Episode 388 - Don Self - Complexities of Medical Billing

Summary

In this episode of the Compliance Guy podcast, Sean M Weiss welcomes Don Self, a veteran in the medical billing industry, to discuss his extensive experience and insights. They explore Don's two recent books, touching on topics such as medical office management, evaluation and management services, and the importance of understanding ERISA. The conversation highlights the challenges faced by healthcare providers in documentation and billing, as well as the need for better practices in the industry. Personal anecdotes and reflections on mentorship add depth to the discussion, making it both informative and engaging.

Takeaways

• Don Self has over 40 years of experience in the medical billing industry.
• The importance of mentorship in professional growth is emphasized.
• Don's books are accessible and filled with practical advice.
• Evaluation and management services continue to challenge providers.
• Documentation practices have become more complex and subjective.
• Healthcare systems in other countries can offer valuable lessons.
• Local coverage determinations are crucial for understanding payment policies.
• ERISA provides significant protections for employees and providers.
• Many providers are unaware of their rights under ERISA.
• The conversation encourages proactive engagement with insurance carriers.