Podcasts about md dc

MCUL CEO Patty Corkery talks with two guests from the CU4Kids Board, Board Chair John Bratsakis and Board Member Caroline Willard, about credit union fundraising, what it means to raise funds for Children's Miracle Network, as well as the story behind CU4Kids ahead of the Michigan-hosted In the Cellar fundraiser.

This episode stars California University of Science and Medicine's USMLE coach, anatomy professor, and human discovery pioneer - Dr. Frank Scali, MD, DC. Today's episode will be discussing the Posterior Atlantooccipital Membrane, an important recent discovery in the field of anatomy made by Dr. Scali himself. Follow along to the podcast using the images and papers linked below:https://www.cureus.com/articles/97449-the-posterior-atlantooccipital-membrane-the-anchor-for-the-myodural-bridge-and-meningovertebral-structureshttps://www.thespinejournalonline.com/article/S1529-9430(15)01146-8/fulltextReferences: Scali F, Ohno A, Enix D, et al. (May 30, 2022) The Posterior Atlantooccipital Membrane: The Anchor for the Myodural Bridge and Meningovertebral Structures. Cureus 14(5): e25484. doi:10.7759/cureus.25484Scali, Frank, et al. “Investigation of Meningomyovertebral Structures within the Upper Cervical Epidural Space: A Sheet Plastination Study with Clinical Implications.” The Spine Journal, vol. 15, no. 11, 2015, pp. 2417–2424., https://doi.org/10.1016/j.spinee.2015.07.438.

Tim and Lisa talk all about Maryland and DC.  Lisa interviews Tim about the area, what investors can expect, taxes, landlord laws, and other considerations if you are thinking about investing in the MD/DC area.Connect with us:Schedule a call with TimSchedule a call with LisaSchedule a call with JeanLearn more at thereiconcierge.com

Hour-long interview with drummer Trey Williams from MD/DC death metal legends DYING FETUS and Evil Scott from Zombie Ritual Radio! Scott and Trey talk Dying Fetus' upcoming tour w/Chelsea Grin and Undeath, recoding progress or the new Dying Fetus record, Trey's influences and history with the band, paintball, disc gold, burps, shits, and more!

Most med students are trained in biology, chemistry and physics but what about drawing, sculpting or music? It is called the art of medicine after all... Dr. Scali rejects the notion that the humanities and sciences are at odds with one another and instead shows us how art and medicine go hand in hand. This episode is hosted by our very own Henry-Tranton, Jr, MS1.

#fedex705 #avion #cascarondenuez Era un 4 de abril de 1994, era un día aparentemente más, un día rutinario para el personal de vuelo que trabajaba en la empresa FEDEX, transportando mercancías en avión por todos los Estados Unidos de América: En este caso, un MD DC-10 se disponía a volar de Menphis a San José, California, cargado de material electrónico que tenía que entregarse en Silicon Valley. Pero algo muy inusual estaba a punto de suceder. Uno de los 4 tripulantes del avión tenía otro plan: estrellarlo para intentar que, una vez todos fallecidos, el seguro resarciera a su familia e hijos con una indemnización millonaria que les solucionara la vida. Se llamaba Auburn Calloway, era un graduado en Stanford, ex piloto de las fuerzas aéreas y experto en artes marciales que había planificado meticulosamente su plan para estrellar el avión. Lo que no sabía Calloway es que su macabro plan se iba a topar con el arrojo y la valentía de tres hombres que también habían servido al ejército, y que no estaban dispuestos a regalar su vida a un asesino: Sanders, Peterson y Tucker, los tres hombres que consiguieron detenerle in extremis, han escrito todos juntos una de las páginas más sorprendentes y apasionantes de la historia de la aviación civil. Una historia que parece de película, pero una historia que es real. Esta es la increíble historia del vuelo Fedex 705. Transcripción de conversaciones en cabina: https://download.aopa.org/features/jimtucker/jim-tucker-atc-transcript.pdf Sígueme en INSTAGRAM, TWITTER o AMBAS, súperfácil: @jfcalero No te vayas a la cama sin saber algo más, o al menos sin saber algo nuevo. Si lo hiciste, misión cumplida, gracias por acompañarme. Puedes ver el video correspondiente a este podcast en el siguiente enlace: https://www.youtube.com/watch?v=YXv52s93pic&;

Episode Introduction Dr. Eubanks' thoughts and statements on this episode do not reflect those of his employer, The University of Pittsburgh Medical Center Department of Physical Medicine and Rehab. They are solely his opinions. Dr. Eubanks is the first medical resident we have had on the show and for good reason. He has a tremendous amount of experience within the world of musculoskeletal and spine care given his masters degree in exercise science and rehabilitation as well as his doctor of chiropractic. Jim worked closely with a physiatrist during his time as a chiropractor and decided to take the step to become one himself.  Since then, he has become a rising star in the world of back pain and spinal care and was recently given a chair on the clinical practice guideline committee for the North American Spine Society. Beyond his expertise in spinal care and back pain, Dr. Eubanks also loves giving back to the PM&R community by providing mentorship and guidance to medical students and residents through PMR Scholars. This episode goes over EVERYTHING you need to know on back pain in a 1 hour distilled episode. We talk about why the care for back pain is so broken in the United States, what the current thoughts on back pain are, and what we can do moving forward. This episode is a masterclass in back pain so make sure to listen till the end! Jim's Social Media Twitter Show Notes Episode Outline: Question 1: Tell us a little bit about yourself and what you hope to accomplish in the future? Question 2: Given your unique experiences and background, what does preventive medicine mean to you? Question 3: How did you get into spinal care and back pain? Question 4: Why did you decide to go from being a chiropractor to attending medical school and becoming a physiatrist? Question 5: What is the current situation with how we deal with back pain and how did it get to be this way? Question 6: Given that lower back pain is extremely prevalent and often self-resolving, when should the average person know to get it checked out? What should the know? Question 7: How does posture relate with back pain? Are the related? Question 8: How do we move towards better care for spinal and back pain? Question 9: When it comes to patients that actually require surgery for their pain, is there any sort of prehabilitation that can be done to improve outcomes? Question 10: What is the role of a physiatrist when it comes to spinal care? What can a physiatrist offer that's different from a surgeon? Question 11: How do we improve medical education at the medical school and resident levels to improve spinal care? What about from a policy standpoint? Question 12: If you're in a coffee shop and someone asks you how to get healthy, what do you tell them in 2 minutes? Other: Statement by Dr. McGill on his views on spinal flexion can be found here  Join our Mailing List HERE: Mailchimp

Keith Miller (www.keithmillercounseling.com) is an LCSW in the MD/DC area and is the host of the Soul of Life Podcast (www.souloflifeshow.com)

Topics:*Sports-Bucks sweep Heat-76ers beat Wiz 4-1-Lakers down 3-2, Lebron walks off court with more than 5min left in 4th quarter-Knicks lose 4-1*Society/Culture-Bonnets in public?-Is it ghetto?*Local-Pandemic Unemployment ending in July in MD-DC plans to add 30 miles of bicycle lanes. *Family stuff etc-Race weekend recap-First purchase from Stock X*Question of the weekWhy do cars park so close to trucks that park at the furthest part of a parking lot?*TikTok of the Week-FreshFit Podcast host tells a guest to get the f*ck of his showAvailable on ALL platforms.  link belowhttps://www.podpage.com/captains-log-podcast/

Natalie Jean is an award winning, multi-nominated singer/songwriter performer. She is also a Voting Member in the Recording Academy (GRAMMYS). Natalie Jean is a versatile performer and singer. She sings and writes for many genres , such as Jazz, Pop, R&B, Blues, World, Rock, Country, Americana, Inspirational, Adult Contemporary, Alternative, and, Dance. She can also sing in French, Spanish, English, and Haitian Creole. Natalie Jean is mostly influenced by artists such as Lena Horne, Celine Dion, Billie Holiday, Nina Simone, and Ella Fitzgerald. She has performed at many venues in the MD/DC. She also has   performed in LA, New York ,Nashville, and North Carolina. She also appeared on WPFW, a Jazz station in Washington DC. She has been nominated over 100 times for her music and has won many awards. She has released six albums, Obsession, Natalie Jean, Lecons D'Amour, Unafraid, Haiti Mwen Renmenw, and Where Do We Go From Here?. She has also released several singles.   She's the host of “Chatting with Nat” broadcast on the SIMRadio Network and the co-founder of Sisters In Music (SIM) an organization that promotes and encourages educational opportunities, collaborative musical works and performances among women to raise awareness and funding for various female focused charities.

On this episode, Raul and Parker interviewed Jim Eubanks. Doctor Eubanks is a Medical Doctor as well as a Doctor of Chiropractic. Topics included spinal rehabilitation, the effects on exercise on pain, Jim shared part of a chapter of a book he wrote, and more.You can follow Jim on instagram: (https://www.instagram.com/jeubanksmd/)Follow us on instagram for evidence based fitness and rehab content: (https://www.instagram.com/strength.rehab/)15% OFF Built By Strength: (https://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fglnk.io%2F91kr%2Fstrengthrehab&data=02%7C01%7Craul.axtmayer%40upr.edu%7Cdb02945c21fa4ff772e108d82dbba93a%7C0dfa5dc0036f461599e494af822f2b84%7C0%7C0%7C637309631306560699&sdata=gSoPGjVexk2n4k2%2FjwO%2FDXVlZVYj5KZecGZso%2Fm9Ia0%3D&reserved=0)

Jeff Reynolds is a YouTuber, Podcaster, Video Editor, Musician, Chiropractor with over a billion views and over a million subscribers. He and his wife own YouTube channels that total over a Million Subscribers and over a Billion Views. Their videos have earned millions of dollars in ad revenue. You can see examples of their work on two of channels called HappyFamily1004 and JeffMara Kitchen. Jeff has over 12 years of experience posting content on YouTube. Before becaming a YouTuber he was a successful chiropractor for 20 years. He owned his own clinic as well as worked in a MD/DC multi practitioner clinic. In this episode we discuss the super powers of broccoli sprouts! 

What does it take to get to 1 billion+ views on YouTube? From chiropractic to achieving success on YouTube, Jeffery Reynolds has reached that benchmark across several channels by continuing to innovate. He understands that success takes time and that to achieve his dreams, he just needed to get started.   About the Guest: Jeff’s wife and he own YouTube channels that total over a Million Subscribers and over a Billion Views. Their videos have earned millions of dollars in ad revenue. They have made videos directly for AwesomenessTV when they were owned by DreamWorks Animations as well as made many videos for the brand's advertising campaigns. You can see examples of their work on two of their channels called HappyFamily1004 and JeffMara. They write, shoot, direct, and edit their own videos. Jeff also can provide personal private consultation. He has over 12 years of experience posting content on YouTube with videos including nerf action videos, nerf review videos, airsoft review videos, toy dart gun reviews, vlogging and more. He is also working on developing a new channel that reviews anything! Now he has ventured into podcasting as well. Before he became a YouTuber he was a successful chiropractor for 20 years. He owned his own clinic as well as working in MD / DC multi-practitioner clinic.   Personal Links: LinkedIn: https://www.linkedin.com/in/jeffrey-reynolds-93225a11/JeffMara Podcast Facebook Podcast: https://www.facebook.com/jeffmarapodcast YouTube: https://www.youtube.com/user/HappyFamily1004 YouTube: https://www.youtube.com/channel/UCkDbxGSyvOgR8UJj3m0GC6Q YouTube: https://www.youtube.com/channel/UC_c8KysI2G9rAbNyD1dVd6g   Resource Links: Crush it: https://amzn.to/38EmYG3         Crushing It: https://amzn.to/3faUVjH The 4 Hour Work Week: https://amzn.to/3iERS5A     About the Host: Dan McPherson, International Speaker, Business and Personal Development Coach, and CEO of Leaders Must Lead, is on a mission to help Creatives and Entrepreneurs create and grow profit and understand that Dreams ARE Real. With more than 25 years’ experience in corporate roles leading teams of up to 2000 and responsible for more than $150M in revenue, Dan is a recognized expert in leadership, sales, and business strategy. Through his Leaders Must Learn Mastermind, Dreams ARE Real Podcast, Foundations of Success Training, and powerful 1-1 coaching, Dan helps hundreds of entrepreneurs around the world from musicians and artists to chiropractors, coaches, retailers, and beyond experience success and accomplish their goals. To learn more about Dan or to follow him on Social Media, you can find him on: Website: www.leadersmustlead.com Leaders Must Lead Facebook: https://www.facebook.com/leadersmustlead Free Coaching Assessment: https://leadersmustlead.com/free-coaching-assessment Dreams are Real Facebook: https://www.facebook.com/groups/365493184118010/ Instagram: https://www.instagram.com/leadersmustlead/ Twitter: https://twitter.com/leadersmustlead YouTube: https://www.youtube.com/channel/UCZXypDeFKyZnpeQXcX-AsBQ Thanks for listening! Thanks so much for listening to my podcast! If you enjoyed this episode and think that others could benefit from listening, please share it using the social media buttons on this page. Do you have some feedback or questions about this episode? Leave a note in the comment section below! Subscribe to the podcast If you would like to get automatic updates of new podcast episodes, you can subscribe to the podcast on Apple Podcasts or Stitcher. You can also subscribe from the podcast app on your mobile device. Leave us an iTunes review Ratings and reviews from our listeners are extremely valuable to me and greatly appreciated. They help my podcast rank higher on iTunes, which exposes the show to more awesome listeners like you. If you have a minute, please leave an honest review on Apple Podcasts.

Show Notes: Speaker 1: (00:00) Welcome back to the simplified integration podcast. This is episode number 27 regenerative medicine for the spine hips and small joints. Speaker 2: (00:12) Leonardo de Vinci once said that simplicity is the ultimate sophistication. And I agree you see the problem with the way that most consulting groups approach medical integration is anything but simple. In fact, it's the exact opposite. It's expensive, it's complicated. And quite frankly, it's exhausting enough is enough. There are far too many amazing integrated clinics that are struggling well. I'm on a mission to change that. What I've come to find from over five years, working with integrative practices is that simplicity really is the secret. The old saying of less is more, is true. Through a streamlined approach. I was able to create multiple successful seven figure integrated clinics. And now I'm going to show you how you can do the same. Join me as I share with you the secrets to successful medical integration and practice growth. Join me on a journey to greater sophistication through innovation. I'm dr. Andrew Wells and welcome to the simplified integration podcast. Speaker 1: (01:10) All right, doc, I got a doozy for you this time. So here's a nugget and I, uh, I thought everybody knew this, uh, everybody doing regenerative medicine knew this, but I realized that not everybody knows this and the, when you're w if you don't know what I'm about to tell you, um, you're gonna kick yourself for not figuring this out earlier. So I was talking to a friend of mine and he he's been doing regenerative medicine for awhile. And, um, I mentioned to him, we started talking about regenerative medicine for the spine. And he said, well, how are you doing that? I'm like, what do you mean? How am I doing that? He said, well, we just do it for the knees and shoulders. So you're doing it for the spine. I said, yeah, we do it for the spine. We do it for the hips. Speaker 1: (01:49) We do it for wrists, ankles, toes. He goes, well, how does your nurse practitioner know how to do those injections? I'm like, no, we send those injections out. He's like, what the heck are you talking about? So, um, with regenerative medicine, if you're in a typical MD DC practice, and you have a nurse practitioner doing exams and injections, chances are, you're doing basically like two or three types of injections. You're doing knees, you're doing shoulders and you may be doing soft tissue injections in the muscle and ligaments. Uh, however, there is a huge population of patients who want regenerative medicine in areas other than those body parts. So with, with our advertising, what we typically find is that, um, if you're doing like a general regenerative medicine type ad, the people who respond to get about 60% people having trouble with knees, you get about 20 to 25% lower back. Speaker 1: (02:40) And then the rest of the joints to get like a mix of shoulders, hips, wrists, ankles, we've even had thumbs, big toes, um, elbow, occasionally. And so you get a hodgepodge of other types of joints. And so my buddy was turning down all of the spine, hip and small joint patients, because as nurse couldn't do those injections. And, um, so here's what we, here's what we did. Here's how we overcame that, that issue is that for the more complicated injections, we send those out to a pain management clinic, or like an interventional pain doc to do the procedure for us. So everything is the same. We do our advertising, we do our patient education. We do the case management. We collect our office, collects the money, and then everything is the same. We do a diagnosis and the recommendation. So everything is the same as a knee or shoulder patient up until that point. Speaker 1: (03:29) However, once they pay for the injection, instead of doing it in our office, we just pay a pain management doc to do the injection for us. So we'll have the patient go to their office, that doctor MD or Dio, we'll do the injection, and we're done. And we follow up with the patient after that. So if you're turning away those patients, because you can't do those injections in your office, that's how you do it. And so we pay the doctor a pretty nominal fee to do those injections. So it's fair for us. It's very for the doctor, but most pain management docs are more than happy to collect a cash fee. So we pay that office directly, a cash fee to do the actual injection. So we don't want to do for set injections and spine injections and hip injections in our office because those types of injections have to be a lot more accurate. Speaker 1: (04:16) There's a lot more obviously sensitive tissues that you could poke with a needle in your intraarticular hip or in your spine that you just, you don't want to take. In my opinion, don't want to take on that liability. However, if you have like fluoroscopy, if you have an MD, if you have the equipment in your office in case something bad happens, or the, during the injection by all means do those, but it's much, much, much easier to set, to, to start to create a relationship with a pain management doc, refer those patients to them for the procedure, and then pay them a flat fee for each injection. So that's how you do it. So now, if you're, if you've limited yourself to two knees and shoulders, now you can, um, remove those barriers and you can, uh, you can see patients for all types of osteoarthritic, uh, conditions for regenerative medicine. Speaker 1: (05:03) So if you're already doing this good for you, if you're not doing this, um, I'm really happy that you tuned in, uh, when we figured this out, this literally added hundreds of thousands of dollars in revenue to our practice, because we now opened up, uh, the, the scope of practice with regenerative medicine within our office. So, um, I hope I just fed you a nugget that you weren't aware of. If so you're very welcome. That's what you get when you tune into the podcast. So if you have any questions, this is a super short, uh, podcast episode, but I just want to deliver some amazing content and value to you guys. And if you have any questions, want to reach out. Um, my email address is info at integration, secrets.com, uh, info and integration, secrets.com. Thanks so much for tuning in, and we'll see you on the next episode. Bye bye. Hey innovators. Thanks for listening to the simplified integration podcast. The fact that you're listening tells me that you're like me, someone who loves simplicity Speaker 2: (05:58) and the truth is those who embrace simplicity are some of the greatest innovators. So hope you got a ton of value from what we covered on today's episode, be sure to subscribe and share with other docs that you feel could benefit from greater sophistication through simplification and innovation. If you've got specific questions that you'd like answered on this podcast, or you've got specific topics that you'd like me to discuss, just shoot me an email at info@integrationsecrets.com that's info@integrationsecrets.com.

On today's show: TRNN visual producer Andrew Corkery, political commentator Marcus Ferrell, and political consultant Adriel Hampton, with special guest Ricarra Jones, MD/DC political director for 1199SEIU United Healthcare Workers-East. Hosted by Kim Brown.

On today's show: TRNN visual producer Andrew Corkery, political commentator Marcus Ferrell, and political consultant Adriel Hampton, with special guest Ricarra Jones, MD/DC political director for 1199SEIU United Healthcare Workers-East. Hosted by Kim Brown.

Show Notes: Speaker 1: (00:00) Welcome to the simplified integration podcast. My name is dr. Andrew Wells. This is episode number 26, compliance, and audits. Woohoo! Speaker 2: (00:12) Leonardo de Vinci once said that simplicity is the ultimate sophistication. And I agree you see the problem with the way that most consulting groups approach medical integration is anything but simple. In fact, it's the exact opposite. It's expensive, it's complicated. And quite frankly, it's exhausting enough is enough. There are far too many amazing integrated clinics that are struggling well. I'm on a mission to change that what I've come to find from over five years, working with integrative practices is that simplicity really is the secret. The old saying of less is more, is true through a streamlined approach. I was able to create multiple successful seven figure integrated clinics. And now I'm going to show you how you can do the same. Join me as I share with you the secrets to successful medical integration and practice growth. Join me on a journey to greater sophistication through innovation. I'm dr. Andrew Wells and welcome to the simplified integration podcast. Speaker 1: (01:10) Hey, what's happening, doc. Great to have you back. So today we're gonna talk about a really exciting topic, compliance and audits. Uh, I hope you can detect my sarcasm. Uh, this is actually a really scary topic for a lot of doctors. And I know when I first integrated years ago, one of my biggest concerns was, uh, are we going to be in compliance? Are we going to be able to follow the rules properly? And medical integration seemed like a really complicated thing when it came to compliance and making sure we're following HIPAA and OIG regulations. And I wanted to, to make this podcast to give you a couple of tips and also some things to be aware of and maybe some things to make sure that you're doing properly. So here's the deal. I am not a compliance officer. I'm not a healthcare attorney. I am a consultant. Speaker 1: (01:53) So what I'm telling you is I'm not an expert in this area, but that doesn't mean that I can't help you in this area. And my biggest suggestion is there are a lot of resources and people that you can use. And third party companies and attorneys, you can hire to make sure that you're doing all of the, all of these things correctly. The medical playing field is extremely complicated. There's a lot of rules. There's a lot of regulations. There's a lot of red tape. So if you're thinking about integrating, I really encourage you to take what I'm saying to really seriously. And if you're already integrated and you you're listening to this podcast, my hope is that you'll take some of this information and resources. I'm going to give you today and implement these in your practice as soon as possible. Now, um, the, the thing about compliance is you, you don't know what you don't know what you don't know, and this is why when we run practices and open offices, we always bring on a compliance team to make sure that they're looking over our shoulder to make sure that we're doing things properly. Speaker 1: (02:49) So I want to read off of a list of things that I'm, that chiropractic integrated offices, medical, integrated offices are, um, getting some scrutiny over and getting in trouble for. So I want to make sure that these are not things that you're having issues with or don't have issues within the future. So number one, making sure that you're, you're keeping, um, you're keeping up corporate record keeping. So every year, and this may depend on what state you live in, but you need to, uh, keep track of corporate meetings. You have to have an annual meeting, you have to, um, uh, document that you had this meeting and make sure that all the members of your entity, um, are, are a part of this meeting. Um, if you're not sure how to, how to do a corporate meeting or keep these records, there's all kinds of resources, resources online that you can use. Speaker 1: (03:34) Um, and I'll give you some resources at the end. Uh, issue. Number two is, um, billing for things that are not medically necessary. Now you probably already realize this, but as a chiropractor, you, you can't, uh, diagnose people or make recommendations for people for medical issues. So in other words, let's say, um, you think that a patient needs a knee brace or a back brace. Well, as a chiropractor, if you're going to build that under their medical insurance or Medicare, you ha you can't be the one making the diagnosis and making recommendations. So instead you have to have a medical practitioner doing that. So that could be a nurse practitioner or physician assistant medical doctor DEO, uh, any medical provider. And also you need to make sure that you document that it was medically necessary for the patient. And how do you do that? So you, obviously, you need to do an exam for, if you're doing using it for orthopedic purposes, you may want to have an X Ray to back up your claim of medical necessity. Speaker 1: (04:32) And you also need your provider to fill out a form that says I'm prescribing this brace or this service for the patient, because we deem it medically necessary. And the key here is that if you don't, if it's not documented, it didn't happen. So we're doctors get in trouble, is it, let's say you get an audit. And Medicare says, Hey, who, uh, who authorized all these, uh, knee braces that you build? And the nurse practitioner who's already long gone or on a different job said, Nope, I didn't do that. I didn't recommend those. And so if you don't have this documented on a piece of paper, then it never happened. And then it makes you as a clinic director of the chiropractor look really bad and it can set you up for all kinds of legal and compliance issues. Um, so you need to make sure that you're documenting medical necessity from your medical provider, billing and coding. Speaker 1: (05:16) This is one where a lot of ducks get in trouble. So there's two things you can do here to make sure that you're, um, that you're setting yourself up for success. Number one is make sure that you're hiring a certified medical biller and coder. There are a finite, uh, number of codes that you can bill for, and you want to make sure that you're applying the right bill for the right therapy that you're providing the patient. And I wouldn't, um, you know, this is a, uh, uh, certified, like you have to have a degree in a certification to become a certified medical biller and coder, not a degree, but you have to have a certification because it's complicated. So instead, my recommendation is instead of having like one of your front desk staff members or someone in your office, uh, try to learn medical billing and coding and compliance, hire that out to a third party company. Speaker 1: (06:02) Who's trained and certified in that because they know and should know how to build properly. However, I wouldn't just trust a certified biller and coder just because they have that certification. So the second layer of protection is you always want to have someone looking over your shoulder to make sure that the biller is billing appropriately. So the way you can do that is you can hire a healthcare attorney. You can hire a compliance auditor, and there are all kinds of third party compliance organizations that will do what they call a baseline audit. And what a baseline audit is, is a team will come into your office or do it virtually they'll look at your patient files and your diagnosis codes and your therapy codes. And they'll match that up to what codes you're billing for and to look for any kind of irregularities. So this is a great, they'll give you a roadmap on what you're doing well, what they suggest you change, and maybe what some of the red flags are. Speaker 1: (06:53) Um, and this is really important because, and it's important to do early on in your practice, because if you're making mistakes, you need to correct those mistakes. If you're, if you keep making the mistakes over and over again, um, and you can't just claim, Oh, I just, uh, I was ignorant, right? So if Medicare comes in or blue cross blue shield comes and they do an audit and they find out that you've been billing and properly for years, um, not only do you have to pay all that money back, but there's also all kinds of fines and penalties and potential criminal exposure to you and your office. So this is like, um, this is a biggie here is I don't overlook and always have someone checking, uh, whether or not you're billing properly. Um, so let's, uh, Oh, and then I also want to talk about, um, when it comes to, I talk a lot about regenerative medicine and there's been a lot of chatter about, um, using certain Q codes, billing, Medicare and insurance Q codes for regenerative medicine, and I'm there. Speaker 3: (07:49) Hmm. Speaker 1: (07:49) Most of the codes that are available for regenerative medicine are for wound care. So wound care being, uh, for people who have, um, diabetic ulcers or burn victims, those kinds of patients, and it's not approved for orthopedic purposes. So like for the same reason you would use hyaluronic acid or Supartz, or Jenn Vickery, all these other products for osteoarthritis in the knee, um, you can't use those same procedure codes for regenerative medicine as of yet, uh, some management companies and groups will tell you, you can do that. So if you want to follow their advice, I would just urge you to make sure that you're vetting these codes through a healthcare attorney and get a healthcare attorney's opinion first, before you start using those codes. So here's the deal about consultants and management groups. I'm a consultant don't trust consultants when it comes to billing. Speaker 1: (08:37) All right. So just because someone said, Oh yeah, you can make a ton of money building this code, great. Vet it through a healthcare attorney to make sure that it's legal and compliant. So don't take my word for it. Don't take some other consultant or management group's word for it, always vet these codes through, uh, through a compliance organization or attorney to make sure that they're not just blowing smoke. And by the way, I know a lot of chiropractors and consults consultants, they blow a lot of smoke and they get a ton of doctors in trouble. Uh, they make their money up front and then you get screwed in the end. So just don't be a victim to that. And that's happened to me by the way before. So, uh, that's why I get pretty irritated when I, when I talk about it. Alright, so number four, um, self-referral restriction. Speaker 1: (09:20) So this is, this is key. If you're doing things like, uh, DME rehab, physical therapy in your office, you want to make sure that, uh, you're not getting in trouble with, uh, stark law and stark regulations. And this is a, this comes into play when you're receiving compensation for referrals. So if you're a chiropractor referring patients to a medical office or a medical office, or Frank patients to a chiropractic office, you need to make sure that the way you're referring patients and the way you get compensated for those patients is compliant in your state. Each state has different laws and regulations, and you also have the federal laws and regulations. So this is another area where you want to make sure, um, it's a great thing to do a baseline audit to make sure that these referral relationships don't violate any stark rules. And then we have a supervision and scope of practice. Speaker 1: (10:08) So with, with this, um, this subject where a lot of doctors get hung up on and get in trouble with is not billing properly under the provider that provided the care. So here's where this comes in play. Let's say you're doing physical therapy and you have a physical therapy assistant in your office. If the physical therapist isn't present and actually doing the work in your office in most States, you can't bill under their license. You have to bill under a PTA license. And so the, and this is another thing that you want to make sure you have an attorney or a compliance organization look at to make sure that you're, um, you're not billing improperly for what's called incident two billing. So in most cases you have to bill under the provider that actually provided the hands on service with the patient. I know a lot of chiropractors that I've gotten in trouble with billing under the provider, that wasn't actually in the office and making those mistakes. Speaker 1: (10:57) So make sure that you're paying attention to that and you know, the rules and regulations in your state. Um, so we also have a, this is, this happens a lot I know in chiropractic offices, but it's really important that you're not, um, waiving deductibles and patients copay. So it's, this is a, this is a law. So if a patient comes in and they have a $30 copay, you have to make sure that you charge the patient that $30 copay. You can't just wave it. Even if they have a financial hardship, like if they're, they just lost their job or they don't, they have a really fixed income. Um, just because you want to help the patient got a pain or help them from a clinical standpoint. And you have a big heart. That doesn't mean that you can't just avoid collecting a copay that's against the law. Speaker 1: (11:40) In most cases. Now there are some instances where you can do a financial hardship, but you have to document for that and make sure that it's truly a financial hardship. Um, so I want to talk about, so we talked a little bit about insurance based cash based services are not immune. I've heard this from quite a few chiropractors and they say, Oh, I don't have to worry about compliance. I don't bill Medicare. I don't build third party insurance. I just do cash. Well, that's great. But you also need to make sure that your fault there's, there's compliance also for cash based services, not just for HIPAA compliance, but also there's a lot of ducks get in trouble for, um, false advertising or deceptive marketing practices, or they get in trouble for the type of marketing they're doing in their state. So those are just because you run a cash practice does not mean you don't have to pay attention to compliance and state and federal federal regulations. Speaker 1: (12:32) Uh, and then lastly, so this is coming down the pike here later this year in 2020, the FDA is going to be cracking down on offices and labs that produce regenerative medicine and STEM cell products to make sure that they're following the regulations under, under section three 61 of health services, the health services act. So there are a where this applies to you is that if you're using like, um, a STEM cell based product, the lab that you get your products from has to be following FDA guidelines. If they're not, they're going to get wiped off the face of the earth. And it also could expose you to potential liability. If you're using a product has not been approved under section three 61. So this is really easy to, to verify, um, the lab that you get yourselves from can provide you with a certificate that says they have this, um, the certification of this documentation, they, that they follow those guidelines. Speaker 1: (13:27) Um, so a couple of things you can do here. So those are all the things I wanna address. Those are some of the common issues that are affecting chiropractic medical, integrated offices, or MD DC offices. So here's the deal. Uh, if you, there, there's two ways you can go about this two general ways. Number one is you can hire a healthcare attorney to do a baseline audit and healthcare attorneys will go through your office and go through your files, your private pay insurance, Medicare insurance, and they'll make sure that you're following a guidelines appropriately. And it also gives you recommendations on things to change, to tighten up your compliance. So if you need some recommendations on who you can use for that, um, email me@infoatintegrationsecrets.com. And I can provide you with some resources on that. Also, there are third party compliance organizations that do, um, uh, not just one attorney or a couple of attorneys working together, but they do a HIPAA compliance. Speaker 1: (14:18) They do OIG compliance, they do billing compliance. And so they can potentially help you in other ways that, uh, uh, that your office may need help. So again, you don't know what you don't know what you don't know. So we always hire these professionals to look at our office and look over our shoulder, to make sure that we're doing things properly. It's going to cost you some money. And that's where doctor is like, ah, I don't want to spend a thousand bucks or 5,000 bucks doing this, but if you don't do it up front and you're not having someone check your compliance, you're going to pay it down the road in fines and penalties. And I can promise you one thing, it's going to be exponentially more expensive to pay it after the fact, back to the government or back to private insurance, because you made mistakes that you weren't aware of. Speaker 1: (15:02) So, uh, to doctors who are concerned, and I talked, I speak to doctors who are concerned about, um, getting into medical integration because of the compliance issue or potential compliance issues. And here's what I'll tell you is that there are tens of thousands of medical offices every day that are billing for medical services. And there's no reason why you can't run an MDC, prep, practice, and bill for insurance based therapies or cash based therapies. But most medical offices, I know have a compliance team and they have attorneys and a third party companies that are making sure they're doing it appropriately. So if you're going to get into the medical realm, hire this out to somebody, I would hire them out. At least in the first six months, you know, preferably day one, the day you start seeing patients as a day, you should start, um, with a, with an auditor, a baseline, a baseline check on your practice, but there is a way to do it appropriately. Speaker 1: (15:55) There's a way to do it the wrong way. So if you want to be able to sleep at night and you don't have to, you don't have to worry about when your next audit is going to come up and how that's going to go. Um, do your due diligence and invest in your office, investing compliance, because not only will it save you money in the long run, but it'll help, uh, keep you away from a liability and potential exposure to things like fraud and criminal issues and all the clawbacks that I'm sure you've heard of in the integration business. So, uh, that is my 2 cents. Again, I am not a compliance officer. I'm not an attorney. I don't do that stuff. But what I'll tell you is that I think you should hire that out to a third party company, make sure you're safe. Uh, I hope you found this, uh, topic valuable. Um, and I hope this surgery clinic well, and look forward to seeing you on the next podcast episode. Great to have you on here at doc and we'll talk to you soon. Bye bye. Speaker 2: (16:46) Hey innovators. Thanks for listening to the simplified integration podcast fact that you're listening tells me that you're like me, someone who loves simplicity and the truth is those who embrace simplicity are some of the greatest innovators. So hope you got a ton of value from what we covered on today's episode. Be sure to subscribe and share with other docs that you feel could benefit from greater sophistication through simplification and innovation. If you've got specific questions that you'd like answered on this podcast, or you've got specific topics that you'd like me to discuss, just shoot me an email at info@integrationsecrets.com that's info@integrationsecrets.com.

The official podcast of Apostolic Iron

The official podcast of Apostolic Iron

The official podcast of Apostolic Iron

The official podcast of Apostolic Iron

Hundreds of unionists gather for Maryland/DC AFL-CIO Convention. Today’s labor history: National Writers Union founded. Today’s labor quote by Joe Hill.

"I do believe that we are at one moment in time...It is our moment. It is our fight. And it is our future." Edited from her speech at the November 18, 2019 MD/DC AFL-CIO Convention.

Please join us Wednesday, June 5, 2019 at 4:00 p.m. PST (California) and 7:00 p.m. EST for a live show with host Denise Messenger.  Our very special guest is Dr. Candice Hall.  She is an author, speaker, and leading authority on integrative and functional medicine in Orange County, California.  She is founder of Next Advanced Medicine and Natrueal Products, and educates hundreds of people each month through free seminars and the recent publication of 2 books on reversing chronic disease and a third coming out this year.  At Next Advanced Medicine, an MD/DC clinic in Orange County, California, Dr. Hall leads an interdisciplinary team of medical doctors, chiropractors, naturopaths, and nutrition scientists to create an individualized care plan for each of their patients. The focus is on treating the whole patient.  Shel has helped hundreds of patients reverse chronic disease including Type 2 Diabetes, Thyroid and Auto Immune Disease, and Cognitive Decline and Alzheimer’s Disease.  Dr.  Hall has 18 years of postdoctoral training in functional medicine and clinical nutrition, including recent training in the area of cognitive decline and Alzheimer’s disease.  She is member of the Functional Medicine Institute in San Diego and the Foundation for Wellness Professionals, and was named Physician of the Year by the National Republican Congressional Committee in 2005.  Dr. Hall was most recently awarded Leading Physician of the World and Top Functional Medicine Doctor by the International Association for Healthcare Professionals in 2019.   

This week I’m thrilled to introduce you to Tracey Coates. Tracey has been practicing family law for over 15 years. She is also the host of the podcast, The Divorce Chronicles, a practical resource for those thinking about or in the midst of a divorce.  That last part, it sounds familiar, doesn’t it? Yes, Tracey and I have a lot of similar ideas about the divorce process, which is just one of the many reasons I wanted to have her on the show. In this episode you’ll hear us cover a wide range of topics including the emotional, financial, and legal aspects of divorce.  We also talk about the importance of setting the tone for divorce proceedings and keeping your children’s wellbeing in check, always. We also drop a few reality checks, like how divorce is never a cookie cutter process. Finally, we wrap things up by talking about how to start a discussion with your spouse about wanting a divorce. All of that and more, in this week’s episode.   Show Highlights Setting the tone for divorce proceedings, especially if you are the one handling most of the process and paperwork (10:36) Divorce is a dissolution of a legal contract (your marriage) and managing people throughout the process (11:32) Divorce is not a cookie cutter process - legally or emotionally (13:00) Legal proceedings, what to do and not to do, plus looking forward to your day in court (is it really all you think it will be cracked up to be?) (14:36) Collaborative divorce is NOT the cheaper way to get divorced (24:13) DIY Divorces, what you need to know and why they may not be the best approach (25:36) Budgeting for the end of marriage, including housing, utilities and more (31:07) Navigating your emotions during divorce and beyond (34:02) How to approach the discussion with your spouse about wanting a divorce (36:20) Learn More About Tracey: Tracey Coates is a partner at the law firm of Paley Rothman in Bethesda, Maryland.  She also serves as the Co-Chair of the Family Law department and a member of its Litigation practice group. In addition to being a trained mediator, Tracey volunteers and is a member of the Board of Directors for the D.C. Volunteer Lawyers Project (DCVLP), an organization whose mission is to provide high-quality, free legal services to low-income D.C. residents in family law cases. She provides pro bono legal representation, doing custody, divorce and guardian ad litem work for survivors of domestic violence and children in high-conflict custody cases. Tracey is also the host of the podcast, The Divorce Chronicles, a practical resource for those thinking about or in the midst of a divorce.   Links:Tracey’s website: www.thedivorcechronicles.com Tracey on Instagram: instagram.com/thedivorcechronicles Tracey on Facebook:  The Divorce Chronicles For those in the MD/DC area looking for legal advice/representation --  tracey@paleyrothman.com or (301) 968-3418 (Tracey’s assistant) The Divorce Survival Guide Podcast  - Divorce Financial MistakesMy new program just for men is going into beta on April 1st  - Sign up for details!

What is your definition of Success? How do you add value to your clients? To your family? To your community? How are you communicating your value in a competitive market? We discuss these questions and more: leadership skills, how we go about balancing work-family-community and personal life, etc. Jeff also shares his wonderful giving back to the community program his business sponsors; impacting and improving the lives of others in and outside of real estate. Contact Jeff Wu at AgentKnowsHomes.com or contact him direct at: 240-994-7938 can be found serving VA, MD & DC with Keller Williams Capital Properties.

(Bloomberg) -- Jed Shugerman, a professor at Fordham University School of Law, discusses a major lawsuit against President Trump, which is being brought by the attorneys general of Maryland and the District of Columbia. He speaks with June Grasso on Bloomberg Radio's "Bloomberg Law." Learn more about your ad-choices at https://www.iheartpodcastnetwork.com

(Bloomberg) -- Jed Shugerman, a professor at Fordham University School of Law, discusses a major lawsuit against President Trump, which is being brought by the attorneys general of Maryland and the District of Columbia. He speaks with June Grasso on Bloomberg Radio's "Bloomberg Law."

Industry policy, tax incentives, public attitude, tax revenue all influence a state or local government's decision to incent various forms of energy. This session is the first of four sessions with national and local experts on Tax and incentive comparisons, policy and job creation issues.