NSCHBC Edge Podcasts

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AI in RCM: Will Coders and Billers Be Replaced?

In this episode of the Edge Podcast, Terry and her guest, NSCHBC member and consultant Joe Lessard, discuss how to advise clients on critical business decisions for medical and dental practices. They cover topics such as Insurance acceptance, Hiring strategies, Location expansion, Operational scaling, Equipment acquisition. Tune in for expert insights on practice management, financial planning for healthcare practices, and growth strategies for medical and dental clinics.

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Strategic Planning for Medical and Dental Practices

In this episode of the Edge Podcast, Terry and her guest, NSCHBC member and consultant Joe Lessard, discuss how to advise clients on critical business decisions for medical and dental practices. They cover topics such as Insurance acceptance, Hiring strategies, Location expansion, Operational scaling, Equipment acquisition. Tune in for expert insights on practice management, financial planning for healthcare practices, and growth strategies for medical and dental clinics.

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Saving your revenue from ADRs

In the context of medical and/or dental insurance, ADR refers to Additional Documentation Request. This is a request from an insurance payer (like Medicare) for additional records to support a claim. It’s not a sign of wrongdoing, but rather a way to ensure compliance with policies and verify the validity of claims. Ignoring these requests, or failure to meet their deadlines, can result in a loss of revenue and trigger additional payers’ audits and ADR’s. Terry outlines the ADRs and best practices to make sure your staff is on top of these requests, which helps save your revenue.

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Outsourced Billing vs. In-House Billing Revisited

In-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.

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6 Steps to Hiring a Consultant

On 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 prepared.

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Remote 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.

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How to spot or find suspected theft in a medical or dental practice

On 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 legal counsel.

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Should 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.

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ASC 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?
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Pros 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.

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Hiring NPP/QHP in a Medical Practice

Many 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.