NSCHBC Edge Podcast

Hosted by National Society of Certified Healthcare Business Consultants (NSCHBC)

Business Health Fitness

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Aug 2026

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Leading the way in the business of medicine

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August 11, 202631 min

Evidence-Based RCM

Welcome to NSCHBC Edge Podcast, where we separate facts from assumptions in the world of revenue cycle management. Today we're talking about what it really means to be evidence-based. In healthcare, that phrase gets used a lot, but in RCM it has a simple meaning: show your work. Otherwise, you're just making confident guesses. Too many billing and compliance decisions are still driven by tribal knowledge, office habits, or someone's gut instinct instead of actual data. But data should be driving every operational and financial decision.

July 14, 202630 min

AI in Healthcare...this train is headed right for us

Artificial intelligence is rapidly transforming healthcare, and it's a topic that's on everyone's mind. As consultants, we believe it's our responsibility to ask the tough questions as this technology reshapes the industry. In this episode, Terry is joined by Vinod ("Vinny") Sankaran for a candid discussion about the opportunities and risks of AI in healthcare. Together, they explore the real-world benefits, potential pitfalls, and the practical guardrails every healthcare organization should have in place to protect patient care, preserve operational integrity, and ensure responsible business practices as AI becomes part of everyday healthcare.

June 9, 202619 min

Building a Conducive Telehealth Virtual Space

A commonly cited concern regarding Telehealth utilization is that it may not provide an equivalent experience—or may even offer an inferior one—for both patients and providers, due to the absence of shared physical presence. For example, one concern that has been raised includes missing patient non-verbal cues as the provider may not be able to view all of the physical manifestations of the patient during a video visit. While the patient and provider may not be in the physical presence of one another, the environmental elements at both ends of the interaction can still influence the effectiveness of a Telehealth visit. In this episode of the NSCHBC Edge Podcast, Terry Fletcher, discusses the newly gathered information that patients' have shared that would make for a more conducive Telehealth encounter.

May 12, 202621 min

HHS Transparency

HHS and CMS will use its statutory authority to control unnecessary increases in the volume of covered outpatient department services to align payments for certain services delivered in hospitals and off-campus facilities. This is called “HHS Transparency”. As of April 1st, 2026, many regulatory rules took effect and Terry and her guest Tim Jodway, from RubinBrown Consulting, discuss the details and how it impacts provider practices and hospitals.

April 14, 202628 min

Legalese vs. Best Practices in Healthcare

Healthcare attorneys can encourage physicians to adopt best practices without defaulting to legal statutes by focusing on clinical quality, risk management, efficiency, and peer-benchmarking. By rephrasing compliance as "patient safety" or "practice efficiency," attorneys can make best practices more palatable than just regulatory mandates. Terry discusses this an more with fellow NSCHBC member and PA Healthcare Attorney Colin Callahan on today’s episode of the NSCHBC Edge Podcast.

March 10, 202623 min

Healthcare Marketing – What Does That Mean Actually?

Many medical practices hire marketing firms — but the why isn’t always clear. Are you promoting new services, trying to attract more patients, or working to strengthen trust within your existing patient base? In this episode, Terry Fletcher and member Carl White break down the difference between marketing and promotion for medical practices, and what practices should evaluate before bringing on a marketing consultant.

February 10, 202631 min

No Surprises Act for 2026

The No Surprises Act (NSA) continues in 2026, protecting patients from surprise bills for emergency care and certain out-of-network services, with key developments involving extended enforcement discretion for the Qualified Payment Amount (QPA) calculation (possibly to August 2026) and ongoing regulatory focus on GFE’s and IDR’s. However, there are Congressional stalls with legislation to also protect providers. In this episode of the Edge podcast, Terry welcomes back Healthcare attorney Amanda Waesch, to discuss the current NSA policy enforcement and when is it time to contact an attorney?

January 13, 202625 min

Healthcare Consultant Challenges

Healthcare consultants face challenges including managing client expectations and internal pressures like competition and staffing shortages, navigating complex client needs, and staying ahead of industry trends and regulations. They must also address operational issues like legacy systems, data security, and workforce management, as well as the complex task of balancing financial goals with ethical patient care.

December 9, 202512 min

What the Government Reopening Means for Medical Practices

This week on the Edge Podcast, our host and NSCHBC member Terry Fletcher, will give our listeners, a few updates for your medical practices that came out of the 43-day government shutdown that ended on November 12th. As you know as of October 1st, many services were stalled or expired without Congress in session including Telehealth, Hospital at home, and funding for many government services including $40 billion for rural health centers. Many of those COVID ERA flexibilities that ended October 1st, and were restored 11/13, were only extended again through 1/30/2026. Join us for some quick insights.

November 11, 202528 min

Financial Agreements with Patients for a Healthy RCM

When securing the patient’s share of cost for medical services, what is the minimum that should be done, and should this also be taught to back-office staff not just f/o or billing? How does the NSA impact financial agreements for patients? Who enforces these policies? and what if a 3rd party billing service is involved? All of these questions and answers are addressed today in this month’s episode of the Edge Podcast, with host Terry Fletcher and fellow NSCHBC member Laureen Murphy of MedCycle Solutions.