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  • Update to the HIPAA Privacy Rule to Support Reproductive Healthcare Privacy Compliance

    Update to the HIPAA Privacy Rule to Support Reproductive Healthcare Privacy Compliance
    2025/07/14
    In this episode of 1st Talk Compliance, Kevin Chmura is joined by Rachel Rose, JD, MBA, as they discuss recent changes to the HIPAA Privacy Rule to Support Reproductive Health Care and Privacy in relation to recent court rulings. This rule, which went into effect in April of 2024, still has certain components which practices need to know about and adhere to heading into 2026.
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    33 分
  • The Role of Compliance Programs in Mitigating False Claims Act Liability

    The Role of Compliance Programs in Mitigating False Claims Act Liability
    2025/06/11
    In this episode of 1st Talk Compliance, Kevin Chmura is joined by Rachel Rose, JD, MBA, as they discuss the False Claims Act in detail. The FCA, one of five federal laws built to combat fraud, waste, and abuse, is the government’s primary fraud fighting tool, with the healthcare industry paying the largest contributor in recoveries for over a decade.
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    36 分
  • HIPAA Privacy Rule to Support Reproductive Healthcare Privacy Compliance

    HIPAA Privacy Rule to Support Reproductive Healthcare Privacy Compliance
    2025/05/12
    In this episode of 1st Talk Compliance, Kevin Chmura is joined by Rachel Rose, JD, MBA, to discuss the HIPAA Privacy Rule to Support Reproductive Healthcare Privacy, passed in 2024. With the reproductive healthcare landscape being very dynamic, this new rule has already passed one compliance date, with a second important date coming in February 2026.
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    20 分
  • RE-RELEASE Employee Snooping & Insider Threats

    RE-RELEASE Employee Snooping & Insider Threats
    2025/03/18
    In this episode of 1st Talk Compliance, guest Raymond Ribble, CEO and Founder at SPHER, Inc., discussed guidelines and procedures to help protect your organization from actions of malicious employees.
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    29 分
  • RE-RELEASE Mastering Defensible Pricing in the Era of Price Transparency

    RE-RELEASE Mastering Defensible Pricing in the Era of Price Transparency
    2025/02/19
    In this episode of 1st Talk Compliance, we dive into an increasingly crucial topic in healthcare: price transparency and its ever-growing impact on the industry. Kevin Chmura, CEO at Panacea Healthcare Solutions, joins us to share expert insights on strategic pricing and compliance, emphasizing the transformative benefits for healthcare providers. Learn how to proactively engage with CMS regulations and set your organization apart as an ethical leader in the realm of price transparency.
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    16 分
  • RE-RELEASE The Sky’s the Limit: How Price Transparency Can Empower Healthcare Providers

    RE-RELEASE The Sky’s the Limit: How Price Transparency Can Empower Healthcare Providers
    2025/02/18
    Grace Walsh speaks with Kevin Chmura, CEO at Panacea Healthcare Solutions, to explore an extremely timely topic: price transparency and its far-reaching impact on how healthcare providers interact with consumers, with each other, and with the market at large. Tune in as Kevin shares some important insights about how price transparency has opened the door to a whole new world of data analysis and strategic business strategies for healthcare providers, and covers what we might expect to see for the future of price transparency.
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    27 分
  • New HCPCS Code Requirements for Supplies: Managing Your CDM to Avoid Claim Denials

    New HCPCS Code Requirements for Supplies: Managing Your CDM to Avoid Claim Denials
    2025/02/03
    In this episode of 1st Talk Compliance, Kevin Chmura and BreAnn Meadows discuss the challenges healthcare providers face due to payers increasingly denying claims for supplies that are missing HCPCS codes. The issue stems from recent payer policy changes, with supplies that were previously chargeable now being rejected if they lack a corresponding HCPCS code. The conversation tackles the complexities providers face in managing their chargemaster (CDM), maintaining accurate HCPCS coding, and addressing claim denials, which can result in lost revenue.
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    16 分
  • The Two-Midnight Rule: Navigating the Complexities and Achieving Compliance

    The Two-Midnight Rule: Navigating the Complexities and Achieving Compliance
    2025/01/08
    The Centers for Medicare and Medicaid Services (CMS) recently released additional guidance on the Two-Midnight rule that carries important implications for hospitals seeking to apply the rule correctly and consistently. In this episode of 1st Talk Compliance, host Kevin Chmura is joined by Stacy Pereira, Executive Director of Coding and Clinical Services in Panacea’s KA Consulting Division, to continue the discussion surrounding the Two-Midnight rule and the challenges it poses.
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    19 分