Almost Clinical
Welcome to Almost Clinical, the podcast where healthcare, law, and business converge in the most captivating way. Hosted by the dynamic trio from Buttaci Leardi & Werner – Vincent Buttaci, John Leardi, and Paul Werner – this show is your backstage pass to the gritty, multifaceted world of healthcare management.
Every episode brings you face-to-face with the realities of running a healthcare practice, navigating legal hurdles, and capitalizing on business opportunities.
Forget the clichés and technical jargon – Almost Clinical is all about accessible, engaging conversations that cut through the noise. Here, you’ll get straight-talking insights and no-nonsense discussions perfect for savvy healthcare leaders and business owners with hectic schedules and a thirst for industry knowledge.
What makes Almost Clinical essential listening? It’s all about melding perspectives:
~Clinical Insights: Get the scoop on the latest in medical practice, patient care innovations, and what’s really needed to enhance healthcare delivery.
~Legal Realities: Learn about the pitfalls and legal entanglements healthcare practices face, and why compliance can sometimes feel like navigating a minefield.
~Business Opportunities: Find out who’s making waves in the industry, where the money is flowing, and how to seize emerging opportunities.
Almost Clinical isn’t just about talking shop; it’s about understanding the nuances and balancing acts that keep a healthcare practice thriving. Our goal is to make you feel like part of the conversation, providing insights that go beyond headlines and Twitter threads.
Our conversations are as engaging and enlightening, featuring guests from all corners of the healthcare world. Whether dissecting a new regulation or exploring innovative business models, we aim to shed light on the issues that impact the day-to-day operations of healthcare practices.
So, whether you’re a healthcare leader, a business owner, or simply someone interested in how these fields overlap and influence each other, be sure to tune in to Almost Clinical today!
Almost Clinical
Coding, Compliance, & the Business of Medicine with David Klein
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Behind every patient encounter lies a web of codes, regulations, and billing decisions that shape both care and cash flow. In this episode, healthcare attorneys Vincent Buttaci, John Leardi, and Paul Werner sit down with longtime collaborator and compliance powerhouse David Klein.
David is the Founder and President of DK Coding & Compliance, Inc., co-founder of PayDC.com, and one of the sharpest minds in medical coding, compliance, and reimbursement strategy. With over 25 years in the field – and more acronyms after his name than most lawyers can fit on a business card – David has built a career translating the messy language of clinical practice into the precise codes that drive reimbursement and compliance.
This conversation pulls no punches. The guys dive into everything from the absurdity of “impossible days,” to the risk of downcoding, to the darkly comic reality that scotch tape once helped fuel a multimillion-dollar billing scheme. For healthcare providers, investors, and anyone who thinks coding is just clerical busywork, this episode is a bracing reminder: coding is law, coding is money, and coding can make or break a deal.
Listeners will learn:
- Why medical coding is both compliance obligation and financial strategy
- How “downcoding” can be just as risky as overbilling
- What happens when modifiers get misused – and why payers love to exploit those mistakes
- The surprising role coding plays in private equity healthcare transactions and due diligence
- How AI and algorithms are changing both denials and defenses
- Why providers must take responsibility for their billing companies’ actions
- What “impossible days” reveal about audits, oversight, and defense strategy
- The common-sense test every provider and investor should apply before trusting a new device, service, or software
Join Almost Clinical hosts Vincent Buttaci, John Leardi, and Paul Werner as they challenge each other’s views on how to operate, invest, and succeed in healthcare’s rapidly shifting landscape, translate legalese into business sense for healthcare providers, executives, private equity professionals, and strategic stakeholders, and explore the issues shaping the business of medicine today and tomorrow.