Eye Care Leadership Live
Send us Fan Mail [https://www.buzzsprout.com/2516408/fan_mail/new] We talk with healthcare attorney Matt Stevens about the real-world legal and operational fights clinics face with insurance reimbursement, audits, and payer clawbacks, plus the steps that keep small problems from turning into career-level crises. We also get practical about employment disputes and why strong systems, especially timekeeping, reduce wage and hour exposure even when people act unpredictably. • what Provider Legal does for healthcare providers as outside general counsel and transaction support • why insurance reimbursement creates conflict and how payer incentives shape denials and delays • how to handle SIU inquiries and recoupment demands without overreacting • common triggers for payer scrutiny including incident-to billing documentation and unusual coding patterns • strategies to pursue underpayments without jumping into litigation, including escalation tactics • why employee billing concerns can escalate into qui tam risk and government investigations • early moves that lower exposure, including compliance plans and third-party billing reviews • where employment disputes show up most often and how plaintiff firms approach staff claims • wage and hour vulnerabilities driven by timekeeping records, breaks, and documentation • accepting that you cannot eliminate claims, only reduce frequency and cost If you enjoyed this episode, please subscribe to the show on your podcast app and share it with someone who would value the content. === This episode is brought to you by Seasoned Advice HR, where I help eye care clinics to hire, retain, and manage better — helping you get Better Results Through People. Learn more at seasoned-advice.com [http://seasoned-advice.com/]. Contact me directly at mike@seasoned-advice.com Get my free HR and leadership downloads here: https://www.seasoned-advice.com/signup-for-free-downloads [https://www.seasoned-advice.com/signup-for-free-downloads]
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