What You Need to Know About Billing Compliance in Academic Medical Centers [Podcast] | Healthicity

Episode 23: What You Need to Know About Billing Compliance in Academic Medical Centers

Simplify the Complexity of Billing Compliance.

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I’ve been getting a lot of requests to do a show about coding and billing and I couldn’t think of a better guest than my friend and former colleague, Jay McVean, an expert in billing and coding compliance. McVean is currently at the University of Texas Health Science Center in Houston where he is the Director of Medical School Billing Compliance. Prior to that, McVean worked at the University of Texas at MD Anderson Cancer Center with me.

I wanted to know the biggest coding and billing compliance issues in medical school, with faculty, and academic medical centers because this is where McVean’s expertise really shines and it’s an area that doesn’t get talked about nearly enough.

McVean explained, “One of the biggest challenges we face in this ever-growing clinical world is our teaching physicians really must understand who they’re working with...When we’re hiring more NP’s and PA’s to help with the clinic workload, but yet the physicians also have a resident or even a medical student, sometimes the fellow rounding with them in the clinic or hospital setting, when various people are touching the notes, documenting portions of the visit, then at the end of the day a lot of the time the physicians are just really confused about if they have a TPA situation, or if this is a shared split visit if I’m in the hospital, and how much of the note to document versus maybe an NP or a PA.”

From there, we talked about physician pressures and productivity and how it plays into billing and coding compliance.

Listen in to my latest Compliance Conversations episode, What You Need to Know About Billing Compliance in Academic Medical Centers, with expert Jay McVean. In this episode we chat about:

  • Teaching Physician Traps
  • Documentation Issues
  • The Complexity of the Clinical Environment
  • Education and Training
  • Potential EMR Concerns

Interested in being a guest on the show? Email CJ directly here.

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