Season 7 - Episode 49 - #TerryTuesday - When It's Clear As Mud!

The Compliance Guy

Summary

In this episode, Sean and Terry discuss various topics related to healthcare compliance. They start by sharing their recent experiences, including Sean's trip to Alaska. Then, they dive into the theme of the episode, which is when things are as clear as mud in the healthcare community. They discuss the challenges of finding clear guidelines and regulations for certain situations, such as timely completion of medical records and coding for patient visits without symptoms. They emphasize the importance of creating internal policies and best practices to navigate these ambiguous situations.

Takeaways

• Finding clear guidelines and regulations in the healthcare community can be challenging.
• Creating internal policies and best practices is crucial to navigate ambiguous situations.
• Timely completion of medical records is important for credibility and believability.
• Referring a patient to a specialist is considered minimal to low risk, not moderate.
• Prescription drug management is only a part of the overall medical decision-making process.
• Coding for patient visits without symptoms requires careful documentation and consideration of the appropriate codes.
• Having internal policies can help mitigate fines and refunds during audits.
• Being proactive and compliant is essential in the ever-changing healthcare landscape.