Sonal Patel

Paint The Medical Picture Podcast

News EN ↓ 301 episodes

Sonal Patel, CPMA, CPC, CMC, ICD-10-CM serves as the host on her Paint The Medical Picture Podcast series. The series is focused on providing listeners with the latest healthcare industry news in medical coding, medical billing, auditing, compliance, and reimbursement. It dives into best practice tips to improve clinical documentation and coding accuracy to garner correct reimbursement levels the first time around. The series will also include updates on cases of fraud, waste, and abuse to help professionals avoid payor scrutiny, and so much more on episodes dropping each Wednesday.

Author

Sonal Patel

Episodes

Newsworthy Month of Fraud, Waste, and Abuse Cases from OIG, Trusty Tip on CBR on IPPEs and AWVs, and Michael Jordan's Spark 24.02.2021 24:23

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. It's a brand New Year!! 2021 is finally here!! Season 2 starts, and Sonal's 8th episode of the season features Newsworthy updates for the month's fraud, waste, and abuse cases. Trusty Tip features Sonal's compliance recommendations for the new CBR report being issued this...

Newsworthy Interview with Member, Jennifer J. Hollingsworth, Trusty Tip for Compliant Mental Health Services During the PHE, and Deepak Chopra's Spark 17.02.2021 44:11

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. It's a brand New Year!! 2021 is finally here!! Tune in for this very meaningful episode shining a spotlight on the mental health crises that have surged during this lengthy period of isolation with the Covid-19 pandemic. Season 2 starts, and Sonal's seventh episode of the...

Newsworthy OIG Work Plan Updates for January 2021, Trusty Tip for New HCPCS Code G2211, and Simon Sinek's Spark 10.02.2021 29:09

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. It's a brand New Year!! 2021 is finally here!! Season 2 starts, and Sonal's sixth episode of the season features a Newsworthy update to the OIG Work Plan for January 2021. Trusty Tip discloses details on compliant practices for G2211. Spark inspires us all to strive for g...

Newsworthy Interview with Practice Group Leader, Matthew Roberts, Trusty Tip for Tools for Compliance, and Winston Churchill's Spark 03.02.2021 30:44

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. It's a brand New Year!! 2021 is finally here!! Season 2 starts, and Sonal's fifth episode of the season features a Newsworthy conversation with Nexsen Pruet Healthcare Practice Group Leader, Matthew Roberts. He shares his insights on the January 1, 2021  Final Rule f...

Newsworthy Month of Fraud, Waste, and Abuse Cases from the OIG, Refresher Trusty Tip for Covid19 Vaccine Coding, and Dr. Martin Luther King Jr.'s Spark 27.01.2021 20:21

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. It's a brand New Year!! 2021 is finally here!! Season 2 starts, and Sonal's fourth episode of the season features Newsworthy updates for the month's fraud, waste, and abuse cases. Trusty Tip refreshes us all on Sonal's compliant Covid19 vaccine coding and billing recommen...

Newsworthy Interview with Member, Alice V. Harris, Trusty Tip for Keeping Compliance with Laboratory Service Documentation Requirements, and Shakespeare’s Spark 20.01.2021 32:47

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. It's a brand New Year!! 2021 is finally here!! Season 2 starts, and Sonal's third episode of the season features a Newsworthy conversation with Nexsen Pruet Member attorney, Alice V. Harris. She shares her insights on what providers need to do when confronted with payor a...

Newsworthy OIG Work Plan Updates for December 2020, Trusty Tip for Importance of Proper Documentation in 2021, and Anne Frank's Spark 13.01.2021 20:06

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. It's a brand New Year!! 2021 is finally here!! Season 2 starts, and Sonal's second episode of the season features a Newsworthy update to the OIG Work Plan for December 2020. Trusty Tip stresses Sonal's statements on the importance of proper documentation in 2021. Spark in...

Newsworthy Interview with Special Counsel, Jenna Godlewski, Trusty Tip for Data Reviewed and Analyzed in 2021 E/M , and Socrates' Spark 06.01.2021 25:41

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. It's a brand New Year!! 2021 is finally here!! Season 2 starts, and Sonal's first episode of the season features a Newsworthy conversation with Nexsen Pruet attorney, Jenna Godlewski. She shares her insights on the provider enrollment process. Trusty Tip touches on Sonal'...

Newsworthy Month of Fraud, Waste, and Abuse Cases from the OIG, Trusty Tip for Sleep Study Compliance, and Stephen Hawking's Spark 30.12.2020 16:07

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM.   Episode 17 provides highlights from the month’s fraud, waste, and abuse cases in Newsworthy.  Trusty Tip touches on Sonal's compliance recommendations for polysomnography services.  Spark inspires us all with the words of Stephen Hawking.  Go ah...

Newsworthy OIG Compliance Audit for Home Health, Trusty Tip for Maintaining Compliance in Home Health Setting, and Charles Darwin's Spark 23.12.2020 20:42

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM.  Episode 16 provides a Newsworthy OIG Compliance Audit for Home Health. Trusty Tip touches on Sonal's coordinating recommendations for staying compliant in the home health setting. Spark really inspires us all with the words of Charles Darwin. Go ahead and listen, su...

Even More Newsworthy Codes in 2021, Trusty Tip for Staying Compliant in 2021, and Andy Warhol's Spark 16.12.2020 29:12

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. Episode 15 provides even more Newsworthy updates and changes to 2021!!. Trusty Tip touches on Sonal's recommendations for staying compliant in 2021 and so. many. shout-outs!! Spark really 'pops' with Andy Warhol. Go ahead and listen, subscribe, rate and review! Now on: An...

Newsworthy OIG Work Plan Updates for November 2020, Trusty Tip for Care Planning in the Hospice Setting , and Kakuzo Okakura's Spark 09.12.2020 21:58

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. Episode 14 provides Newsworthy updates to the OIG Work Plan for November 2020. Trusty Tip touches on Sonal's guidance on creating an effective hospice plan of care, while Spark shines in all of us with the beautiful words of Kakuzo Okakura. Go ahead and listen, subscribe,...

Newsworthy E/M Changes for 2021, Trusty Tip for MDM and Time for E/M in 2021, and Paulo Coehlo's Spark 02.12.2020 20:27

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. Episode 13 provides Newsworthy highlights for E/M changes in 2021 - just 4 weeks away! Trusty Tip touches on Sonal's coordinating best practice recommendations for documenting MDM and time in 2021, while Spark shines in all of us with the remarkable words of Paulo Coehlo....

Newsworthy Month of Fraud, Waste, and Abuse Cases from the OIG, Trusty Tip for Diagnosis Specificity, and Henry David Thoreau's Spark 25.11.2020 16:59

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. I give my thanks and gratitude to all this day before Thanksgiving! Episode 12 provides Newsworthy highlights on the month's Fraud, Waste and Abuse cases. Trusty Tip touches on Sonal's best practice recommendations for diagnosis specificity, while Spark brightens all of u...

Newsworthy CPT Codes for Covid-19 Vaccines, Trusty Tip for How to Bill Covid-19 Services, and C.S. Lewis' Spark 18.11.2020 18:38

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. Episode 11 provides Newsworthy details for new CPT codes issued by the AMA for Covid-19 vaccines, as well a new CPT code for a combined antigen test for Covid-19 and influenza types A & B (with the flu season knocking on our back door!) Trusty Tip touches on Sonal's best...

Newsworthy OIG Work Plan Updates for October 2020, Trusty Tip for Correct Use of Hospice Modifiers, and Nelson Mandela's Spark 11.11.2020 40:34

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM.  Episode 10 provides Newsworthy details for the OIG's hefty Work Plan updates for October 2020. Of course, telehealth services are under review for program integrity risks, as well as an audit of Covid19 testing to the uninsured, and many more additions to the Work P...

Newsworthy Cybersecurity Resources, Trusty Tip for Diagnosis Coding Accuracy, and Albert Einstein's Spark 04.11.2020 28:39

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. Episode 9 provides Newsworthy highlights on cybersecurity resources after several hospitals experienced cyberattacks at the end of October. Trusty Tip touches on Sonal's best practice recommendations for achieving diagnosis coding accuracy, while Spark illuminates us all...

Newsworthy Month of Fraud, Waste, and Abuse in Operation Rubber Stamp, Trusty Tip for Modifier -25, and Mahatma Gandhi's Spark 28.10.2020 19:52

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. Episode 8 provides Newsworthy highlights on the month's Fraud, Waste and Abuse - in Operation Rubber Stamp! and my curated resources for Breast Cancer Awareness Month. Trusty Tip touches on Sonal's best practice recommendations for modifier -25, while Spark illuminates us...

Newsworthy OIG Audit Report on Spinal Facet-Joint Injections, Trusty Tip for Ordering Lower Leg Orthoses, and Ernest Hemingway's Spark 21.10.2020 30:07

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM.  Episode 7 provides Newsworthy details on a recent OIG Audit Report for spinal facet-joint injections that affect 11/12 MACs. Beware - demand letters will be coming! Trusty Tip touches on Sonal's best practice recommendations for all the paperwork and details needed...

Newsworthy OIG Work Plan Updates for September 2020 and My New 2021 CPT Manual, Trusty Tip for FNA Biopsies, and Margaret Mead's Spark 14.10.2020 20:53

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. Episode 6 provides Newsworthy details for the OIG's Work Plan updates for September 2020, as well as the arrival of Sonal's new 2021 CPT manual. Trusty Tip touches on her best practice recommendations for fine needle aspiration biopsies for the breast, while Spark recount...

Newsworthy MS-DRG Changes for FY 2021, Trusty Tip for Split-Care Billing During the Global Surgical Package, and Mark Twain's Spark 07.10.2020 22:13

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM.  Episode 5 provides Newsworthy details in FY 2021's Final Rule for the Inpatient Prospective Payment System (IPPS), highlighting some changes in MS-DRGs. Trusty Tip touches on my best practice recommendations for split-care billing. Spark recounts the wise words of o...

Newsworthy Month of Fraud, Waste, and Abuse Cases from the OIG, Trusty Tip for Comparative Billing Report (Breast Re-Excisions), and JFK's Spark 30.09.2020 18:00

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. Episode 4 provides Newsworthy details in this month's fraud, waste, and abuse cases. I pay particular attention to 3 cases that involve inflation of bids, improper compensation, and market allocation, respectively. Trusty Tip touches on my best practice recommendations wh...

Newsworthy ICD-10-CM for FY 2021 & Maintenance Committee Meeting Outcomes, Trusty Tip for Time-Based Codes, and Vincent Van Gogh's Spark 23.09.2020 24:21

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. Episode 3 provides Newsworthy details of the ICD-10-CM coding and reporting guidelines for Covid-19, and more, for the effective date of October 1, 2020 for these 490 new diagnosis codes, 47 revised codes and 58 invalidated codes within the new 2021 ICD-10-CM Manual. The...

Newsworthy OIG Work Plan Updates for August 2020, Trusty Tip for Avoiding Allegations of Fraud, Waste, and Abuse, and Abraham Lincoln's Spark 16.09.2020 23:40

Welcome to the Paint The Medical Picture Podcast, a Nexen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. Episode 2 provides Newsworthy details of the August 2020 updates to the OIG Work Plan. There are a total of 10 updates that emphasize the needs from CMS and the OIG to begin reviewing and auditing the delivery accuracy of funds distributed during the Covid-19 pandemic. Tru...

Newsworthy Lab Codes for Covid-19 and CPT 2021 Manual, Trusty Tip for Modifier -62, and Aristotle's Spark 14.09.2020 17:38

Welcome to the Paint The Medical Picture Podcast, a Nexsen Pruet, LLC series, hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. Episode 1 provides a glimpse into Sonal, as well as the ways this new podcast is structured each week - with Newsworthy news, Trusty Tips for best practices, and inspirational quotes in a segment called Spark. Newsworthy discusses four new lab codes for Covid-19, as well...