Cyber 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 importance of risk analysis, security compliance plans, and knowing the limitations of your IT department when it comes to this risk.
Credentialing vs. Contracting for OMS, Dental and Medical
In 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.
MSO’s vs ACO’s: Healthcare Administrative Services
An 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.
Physician Practice Mergers
Is 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.
Should 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?
Google and SEO Presence for Medical and Dental Practices
In today’s world of marketing, the healthcare provider is sometimes overlooked. 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 practice and where to start.
Keeping healthcare employees motivated during a national staff shortage crisis
Is 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.
The Secret to Maximizing your Reimbursement
This month on the NSCHBC Edge Podcast, Terry welcomes NSCHBC member and Certified Healthcare Business Consultant, Jackie Coult. Jackie is a SME in practice and revenue cycle transparency and negotiations. Discussions will focus on, how to set gross charges, best practice methods for setting these rates, why it’s important and what kind of revenue is missed. Also, how practices and providers, monitor the payor reimbursement annually so that reimbursement changes, don’t have a negative impact to the bottom line. Physicians! We have your back!
Compliance Plans or Compliance Programs: Internal Policy Management
This 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, commercial insurance contracts now require some kind of compliance program as part of a your contract participation. Are you prepared?
Self-Reporting: Last Minute Federal Regulations of 2022
Terry welcomes back, our own Compliance Guy, 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 over-payment 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.
PRF Single Audit Act Requirements
In 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.
Private Equity Pros and Cons in the Medical and Dental space
What is PE? 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 get the insights from healthcare attorney Bill Kalogredis and podcast host Terry Fletcher to consider your Pros and Cons options.