The Get Real, Get Weiser Podcast - By NUCO Filings

The Ground Is Moving Under ABA: Why Even the Best Clinics May Soon Feel the Shake with Barry Alexander

The ABA industry has matured clinically, but payors are now scrutinizing it in ways many providers did not anticipate. Barry Alexander of Polsinelli explains the growing gap between how ABA operators run their businesses and how payors evaluate documentation, utilization, and compliance.

ABA Enforcement Reality: Anti-Kickback, FCA & Growth Risk with Glenn Prives

Most ABA owners don’t set out to create legal risk.
But operational decisions around referrals, compensation, supervision, and billing can quietly shape Anti-Kickback and False Claims Act exposure long before anyone realizes it.
In this episode, Tzvi Weiser speaks with Glenn Prives, Shareholder at Baker Donelson, who works directly on healthcare enforcement and investigations.
They discuss:
• Why enforcement attention in ABA is rising• How investigations actually start (utilization outliers, whistleblowers, payer audits)• Anti-Kickback risks in referral relationships and rental arrangements• School-based ABA and beneficiary inducement concerns• W2 vs 1099 classification risk in diligence and enforcement• Productivity incentives and medical necessity drift• Out-of-network billing and routine copay waivers• When corporate compliance problems become personal liability
The episode closes with three concrete steps ABA owners should take in the next 30 days to assess their risk.
This conversation isn’t about fear. It’s about building clinics that withstand scrutiny, and sustain long-term value.

Building Businesses That Actually Last with Ira Zlotowitz

What actually determines whether a business survives?
In this episode of Get Real, Get Weiser, I sit down with Ira Zlotowitz, who has structured billions in commercial real estate transactions, to talk about building companies from scratch that last through cycles.
We cover:
• Why revenue is the foundation of everything• The danger of perfecting product before proving demand• The first invisible failure in young companies• Why most startups really die• The difference between reversible mistakes and permanent decisions• How to think about timing, runway, and durability
If you’re building something right now, or thinking about it, this is a conversation about survival, not hype.
Listen in.

Operating ABA Clinics for Payment Scrutiny With Steve Antico – Partner Director Garfunkel Wild

In ABA, payment risk rarely begins with a formal audit. It begins quietly, through small operational decisions that drift over time.
In this episode of the ABA Compliance & Legal Series, Tzvi Weiser speaks with Steven Antico, Partner & Director at Garfunkel Wild and Chair of the firm’s Behavioral Health Practice Group, about what payers actually scrutinize and where clinics get exposed.
We cover:
How audits start (warrants, subpoenas, admin demands, overpayment letters)
Why payers flag clinics (duration of care, lack of documented improvement, billing patterns)
EMR pitfalls and how “outputs” can fail even when the data exist
Plan-by-plan rules you must track (diagnosis cadence, tools, credentials, modifiers)
Time reporting traps (breaks, transportation, “impossible” sessions) and extrapolation risk
Overlapping codes and why simultaneous billing gets attacked
Clinic-based services and the “daycare” characterization risk
What a compliance plan is (administrative), why plans ask for it, and what makes it real
About NUCO FilingsNUCO Filings provides entity formation, registered agent service, and ongoing compliance nationwide. We serve ABA operators across the country, and these conversations help us stay sharp on what clinics face under payment scrutiny.
Disclaimer:This content is for educational and informational purposes only and does not constitute legal, tax, or medical advice. Nothing here creates an attorney-client relationship. For advice specific to your situation, consult qualified professionals.

Compliance Is Driving ABA Exit Valuations with Brandon Zarsky - Partner Frier Levitt

Most ABA owners think about exit planning when a letter of intent arrives. In reality, valuation, deal structure, and even which buyers show up are shaped years earlier by compliance decisions that felt operational at the time.
In this episode of the ABA Compliance & Legal Series, Tzvi Weiser sits down with Brandon Zarsky, Partner at Frier Levitt, to break down:
• Who’s buying ABA practices today (private equity, platform operators, strategic acquirers)
• How compliance directly impacts EBITDA multiples and deal risk
• Why MSO structures and CPOM rules now drive transaction design
• What buyers scrutinize first during diligence
• Which compliance mistakes can permanently reduce exit value
• How to prepare 3–5 years in advance for a stronger sale
If you’re building or scaling an ABA practice, this conversation shows why compliance is no longer just about audits. It’s about valuation, leverage, and long-term exit outcomes.
Disclaimer:This content is for educational and informational purposes only and does not constitute legal, tax, or medical advice. Nothing here creates an attorney-client relationship. For advice specific to your situation, consult qualified professionals.

Entity Structuring in ABA Factors & Considerations with Matthew Shatzkes Partner Bochner

How you structure an ABA company early affects compliance risk, scalability, investor relationships, and exit outcomes.
In this episode, Tzvi Weiser of NUCO Filings is joined by Matthew Shatzkes, Partner at Bochner PLLC and Chair of the firm’s Healthcare Group, for a practical conversation on how ABA companies should think about entity structuring in the real world.
We cover:
The entity structures ABA founders actually use
Licensed vs non-licensed ownership considerations
CPOM variation across states and enforcement posture
When and why MSOs come into play
Gray areas in services, control, and fee structures
Common mistakes and how they show up in diligence and exits
 
This episode is part of the ABA Compliance & Legal Series, focused on how compliance and structure really work in practice.
 
Disclaimer: This content is for informational purposes only and does not constitute legal advice.

AI Isn’t Magic, But This Is How Smart Companies Are Using It with Aaron Zlotowitz of SCHWAI

AI is everywhere, but most business owners are either overwhelmed by it or skeptical that it actually delivers real value.
In this episode of Get Real, Get Wiser, Tzvi Weiser sits down with Aaron Zlotowitz, founder of SCHWAI, to cut through the hype and talk about how companies are actually using automation and AI to streamline operations, reduce manual work, and save real dollars.
They dive into:
• Why automation matters more than “AI tools”• The back-office processes where businesses see the biggest wins• Real examples from real estate and operations• Why 85% accuracy isn’t good enough for business systems• How teams adopt AI without fear or resistance• A simple prompting technique anyone can use immediately
If you’re curious about AI but want practical results not buzzwords this conversation shows what works in the real world.
By NUCO Filings

ABA Compliance & Legal Series Episode 1 - HIPAA Risk Trends for ABA Providers With Roger Cohen Partner at Goodwin

ABA practices usually don’t “get serious” about HIPAA until it’s too late.
In this episode of the ABA Compliance & Legal Series, I’m joined by Roger Cohen (Partner, Goodwin) to break down what HIPAA compliance actually looks like inside a growing ABA clinic, risk assessments, written policies, training, BAAs, texting/email pitfalls, subpoenas, and what happens after a breach.
We also cover the part most owners miss. HIPAA shows up in due diligence, affects valuation, and can derail an exit.
Hosted by Tzvi Weiser (NUCO Filings)
Subscribe for more real-world compliance conversations. #ABA #HIPAA
#HealthcareCompliance #BehavioralHealth #ABAPractice #HealthcareLaw #MergersAndAcquisitions #MSO

Will Curtis: Drones, Debt, and the Deals No One Sees Coming

Commercial real estate is shifting fast, and the biggest changes aren’t always in the headlines.
In this episode, I’m joined by Will Curtis, who brings a rare mix of CRE investing, operations, brokerage, and education. We dig into what’s really happening in the market, why debt is the silent pressure point, how lease-up strategies are evolving, and why operational execution beats pro formas every time.
Plus: Will’s take on drone delivery and “advanced air mobility” changing industrial real estate, site selection, and even regulatory factors like noise contours.
Host Tzvi Weiser: LLC specialist @ Nuco Filings

Episode 6: Tina Larsson - How New York Co-Ops and Condos Actually Waste Money (and How to Stop It)

New York buildings don’t fail because of bad intentions.They fail because of invisible waste, outdated systems, and volunteer boards forced to make complex decisions with limited time and information.
In this episode of Get Real. Get Wiser., we sit down with Tina Larson, co-founder of The Folson Group, to unpack what actually happens behind the scenes of New York co-ops and condos.
Tina shares how a financial analyst’s eye uncovered millions in cumulative savings, where buildings quietly bleed money, and how laws like Local Law 97 are reshaping operating decisions across the city.
We cover:• Where co-ops and condos most commonly overspend• Why boards struggle to control costs even with good property managers• What Local Law 97 really requires and where compliance goes wrong• Practical, non-disruptive upgrades that deliver real ROI• The difference between theoretical efficiency and real-world building operations
This is not a policy debate. It’s a ground-level look at how buildings actually function, and what smart operators do differently.
Host Tzvi Weiser: LLC specialist @ Nuco Filings