous expectations that can make saying no challenging. Sonda and Becky delve deeper into this issue, sharing their personal experiences with setting boundaries. Together, they explore the significance of boundary-setting and how prioritizing what truly matters can enable you to show up as the best version of yourself. Listen in as Sonda and Becky discuss:E...
2024-04-24
39 min
Behind The Scenes with Sonda
The Evolution of Telehealth with Christine Hall and Terry Fletcher
In today's episode of Behind The Scenes, Sonda is joined by Terry Fletcher, a seasoned Healthcare Coding & Reimbursement Consultant, Educator, and Auditor, and Christine Hall, owner of Sterling Global Solutions and an expert in delivering education on all things healthcare. Together, the trio offers nearly a century of combined expertise in the healthcare sector. Terry, Christine, and Sonda delve into the nuances of Telehealth, exploring its advantages and disadvantages, and providing suggestions to enhance Telehealth services, while also sharing their personal experiences.Join the women as they talk about:Telehealth pitfalls and appropriateness.Challenges and opportunities...
2024-04-10
38 min
Behind The Scenes with Sonda
Women Supporting Women with Jessica Cuffia-Corlette
In this episode of Behind The Scenes, in honor of Women's History Month Sonda is joined by Jessica Cuffia-Corlette, a mother of two teenage daughters with over 20 years of consulting experience in the finance industry. Sonda and Jessica speak on their respective careers and the insights gained through their experiences. The duo has meaningful conversations about the value of learning from failure and taking accountability to help move you forward. As well, Jessica shares her personal experience of integrating working outside of the home and being a mother. Join Sonda and Jessica as they discuss:Making t...
2024-03-27
41 min
Behind The Scenes with Sonda
Boots on the Ground as a Billing Manager with Tiffany Young
In this episode of Behind The Scenes, Sonda is joined by Tiffany Young, Billing Manager at Coding Advantage. This episode dives into what goes on “behind the curtain” of a billing company. Tiffany speaks of her personal experience in the billing world, and chats with Sonda about the day-to-day management of client billing.In this episode, Sonda and Tiffany discuss:• Managing team members in a manner that is flexible yet regimented.• Managing based on outcomes and organizing resources for a team.• Overcoming common barriers through analytical thinking and patterns.In this episode, the pair g...
2024-03-13
32 min
Shelly O’Neal From the Green Velvet Couch
Insights from the Frontlines of Behavioral Health Billing with Shelly O’Neal and Sonda Kunzi
In this episode, Shelly O'Neal sits down with Sonda Kunzi, CEO of Coding Advantage, to delve into the complexities and nuances of billing and coding in the mental health sector. Kunzi shares her extensive experience and passion for supporting behavioral health providers, emphasizing the importance of understanding each organization's mission to provide tailored billing solutions. They discuss the challenges of navigating insurance billing, the crucial role of advocacy in ensuring patient access to necessary services, and the personal wellness practices that support their professional endeavors. -- Shelly’s guest on...
2024-03-04
31 min
Behind The Scenes with Sonda
Burn out or Burn on...Everyday Thoughts of an Entrepreneur
In this solo episode of Behind The Scenes, Sonda gives insight into the detrimental effects of stress and fatigue. This episode explores the challenges that entrepreneurs face as a result of burnout, as well as the physical health complications that burnout can cause. Sonda speaks of her personal experience hiring an assistant, and how investments like that one can help entrepreneurs to “burn on” rather than “burn out”.In this episode, Sonda discusses:• Improving your ability to show up by mitigating exhaustion.• Removing yourself from grind culture.• Prioritization of tasks vs. wellbeing.Allow Sonda to...
2024-02-28
13 min
Behind The Scenes with Sonda
Compliance 101: Everyone's Favorite Topic...Not
In this solo episode of Behind The Scenes, Sonda gives an overview of why you need a compliance plan for Medicare/Medicaid enrollment. This episode dives into the risks associated with operating a business without a compliance plan in place. Sonda describes the implications of healthcare relationships that seem harmless but could implicate the provider when compliance isn’t top of mind.In this episode, Sonda discusses:• Vendor offerings within the healthcare organization• The False Claims Act and self-disclosure• How to create a strong compliance plan and mitigate risksAllow Sonda to help you...
2024-02-14
26 min
Health Coach Talk: Conversations About Wellness Through Functional Medicine Coaching
Navigating Insurance and Health Coaching with Sonda Kunzi
Insurance billing and reimbursement is a complex topic that can be difficult to navigate. This week Dr. Sandi discusses recent changes to Medicare and Medicaid billing that affect health coaches in 2024. She is joined by FMCA educator and insurance billing expert Sonda Kunzi of Coding Advantage. If you are new to medical billing or want a better understanding of how it affects health coaching, listen up. Sonda covers the basics of the three billing categories, how health coaching currently fits into these categories and potential future changes for our industry. What's more, Sonda discusses different ways health...
2024-02-01
25 min
Behind The Scenes with Sonda
Behavioral Health: Pathway to Wellness
In this episode of Behind The Scenes, Sonda is joined by Shelly Baer and Christie Armstrong. The group discusses the therapists’ interpretation of how difficult it can be to maneuver and navigate the insurance space and how this can be turned into making a larger impact. The trio has meaningful conversations about unique guidelines that are in place for different insurance carriers, as well as about Shelly and Christie’s plethora of industry experience in the mental healthcare field. In this episode, the group discusses:• The unique needs of individuals in therapy and the ways in which t...
2024-01-31
29 min
Behind The Scenes with Sonda
2024 Behavioral Health Changes to Be on the Look Out For!!
Welcome to our first episode of 2024! In this solo episode of Behind The Scenes, Sonda dives into the changes to behavioral health for 2024. She shares that marriage and family therapists will now be able to get contracted with Medicare. Sonda explains that with some of the changes at hand, individuals may be confused as to whether or not they qualify. She talks about who is considered to be a mental health practitioner in 2024 (including addiction counselors), and helps to mitigate any confusion that may come as a result of the changes. In this episode, Sonda discusses:• The...
2024-01-17
15 min
Behind The Scenes with Sonda
Payer Ghosting
In this solo episode of Behind The Scenes, Sonda dives into the challenges of payer ghosting. She explores the portals, processes, and protocols that contribute to the payer ghosting problem. She talks about the importance of looking at your billing partner and ensuring that everyone works on your claims in a way that is supportive and won’t take a denial at face value. In this episode, Sonda discusses:• The importance of working with providers to foster a proactive approach.• The provider/payer relationship.• Returning to contracts and requirements.Let’s all fight against pa...
2024-01-03
15 min
Behind The Scenes with Sonda
Behavioral Health Billing: East Coast vs West Coast with Rachel Woodward at Datapro Billing
In this episode of Behind The Scenes, Sonda is joined by Rachel Woodward to discuss behavioral health billing. Rachel is the CEO of Datapro Billing, based out of Southern California. She is passionate about serving this industry and has found great purpose in helping providers. The pair focus on the differences between east coast and west coast practices and services. Join the women as they talk about:• Working with a behavioral health billing partner.• Pre-payment and post-payment review.• Unexpected medical billing and patient finances.• Training internal staff on payment plans.Let’s dive into t...
2023-12-20
39 min
Behind The Scenes with Sonda
The Value of Partnership in Business with Ray Dalessandro at Etactics
In this episode of Behind The Scenes, Sonda is joined by Ray Dalessandro to discuss the value of partnership in business. Ray is part of a clearing house called Etactics and in this episode, he brings his knowledge to the table. The pair focus on working across agencies, honing in on challenges that partners face, and adding value in working relationships. Join Sonda and Ray as they talk about:• Working with partners who add and share value.• Open, transparents communication with clients.• Showcasing your knowledge and understanding during onboarding.• Using resources and showing true care.
2023-12-06
39 min
Behind The Scenes with Sonda
Everything You Need to Know About Credentialing with Gary Humble
In this episode of Behind The Scenes, Sonda is joined by Gary Humble, who has been in the healthcare field for 42 years and leads G&M Consulting as its President. Sonda and Gary discuss credentialing and dive into the review process and the importance of keeping track of all the moving pieces. Join Sonda and Gary to learn more about:• The difficulties associated with billing when being the “last touch” of a claim.• Determining the type of contract being dealt with and the services being offered. • Filling client gaps and missing details on the revenue side. ...
2023-11-29
39 min
Behind The Scenes with Sonda
Note Bloat - Eradicate This Disease
In this episode of Behind The Scenes, Sonda discusses physician office notes and the ways in which auditors and coders are challenged by reviewing them. She focuses on “note bloat”, which refers to notes that contain an excess of cloudy information. Join Sonda as she discusses:• The transition from physical physician notes to digital records.• The supportive partnership between auditors and physicians.• The use of legacy templates for documentation.• The importance of training and record review for physicians.Let’s dive into the complexity of physician documentation together. Want to help eradicate the note bloat...
2023-11-15
14 min
NSCHBC Edge Podcast
Behavioral Health 2024: New Providers and New Revenue
As 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.
2023-11-14
30 min
Behind The Scenes with Sonda
On the Bat Phone with Chris Smalley of Pivot BH Consulting
In this episode of Behind The Scenes, Sonda is joined by Chris Smalley, the owner of Pivot BH Consulting. Chris gives us a rundown of her transition from special education to this area of work. She is now a specialist in consultation and accreditation! In this conversation, we expand upon the importance of training in the mental health space and client care. Join Sonda and Chris as they discuss:• New certification and accreditation for Ohio.• Clinical competencies and proactivity in clinical reviews.• “The Golden Thread” and how it all ties together.• Agencies that are pushing the...
2023-11-01
40 min
Behind The Scenes with Sonda
Pirates of the Caribbean - Remote Team Challenges
In this episode of Behind The Scenes, Sonda will be discussing the challenges that come with remote teams. This seems to be the way of the working future as more and more people have shifted their priorities to be focused upon work-life balance. People are striving for the freedom associated with remote work, so let’s talk about managing them! Join Sonda as she discusses:• Key performance indicators must be measured to analyze outcomes of employees. • Team recognition is essential to celebrate those doing great work.• Understanding the accountability and experience levels of employees is necessary...
2023-10-18
25 min
Behind The Scenes with Sonda
Don’t Be Denied
A great topic for both providers and consumers of healthcare, in this episode of Behind The Scenes, Sonda will be discussing appealing claim denials and your right to payment. It’s so important that we push back on insurance carriers, check rejections and receive that deserved revenue! We are passionate about this topic, so definitely listen in to hear more on:• The increased rate of denials and shocking low rate for appeals.• Rumored denial algorithm and major insurance carrier system unpredictabilities.• Understanding that your denial might be in a grouping of reasons (ex. lack of prior-au...
2023-10-04
18 min
Behind The Scenes with Sonda
Insights to Behavioral Health Billing Part 2
Join Sonda for Part 2 of her conversation with Teresa Heim and Chelsea Kohler from Behavioral Health Billing Solutions. Be sure to catch Part 1 if you missed it! In this portion, they continue to discuss current issues that agencies are experiencing in regards to documentation, coding and frequently asked client questions.Tune in to hear more on:• Same day NCCI edits and the manual pre-billing process.• Evaluation management: As a good provider, understanding the scenario and information your client is providing.• Upcoming changes to the requirement for national accreditation for general services.• Co-facilitation and co-staff...
2023-09-22
39 min
Behind The Scenes with Sonda
Insights to Behavioral Health Billing Part 1
Welcome back to the next episode of Behind The Scenes with Sonda Kunzi!Join Sonda as she speaks with Teresa Heim and Chelsea Kohler from Behavioral Health Billing Solutions, as they cover current topics that agencies are experiencing right now. As well as a deeper look into how you can work with your billing vendor to make sure you receive the revenue that you deserve!Dive into this episode to hear more about:• How Teresa, Chelsea and Sonda got their start in health billing. • The main struggles with credentialing regarding processing times.• 3 Key ti...
2023-09-20
41 min
Behind The Scenes with Sonda
It's A Jungle Out There
Welcome to the first episode of Behind The Scenes with Sonda Kunzi!Join Sonda and team members Renee Fedele and Danielle Williams, as they discuss common occurrences and reasons for consistent frontline rejections to claims from insurance carriers. They share ongoing problems their clients are currently facing and what you can do about it.Tune in to hear more on:When all the processing is done correctly by the billing company, yet some of the claims are paid and a portion of them are rejected without real fault.Lengthy waits on reprocessing claims, some...
2023-09-06
29 min
Behind The Scenes with Sonda
Welcome to 'Behind The Scenes with Sonda'
Welcome to the podcast Behind The Scenes with Sonda Kunzi!In this introduction episode, Sonda breaks down a more detailed look at what is to come in future episodes and the topics that will be discussed surrounding the healthcare billing world. From bigger matters that come to light from large insurance carriers, to sharing in-depth on the overall business of healthcare, to running a remote team and so much more!You can expect monthly (bi-weekly) episodes on Wednesday’s, where community will be established and awareness brought! Together we can make an impact!
2023-09-06
04 min
Evolution of Medicine Podcast
2022 Coding Change and What it Means for the "Year of Growth"
On this episode, we talk about the changes in the 2022 coding, with guest, Sonda Kunzi. She runs Coding Advantage, and is a leading biller and understands the world of not just medical billing, but medical billing as it applies to the functional medicine community.
2022-01-26
41 min