『The Compliance Guy』のカバーアート

The Compliance Guy

The Compliance Guy

著者： Sean M. Weiss
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概要

Sean is the host of “The Compliance Guy” a live production dedicated to the intersection of regulatory compliance and the business of medicine. The show provides timely, accurate, and easy to digest information to healthcare professionals.

The show features interviews of industry leaders, government officials, and others helping to shape the healthcare landscape.

Sean M. Weiss (AKA – The Compliance Guy) has been an industry respected name for more than 25-years. A physician and health system advocate, Sean engages with clients to ensure a “level-playing-field” and due process when allegations and/or accusations of impropriety are leveled by a payor or government investigation agency.

When Sean is not engaging in administrative, civil and criminal matters on behalf of more than 30 nationally recognized law firms and clients, he is serving as a third-party compliance officer for a dozen organization across the country ranging in size and specialty to ensure a “Culture of Compliance”!

Sean is a proud member in good-standing with the National Society of Certified Healthcare Business Consultants (NSCHBC), American Health Lawyers Association (AHLA), National Alliance of Medical Auditing Specialists (NAMAS), and the American Academy of Professional Coders (AAPC). Sean holds (CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC, CMC, CMIS, CMOM) national certifications from the Health Care Compliance Association, The National Alliance of Medical Auditing Specialists, The American Academy of Professional Coders and Practice Management Institute.

Sean M. Weiss 経済学
エピソード
  • Season 9 - Episode 411 - The Hidden Dangers of Medical Documentation Alterations, Metadata and Its Role in Healthcare Fraud Detection

    Season 9 - Episode 411 - The Hidden Dangers of Medical Documentation Alterations, Metadata and Its Role in Healthcare Fraud Detection
    2026/03/09

    Summary

    This episode features a lively panel discussion on healthcare documentation, compliance risks, and best practices. The experts share insights on managing documentation delays, metadata analysis, contract oversight, and the impact of AI in healthcare record-keeping.

    key topics

    Risks of documentation modification

    Metadata analysis in audits

    Contract oversight and compliance

    AI in healthcare documentation

    Takeaways

    Altering original medical records can escalate legal issues.

    Metadata analysis is crucial in fraud detection.

    Effective contract management prevents costly mistakes.

    AI in documentation requires careful oversight.
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    55 分
  • Season 9 - Episode 410 - #TerryTuesday - The Hidden Risk of Diagnostic Coding

    Season 9 - Episode 410 - #TerryTuesday - The Hidden Risk of Diagnostic Coding
    2026/02/24

    Summary

    This episode features a lively discussion on Olympic hockey, healthcare compliance, and the pitfalls of diagnostic coding. The hosts share insights on how practices often manipulate diagnoses for payment, the importance of proper documentation, and the impact of payer policies on clinical decisions.

    Topics

    • Diagnostic coding manipulation
    • Healthcare audits and compliance
    • Impact of payer policies on clinical decisions
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    22 分
  • Season 9 - Episode 409 - HIPAA 2026 - #TerryTuesday - What Healthcare Providers Must Know

    Season 9 - Episode 409 - HIPAA 2026 - #TerryTuesday - What Healthcare Providers Must Know
    2026/02/24

    Summary

    This episode features a deep discussion on HIPAA compliance, recent enforcement updates, and the implications of AI and third-party tools on patient data security. Experts Terry Fletcher and Sean Weiss explore how healthcare providers can stay compliant amidst evolving regulations and technological advancements.

    Key Topics

    • HIPAA enforcement updates and penalties
    • Impact of AI and ambient scribes on patient privacy
    • Provider responsibilities and patient rights under HIPAA
    • Recent OCR enforcement actions and fines
    • Strategies for HIPAA compliance and risk management
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    26 分
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