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  • Cybersecurity in Healthcare: What Every Compliance Officer Needs to Know

    Cybersecurity in Healthcare: What Every Compliance Officer Needs to Know
    2025/05/22

    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 end-to-end encryption really means
    • Why patient care and cybersecurity are more connected than you think

    Tune in now and learn how to protect your organization from today’s cyber threats.



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    29 分
  • Conferences, Coding, and Compliance: What We Learned

    Conferences, Coding, and Compliance: What We Learned
    2025/05/08
    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 care oversight is gaining new attention. CJ Wolf, MD, and Brian Burton, Healthicity Chief Compliance & Privacy Officer, discuss: - Why AI was everywhere—and what it means for your compliance program - The latest OIG and DOJ guidance on effectiveness and enforcement - How CMS is signaling a “war on fraud, waste, and abuse” - What quality of care oversight looks like in the real world


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    39 分
  • What to Do When the Audit Letter Arrives

    What to Do When the Audit Letter Arrives
    2025/04/24
    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 things to do when you receive an audit notice - How government and commercial audits differ - Why self-auditing matters—and how to do it right - Tips for reducing risk, managing appeals, and avoiding common pitfalls - Whether you're a compliance officer, auditor, or provider, this episode is packed with practical advice and real-world insights. You can reach Christina at CKuta@ralaw.com.


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    31 分
  • Inside IROs: What Compliance Professionals Need to Know

    Inside IROs: What Compliance Professionals Need to Know
    2025/04/10
    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 why independence matters - The key components of CIA audit timelines and expectations - How RAT-STATS ensures unbiased sampling


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    28 分
  • From Templates to Time-Savers: EHR Tips for Coders and Clinicians

    From Templates to Time-Savers: EHR Tips for Coders and Clinicians
    2025/03/27
    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 work. From proper template design to avoiding compliance risks and improving provider training, this conversation is a must-listen for anyone working in healthcare documentation, coding, or compliance. - Practical examples from real audits - Time-saving tools you might be missing - Compliance pitfalls—and how to avoid them - Smart ways to personalize your EHR workflow


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    31 分
  • Stay Compliant, Stay Connected: Navigating Healthcare Outreach

    Stay Compliant, Stay Connected: Navigating Healthcare Outreach
    2025/03/13
    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 compliance challenges organizations face - Practical examples of AI implementation in healthcare Don’t miss this deep dive into AI, compliance, and the future of patient outreach.


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    31 分
  • Top Enforcement Trends Every Healthcare Compliance Officer Should Watch

    Top Enforcement Trends Every Healthcare Compliance Officer Should Watch
    2025/02/27
    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, Sean offers firsthand insights drawn from years of legal practice. Whether you’re managing a compliance program or navigating regulatory challenges, this episode delivers actionable strategies and expert predictions for the future. What You’ll Learn: - How evolving legal standards impact healthcare providers - The role of whistleblower initiatives in driving compliance - Data analytics as a game-changer in regulatory enforcement - Strategies to build and maintain effective compliance programs - Predictions for upcoming changes in healthcare law and regulation


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    34 分
  • Telehealth Fraud, AI, and Cybersecurity: The Compliance Landscape in 2025

    Telehealth Fraud, AI, and Cybersecurity: The Compliance Landscape in 2025
    2025/02/13
    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 from the FTC, FDA, and HHS - The role of AI in healthcare risk management - Stay ahead of compliance risks and protect your practice.


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    36 分