PODCAST · education
Behind The Scenes with Sonda
by Sonda Kunzi
Welcome to “Behind The Scenes with Sonda”, a podcast with focus on tackling the challenges in the healthcare billing world and beyond! Every episode, Sonda will explore and expose the issues in medical billing: talking about bigger issues that come to light from large insurance carriers, showcasing the difficulties and barriers to overcome to get providers paid, and sharing more on the overall business of healthcare, specifically surrounding inequities often not seen by the general public. ‘Behind The Scenes with Sonda’ is for people working in the business of healthcare; physicians, behavioral health providers, mental health providers, but also consumers - anyone in the healthcare business industry, worker or consumer, will learn and be made aware. With a goal of building a community of healthcare, Sonda aims to provide awareness. With over 30+ years of experience in all aspects of the business side of healthcare, Sonda Kunzi has built a successf
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Telehealth 2025 - Could It Be More Confusing
Welcome back to Behind the Scenes! In this brief episode, Sonda is flying solo to highlight the upcoming changes to telehealth in 2025. If you're working in healthcare, you know how quickly guidelines and codes can evolve. Today, Sonda gives a quick overview of what to expect in 2025, including new telehealth codes and how they might impact your practice. Join in to hear more on: CMS (Centers for Medicare & Medicaid Services) approach to Telehealth in 2025.Removal of restrictions and introduction of new codes in Evaluation and Management.The impact of policy changes on behavioral health and other areas.With regulations constantly changing, it can be confusing. Let’s stay informed and prepared as we head into 2025. Enjoyed the episode? Don’t forget to share, rate, and review on your favorite platform!Until next time, stay curious, inspired and keep learning!Links: Sonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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Starting from Scratch: Julie's Healthcare Coding Journey
Welcome to this episode of Behind The Scenes! Today, Sonda sits down with Julie Miller, a seasoned healthcare professional with a deep background in revenue cycle management, coding, and compliance auditing. Julie’s journey began in accounts receivable at a large FQHC, where she crafted strategies that boosted efficiency across 50 clinics. She later played a transformative role at a small acute care facility, leading efforts to streamline its operations. Now, as a physician compliance auditor for a major Michigan health system, Julie joins Sonda to reflect on their experiences in healthcare and offer valuable advice for anyone looking to start their career in this field.Join in to hear more on: Personal stories of breaking into healthcare.The perks of wearing multiple hats on the job.Tips for getting your foot in the door in healthcare.Each journey into healthcare is unique, and our differences can be our greatest strengths. Tune in for practical advice and personal insights on entering the healthcare world. Enjoy the episode? Don’t forget to share, rate, and review on your favorite platform!Links: Julie Miller LinkedIn: Julie MillerSonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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Building a Team: Lessons in Leadership and Collaboration
Welcome to Behind The Scenes! In this episode, Sonda takes the mic solo to share her valuable insights on leadership from her perspective as a health care entrepreneur. Drawing from her extensive experience in the industry, she offers practical wisdom and actionable advice for business owners—whether you're just starting out or looking to elevate your existing practice. Sonda discusses key strategies to better serve your clients, empower your employees, and nurture your own well-beingJoin in to hear more on: Difficulties faced by health care entrepreneurs.Essential strategies for effective leadership.Self cares role in creating meaningful change. No matter where you are on your leadership journey, we’re all continually evolving in our abilities. If you’re looking to enhance your leadership skills in business,check out this episode! And if you enjoyed it, be sure to share, rate, and review on your favorite listening platform!Sonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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Navigating Healthcare Entrepreneurship with Leslie Boles
Welcome to this episode of Behind The Scenes! In this episode, Sonda sits down with Leslie Boles, Co-Owner and President of Revu Healthcare. With over 15 years of expertise in healthcare coding, auditing, and compliance, Leslie brings a wealth of knowledge to the discussion.Together, Sonda and Leslie delve into their shared experiences as entrepreneurs in the healthcare industry. They explore the lessons learned and offer insights for those wanting to navigate the entrepreneurial world.Join in to hear more on: • Insights on the transformative role of AI in business.• The vital importance of collaboration for success in the business world.• Striking a balance between leveraging advice and discovering what truly works for you.The journey of an entrepreneur isn’t always easy. If you’re interested in insights from two seasoned professionals, be sure to tune in! If you enjoyed this episode, we’d love for you to share, rate, and review on your favorite listening platform!Until next time, stay curious, inspired and keep learning!Links:Revu Healthcare: Revu HealthcareLeslie’s LinkedIn: Leslie Boles LinkedInSonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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Takeaways From the John Maxwell Leadership Conference
Welcome back to Behind The Scenes! In this episode, Sonda shares her insights from the recent John Maxwell Conference. While the healthcare industry typically focuses on consulting, coding, documentation, and compliance, Sonda highlights a different perspective. Inspired by her experiences at the conference, she dives into the significance of personal growth and its relevance in the world of health care.Tune in to hear more about: Reflecting on Sonda’s experience at the John Maxwell conference. The integral role of leadership in healthcare organizations and communities. 10 key takeaways to fuel personal growth.Personal growth is essential in every aspect of life. If you want to hear valuable tips that can elevate your impact in healthcare and beyond, don't miss this episode! If you enjoyed this one, we would appreciate it if you could share, rate, review on your preferred listening platforms so we can spread the word! Until next time, stay curious, inspired, and keep learning!Sonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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Cheers to One Year: A Podcast Milestone
Welcome to this special episode of Behind The Scenes! In this landmark episode, Sonda celebrates the 1-year anniversary of the podcast. Over the past year, Behind The Scenes has been committed to empowering healthcare providers and health entrepreneurs with invaluable insights and advice.As she reflects on this milestone, Sonda takes a moment to look back on the podcast's journey—its purpose, the growth it has experienced, and her aspirations for the future. She shares the knowledge she has gained throughout the year and continues to offer a range of insightful thoughts and practical advice.Tune in to hear more on:Vision for Behind The Scenes in 2025.Sonda’s journey: Personal growth and challenges through podcasting.Sonda’s thoughts on AI, remote teams, and generational gaps. Thank you for being a part of this journey! Reaching this milestone wouldn’t have been possible without YOU—our incredible listeners and guests. To celebrate, Sonda invites you to share your thoughts by taking the survey linked below. Your feedback and recommendations are greatly appreciated!Until next time, stay curious, inspired, and keep learning!Survey Link: https://forms.office.com/r/QKKAHQFrGE Sonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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Unseen Battles: The Importance of Cybersecurity in Everyday Life
Welcome back to Behind the Scenes! In this episode, Sonda is flying solo once again to tackle a critical topic: cybersecurity. Whether you're running a large corporation, a small business, or simply navigating the digital world as an individual, cybersecurity is something we all need to be mindful of. Drawing from her own recent experience, Sonda delves into the importance of being aware and prepared for potential cyber threats.Tune in to hear more about:Sonda’s personal story of a recent cybersecurity breach, including spoofed emails and diverted funds.The importance of collective effort in staying protected against cyber threats. Practical advice on how to avoid cybersecurity risks, including two-factor authentication and ‘fishing expeditions.’ Don't miss this episode to arm yourself with the knowledge and tools needed to stay secure in today's digital world!Until next time, stay curious, inspired, and keep learning!Sonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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The Care-Billing Connection: Why Accurate Diagnosis Codes Matter
Welcome back to Behind the Scenes! In this episode, Sonda goes solo to explore a critical topic: the significance of accurate diagnosis codes. With years of experience, Sonda understands the impact that using incorrect medical codes can have. Although some healthcare providers may use inaccurate codes to secure reimbursement, this practice can have far-reaching consequences. Through personal stories and real-world examples, Sonda highlights why it's essential for all healthcare providers to prioritize accurate coding.Join in to hear more on:Addressing the downfalls of inaccurate diagnosis coding and their implications.Strategies for reducing coding errors and improving documentation accuracy.Common instances where incorrect diagnosis codes are used in medical records.You might be surprised at how much proper diagnosis codes matter. If you're interested in understanding why these codes are so important, don’t miss this episode!Until next time, stay curious, inspired, and keep learning!Sonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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EMR Talk with Alan Tillinghast of Arize
In this episode of Behind The Scenes, Sonda chats with Alan Tillinghast, CEO of Cantata Health Solutions. Alan leads the company's growth in providing behavioral health and human services software. His extensive experience in senior leadership roles gives him a unique perspective on the challenges of implementing and adopting new technology to enhance patient care and efficiency. Together, Sonda and Alan discuss Electronic Medical Records (EMR). Drawing from personal experience, they offer insights into the current challenges and new opportunities for EMR solutions, with a focus on Arize.Listen in as they discuss:Exploring how Arize navigates state-specific regulations and ensures compliance.Sonda and Alan’s vision for the future of Electronic Medical Records (EMRs).Arize’s implementation strategy: short sessions and tackling challenges as they arise.Technology is constantly evolving, bringing new challenges and opportunities. If you're interested in how technology is shaping the future of EMRs, tune in to this insightful episode with Sonda and Alan!Until next time, stay curious, inspired and keep learning!Links: Cantata Health Solutions: Cantata Health SolutionsAlan’s LinkedIn: Alan TillinghastSonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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Behavioral Health Integration
Welcome back to Behind The Scenes! In this solo episode, Sonda delves into the concept of behavioral health integration. She addresses the challenges that both patients and providers encounter in the healthcare system. Sonda explains what integration means, its benefits, and the role it plays in improving overall health outcomes. Join her for an insightful discussion on the importance of embracing this approach.Tune in to hear more on:Benefits of integration for patients struggling with mental health.Core elements of model types: BHI and collaborative care management.Key considerations for Behavioral Health Integration.The healthcare system is constantly evolving, and there are often better ways to approach particular areas. If you want to learn more about how behavioral health integration is transforming healthcare, tune in to this episode!Until next time, stay curious, inspired and keep learning!Sonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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Freestyling Fee Schedules with Gary Humble
In this episode of Behind The Scenes, Sonda talks with Gary Humble, the founder and President of G&M Consulting. With over 40 years in behavioral health and managed care, Gary's expertise spans organizations like the Cleveland Clinic’s Center for Behavioral Health. Since founding G&M Consulting in 1998, he has supported private practices and providers across many states. Together, Sonda and Gary delve into engaging discussions about varying fee schedules with Medicare and commercial carriers. They also draw from their extensive knowledge to highlight the key issues impacting behavioral health providers today.Tune in to hear more on:Expert advice for agencies on billing practices and key considerations.Clarifying common misconceptions about billing and coverage.Understanding the differences between health insurance options like Medicare and marketplace plans.It’s never too late to better understand the intricacies of billing and insurance. Don't miss out on this opportunity to gain valuable knowledge and tips from industry experts!Until next time, stay curious, inspired and keep learning!Links: GMB Consulting: G&M ConsultingGary’s Twitter/X: @ghreconGary Humble LinkedIn:: Gary HumbleSonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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Psychotherapy Audits - Key Insights for Providers
In this solo episode of Behind The Scenes, Sonda sheds light on the world of psychotherapy audits. With audits on the rise in the industry, she breaks down everything you need to know—from understanding the procedures to knowing what auditors are looking for. Sonda shares her personal insights to help listeners feel confident and prepared. Whether you're a seasoned pro or just starting out, this episode is packed with practical advice to keep you informed and ready. Join Sonda as she discusses: What happens to a progress note in the event of an audit. Recommendations on what to include and what to avoid in your documents.Essential advice on how to be prepared for an audit.With the rise in behavioral health services, it's essential for providers to maintain top-quality care. Curious about how records are audited? Tune in for key insights and tips to ensure you're doing things right!Until next time, stay curious, inspired and keep learning!Sonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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Investing in Yourself and Building Lifelong Connections with Damaris Rameriz
In this episode of Behind The Scenes, Sonda is joined by her close friend, Damaris Ramirez, a seasoned consultant from New Jersey with over 25 years of experience in health and wellness. Together, they delve into the significance of building a support system to navigate life's numerous challenges, from career growth to home life. Sharing personal stories, they highlight the importance of accountability and the value of investing in oneself.Tune in to hear more on:The importance of accountability partners and tips for finding one.Challenges in managing expectations as an entrepreneur.Exciting updates from Sonda and Damaris.Having a supportive community as you navigate life's journey can make all the difference. To learn more about the significance of accountability and its impact, tune in to this episode!Until next time, stay curious, inspired and keep learning!Links:Amiga, Let's Talk Podcast: Amiga, Let's TalkSonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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The Power of the Progress Note
Welcome to Behind The Scenes! In this solo episode, Sonda delves into the world of progress notes. As medical practices shift towards digitalization Sonda unpacks the world of electronic medical records (EMRs) and their evolving role in healthcare. Sharing her own EMR experiences, she offers firsthand insights and invaluable perspectives that can resonate with professionals and patients alike.Join Sonda as she discusses:EMRs: Pros and cons for provider documentation and patient care.Provider documentation evolution: Regulatory and documentation changes.Sonda's call to action: Recommendations for change.As our world becomes more digitized it’s important to acknowledge all that comes with it. If you are interested in learning more about EMRs, then this episode is for you!Until next time, stay curious, inspired and keep learning!Sonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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Breaking into the Coding Business with Allison Smith and Nicole Ward
In this episode of Behind The Scenes, Sonda is joined by Nicole Ward and Allison Smith, two inspiring women navigating the world of medical coding. Nicole has had a diverse journey, spanning from healthcare roles to owning a salon business, all of which have led to her pursuit of excellence in medical billing and coding. Allison is a dedicated new coder transitioning from childcare to medical coding, currently completing Practicode to advance her skills and remove her apprentice designation. As they delve into their experiences, they shed light on the challenges of entering the medical coding world, share personal insights, and offer valuable suggestions for those already in or contemplating entry into the field.Listen in to hear about:The challenges faced by new coders and networking on LinkedIn.The significance of social media in searching for professional opportunities. Deliberation between specialization and gaining experience.Everyone's journey to discovering their passion is unique, and it's okay if you're still figuring it out. If you're curious about medical coding, don't miss out on this latest episode!Until next time, stay curious, inspired and keep learning!Links: Nicole Ward LinkedIn: Nicole WardAllison Smith LinkedIn: Allison SmithSonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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Creating Boundaries: Learning to Say No with Becky Upchurch
In this week's episode of Behind The Scenes, Sonda is joined by Becky Upchurch, a dedicated mindset coach empowering busy women to prioritize self-care and their goals by mastering the art of saying no without fear or guilt. Women often face numerous expectations that can make saying no challenging. Sonda and Becky delve deeper into this issue, sharing their personal experiences with setting boundaries. Together, they explore the significance of boundary-setting and how prioritizing what truly matters can enable you to show up as the best version of yourself. Listen in as Sonda and Becky discuss:Exploring the challenges women face when saying no: A behind-the-scenes look.Prioritizing your needs as a means to better support others.Getting comfortable with setting and maintaining boundariesWe all have the ability to make change in our lives! By showing ourselves compassion and taking action, we make room for growth and transformation. If you're ready to set boundaries, check out this episode!Until next time, stay curious, inspired and keep learning!Links:Becky's People-Pleaser’s Guide to Saying No: Instagram: Becky UpchurchWebsite: HigherGoodCoachingFacebook: Higher Good CoachingSonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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The Evolution of Telehealth with Christine Hall and Terry Fletcher
In today's episode of Behind The Scenes, Sonda is joined by Terry Fletcher, a seasoned Healthcare Coding & Reimbursement Consultant, Educator, and Auditor, and Christine Hall, owner of Sterling Global Solutions and an expert in delivering education on all things healthcare. Together, the trio offers nearly a century of combined expertise in the healthcare sector. Terry, Christine, and Sonda delve into the nuances of Telehealth, exploring its advantages and disadvantages, and providing suggestions to enhance Telehealth services, while also sharing their personal experiences.Join the women as they talk about:Telehealth pitfalls and appropriateness.Challenges and opportunities in Telehealth implementation.Promoting informed Telehealth engagement.Stay informed and gain valuable insights from healthcare experts on navigating Telehealth in today's ever-evolving healthcare landscape. Check out this episode!Until next time, stay curious, inspired and keep learning!Links: Terry Fletcher: https://www.terryfletcher.net/ Terry Fletcher LinkedIn Christine Hall:https://www.stirlingglobalsolutions.com/ Christine Hall LinkedIn Sonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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Women Supporting Women with Jessica Cuffia-Corlette
In this episode of Behind The Scenes, in honor of Women's History Month Sonda is joined by Jessica Cuffia-Corlette, a mother of two teenage daughters with over 20 years of consulting experience in the finance industry. Sonda and Jessica speak on their respective careers and the insights gained through their experiences. The duo has meaningful conversations about the value of learning from failure and taking accountability to help move you forward. As well, Jessica shares her personal experience of integrating working outside of the home and being a mother. Join Sonda and Jessica as they discuss:Making tough decisions and stepping out of your comfort zone.The value of surrounding yourself with supportive women. Outsourcing tasks and focusing on your priorities. Women are powerful! Let’s continue to support and learn from each other! Check out this episode!Until next time, stay curious, inspired, and keep learning!Links:Instagram Jessica Cuffia-CorletteSonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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Boots on the Ground as a Billing Manager with Tiffany Young
In this episode of Behind The Scenes, Sonda is joined by Tiffany Young, Billing Manager at Coding Advantage. This episode dives into what goes on “behind the curtain” of a billing company. Tiffany speaks of her personal experience in the billing world, and chats with Sonda about the day-to-day management of client billing.In this episode, Sonda and Tiffany discuss:• Managing team members in a manner that is flexible yet regimented.• Managing based on outcomes and organizing resources for a team.• Overcoming common barriers through analytical thinking and patterns.In this episode, the pair gives candid advice on working with spreadsheets, identifying solutions, reconciliation, and information management. They are here to help you stay on top of your billing game! Until next time, stay curious, inspired and keep learning!Sonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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Burn out or Burn on...Everyday Thoughts of an Entrepreneur
In this solo episode of Behind The Scenes, Sonda gives insight into the detrimental effects of stress and fatigue. This episode explores the challenges that entrepreneurs face as a result of burnout, as well as the physical health complications that burnout can cause. Sonda speaks of her personal experience hiring an assistant, and how investments like that one can help entrepreneurs to “burn on” rather than “burn out”.In this episode, Sonda discusses:• Improving your ability to show up by mitigating exhaustion.• Removing yourself from grind culture.• Prioritization of tasks vs. wellbeing.Allow Sonda to help you reduce your sense of burnout so that you can be your strongest, entrepreneurial self. Until next time, stay curious, inspired and keep learning!Sonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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Compliance 101: Everyone's Favorite Topic...Not
In this solo episode of Behind The Scenes, Sonda gives an overview of why you need a compliance plan for Medicare/Medicaid enrollment. This episode dives into the risks associated with operating a business without a compliance plan in place. Sonda describes the implications of healthcare relationships that seem harmless but could implicate the provider when compliance isn’t top of mind.In this episode, Sonda discusses:• Vendor offerings within the healthcare organization• The False Claims Act and self-disclosure• How to create a strong compliance plan and mitigate risksAllow Sonda to help you understand auditing with ease!Link to OIG Compliance Guidance https://oig.hhs.gov/compliance/general-compliance-program-guidanceUntil next time, stay curious, inspired and keep learning!Sonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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Behavioral Health: Pathway to Wellness
In this episode of Behind The Scenes, Sonda is joined by Shelly Baer and Christie Armstrong. The group discusses the therapists’ interpretation of how difficult it can be to maneuver and navigate the insurance space and how this can be turned into making a larger impact. The trio has meaningful conversations about unique guidelines that are in place for different insurance carriers, as well as about Shelly and Christie’s plethora of industry experience in the mental healthcare field. In this episode, the group discusses:• The unique needs of individuals in therapy and the ways in which their cases are recorded.• The stressors associated with billing in the therapy field.• The differentiators between clinical and mental health.Let’s forge a pathway to wellness together. Check out this episode!Until next time, stay curious, inspired and keep learning!Shelly's Links:Shelly’s InstagramShelly’s WebsiteSonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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2024 Behavioral Health Changes to Be on the Look Out For!!
Welcome to our first episode of 2024! In this solo episode of Behind The Scenes, Sonda dives into the changes to behavioral health for 2024. She shares that marriage and family therapists will now be able to get contracted with Medicare. Sonda explains that with some of the changes at hand, individuals may be confused as to whether or not they qualify. She talks about who is considered to be a mental health practitioner in 2024 (including addiction counselors), and helps to mitigate any confusion that may come as a result of the changes. In this episode, Sonda discusses:• The qualifications and certifications required to be considered a mental health practitioner.• Intensive outpatient procedures.• Required training for auxiliary personnel.Stay in the know for 2024. Check out this episode!Until next time, stay curious, inspired and keep learning!Sonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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Payer Ghosting
In this solo episode of Behind The Scenes, Sonda dives into the challenges of payer ghosting. She explores the portals, processes, and protocols that contribute to the payer ghosting problem. She talks about the importance of looking at your billing partner and ensuring that everyone works on your claims in a way that is supportive and won’t take a denial at face value. In this episode, Sonda discusses:• The importance of working with providers to foster a proactive approach.• The provider/payer relationship.• Returning to contracts and requirements.Let’s all fight against payer ghosting. It’s time to become more diligent! Check out this episode!Until next time, stay curious, inspired and keep learning!Sonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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Behavioral Health Billing: East Coast vs West Coast with Rachel Woodward at Datapro Billing
In this episode of Behind The Scenes, Sonda is joined by Rachel Woodward to discuss behavioral health billing. Rachel is the CEO of Datapro Billing, based out of Southern California. She is passionate about serving this industry and has found great purpose in helping providers. The pair focus on the differences between east coast and west coast practices and services. Join the women as they talk about:• Working with a behavioral health billing partner.• Pre-payment and post-payment review.• Unexpected medical billing and patient finances.• Training internal staff on payment plans.Let’s dive into the ways in which behavioral health billing partnerships are progressing. Check out this episode!Until next time, stay curious, inspired and keep learning!Rachel’s Links:Datapro Billing InstagramSonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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The Value of Partnership in Business with Ray Dalessandro at Etactics
In this episode of Behind The Scenes, Sonda is joined by Ray Dalessandro to discuss the value of partnership in business. Ray is part of a clearing house called Etactics and in this episode, he brings his knowledge to the table. The pair focus on working across agencies, honing in on challenges that partners face, and adding value in working relationships. Join Sonda and Ray as they talk about:• Working with partners who add and share value.• Open, transparents communication with clients.• Showcasing your knowledge and understanding during onboarding.• Using resources and showing true care.Let’s dive into the ways in which we can build meaningful partnerships. Check out this episode!Until next time, stay curious, inspired and keep learning! Ray's Links:LinkedIn - https://www.linkedin.com/in/ray-d-1417ba8Sonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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Everything You Need to Know About Credentialing with Gary Humble
In this episode of Behind The Scenes, Sonda is joined by Gary Humble, who has been in the healthcare field for 42 years and leads G&M Consulting as its President. Sonda and Gary discuss credentialing and dive into the review process and the importance of keeping track of all the moving pieces. Join Sonda and Gary to learn more about:• The difficulties associated with billing when being the “last touch” of a claim.• Determining the type of contract being dealt with and the services being offered. • Filling client gaps and missing details on the revenue side. • Advice for agencies to get paid correctly.Contracts can be tricky. Let’s dive into the credentialing world together. Sonda and Gary are here to help!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! Gary’s Links:Website: https://gmbhconsulting.netTwitter/X: @ghreconSonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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Note Bloat - Eradicate This Disease
In this episode of Behind The Scenes, Sonda discusses physician office notes and the ways in which auditors and coders are challenged by reviewing them. She focuses on “note bloat”, which refers to notes that contain an excess of cloudy information. Join Sonda as she discusses:• The transition from physical physician notes to digital records.• The supportive partnership between auditors and physicians.• The use of legacy templates for documentation.• The importance of training and record review for physicians.Let’s dive into the complexity of physician documentation together. Want to help eradicate the note bloat? Check out this episode!Until next time, stay curious, inspired and keep learning! Sonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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On the Bat Phone with Chris Smalley of Pivot BH Consulting
In this episode of Behind The Scenes, Sonda is joined by Chris Smalley, the owner of Pivot BH Consulting. Chris gives us a rundown of her transition from special education to this area of work. She is now a specialist in consultation and accreditation! In this conversation, we expand upon the importance of training in the mental health space and client care. Join Sonda and Chris as they discuss:• New certification and accreditation for Ohio.• Clinical competencies and proactivity in clinical reviews.• “The Golden Thread” and how it all ties together.• Agencies that are pushing the boundaries for revenue, rather than displaying client care.• Qualified mental health specialists and standardized training.Let’s dive into the nuances of medical records from a billing and clinical standpoint. Curious to learn more? Check out this episode!Until next time, stay curious, inspired and keep learning! Chris's Links:Website: https://pivotbhc.comLinkedIn: https://www.linkedin.com/in/christine-smalley/Sonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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Pirates of the Caribbean - Remote Team Challenges
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
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Don’t Be Denied
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
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Insights to Behavioral Health Billing Part 2
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.comTeresa LinkedIn https://www.linkedin.com/in/teresaheim/Sonda's Links For You:• Website • Instagram • Facebook• LinkedIn
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Insights to Behavioral Health Billing Part 1
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
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It's A Jungle Out There
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
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Welcome to 'Behind The Scenes with Sonda'
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
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ABOUT THIS SHOW
Welcome to “Behind The Scenes with Sonda”, a podcast with focus on tackling the challenges in the healthcare billing world and beyond! Every episode, Sonda will explore and expose the issues in medical billing: talking about bigger issues that come to light from large insurance carriers, showcasing the difficulties and barriers to overcome to get providers paid, and sharing more on the overall business of healthcare, specifically surrounding inequities often not seen by the general public. ‘Behind The Scenes with Sonda’ is for people working in the business of healthcare; physicians, behavioral health providers, mental health providers, but also consumers - anyone in the healthcare business industry, worker or consumer, will learn and be made aware. With a goal of building a community of healthcare, Sonda aims to provide awareness. With over 30+ years of experience in all aspects of the business side of healthcare, Sonda Kunzi has built a successf
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Sonda Kunzi
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