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Compliance Conversations is a monthly podcast for healthcare professionals and compliance officers who want to stay on top of the compliance game. Host CJ Wolf has in-depth conversations with industry experts to explore the riddles and complexities of the compliance world. Wolf chats with fellow compliance experts, auditors, physicians and government officials. Compliance Conversations is produced by Healthicity.
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Compliance Conversations by Healthicity
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The Insider Track on HCCA’s Upcoming Events
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HCCA’s 27th Annual Compliance Institute is around the corner – want a sneak peek? Tune in to our latest episode of Compliance Conversations featuring Adam Turteltaub, the Chief Engagement & Strategy Officer for the Society of Corporate Compliance and Ethics and the Health Care Compliance Association!…
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Compliance Conversations by Healthicity
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Attorney Insights on Today’s Pressing Healthcare Compliance Issues
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What do you get when two attorneys and a compliance expert sit down for a chat? This episode of Compliance Conversations! Tune in to our conversation with Sean McKenna, a partner in Spencer Fane LLP’s Dallas office, and Keith Dugger, a shareholder in Hall Render’s Dallas office. Sean and Keith bring unique perspectives to our discussion filled with…
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Compliance Conversations by Healthicity
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Unexpected Ways to Advance Your Medical Coding Career
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Career paths are rarely linear – they're filled with twists, turns, and a little luck. That’s why we’re excited to have Sandy Giangreco Brown, the Director of Coding and Revenue Integrity at CliftonLarsonAllen LLP, on our podcast to discuss her career trajectory with our host, CJ Wolf, MD. Sandy's resume includes job titles like Certified Nursing A…
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Compliance Conversations by Healthicity
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Engaging with Nurses and Clinicians to Build Stronger Compliance Programs
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What do nurses and clinicians really think of compliance teams? We weren’t afraid to ask! Check out our latest episode of Compliance Conversations for an insightful discussion on clinical and compliance collaboration.Bởi CJ Wolf
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Compliance Conversations by Healthicity
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Turning the Tables: Our Guest Interviews Our Host CJ Wolf
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We're switching things up in our latest episode of Compliance Conversations! This time I’m in the hot seat, with Nick Merkin interviewing me. Nick is a healthcare attorney and the CEO of Compliagent, a nationwide consulting firm specializing in compliance infrastructure. Check out this episode, “Turning the Tables: Our Guest Interviews Our Host CJ …
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Compliance Conversations by Healthicity
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What Can Healthcare Compliance Programs Learn from Other Industries?
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What do the housing, automotive, technology, and healthcare industries all have in common? Compliance programs and professionals! Borrowing best practices from other businesses is a vital strategy for evolving healthcare compliance programs. That’s why we invited Asha Muldro of Guidepost Solutions to chat with us for our latest episode of Complianc…
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Compliance Conversations by Healthicity
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Maximizing the Power of Clinical and Compliance Collaboration
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Looking for strategies to enhance the partnership between physicians and compliance teams? Listen to this conversation between CJ Wolf and Jay McVean as they discuss effective ways to foster deeper teamwork between clinical teams and compliance professionals.Bởi CJ Wolf
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Compliance Conversations by Healthicity
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Growing as a Leader in the Face of Change
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Many people say the only constant in healthcare is change – but how do you develop as a leader and advance your skillset in the midst of continual evolution? We invited George Vukotich, Ph.D., to share his thoughts for our latest episode of Compliance Conversations. Listen in to CJ and George’s insightful discussion!…
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Compliance Conversations by Healthicity
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Strategies to Manage Billing and Inpatient Stays for Clinical Research
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An inpatient stay for a clinical study can complicate the billing process – here are some real-world tips and strategies to help you ensure clear communication, optimize electronic health records, and much more.Bởi CJ Wolf
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Compliance Conversations by Healthicity
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Building Your Dream Team – Finding the Right Skillsets for Complex Roles
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Looking to make a great hire? Hiring in a specialized field is challenging – hear insights straight from the experts on finding the right team member. Tune in to a conversation with CJ Wolf and Mary Veazie on hiring the right person with the right skillset to manage complex research-related coverage analysis and billing.…
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Compliance Conversations by Healthicity
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How Does Clinical Research Billing Impact Revenue Cycle?
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Mary Veazie, a CPA specializing in clinical research finance, sat down with CJ Wolf, MD, for an insightful conversation about the stumbling blocks many organizations don’t anticipate with clinical research billing.Bởi CJ Wolf
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Compliance Conversations by Healthicity
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Specialty Focus: Coding and Billing in Nephrology
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Kristen Poat, RHIT, sits down with our host, CJ Wolf, MD, in this episode of “Compliance Conversations.” Kristen manages auditing and compliance for a nephrology clinic in Illinois and was gracious enough to join our podcast guest family.Bởi CJ Wolf
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Compliance Conversations by Healthicity
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Living in a Post-COVID-19 Compliance World
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In this episode of Compliance Conversations with host CJ Wolf MD, Wolf sat down with Nick Merkin JD to talk about value, proof, and living in a post-COVID-19 compliance world.Bởi CJ Wolf
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Compliance Conversations by Healthicity
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How to Pass a Radiation Oncology Audit
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Don’t risk failing an audit. Guest and expert medical auditor, La Tanya McNair will show you how to pass a Radiation Oncology audit with flying colors.Bởi CJ Wolf
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Compliance Conversations by Healthicity
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Compliance Pathways Part 3: Regrets, Redo's, and the Realities of a Compliance Career
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For an honest and informative dialogue on what it's really like to spend your days in compliance. This episode is for folks looking for a new career and seasoned professionals alike. In this episode, we cover: - A snapshot of a compliance officer’s unpredictable day - Career regrets and wisdom gained - Tips to help you understand if compliance is r…
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Compliance Conversations by Healthicity
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Lessons Learned From a Travel Auditor
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We chat about everything from the various routes one might take to land the position, the do’s and don’ts of packing for a work trip (and embarrassing packing fails), the complexities of things like acquisitions, and how to take a proactive approach to auditing.Bởi CJ Wolf
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Compliance Conversations by Healthicity
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Artificial Intelligence in Healthcare Compliance
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In this episode, you’ll learn how AI is used to reduce compliance risks and inform the FDA about adverse events.Bởi CJ Wolf
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Compliance Conversations by Healthicity
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Pathways to Compliance: What Happens Once You’ve Got the Job?
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Listen in for a lively and educational chat on what to do once you find yourself in compliance. This episode is for folks just beginning their journey and folks who have been at it for a while.Bởi CJ Wolf
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Compliance Conversations by Healthicity
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Pathways to Compliance with Guest Brian Burton
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During our discussion, we chatted about our journeys to compliance, how folks can begin or transition to a career in compliance, and we outline precisely what a compliance expert does every day. And? It’s not nearly as dull as our kids think.Bởi CJ Wolf
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Compliance Conversations by Healthicity
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The Gray Areas of HIPAA in Mental Health and Substance Abuse
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This conversation covered a lot of ground. They chatted about the requirements around consent and group therapy, rules around disclosure to help a patient, HIPAA standard practices with teens, and the often hidden realities of the Opioid epidemic. Listen to the episode now or on your commute.Bởi CJ Wolf
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Compliance Conversations by Healthicity
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All Things Therapy and Compliance Risks
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When it comes to compliance for mental health services, you’ve got to pay extra attention to your billing and coding. Learn a brief history of Psychotherapy and compliance risks associated with therapy services.Bởi CJ Wolf
As compliance professionals in a healthcare setting, we can never know too much about physical and mental health. Plus as human beings, there’s nothing more important than the health and wellness of our friends, family, and coworkers.Bởi CJ Wolf
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Compliance Conversations by Healthicity
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How to Optimize Mental Health Outcomes with Psychiatrist Dave Paulson
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Learn from our compliance expert, CJ Wolf, and Psychiatrist, Dave Paulson, about how to optimize mental health outcomes in this episode.Bởi CJ Wolf
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Compliance Conversations by Healthicity
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Integrative Health For Compliance Officers: Understanding Energy Healing and Reiki
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Our compliance expert, CJ Wold M.D., spoke with two Reiki practitioners, Justin Larsen and Julie Crane R.N., about the history, science, and practical uses of Reiki.Bởi CJ Wolf
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Compliance Conversations by Healthicity
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A Pro’s Guide to Conducting Your Annual Privacy and Security Risk Assessment
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Recently, I sat down with Brian Burton, our new Chief Compliance and Privacy Officer, for an all-new episode of the Compliance Conversations podcast. Given the time of year, and his area of expertise, we focused our discussion on a topic on many people’s minds: Privacy and Security Risk Assessments. I know these assessments can be daunting to appro…
Around Healthicity, we love nothing more than to provide answers to some of your most pressing questions. And boy, do we get a lot of them. Because of this, we asked you to send us the questions that most perplex you while on the job. We got a ton of great questions (thank you), some of which even had us scratching our heads, too. So, I took a bunc…
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Compliance Conversations by Healthicity
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What You Must Do to be HIPAA Compliant in 2020
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It’s that time of year again, when everyone is either breathing a sigh of relief because they’ve just completed their annual HIPAA risk assessment, or they’re cramming to get it done before year’s end. In the spirit of HIPAA season, we decided to turn the tables on CJ. So in this latest episode of Compliance Conversations, we had our very own SVP, …
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Compliance Conversations by Healthicity
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A Deep Dive Into the NCCI Policy Manual
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In part two of my conversation with Christopher Chandler, a Technical Manager of Professional Documentation and Coding, at Intermountain Healthcare, we dove into the NCCI policy manual.It’s been a hot topic, as of late. Mostly because, as Chandler put it with a grin, “people hate the NCCI Policy Manual. They see it as a big book of rules that stops…
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Compliance Conversations by Healthicity
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Understanding the Nuance of NPP Coding
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Recently, I sat down with Christopher Chandler, a Technical Manager of Professional Documentation and Coding, and we had a lot to cover during our podcast. So much so, that we actually recorded two new podcast episodes. In this first episode, Understanding the Nuance of NPP Coding, we dove into the world of non-physician practitioner (NPP) coding. …
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Compliance Conversations by Healthicity
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How to Provide Access to Telehealth, While Maintaining Compliance
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For this installment of Compliance Conversations, we interviewed Jake Geertsen, a Technical Manager in the documentation and coding, who specializes in telehealth. It’s a fast-growing segment of healthcare, which has spawned a lot of questions around the field. Not least of which is: What exactly is telehealth? According to Geertsen, telehealth is …
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Compliance Conversations by Healthicity
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How to Earn a Huge ROI from Medicare’s IOMs
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I sat down with Tyler Griffeth, a Technical Manager of Professional Documentation and Coding at Intermountain Healthcare, to discuss a couple of his favorite Medicare Internet Only Manuals (IOMs), specifically the National Correct Coding Initiative (NCCI) Policy Manual and the Claims Processing Manual. The NCCI Manual, about which he jokingly said,…
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Compliance Conversations by Healthicity
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Export Controls: The Most Important Compliance Element You Probably Haven’t Heard Of
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Whether you’re dealing with medical devices or new drugs–regardless if it’s a product or a service, and whether that product or service ever even leaves the United States, export controls affect every organization in one way or another. That’s why I was so excited to sit down with Export Controls and Compliance expert, Wendy Epley, the president of…
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Compliance Conversations by Healthicity
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How to Build a Mutually Beneficial Relationship with Your Compliance Committee
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Listen to this most recent episode of Compliance Conversations, How to Build a Mutually Beneficial Relationship with Your Compliance Committee, with special guest, Judith Maber-Fox, to learn how to:Build a Mutually Beneficial Relationship with your Compliance CommitteeEngage Sr. Leadership to Actively Support the CommitteeCreate Opportunities That …
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Compliance Conversations by Healthicity
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The Psychology Behind Why Physicians Undercode
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For this Compliance Conversations episode, I’ve got a special treat for you: Dr. Ira Specter. He spent many years as a practicing OBGYN physician and is also a certified coder and medical auditor. After practicing medicine for a few decades he went on to run a large medical management company, where they did billing collection, coding, compliance, …
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Compliance Conversations by Healthicity
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How the Pros Implement a Compliance Program
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There are a lot of barriers in compliance. In this installment of Compliance Conversations, I chat with Eric Dominguez, the chief compliance officer at Emerus, a management company that specializes in healthcare systems. “Part of the services we provide to these joint ventures is a compliance program.” Dominguez explains some of the common hurdles …
Whether it’s an EMR or a compliance software solution, you want technology to do the work for you, not make you do extra work. Knowing where tech disappoints has helped Healthicity’s president, and my guest on my most recent episode of Compliance Conversations, Barry Johnson, D.D.S., to create software solutions that healthcare organizations really…
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Compliance Conversations by Healthicity
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What You Need to Know About Billing Compliance in Academic Medical Centers
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I’ve been getting a lot of requests to do a show about coding and billing and I couldn’t think of a better guest than my friend and former colleague, Jay McVean, an expert in billing and coding compliance with the University of Texas Health Science Center in Houston. Starting out, I had to ask: What’s the biggest coding and billing compliance issue…
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Compliance Conversations by Healthicity
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Recognizing the Differences Between Medical Necessity and Medical Decision Making
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In this episode of Compliance Conversations, I chatted with Charla Prillaman, the Regional Vice President of Audit Services and 30-year compliance veteran, about the crucial differences between Medical Necessity and Medical Decision Making (MDM). Prillaman pointed out that both terms are incorrectly used interchangeably, though they have distinctly…
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Compliance Conversations by Healthicity
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Tips for When You’re the New Kid on the Compliance Block
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I recently spoke with Brooklyn Trumpy on what it’s like to be new to compliance. Trumpy graduated in 2009 with a degree in Operations Management and ended up in compliance five years ago when she took a role at Community Health Systems and worked her way into a compliance role. Trumpy found that being new to compliance was a challenge. She explaine…
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Compliance Conversations by Healthicity
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The Teaching Physician Rule: A Blessing or a Curse
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Back in February, CMS announced changes that seem to allow medical students a lot more freedom to document a patient’s medical record. Which could sound like a dream to physicians who might be thinking that the students will help ease the heavy burden of bureaucracy, but auditors are a little worried. Auditors are going, “Wait, hold on, we’ve got t…
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Compliance Conversations by Healthicity
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Smart Strategies to Holistically Tackle Your Organization's Risks
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We kicked off this episode of Compliance Conversations with a guest host, our very own compliance expert, Marcie Swenson, and her special guest, Emily Haley, who has worked as a Chief Privacy Officer and Compliance Director at Intermountain healthcare and is currently working in Care Transformation. In the first half of the show, Haley gave us a fu…
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Compliance Conversations by Healthicity
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How to Avoid the Compliance Dangers of Medical Marijuana
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Weed. Pot. Ganja. Marijuana goes by many names and has been a part of the global counterculture scene for decades. But now it’s quickly becoming a part of healthcare, as medical marijuana continues to be legalized across the nation. In my latest episode of Compliance Conversations, I talked with Judy Cassel, JD, MBA, an expert legal advisor on all …
Let’s say you’re a Medicare Advantage organization and one day you receive a notification from CMS that you’ve been selected for program audit. What should you do? Recently, I sat down with Scott Robinson, director of compliance at Davis Vision, and former medicare contractor who used to accompany the folks at CMS to conduct effectiveness audits. R…
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Compliance Conversations by Healthicity
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Patients Empowered: Improving Accuracy Through Co-Authorship
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Michael Warner, an Osteopathic physician, board certified in family medicine, turned patients’ rights advocate has a lot say about a patient’s rights to access. Warner is passionate about empowering patients to co-author their medical record. Through his research, Warner has found that giving patients the opportunity to take control of their inform…
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Compliance Conversations by Healthicity
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Everything You Never Knew You Needed to Know About ACO Compliance
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Everything You Never Knew You Needed to Know About ACO Compliance by CJ WolfBởi CJ Wolf
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Compliance Conversations by Healthicity
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Essential Steps to Post-Audit Education (That Actually Works)
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In this episode of Compliance Conversations, I sat down with Stephani Scott, VP of Audit Services for Healthicity, to chat about her twenty years of experience and pick her brain on important auditing issues. As all of you know, auditing is a crucial component of an effective compliance program. Stephani explains how she approaches post-audit educa…
In this episode of Compliance Conversations: I asked compliance and healthcare law expert Marcie Swenson, “What do you think the hot topics will be for 2018.” And she gave us two answers: “Benchmarking and data breaches and cyber security.” Organizations will be utilizing OIG guidance to create their own benchmarks and rate their own compliance pro…
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Compliance Conversations by Healthicity
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Talking Compliance Culture with Rudy Green
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Find out how Culture can Solve Compliance Issues“Compliance professionals were people before they were in compliance,” said Rudy Green in our most recent episode of Compliance Conversations. Green told me about his long and interesting path to compliance from an undergraduate degree in organizational behavior, to being drafted into the NFL, then to…
In this episode, compliance expert CJ Wolf sits down with product development expert Jeff Young to discuss tools that can simplify compliance and make you so much more effective as a compliance officer. Young explains how tools are changing healthcare organizations, “with the tools that are out there today you can gather data consistently in one lo…
For this episode of Compliance Conversations, I sat down with Chad Peterson, a senior consultant at a large hospital, in their professional coding and reimbursement group. He educates physicians, mid-level providers/ advanced practice providers and even ancillary staff about E/M coding. Peterson explained some of the most common E/M coding mistakes…
