NSCHBC Edge Podcast

In this month’s episode of the NSCHBC Podcast Terry welcomes Healthcare Consultant Brian Williams of Moxie Healthcare Solutions to discuss a new concern on the healthcare horizon and that is “Silent PPO Networks”. What are they? How does it affect physician reimbursement and who’s running them? Join us for this important topic.

You have less than one month to submit your thoughts or questions about the proposed 2027 Medicare physician fee schedule to CMS. The comment period will end Sept. 14, 11:59 p.m., ET. To be part of the reimbursement process you need to be heard! CMS must read every comment it receives by the deadline and include a response in the final rule. Therefore, submitting a comment is more than a way to share your opinion: you can make suggestions and ask questions.The fastest way to submit a comment is online at www.regulations.gov/docket/CMS-2026-2377. Click the “Open for comments” button on the left, scroll down to the “Comment” button on the lower right and follow the instructions.Terry goes over some of the Final Rule 2027 highlights and encourages all stakeholders to send in your comments now!

Welcome to NSCHBC Edge Podcast, where we separate facts from assumptions in the world of revenue cycle management.Today we're talking about what it really means to be evidence-based. In healthcare, that phrase gets used a lot, but in RCM it has a simple meaning: show your work. Otherwise, you're just making confident guesses.Too many billing and compliance decisions are still driven by tribal knowledge, office habits, or someone's gut instinct instead of actual data. But data should be driving every operational and financial decision.

Artificial intelligence is rapidly transforming healthcare, and it's a topic that's on everyone's mind. As consultants, we believe it's our responsibility to ask the tough questions as this technology reshapes the industry.In this episode, Terry is joined by Vinod ("Vinny") Sankaran for a candid discussion about the opportunities and risks of AI in healthcare. Together, they explore the real-world benefits, potential pitfalls, and the practical guardrails every healthcare organization should have in place to protect patient care, preserve operational integrity, and ensure responsible business practices as AI becomes part of everyday healthcare.

A commonly cited concern regarding Telehealth utilization is that it may not provide an equivalent experience—or may even offer an inferior one—for both patients and providers, due to the absence of shared physical presence. For example, one concern that has been raised includes missing patient non-verbal cues as the provider may not be able to view all of the physical manifestations of the patient during a video visit. While the patient and provider may not be in the physical presence of one another, the environmental elements at both ends of the interaction can still influence the effectiveness of a Telehealth visit. In this episode of the NSCHBC Edge Podcast, Terry Fletcher, discusses the newly gathered information that patients' have shared that would make for a more conducive Telehealth encounter.