Những podcast Compliance Conversations By Healthicity hay nhất (2025)

1
Telehealth Compliance in Late 2025 33:42

12d ago33:42

33:42

As federal deadlines, a shutdown, and stalled legislation churn the rules, telehealth coverage looks different across Medicare, Medicaid, and commercial payers. In this episode, CJ Wolf, MD and Keisha Wilson (Founder/CEO of KW Advanced Consulting) breaks down what’s actually covered right now—and how to stay compliant without disrupting care. You’l…

1
Shutdowns, Telehealth & Enforcement: Compliance Perspectives on Current Events 33:17

27d ago33:17

33:17

Headlines change. Your mandate doesn’t. In this Compliance Conversations episode, CJ Wolf, MD, and Brian Burton, Healthicity Chief Compliance & Privacy Officer, cut through the noise to show how to keep programs objective, patient-first, and audit-ready—even amid shutdowns, delayed rules, and shifting priorities. What you’ll learn Enforcement reali…

1
Inside the Whistleblower’s World: What Compliance Needs to Know 50:58

1M ago50:58

50:58

CJ Wolf sits down with Jacklyn DeMar (President and Chief Executive Officer of The Anti-Fraud Coalition) and Elin Kunz (testifying expert and former whistleblower) to explore the False Claims Act (FCA), the realities of retaliation, and how compliance programs move from “paper tiger” to practice. What You’ll Learn FCA in plain English: How cases st…

1
Shadow AI, Emerging Risks, and What Compliance Leaders Need to Know 31:30

2M ago31:30

31:30

Artificial intelligence is no longer a future concept; it’s here, embedded in healthcare systems, vendor platforms, and even your day-to-day operations. But with innovation comes risk. In this episode of Compliance Conversations, host CJ Wolf, MD, talks with Santosh Kaveti, Founder and CEO of ProArch, about: Emerging AI Risks: From shadow AI to mod…

1
What ISO 42001 Means for Healthcare Compliance 23:56

2M ago23:56

23:56

Artificial intelligence is transforming healthcare, from ambient documentation to virtual assistants. But as opportunities grow, so do risks. How can compliance and security leaders enable innovation while ensuring patient safety and regulatory alignment? In this episode of Compliance Conversations, CJ Wolf talks with Walter Haydock, former nationa…

1
Compliance and Revenue Cycle: A Shared Mission 29:40

3M ago29:40

29:40

In this episode of Compliance Conversations, CJ Wolf sits down with Melinda Hawk, recognized as Healthicity’s Revenue Cycle Manager of the Year, to talk about her career journey, leadership lessons, and the power of collaboration between compliance and revenue cycle teams. What You’ll Learn: Insights from 35 years in home health and hospice The imp…

1
The Compliance Impact of the CMS TEAM Model 33:19

3M ago33:19

33:19

In this episode of Compliance Conversations, CJ Wolf speaks with Eddie Qureshi, CEO of Rainfall Health, to break down the new CMS TEAM Model—and what it means for your hospital’s future. What You’ll Learn: Which hospitals are impacted (and how to check the list) Why CMS is shifting post-acute accountability to hospitals What compliant documentation…

1
Hidden Security Vulnerabilities in Healthcare Portals 25:02

4M ago25:02

25:02

In this episode of Compliance Conversations, CJ Wolf, MD, is joined by Rui Ribeiro, Co-Founder and CEO of Jscrambler, to dive into the client-side security threats healthcare organizations often overlook. From patient portals to embedded video players, Rui explains how browser-based vulnerabilities are creating new risks that healthcare teams need …

1
Hospital Transparency in 2025: What’s Changed and What’s Coming 31:06

4M ago31:06

31:06

In this powerful episode of Compliance Conversations, CJ Wolf interviews Dave Cardelle, RPh, Chief Strategy Officer at AMS, who shares practical insights on CMS’s shifting enforcement landscape and the real-world impact of hospital price transparency. What You’ll Learn: What makes a machine-readable file compliant (and what doesn’t) Why average neg…

1
How Telehealth and Chronic Care Management Drive Modern Reimbursement 33:39

4M ago33:39

33:39

In this episode of Compliance Conversations, CJ Wolf welcomes back Maya Turner, a nationally recognized expert in medical coding and consulting. Together, they explore how value-based care and ancillary services are transforming provider reimbursement, especially in a telehealth-enabled world. You'll learn: What value-based care really means (and w…

1
Healthcare Marketing in a Privacy-First World 31:20

5M ago31:20

31:20

Aaron Burnett, CEO of Wheelhouse Digital Marketing Group, joins CJ Wolf to decode the complex world of healthcare marketing, privacy laws, and risk mitigation. What You’ll Learn: The evolving legal landscape: OCR guidance, AHA lawsuits, FTC enforcement Why third-party tracking is out—and what to use instead How to collaborate across marketing, IT, …

1
Top Takeaways from New Skilled Nursing Facility Guidance 46:29

6M ago46:29

46:29

Join Healthicity’s CJ Wolf and Compliagent’s Paige Pennington as they break down the first industry-specific compliance program guidance (ICPG) from the OIG—focused entirely on skilled nursing facilities. Key Takeaways: Why the OIG prioritized SNFs Top risk areas flagged in the new guidance The evolving role of compliance in quality and contracting…

1
Cybersecurity in Healthcare: What Every Compliance Officer Needs to Know 29:16

6M ago29:16

29:16

In this episode of Compliance Conversations, Anurag Lal, CEO of NetSfere and former U.S. broadband official, explains why healthcare remains the top target for cybercriminals—and what you can do about it. What You’ll Learn: The evolving tactics behind healthcare cyberattacks How to identify insecure communication practices within your org What true…

1
Conferences, Coding, and Compliance: What We Learned 38:57

6M ago38:57

38:57

From artificial intelligence in audit workflows to CMS’s renewed focus on fraud, waste, and abuse, this episode of Compliance Conversations covers the biggest themes that emerged from HEALTHCON and HCCA’s Compliance Institute. Tune in to hear real takeaways from the exhibit hall, speaker sessions, and side conversations—including why quality of car…

1
What to Do When the Audit Letter Arrives 30:40

7M ago30:40

30:40

Audits are an inevitable part of healthcare. But they don’t have to throw your practice into chaos. In this episode, CJ Wolf talks with regulatory and transactional healthcare attorney Christina Kuta, a Shareholder at Roetzel & Andress, about the essential steps providers should take when facing a third-party audit. You’ll learn: - The first three …

1
Inside IROs: What Compliance Professionals Need to Know 28:13

7M ago28:13

28:13

Independent Review Organizations (IROs) play a crucial role in healthcare compliance, particularly when organizations are under a Corporate Integrity Agreement (CIA). In this episode of Compliance Conversations, CJ Wolf interviews Stephani Scott, VP of Audit Services at AAPC, on what it really means to be an IRO. You’ll discover: - What IROs do and…

1
From Templates to Time-Savers: EHR Tips for Coders and Clinicians 30:45

8M ago30:45

30:45

In this episode of Compliance Conversations, host CJ Wolf chats with Elizabeth Herbert, an Epic Application Analyst with over 25 years of healthcare experience. Together, they break down the myths around EHR templates, offer practical tips for providers and compliance professionals, and explore underused tools that can streamline your day-to-day wo…

1
Stay Compliant, Stay Connected: Navigating Healthcare Outreach 31:24

8M ago31:24

31:24

In this episode of Compliance Conversations, CJ Wolf and Dan Fox explore the intersection of AI and healthcare compliance. From proactive patient outreach to regulatory risks, they break down how organizations can leverage AI while staying compliant. What You'll Learn: - How AI-driven communication is enhancing patient engagement - The biggest comp…

1
Top Enforcement Trends Every Healthcare Compliance Officer Should Watch 33:45

9M ago33:45

33:45

In this episode of Compliance Conversations, host CJ Wolfsits down with returning guest Sean McKenna, a Partner at Nelson Mullins and former Federal Prosecutor, to explore the critical issues at the intersection of healthcare law and compliance. From the challenges posed by the False Claims Act to the innovative use of data analytics in enforcement…

1
Telehealth Fraud, AI, and Cybersecurity: The Compliance Landscape in 2025 35:34

9M ago35:34

35:34

Telehealth is revolutionizing healthcare, but with new opportunities come new risks. In this latest episode of Compliance Conversations, host CJ Wolf welcomes healthcare attorney Susan Walberg to discuss: - Common telehealth fraud schemes—and how to spot them - Compliance pitfalls that could cost your organization - The latest regulatory updates fr…

1
What DOJ and FDA Are Looking For in Compliance Programs 39:07

10M ago39:07

39:07

Join CJ Wolf as he sits down with Clint Narver, a former DOJ prosecutor and healthcare compliance expert, to explore best practices, emerging trends, and real-world strategies for avoiding legal pitfalls. Highlights: - Learn how to safeguard your organization against research fraud. - Insights into the DOJ’s perspective on compliance programs. - Re…

1
Beyond the Deal: Compliance Lessons for Healthcare Transactions 32:49

10M ago32:49

32:49

Selling or acquiring a healthcare practice is no small feat. Regulatory compliance challenges, from Stark Law violations to billing audits, can derail even the best-planned transactions. In this insightful episode of Compliance Conversations, CJ Wolf interviews Ericka Adler, a leading healthcare attorney and Shareholder at Roetzel & Andress, to unc…

1
The Next Big Shift: AI in Healthcare Compliance and Coding 28:25

11M ago28:25

28:25

Join us for an eye-opening conversation on Compliance Conversations, where CJ Wolf interviews Nick Sahar, founder of Semantic Health and pioneer in AI for medical coding. In this episode, you’ll learn: - How AI enhances coding accuracy and speeds up workflows. - Practical use cases for AI in coding, auditing, and clinical documentation. - What the …

1
Inside Payment Integrity: Key Insights from a Payer’s Lens 33:10

12M ago33:10

33:10

In this episode of Compliance Conversations, CJ Wolf welcomes Dave Cardelle to discuss the payer perspective on payment integrity. From the complexities of DRG claims to the use of AI, this conversation sheds light on how automation and collaboration can transform the healthcare landscape. What you’ll gain: - A deep dive into DRG audits and common …

1
Lessons on Compliance Communication and Leadership 34:11

12M ago34:11

34:11

In the latest episode of Compliance Conversations, CJ Wolf welcomes Jay Anstine back to explore the nuances of effective compliance communication. What You’ll Learn: - Strategies for delivering tough news to leadership - How to avoid creating a culture of false urgency - Practical tips for navigating compliance politics - The importance of clear co…

1
Improper Payments Explained: Tips from the Field 33:24

1y ago33:24

33:24

We’re excited to share a new episode of Compliance Conversations where CJ Wolf, MD talks with healthcare compliance expert Nancy Clark, the Senior Manager of Health Care Services at EisnerAmper! In this episode, Nancy brings decades of experience in coding and revenue management to address improper payments—a costly issue for healthcare providers. …

1
Behind the Mic: 100 Episodes of Compliance and Auditing Insights 47:42

1y ago47:42

47:42

We’re thrilled to announce a major milestone for Compliance Conversations – our 100th episode! Over the years, we’ve had the privilege of hosting industry experts to hear their invaluable perspective on best practices, trends, and real-world scenarios in compliance and auditing. This special episode is a celebration of our journey and the incredibl…

1
Expert Insights on E/M Coding 29:02

1y ago29:02

29:02

In this episode, CJ Wolf, MD, and E/M coding expert Sharisa Freeman discuss her journey and insights into mastering the complexities of E/M coding. Here's a quick look at what you can expect from this episode: - The Evolution of E/M Coding: Changes in guidelines that shifted the focus to Medical Decision Making. - Medical Decision Making Tips: Unde…

1
Healthcare Fraud, Compliance, and Expert Testimony 30:59

1y ago30:59

30:59

Ever wondered what it’s like to testify as an expert witness? We talk about that and more in this episode of Compliance Conversations! We invited compliance expert Rebecca Busch to explore her incredible journey from trauma nurse to legal expert in healthcare fraud and compliance. Join us as Rebecca shares: - Her transition from nursing to healthca…

1
Innovation at the Intersection of Healthcare, Science, and Startups 23:32

1y ago23:32

23:32

Tune in to this episode of "Compliance Conversations" where we dive deep into the world of innovation and biotech with our special guest, Steve VanNurden! In this episode, CJ Wolf, MD, talks with Steve VanNurden, CEO of Fitzsimons Innovation Community and Associate Vice Chancellor of Biotechnology at the University of Colorado Anschutz Medical Camp…

1
Behavioral Health Compliance: Insights and Challenges 25:35

1y ago25:35

25:35

In this episode, Maeve O'Neill, MEd, LPC-S, CHC, CDTLF, the National Compliance Director for Circa Behavioral Healthcare Solutions, joins us to share insights from her three decades of experience in mental health and addiction services as she provides valuable insights into the unique challenges and best practices for compliance in this field. Tune…

1
Navigating Medicare Audits and Appeals 34:30

1+ y ago34:30

34:30

Medicare audits can be a daunting challenge for any healthcare provider. With a maze of regulations, different types of audits, and a complex appeal process, it’s easy to feel overwhelmed. That’s why we invited Alicia Shickle, AHFI, CHC, CPC, CPCO, CPMA, CRC, the President and CEO of ProCode Compliance Solutions LLC, to share the knowledge and stra…

1
Pharmacy in the Digital Age: Challenges and Innovations 27:39

1+ y ago27:39

27:39

Heidi McKinnon, PharmD, CHC, a seasoned compliance expert, shares insights from her journey from retail pharmacy to head of compliance at Capital Rx, a leading pharmacy benefit manager. In this episode, Heidi shares her unique path and extensive experience in the compliance world. We delve into the evolving landscape of digital pharmacy, discussing…

1
Healthcare's Legal Tightrope: Navigating Physician Contracts 31:32

1+ y ago31:32

31:32

In this episode, we welcome back Hal McCard, Counsel at Spencer Fane, to delve into the complexities of financial relationships with physicians, including essential insights on compliance with STARK and Anti-Kickback statutes. CJ Wolf, MD, and Hal McCard discuss: - Hal’s extensive career in healthcare law and his journey to becoming a leading exper…

1
Telehealth Beyond Borders: Legalities and Logistics 36:40

1+ y ago36:40

36:40

Are you intrigued by the rapid evolution of telehealth and its impact across the globe? Then you won’t want to miss our latest podcast episode where Keisha Wilson and CJ Wolf discusses the nuances, challenges, and opportunities in international telehealth services! In this episode, we discuss: COVID-19’s Impact on Telehealth: Learn how the pandemic…

1
Expert Tips on Gastrointestinal Coding and Billing 27:13

1+ y ago27:13

27:13

In this episode, our host CJ Wolf sits down with Laidy Diana Martinez, a coding supervisor, to discuss the world of GI coding and compliance. Episode Highlights: - Introduction to GI Coding Challenges: Understand the common hurdles and how to overcome them. - Screening vs. Diagnostic Colonoscopies: Learn the critical differences and their coding im…

1
Meet Healthicity's Inaugural Compliance Officer of the Year Award Recipient 26:52

1+ y ago26:52

26:52

Our latest episode of Compliance Conversations features Johanna Brown, the recipient of Healthicity's 2023 Compliance Officer of the Year Award! Join our host, CJ Wolf, as he delves into Johanna’s journey in compliance, her leadership philosophy, and the qualities that make her an outstanding compliance officer. Here’s what you can expect: - Career…

1
Demystifying Anesthesia Coding and Billing 31:32

1+ y ago31:32

31:32

We’re excited to announce a new episode of Compliance Conversations! Join CJ Wolf and special guest Kimberly Jolivette Williams as they explore the complexities of anesthesia coding and billing. In this episode: - Kimberly’s journey from unit secretary to compliance expert. - Unique aspects of anesthesia coding and essential resources. - The import…

1
Insider Insights: HCCA & HEALTHCON Recap 31:19

1+ y ago31:19

31:19

Our latest episode of Compliance Conversations features CJ Wolf, MD, and Brian Burton, our Chief Compliance and Privacy Officer, sharing their key takeaways from two of the most prominent industry conferences: HCCA's Compliance Institute and AAPC's HEALTHCON. Find out what they had to say about insights on the OIG’s new General Compliance Program G…

1
Critical Care Anywhere: Exploring Tele-ICU's Impact 28:18

1+ y ago28:18

28:18

We're thrilled to share the latest episode of Compliance Conversations featuring a Jeni Colarusso, a seasoned nurse and an expert in telehealth and Tele-ICU systems. In this episode, Jeni dives deep into the transformative power of telehealth, particularly in critical care environments. Episode Highlights: - Jeni’s extensive experience in surgical …

1
The ABCs of ABNs 33:26

1+ y ago33:26

33:26

Are you navigating the complex world of healthcare compliance, particularly when it comes to Medicare and Advanced Beneficiary Notices (ABNs)? We've got you covered in the latest episode of Compliance Conversations, featuring industry expert Keisha Wilson, founder of KW Advanced Consulting. Keisha brings over two decades of healthcare experience to…

1
The Credentialing Conundrum: Challenges and Solutions Explored 31:09

1+ y ago31:09

31:09

In this episode, we're joined by Kandi O'Brien, the Founder of Delegated Credentialing Pro’s and an expert with extensive experience in credentialing and compliance. Kandi shares her fascinating journey in healthcare, from clinical roles to owning urgent cares, and ultimately specializing in compliance and credentialing. We discuss the importance o…

1
Spotting the Red Flags: Identifying Coding Compliance Risks Within Your Organization 33:17

1+ y ago33:17

33:17

This Compliance Conversations episode is a must-listen for anyone in healthcare compliance or coding. We invited Leslie Boles, Co-Owner and President of Revu Healthcare, to chat about identifying coding compliance risks within healthcare organizations. Tune in to Leslie and CJ Wolf’s discussion for more on: - The importance of staying curious and a…

1
Biometrics and Compliance: A Deep Dive into Access and Accountability 29:43

1+ y ago29:43

29:43

Biometric technology can sometimes feel like sci-fi – which is why it raises so many great compliance questions. That’s why we invited Dr. Mohamed Lazzouni, the Chief Technology Officer at Aware, a leading company in the field of biometrics, to join us for our latest episode of Compliance Conversations. In this episode, Dr. Lazzouni shares insights…

1
The Rise of Health Tech: Balancing Innovation and Regulation 37:08

2y ago37:08

37:08

Ready for a crash course into regulatory considerations in health tech? In this episode of Compliance Conversations featuring Susan Walberg, a seasoned regulatory and compliance professional and published author of fiction and non-fiction In this interesting interview, Susan shares her journey from novels to HIPAA, offering a behind-the-scenes look…

1
Telehealth Trends and Compliance Strategies for Coders and Auditors 31:45

2y ago31:45

31:45

Tune in to this episode of Compliance Conversations interview with Maya Turner, a seasoned expert in the healthcare industry with close to 30 years of experience in auditing, coding, billing, compliance – you name it. Maya shares her perspective on the evolution of telehealth, especially in the context of recent changes and challenges brought by th…

1
Beyond the Buzzwords: Understanding AI's Role in Healthcare 37:41

2y ago37:41

37:41

Dr. Adam Robinson, an internal medicine physician and founder of Aimedica, joined CJ Wolf, MD to explore the promises and pitfalls presented by AI in the healthcare landscape. Dr. Robinson provides valuable insights into the current state of electronic medical records, the impact of the 21st Century Cures Act, and the potential for AI to revolution…

1
Research Realities: Insights into Clinical Trials 31:35

2y ago31:35

31:35

In this episode, Jenny Hamilton the Clinical Project Research Manager at Barrow Neurologic Institute, joins CJ Wolf, MD for an in-depth discussion on compliance considerations for clinical trials. From the complexities of protocol deviations to the vital role of Institutional Review Boards, they cover a wide range of topics. Tune in for valuable in…

1
New OIG Guidance for a Changing Compliance Landscape 38:06

2y ago38:06

38:06

If you haven’t had the time yet to read all 90+ pages of the OIG’s New Compliance Program Guidance, we’ve got a great place for you to start. We invited Sarah Couture, a nurse turned compliance consultant, to discuss the new guidance with us in our latest episode of Compliance Conversations. Join Sarah and CJ Wolf, MD as they break down the essenti…

1
From the Boardroom to the Exam Room: Diplomatic Communication in Healthcare 32:34

2y ago32:34

32:34

In the age of technology, data, and artificial intelligence, there’s one often-overlooked workplace tool: soft skills. That’s why we invited Jay Anstine, the founder of Bluebird Healthlaw partners, to chat with CJ Wolf, MD about communication and navigating work environments. In our new episode of Compliance Conversations, “From the Boardroom to th…

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