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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Behavioral Health Compliance: Insights and Challenges
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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…
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Navigating Medicare Audits and Appeals
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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…
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Pharmacy in the Digital Age: Challenges and Innovations
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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…
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Healthcare's Legal Tightrope: Navigating Physician Contracts
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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…
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Telehealth Beyond Borders: Legalities and Logistics
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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…
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Expert Tips on Gastrointestinal Coding and Billing
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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…
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Meet Healthicity's Inaugural Compliance Officer of the Year Award Recipient
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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…
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Demystifying Anesthesia Coding and Billing
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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…
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Insider Insights: HCCA & HEALTHCON Recap
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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…
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Critical Care Anywhere: Exploring Tele-ICU's Impact
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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 …
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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…
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The Credentialing Conundrum: Challenges and Solutions Explored
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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…
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Spotting the Red Flags: Identifying Coding Compliance Risks Within Your Organization
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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…
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Biometrics and Compliance: A Deep Dive into Access and Accountability
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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…
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The Rise of Health Tech: Balancing Innovation and Regulation
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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…
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Telehealth Trends and Compliance Strategies for Coders and Auditors
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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…
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Beyond the Buzzwords: Understanding AI's Role in Healthcare
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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…
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Research Realities: Insights into Clinical Trials
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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…
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New OIG Guidance for a Changing Compliance Landscape
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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…
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From the Boardroom to the Exam Room: Diplomatic Communication in Healthcare
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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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Coding Strategies for Successful Revenue Cycle Management
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In this episode of Compliance Conversations, we’re taking an in-depth look at the revenue cycle and coding. We’re joined by Stephanie Perry, the outpatient medical supervisor for e4health, as she shares insights from her 12 years of experience in coding, auditing, training, and leadership roles within the healthcare industry. Tune in to our episode…
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How Compliance Teams Can Build Trust to Accelerate Success
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In this episode, we welcomed Stacey Crudup, Chief Compliance Officer at The SEES Group, to share her insights on why building relationships with team members on the front lines of healthcare is essential in driving strong compliance programs. Stacey's experience and practical advice shed light on the benefits of understanding the business, spending…
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A Candid Conversation on Challenges and Balance in a Compliance Career
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We're excited to introduce a thought-provoking podcast episode that dives into the world of compliance in healthcare and explores the ever-evolving challenges compliance professionals face in their careers. In this episode, “A Candid Conversation on Challenges and Balance in a Compliance Career,” Dieter Lehnortt and CJ Wolf share their insights on …
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Compliance Program Best Practices for Healthcare Organizations and Nursing Facilities
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Join us for a deep dive into healthcare and nursing facility compliance during this episode. Discover the ever-evolving landscape and common challenges faced by providers as CJ Wolf and Paige Pennington share their expert insights.Bởi CJ Wolf
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Exploring Diversity, Equity, and Inclusion in Compliance
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Whether you're a compliance professional, an HR specialist, or simply interested in the evolving landscape of workplace culture, our latest Compliance Conversations episode offers valuable takeaways for everyone. We invited Kyle Manwaring, a DEI professional, for a great conversation about the possibilities at the intersection of DEI initiatives, c…
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Industry Insights from a Freshly Certified Medical Coder
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We’re joined by Sara Richards, a newly certified coder, as she shares insights into the intricacies of medical coding and how it aligns with compliance in the healthcare industry. Sara and CJ Wolf, MD, discuss: - The certification process and how Sara prepped for the exam - What the coding exam is really like – and what’s changed (and hasn’t change…
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The Art of Building a Successful Compliance People Strategy
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Assembling the ideal compliance team is no small task – and that’s why it can be such a puzzle. We invited Sarah Couture, a former nurse turned compliance executive, to share her insights on structuring effective compliance teams. Tune in to our new episode, “The Art of Building a Successful Compliance People Strategy,” as we discuss: - Important c…
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The Marketing Team: What We Do in the Shadows
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If you’ve been in the Healthicity community for a while, you might know that we conduct annual surveys every year for compliance and auditing professionals. We know there’s no shortage of surveys in this world, but here’s why you should take ours – it's designed to gather vital information to benefit you and your organization, and because you’ll ge…
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Investigations are a natural part of any compliance professional’s career – but that doesn’t make them any less intimidating. We invited Eric Allen, a highly regarded compliance professional with experience spanning academia, hospital institutions, and more, to join us for an episode of Compliance Conversations! In this episode, “Compliance Investi…
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Communication and Compliance – A Match Made in Training Heaven
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“Think like a lawyer, talk like a human, and start with your audience." Those three key principles drive Kirsten Liston’s innovative approach to compliance training, and it’s why we invited her to join us on our latest episode of Compliance Conversations! Kirsten is the CEO of Rethink Compliance and a two-time author. We’re grateful she shared her …
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Technology is integrated into everything we do – including healthcare. But what are the regulatory implications of new software platforms in the medical industry? We invited Ali Aga, the Founder and CEO of Flowbit®, to share his insights on our latest episode of Compliance Conversations. Ali is a digital innovator, software developer, and healthcar…
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Can Improv Comedy Improve Your Compliance Program?
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“The scene can’t begin until we start paying attention to each other.” -- David Pasquesi If you think improv comedy and healthcare compliance and coding require opposite skillsets, you might be surprised by our latest podcast episode... We invited Dr. Mike Smith, a multi-talented physician and improv aficionado, to join us for our latest episode of…
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Making the Grade: Compliance Career and Education Opportunities
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Doctor, firefighter, marine biologist, compliance officer? We're not sure the last one makes many kids’ list of their dream careers, but here we all are! We love learning about how people got into compliance and how they continue advancing their own knowledge in the field. That’s why we invited Steve Naughton to join us for this episode of Complian…
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Compliance Implications of Private Equity’s Involvement in Healthcare
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It’s no secret that private equity is playing an accelerating role in the healthcare industry – but what does that mean for compliance professionals? This Compliance Conversations features a conversation about why private equity can work with – not against – healthcare organizations.Bởi CJ Wolf
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Clinical Documentation Improvement – What is it and Why is it so Important?
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The compliance and coding worlds are filled with acronyms – and we’ve got another one for you: CDI. That stands for Clinical Documentation Improvement, and it’s a crucial piece of the healthcare puzzle. We invited Joanne Spethman, a Coding, CDI, and HIM Consultant, to share insights from her 30+ year career in inpatient and professional coding, CDI…
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Federal Enforcement Expectations for Compliance Program Effectiveness Reviews
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Is your compliance effectiveness review process due for a tune-up? Our latest episode of Compliance Conversations features Larry Plutko and CJ Wolf discussing strategies for looking under the hood of your program and preparing your organization for what’s ahead in corporate compliance.Bởi CJ Wolf
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How Involved Should the Board Be in Your Compliance Program?
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Does the thought of more board oversight of your compliance program inspire consternation or curiosity? Tune in to our latest episode of Compliance Conversations to find out why board-level collaboration can benefit not just your program, but your entire organization.Bởi CJ Wolf
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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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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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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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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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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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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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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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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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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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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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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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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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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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