NSCHBC Edge Podcast

NSCHBC Edge Podcast

Leading the way in the business of medicine

Episodes

October 14, 2025 29 mins

This month on the Edge Podcast, Terry welcomes NSCHBC member Janet Velazquez of JV Practice Solutions for a timely discussion on what it really takes to retain top talent in today’s healthcare landscape.

It’s not just about competitive pay and benefits. Companies must foster a positive, inclusive, and supportive work environment—but what does that look like in practice? Are healthcare organizations offering growth opportunities, fle...

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Production represents the services rendered and the value created by a dental and/or medical practice. Without adequate production, there wouldn't be anything to collect, regardless of how efficient the collections process is.

Terry welcomes Dental consultant, Callie Ward, to discuss that robust collections are absolutely crucial to translate production into actual revenue and profit. A practice with excellent production but weak co...

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Automating medical coding presents significant challenges due to the intricate nature of health information management, particularly medical records, which form the bedrock of healthcare coding and billing. Protected Health Information (PHI) exists in various formats, including handwritten notes, patient intake forms, and dictated lab reports. This lack of standardization poses a considerable hurdle for AI systems.

Revenue Cycle Man...

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In this episode of the Edge Podcast, Terry and her guest, NSCHBC member and consultant Joe Lessard, discuss how to advise clients on critical business decisions for medical and dental practices. They cover topics such as:

  • Insurance acceptance: What insurance plans should practices accept?
  • Hiring strategies: When is the right time to hire new associates or partners?
  • Location expansion: Should new locations be opened, and if so, whe...
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June 10, 2025 15 mins

In the context of medical and/or dental insurance, ADR refers to Additional Documentation Request. This is a request from an insurance payer (like Medicare) for additional records to support a claim. It's not a sign of wrongdoing, but rather a way to ensure compliance with policies and verify the validity of claims. 

Ignoring these requests, or failure to meet their deadlines, can result in a loss of revenue and trigger additional p...

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In-house billing offers enhanced internal control and potential return on investment but entails higher costs and staffing challenges.

Conversely, outsourcing is cost-effective, transparent, and consistent but may result in skewed control of financial operations and introduce hidden costs.

Terry discusses this important topic with healthcare consultant Donna White, covering the best option for different-sized practices.

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April 8, 2025 41 mins

On this edition of the Edge Podcast, Terry welcomes Healthcare Compliance Consultant, Stephanie Allard. The hosts discuss objectives when hiring an external consultant, such as budgets, objectives, outcomes, expectations, and more.

Tune into this important and informative episode to make sure you are prepared

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Are Dental Billing and Medical Billing the Same Thing?

Terry Fletcher discusses the similarities, differences, and where crossover between dental and medical billing.

Tune in for advice that can assist clients on both sides to be accurate in their coding and billing processes.

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This month on the NSCHBC Edge Podcast, Terry welcomes back, NSCHBC member, Merikay Hunt CHBC, to discuss the pros and cons of a remote versus in-person versus hybrid workforce.

When comparing corporate and healthcare sectors, remote work generally tends to be a better option for corporate roles due to the nature of many corporate jobs being more easily adaptable to digital platforms. However, healthcare often requires in-person pat...

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On today’s NSCHBC Edge Podcast, Terry speaks with healthcare attorney and fellow NSCHBC member, Ericka Adler, to identify suspected theft in a medical practice.

Terry and Ericka discuss how to identify and prevent theft, plus educate your staff and providers so you are aware of potential red flags.

Some areas to focus on include cash handling, prescription drug inventory, and billing practices. The hosts also talk about what to do ...

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CPA versus bookkeeper: what is the role comparison in Healthcare, and medical practices? What does a physician or a physician practice need and why?

A bookkeeper, although helpful for day-to-day accounting, payroll, and expenditures accounting. When the medical provider needs tax breaks information, provider relief funding accounting and deadlines, and retirement planning, what’s the better option and why?

Terry talks with Healthcare...

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In this episode of the NSCHBC Edge podcast, Terry welcomes back David Zetter of Zetter Healthcare to discuss Ambulatory Surgery Centers (ASCs) versus Office Based Labs (OBLs).

Topics of discussion include:

  • Which one is easier to get funding for?
  • Are there differences in OSHA safety protocols?
  • Is there an approved list for each that differs?
  • And finally, which one have you seen as more profitable?
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The NSCHBC Edge Podcast welcomes fellow NSCHBC member, Rozmin Bapat to the show to discuss remote workers.

Rozmin joins us from CodeRite Healthcare Consulting, based in Allen, TX. They are a billing, consulting and RCM company specializing in physician billing services.

Terry and Rozmin define what it means to be a remote worker.

What are some of the pros and cons of remote work and managing it. Also, how does remote work compare vers...

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September 10, 2024 31 mins

Many practices hire nurse practitioners and physician assistants (known as mid-level providers) along with RNs, MAs, and other clinical staff. Still, sometimes the lines get blurred on what services they can individually provide.

Terry Fletcher, with fellow healthcare consultant and industry expert, Betty Hovey, discusses these compliance issues and gives medical practices insight into the pros and cons of these hires.

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Healthcare policies, Medicare cuts, and election year promises and rhetoric all affect how a patient will receive or not receive benefits.

We have so many Congressional policy rules on the table that will impact not only Medicare patients, but all patients as we may get a new HHS director as well when the presidency changes.

Listen to this episode of the Edge podcast to know what is real and what is noise, as Terry Fletcher and Sea...

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Staffing shortages continue to plague the healthcare industry, creating a vicious cycle where overworked healthcare professionals question their ability to continue.

A recent NIL report showed that 81% of clinicians want states to implement laws governing staff-to-patient ratios, which they ranked as one of the biggest considerations when taking a job.

As more medical professionals leave hospitals, physician practices, and clinics, c...

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June 11, 2024 28 mins

In the setting of AI - Artificial Intelligence - Healthcare is running head first into possible risk. In this month’s episode of the NSCHBC Edge Podcast Terry and Vinny Sankaran tackle the PROS and CONS of AI in Healthcare.

Data suggests AI helps health providers practice their profession and invest their time in engaging with patients rather than spending time on transcribing notes and administrative work. Also, when used safely an...

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On this month’s episode of the Edge Podcast Terry welcomes back Healthcare Consultant Jackie Coult as they discuss the ins and outs of physician and dental practice startups.

Terry and Jackie talk about having a plan, financial woes and potential funding, staffing, location and of course, what kind of practice you’d like to have.

Join us for a fun and engaging conversation.

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More than 100,000 doctors have left private practice and become employees of hospitals and other corporate entities since 2019. Today, nearly 3 in 4 physicians are employees of larger health care entities or other corporations — a record high.

The cost of managing a medical practice — whether in primary care or a specialty practice — has surged. Not to mention, reimbursement rates from Medicare have not kept pace with higher operati...

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Terry welcomes fellow NSCHBC Member and Healthcare Consultant Anthony (Tony) Werner to discuss reducing administrative burden and costs incurred by meeting payer requirements.

Most likely there will be resistance from most payers to incorporate intraoperability terms in contracts, including those required by legal or governmental directives. Terry and Tony discuss the complexities of these discussions and how to be successful in the...

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