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Episode 363 - Monday Auditing, Coding and Compliance Roundtable

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Manage episode 481037697 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://ppacc.player.fm/legal.

Summary

In this episode of the Compliance Guy Podcast, the hosts discuss various compliance issues in healthcare, including coding practices, the implications of audits, and the evolving role of artificial intelligence in documentation. They emphasize the importance of proper coding, the risks associated with unauthorized alterations, and the need for a robust compliance culture. Insights from the recent HCCA conference highlight the ongoing scrutiny of telehealth services and the challenges posed by new technologies.

Takeaways

  • Unauthorized coding changes can lead to significant legal risks.
  • Providers must be aware of their coding responsibilities.
  • AI in healthcare should be used as a tool, not a substitute.
  • Telehealth regulations are constantly changing and need close attention.
  • Compliance programs must be regularly updated to reflect current practices.
  • Skin substitutes are under increased scrutiny from auditors.
  • Documentation must be thorough to avoid compliance issues.
  • Providers should engage in discussions about coding decisions.
  • The culture of compliance is essential for healthcare organizations.
  • AI can introduce risks if not properly managed.
  continue reading

364 episodes

Artwork
iconShare
 
Manage episode 481037697 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://ppacc.player.fm/legal.

Summary

In this episode of the Compliance Guy Podcast, the hosts discuss various compliance issues in healthcare, including coding practices, the implications of audits, and the evolving role of artificial intelligence in documentation. They emphasize the importance of proper coding, the risks associated with unauthorized alterations, and the need for a robust compliance culture. Insights from the recent HCCA conference highlight the ongoing scrutiny of telehealth services and the challenges posed by new technologies.

Takeaways

  • Unauthorized coding changes can lead to significant legal risks.
  • Providers must be aware of their coding responsibilities.
  • AI in healthcare should be used as a tool, not a substitute.
  • Telehealth regulations are constantly changing and need close attention.
  • Compliance programs must be regularly updated to reflect current practices.
  • Skin substitutes are under increased scrutiny from auditors.
  • Documentation must be thorough to avoid compliance issues.
  • Providers should engage in discussions about coding decisions.
  • The culture of compliance is essential for healthcare organizations.
  • AI can introduce risks if not properly managed.
  continue reading

364 episodes

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