Claim OwnershipCoffee, Compliance and Chuckleheads
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© Copyright 2022 by Sean Weiss, Eric Rubenstein and Jordan Johnson
Description
Eric Rubenstein, Jordan Johnson and Sean M. Weiss have come together to bring you an unfiltered and unabashed look into a variety of healthcare issues taking center stage, creating chaos and driving payer claw backs! These podcasts run in duration from 30 min to 90 minutes. You can listen in one sitting or throughout the day when it's convenient for you. With a combined 75+ years of healthcare experience both in government and private sectors the depth and breadth of knowledge the guys bring to a show is unapparelled in the industry.
The show does from time to time contain political commentary since politics can and often does impact the healthcare industry... The show may also contain language that some may find offensive but at all times the guys do their best to keep things PG!
Finally, the companies/organizations the guys work for are not affiliated with this podcast in any way shape or form and as such they bear no liability or responsibility for any statements, comments, opinions or depictions that take place during a show.
The show does from time to time contain political commentary since politics can and often does impact the healthcare industry... The show may also contain language that some may find offensive but at all times the guys do their best to keep things PG!
Finally, the companies/organizations the guys work for are not affiliated with this podcast in any way shape or form and as such they bear no liability or responsibility for any statements, comments, opinions or depictions that take place during a show.
17 Episodes
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This episode of CCC with Jordan Johnson, Eric Rubenstein and Sean Weiss was tremendous as they tackled a whole lot of raging issues in healthcare:1. Extension of the PHE for another 90 days and what this means to the healthcare industry...
2. Medical Necessity and The Treating Physician Rule, Strict Liability vs Medical Necessity Issues...
3. Face Mask Mandate Extension until May 3rd...
4. OIG Work Plan Additions: Medicaid fraud control unit data mining, Audit of the Dept HHS Compliance toward Geospatial data act of 2018 and hospital compliance with the provider relief fund balance billing requirement for out-of -network patients...
5. DOJ $13+ million settlement agreement with Cardinal Health...
6. HHS Medical Debt Review Plan...
7. Biomarkers and Genetic Testing...
The "Guys" are back for a second season of Coffee Compliance and Chuckleheads and they didn't disappoint! Eric, Jordan and Sean tackled an array of hot topics critical to healthcare professionals:
1. Radonda Vaught Case
2. LCD are not Law
3. Telehealth Fraud and the Office of Inspector General
4. Psychotherapy Audits
The “Guys” are back and ready to hit it out of the park on January 19, 2022, at 5pm EDT!!!
Topics to include:
COVID-19 Testing and the Risks Associated with Billing
Updates to Stark Law and The AKS for 2022
Data points to focus on to determine outliers and aberrance to avoid payor scrutiny
Latest in Law Enforcement Efforts
And much, much more!
Ronald Chapman II joins "The Guys" to discuss the SCOTUS Abstaining and Dissent in the NY Religious Mandate Exemption. This is an in-depth discussion about the process of the "Shadow Court" and the process by which the SCOTUS accepts cases. There is so much pact into this episode that you will need to listen to it again and again!
"The Guys" bid farewell to 2021 in true CCC fashion! In this episode topics include:
1. COVID-19 coding and misperceptions by some commercial payers on levels of Evaluation and Management Services that can be billed. Guess what, you are not limited to 99211!
2. Telefraud in healthcare...
3. Telehealth Services and what can be billed now and in the future...
4. State Medicaid refusing to subscribe to any reasonable standards for statistical auditing and extrapolation, and so much more...
With this being the last episode of the season "The Guys" wanted to go out with a bang in true CCC fashion! May you all have a very blessed Holiday Season and a Happy and Healthy New Year!!!
The Chuckleheads (Eric Rubenstein, MSCJ, CFE Jordan Johnson, MSHA, iMPaCT and I) are back with our Chucktacular Pre-Thanksgiving Special!
Topics of Discussion Include:
1. Required Compliance Programs for Physicians Participating in Medicare and Medicaid... As mandated under the Patient Protection and Affordable Care Act of 2010 (the "Healthcare Reform Act" or the "Act").
2. No Surprises Bill Act - January 2022 is just around the corner... we will prepare you for what you need to know!
3. Oh Canada... The handling of the PHE there vs. in The United States of America...
Another great episode of healthcare compliance, law enforcement actions and data analytics... As they say, the circus stays the same, only the clowns change!
Another great episode of healthcare compliance, law enforcement actions and data analytics... As they say, the circus stays the same, only the clowns change!
Another great episode of healthcare compliance, law enforcement actions and data analytics... As they say, the circus stays the same, only the clowns change!
Another great episode of healthcare compliance, law enforcement actions and data analytics... As they say, the circus stays the same, only the clowns change!
The guys take on the Public Health Emergency Extension and the 1135 waivers, Payers misstating the 60-day rule and the obligation of self-reporting and a breakdown of the 2022 Proposed Rules for MPFS and OPPS.
Thank you to our new sponsor Invader Coffee for backing the Chuckleheads!!!
The guys take on the OIG Office of Audit Services and the misperceptions surrounding their issued final reports as well as taking on the 2022 Medicare Physician Fee Schedule Proposals. Eric discusses his final case as a Special Agent for the Office of Inspector General that was just brought across the finish line.
This is a MUST Listen to segment. The guys take on No Surprise Billing (Surprise Billing Act) and Price Transparency! This could not have been a timelier segment given all the news put out there during the past week and the additional news being released daily!
The guys also take on Loss Amount Calculation and clear up so many misunderstandings!
Eric, Jordan and Sean welcome Matt Lawhon, former criminal MFUC investigator and criminal defense attorney as the newest member of the team! The discussion is outstanding, and this type of discussion cannot be found anywhere else! V-Necks, Ballcaps and Banter make these segments entertaining but the content discussed by career healthcare professionals is what will make you stick around!
In this episode the Chuckleheads take on a topic that is so critical to healthcare organizations but, people make disturbing decisions every day and lead them down the road to significant problems. Don't miss a moment of this serious discussion that could have far reaching effects on you and your organization!
A major challenge is issued at the end of the show and the questions is will it be accepted???
Eric and Sean tackle the world of FDA Devices and Biologics and address the fact that on June 1, 2021, manufacturers of cell and gene therapy HCT/Ps that do not hold an approved marketing application or fall within one of the two exempt categories are operating at risk of violating the PHS Act and/or FD&C Act.
What does it mean to have an “Approved HCPCS Code” vs an actual coverage policy and how do providers and clinics mitigate their risk when vendors provide less than accurate information regarding the coding and billing of services…?
In this episode the guys hit on a variety of topics including:
1. Artificial Intelligence
2. OIG Compliance (Fraud Waste and Abuse)
3. Data Analytics
4. Telehealth Fraud
5. Vendor Concerns
Episode 7 Return of the Agent! In this episode Eric Rubenstein, Jordan Johnson and Sean M. Weiss take on the facts, the fallacies and the far-fetched when it comes to search warrants, subpoenas and raids at medical practices, hospitals and health systems! Then the guys turn their attention to Price Transparency, the Proposed Rule (2022 MPFS and OPPS) regarding Inpatient only procedures vs ASC Procedures and the misperceptions that exist...
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