Big tech is transforming every aspect of our world. But how, and at what cost? This season of Land of the Giants – The Disney Dilemma – focuses on Disney’s ability to weather the ups and downs of the business cycle and changing tastes and explores what has kept it successful for over 100 years. The entertainment giant has leveraged nostalgia and its intellectual property to build a beloved brand, but after an acquisition spree that included Marvel, Lucasfilm, and 20th Century Fox, can it sus ...
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Season 8 - Episode 5 - Nicole Thorne - Understanding the Surge in Healthcare Audits and the Role of AI in Shaping Healthcare Compliance
Manage episode 443398732 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://staging.podcastplayer.com/legal.
Summary
In this conversation, Sean and Nicole Thorn discuss the increasing challenges healthcare providers face regarding compliance, particularly in light of rising audit risks and overpayment demands. They explore the complexities of healthcare law, the role of attorneys in navigating disputes, and the importance of proactive compliance strategies. The discussion also touches on the impact of AI in healthcare and the necessity for providers to adapt to these changes while maintaining a culture of compliance.
Takeaways
- Healthcare providers are facing a significant increase in audit risks.
- The complexity of healthcare law requires specialized legal expertise.
- Overpayment demands from payers are becoming more aggressive and frequent.
- Proactive compliance strategies can mitigate risks and improve outcomes.
- AI is being increasingly utilized by payers to identify potential issues.
- Effective communication with payers is crucial for dispute resolution.
- Providers must be prepared to defend their billing practices against audits.
- The cost of compliance is rising due to increased regulatory scrutiny.
- Understanding the nuances of payer agreements is essential for providers.
- A culture of compliance can help providers navigate the challenging healthcare landscape.
364 episodes
Share
Manage episode 443398732 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://staging.podcastplayer.com/legal.
Summary
In this conversation, Sean and Nicole Thorn discuss the increasing challenges healthcare providers face regarding compliance, particularly in light of rising audit risks and overpayment demands. They explore the complexities of healthcare law, the role of attorneys in navigating disputes, and the importance of proactive compliance strategies. The discussion also touches on the impact of AI in healthcare and the necessity for providers to adapt to these changes while maintaining a culture of compliance.
Takeaways
- Healthcare providers are facing a significant increase in audit risks.
- The complexity of healthcare law requires specialized legal expertise.
- Overpayment demands from payers are becoming more aggressive and frequent.
- Proactive compliance strategies can mitigate risks and improve outcomes.
- AI is being increasingly utilized by payers to identify potential issues.
- Effective communication with payers is crucial for dispute resolution.
- Providers must be prepared to defend their billing practices against audits.
- The cost of compliance is rising due to increased regulatory scrutiny.
- Understanding the nuances of payer agreements is essential for providers.
- A culture of compliance can help providers navigate the challenging healthcare landscape.
364 episodes
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Similar to The Compliance Guy
Big tech is transforming every aspect of our world. But how, and at what cost? This season of Land of the Giants – The Disney Dilemma – focuses on Disney’s ability to weather the ups and downs of the business cycle and changing tastes and explores what has kept it successful for over 100 years. The entertainment giant has leveraged nostalgia and its intellectual property to build a beloved brand, but after an acquisition spree that included Marvel, Lucasfilm, and 20th Century Fox, can it sus ...
…
continue reading
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It didn’t all change in March 2020. Not really. The UK high street has been in the throes of a gradual revolution for decades. From the rise of ecommerce, to the birth of mobile, social commerce, and a growing emphasis on experience, change has been underway for a while. In fact for many, the pandemic has acted as a wake-up call. Digital transformation was no longer a ‘nice to have’ but a matter of survival. Necessity sparked innovation and customers are enjoying more flexibility and conveni ...
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continue reading
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In each episode of "Goldman Sachs Exchanges," people from the firm share their insights on developments shaping industries, markets and the global economy.
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