healthcare stories

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For more information on Dr. Haru Okuda, visit https://camls-us.org/about/leadership/ 

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For more information on USF Health, visit https://health.usf.edu/

In this episode of Behind The Scenes, Sonda will be discussing the challenges that come with remote teams. This seems to be the way of the working future as more and more people have shifted their priorities to be focused upon work-life balance. People are striving for the freedom associated with remote work, so let’s talk about managing them! Join Sonda as she discusses:

• Key performance indicators must be measured to analyze outcomes of employees. 
• Team recognition is essential to celebrate those doing great work.
• Understanding the accountability and experience levels of employees is necessary.
• Participation in on-camera meetings must be encouraged by managers.

Let’s tackle the remote working world with confidence and ease. We are in fact, managing the future!

Until next time, stay curious, inspired and keep learning! 

Sonda's Links For You:
• Website
• Instagram
• Facebook
• LinkedIn

A great topic for both providers and consumers of healthcare, in this episode of Behind The Scenes, Sonda will be discussing appealing claim denials and your right to payment. It’s so important that we push back on insurance carriers, check rejections and receive that deserved revenue! We are passionate about this topic, so definitely listen in to hear more on:

• The increased rate of denials and shocking low rate for appeals.
• Rumored denial algorithm and major insurance carrier system unpredictabilities.
• Understanding that your denial might be in a grouping of reasons (ex. lack of prior-authorizations)
• An introduction to the reasons behind various claims from credentialing, out of network, exclusion of services, medical necessity, diagnosis and more.

This is only a taste of the themes we are excited to dive deeper into in future episodes! Let us know on socials which one you think we should cover next!

Sonda's Links For You:
• Website
• Instagram
• Facebook
• LinkedIn

Join Sonda for Part 2 of her conversation with Teresa Heim and Chelsea Kohler from Behavioral Health Billing Solutions. Be sure to catch Part 1 if you missed it! In this portion, they continue to discuss current issues that agencies are experiencing in regards to documentation, coding and frequently asked client questions.

Tune in to hear more on:
• Same day NCCI edits and the manual pre-billing process.
• Evaluation management: As a good provider, understanding the scenario and information your client is providing.
• Upcoming changes to the requirement for national accreditation for general services.
• Co-facilitation and co-staffing groups.

Sonda is going to be speaking on the basics of documentation at BHBS’s event ‘Navigating the Next Generation of Ohio Medicaid: PNM & OMES’ in Westerville, Ohio on September 27th. You are not going to want to miss this great opportunity to connect and network! Tickets are still available here:
https://bhbilling-solutions.us12.cdn-alpha.com/event09272023/

We hope this podcast can create a community within the medical or behavioral health billing world and would love it if you could share, rate, review and drop us a message on subjects about the business of medicine you would like to hear! There is a lot to cover and we want to know what would be most impactful for you!

Until next time, stay curious, inspired and keep learning!

Guest Links:
BHBS LinkedIn: https://www.linkedin.com/company/behavioral-health-billing-solutions-llc/
BHBS Website: https://bhbillingsolutions.com
Teresa LinkedIn https://www.linkedin.com/in/teresaheim/

Sonda's Links For You:
• Website
• Instagram
• Facebook
• LinkedIn

Welcome back to the next episode of Behind The Scenes with Sonda Kunzi!

Join Sonda as she speaks with Teresa Heim and Chelsea Kohler from Behavioral Health Billing Solutions, as they cover current topics that agencies are experiencing right now. As well as a deeper look into how you can work with your billing vendor to make sure you receive the revenue that you deserve!

Dive into this episode to hear more about:
• How Teresa, Chelsea and Sonda got their start in health billing.
• The main struggles with credentialing regarding processing times.
• 3 Key tips for making the system work for you correctly.

There was so much amazing conversation to fit into only one episode, so we are excited to bring you Part 2 with Behavioral Health Billing Solutions on Friday Sept 22! So stay tuned for that!

Sonda is going to be speaking on the basics of documentation at BHBS’s event Navigating the Next Generation of Ohio Medicaid: PNM & OMES in Westerville, Ohio on September 27th. You are not going to want to miss this great opportunity to learn, connect and network! Tickets are still available here:
https://bhbilling-solutions.us12.cdn-alpha.com/event09272023/

If you enjoyed this episode, we would appreciate it if you could share, rate, review and drop us a note for subjects about the business of medicine you would like to hear! There is a lot to share and we want to know what would be most impactful for you!

Until next time, stay curious, inspired and keep learning!

Guest Links:
BHBS Website: https://www.linkedin.com/company/behavioral-health-billing-solutions-llc/
Teresa LinkedIn https://www.linkedin.com/in/teresaheim/

Sonda's Links For You:
• Website
• Instagram
• Facebook
• LinkedIn

Welcome to the first episode of Behind The Scenes with Sonda Kunzi!

Join Sonda and team members Renee Fedele and Danielle Williams, as they discuss common occurrences and reasons for consistent frontline rejections to claims from insurance carriers. They share ongoing problems their clients are currently facing and what you can do about it.

Tune in to hear more on:

• When all the processing is done correctly by the billing company, yet some of the claims are paid and a portion of them are rejected without real fault.
• Lengthy waits on reprocessing claims, some as many as 2 years.
• Placing complaints on insurance companies.
• Advice for medical billing companies on how to stay informed and up to date on insurance company rosters and policies.

Whether you are in the medical or behavioral health billing world, we hope this podcast can shed some light on these areas and bring a sense of community to those feeling like they are alone experiencing these particular situations. We would love it if you could share this episode, rate, review, drop us a note for subjects about the business of medicine you would like to hear in future episodes! There is a lot to share and we want to hear what would be most impactful for you!

Until next time, stay curious, inspired and keep learning!

Sonda's Links For You:
• Website
• Instagram
• Facebook
• LinkedIn

Welcome to the podcast Behind The Scenes with Sonda Kunzi!

In this introduction episode, Sonda breaks down a more detailed look at what is to come in future episodes and the topics that will be discussed surrounding the healthcare billing world. From bigger matters that come to light from large insurance carriers, to sharing in-depth on the overall business of healthcare, to running a remote team and so much more!

You can expect monthly (bi-weekly) episodes on Wednesday’s, where community will be established and awareness brought!  
Together we can make an impact!

Sonda's Links For You:
• Website
• Instagram
• Facebook
• LinkedIn

In this episode, claims consultant Kurtis Marshal discusses a case where unfortunately a patient passes away, and an uninsured surgeon complicates matters for the MedPro defendant. 

In this episode MedPro Group's claims consultant Sandra Bevans discusses an incident where a patient at a Psychiatric hospital experienced an altercation with another patient resulting in him being pushed to the ground, but then his situation is ignored by the outside staff of the facility. 

In this episode MedPro Group's claims manager Summer Heil discusses a case where allegations of a failure to diagnose cauda equina syndrome changes to allegations of over prescription of Opioids.