『Medicare Billing, Opt Out, and Compliance Answers with Sonda Kunzi』のカバーアート

Medicare Billing, Opt Out, and Compliance Answers with Sonda Kunzi

Medicare Billing, Opt Out, and Compliance Answers with Sonda Kunzi

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 202 - In this conversation, healthcare consultant Sonda Kunzi shares her extensive experience in medical coding, compliance, and reimbursement, particularly in the context of functional and integrative medicine. She discusses the complexities of navigating Medicare, common pitfalls in insurance billing, and the importance of patient education. Sonda emphasizes the need for practices to understand the regulations surrounding billing and the potential consequences of errors. She also addresses the differences between national and local coverage determinations and the role of Medicare Administrative Contractors. The conversation concludes with insights on integrating functional medicine into insurance practices and the significance of understanding patient demographics. In this conversation, Sonda Kunzi discusses the complexities of healthcare billing, particularly in relation to insurance, opting out of Medicare, and the differences between preventive and wellness care. She emphasizes the importance of understanding client pain points and navigating the regulatory landscape while considering cash practices and membership models. The discussion also touches on the challenges providers face when transitioning between traditional and functional medicine practices. Bonus: Sonda discusses the future of Medicare telehealth coverage, particularly in light of the upcoming expiration of COVID-era waivers on April 1, 2025. They explore the requirements for telehealth coverage prior to the pandemic, the changes brought about by the public health emergency, and the potential reversion to previous regulations if Congress does not act. The discussion emphasizes the importance of understanding geographic restrictions and preparing for potential changes in telehealth policy. Chapters 00:00 Introduction to Sondra Kunze and Her Expertise 03:42 Navigating the Complexities of Medicare 06:12 Common Mistakes in Insurance Billing 09:11 Understanding the Consequences of Billing Errors 12:04 The Role of Medicare Administrative Contractors 14:37 National vs. Local Coverage Determinations 16:54 Consulting for Functional Medicine Practices 19:40 Debunking Myths About Medicare and Functional Medicine 22:26 Integrating Functional Medicine into Insurance Practices 25:01 Understanding Patient Demographics and Market Strategies 27:23 Understanding Client Pain Points 29:06 Navigating Insurance Regulations 32:26 The Opt-Out Dilemma 34:30 Preventive vs. Wellness Care 38:07 Billing Challenges and Cash Practices 42:37 Opting Out of Medicare: A Two-Year Commitment 44:41 Membership Models in Healthcare 48:18 Consultation and Next Steps 49:09 The Evolution of Telehealth Coverage 52:01 Current Medicare Telehealth Regulations and Future Expectations 54:21 Navigating Geographic Restrictions and Provider Requirements 57:06 Preparing for Changes in Telehealth Policy 58:12 Expert Insights on Coding Connect with her: Website: https://www.codingadvantage.com/ Instagram: @codingadvantagellc Facebook: Coding Advantage, LLC LinkedIn: https://www.linkedin.com/in/sonda-kunzi/ Connect with Scott: Website: scottrattigan.com LinkedIn: https://www.linkedin.com/in/scott-rattigan
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