How can business help solve society’s biggest challenges? Welcome to Take on Tomorrow, the award-winning podcast from PwC that examines the biggest problems facing society and the role business can—and should—play in solving them. Hosts Femi Oke and Lizzie O’Leary talk to industry innovators, tech trailblazers and visionary leaders from around the globe about timely topics: from the climate transition to AI and data; and from the future of food to how we build, move and power the world.
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Episode 374 - Monday Auditing, Coding and Compliance Roundtable
Manage episode 498627165 series 3341054
Content provided by Sean M. Weiss. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Sean M. Weiss or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.
Summary
In this conversation, the panel discusses various challenges in the healthcare industry, focusing on the roles of students in medical practices, the complexities of Medicaid, and the implications of proposed CMS regulations on skin substitutes. They emphasize the importance of compliance, accurate documentation, and the need for providers to be aware of the evolving landscape of healthcare regulations and billing practices.
Takeaways
- Students cannot perform or do any work that is billable and reimbursable.
- Documentation is key to halting audits and investigations.
- Medicaid faces challenges with enrollment and funding.
- Providers must understand the billing rules for students and graduates.
- AI can lead to cloning in documentation if not used carefully.
- Vendors must be held accountable for their products and claims.
- The EMR is a tool that requires proper management and understanding.
- Medicaid managed care plans can be poorly managed and lead to issues.
- Providers need to be cautious of schemes in billing practices.
- Skin substitutes are becoming a focal point for compliance and billing scrutiny.
376 episodes
Share
Manage episode 498627165 series 3341054
Content provided by Sean M. Weiss. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Sean M. Weiss or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.
Summary
In this conversation, the panel discusses various challenges in the healthcare industry, focusing on the roles of students in medical practices, the complexities of Medicaid, and the implications of proposed CMS regulations on skin substitutes. They emphasize the importance of compliance, accurate documentation, and the need for providers to be aware of the evolving landscape of healthcare regulations and billing practices.
Takeaways
- Students cannot perform or do any work that is billable and reimbursable.
- Documentation is key to halting audits and investigations.
- Medicaid faces challenges with enrollment and funding.
- Providers must understand the billing rules for students and graduates.
- AI can lead to cloning in documentation if not used carefully.
- Vendors must be held accountable for their products and claims.
- The EMR is a tool that requires proper management and understanding.
- Medicaid managed care plans can be poorly managed and lead to issues.
- Providers need to be cautious of schemes in billing practices.
- Skin substitutes are becoming a focal point for compliance and billing scrutiny.
376 episodes
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Similar to The Compliance Guy
How can business help solve society’s biggest challenges? Welcome to Take on Tomorrow, the award-winning podcast from PwC that examines the biggest problems facing society and the role business can—and should—play in solving them. Hosts Femi Oke and Lizzie O’Leary talk to industry innovators, tech trailblazers and visionary leaders from around the globe about timely topics: from the climate transition to AI and data; and from the future of food to how we build, move and power the world.
…
continue reading
Alessandro Bogliari, CEO and Co-Founder of The Influencer Marketing Factory, a global influencer marketing agency, talks with great guests about influencer marketing, social media, the creator economy, social commerce and much more.
…
continue reading
Big tech is transforming every aspect of our world. But how, and at what cost? This season of Land of the Giants – The Disney Dilemma – focuses on Disney’s ability to weather the ups and downs of the business cycle and changing tastes and explores what has kept it successful for over 100 years. The entertainment giant has leveraged nostalgia and its intellectual property to build a beloved brand, but after an acquisition spree that included Marvel, Lucasfilm, and 20th Century Fox, can it sus ...
…
continue reading
The Moneycontrol Podcast is your daily source of business news, investment analysis and advice on stocks and the markets. Tune in to broaden your horizons with podcasts by journalists, experts and analysts giving you a head-start in the investment game.
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…
continue reading
It didn’t all change in March 2020. Not really. The UK high street has been in the throes of a gradual revolution for decades. From the rise of ecommerce, to the birth of mobile, social commerce, and a growing emphasis on experience, change has been underway for a while. In fact for many, the pandemic has acted as a wake-up call. Digital transformation was no longer a ‘nice to have’ but a matter of survival. Necessity sparked innovation and customers are enjoying more flexibility and conveni ...
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continue reading
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continue reading
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continue reading
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