Season 9 - Episode 416 - #TerryTuesday - How Payers Are Influencing Medical Coding

SummaryIn this episode, Sean and Terry Fletcher discuss the latest issues in healthcare compliance, focusing on problematic billing practices, the risks of retrospective diagnosis coding, and the influence of third-party payers like Optum. They explore how these practices threaten provider integrity and patient care, offering insights and advice for healthcare professionals navigating these challenges.Key TopicsHealthcare billing and coding practicesRisks of retrospective diagnosis coding and claims manipulationImpact of third-party payers on provider integrityUncovering the Truth Behind Healthcare Billing FraudHow Payers Like Optum Are Influencing Medical Coding