Compliance Conversations by Healthicity

Everything You Never Knew You Needed to Know About ACO Compliance by CJ Wolf Thank you for listening! Please share, like, and subscribe. If you'd like to see more compliance and auditing content feel free to follow us on social media. LinkedIn Youtube Facebook Instagram Check out our resource center and weekly compliance newsletter for additional compliance and auditing content from our exper...

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 education with difficult providers, “I always tell them...

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 program. I also asked Marci what she hoped to see dif...

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 law school. He did all of this before taking a po...

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 location, identify risks based on data trends and de...

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. For example, in 2013 they came out with the stat...

I recently talked with Christopher Chandler, a senior consultant at a large medical group in the professional coding and reimbursements department. Christopher explained a whole slew of common misunderstandings of surgical coding. We soon realized that at the end of the day, many people just don’t understand the coding system. There’s so much confusion about how the coding system works, how ICD co...

In this episode of Compliance Conversations, I sat down with Senior Consultant, Brenden O’Neil, who works in Intermountain’s professional coding and reimbursement department. O’Neil and I had a fascinating discussion on CPT codes and the complicated gray area of coding a laminectomy. The code has changed, physicians are in limbo, and revenue is being lost. And, there are a number of compliance iss...

In this episode, Sean McKenna, Shareholder at Greenberg Traurig, and I discussed the ins-and-outs DOJ and OIG investigations, and how the federal government is determining who–and how–they prosecute. While we all know the importance of having a robust, effective compliance plan, Sean also stresses the importance of having an independent and empowered compliance committee. One which refuses to bury...

In this episode, compliance expert CJ Wolf M.D., and Auditor Superstar Charla Prillaman, spend twenty-five exciting minutes (perfect for your short commute) chatting about how to overcome communication hurdles between auditing and compliance departments. Tune in to their conversation about potential ways compliance professionals can make auditors’ jobs easier, how both departments can leverage eac...

Nick Merkin, CEO of Compliagent, chatted with me from his home in sunny California about compliance from an attorney’s perspective. Merkin is a lawyer by training and spent the first ten years of his career in healthcare law, primarily in litigation defense. Merkin explained why it’s so important for organizations to see compliance from an attorney’s perspective. And how his unique point of view p...

Back in the 1980’s, Larry Plutko started his career in Healthcare. By the 90’s he found himself fascinated by compliance. And in 2008, he accepted a position of compliance officer in Austin, Texas, where he became an important career mentor to our very own compliance expert, CJ Wolf. Now, Plutko is a compliance consultant who currently sees clients across the country. In this episode of Compliance...

In this episode of our podcast, Compliance Conversations, Wolf and Dunnick tackle documentation, what to do, what not to do, and what you definitely didn’t learn in medical school. Wolf is a compliance expert who went to medical school but found a passion for the compliance side of things. Dunnick is not only a physician with years of practice experience, he’s also a full-time consultant who educa...

In our newest episode of Compliance Conversations, CJ Wolf sits down with Security and Privacy expert, Steve Spearman, for an enthusiastic chat about how healthcare practices can protect themselves from imminent threats. In just a few seconds, Wolf and Spearman launch into a dynamic back and forth exchange about why privacy and security matters, how OCR audits have been a gift that keeps on giving...

In this episode, compliance expert CJ Wolf M.D., and Auditor Mastermind, Lamon Willis, spend twenty-five captivating minutes (perfect length for your lunch break) chatting about the many ways that auditing best practices support your organization’s compliance. They’ll be bantering about common CCI Audit Errors, Modifier 59 Best Practices and much, much more. Tune in for your weekly dose of complia...