//podcastplus.net/feed/compliance-conversations-by-healthicity~6b3b6fd0 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. Wed, 10 Jun 2026 06:34:17 +0000 https://feeds.soundcloud.com/stream/1690403403-healthicity-compliance-conversations-new-oig-guidance-changing-compliance-landscape.mp3 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 essential elements and updates, including: - The evolving role of Chief Compliance Officers - The significance of incentives in compliance programs - Collaborative risk management approaches - Emphasizing medical necessity in billing audits Sarah is the Principal of Couture Compliance, an organization dedicated to elevating compliance program effectiveness through tailored compliance solutions. You can reach her at sarah@couturecompliance.co. Thu, 14 Dec 2023 16:05:52 +0000 https://feeds.soundcloud.com/stream/1690403403-healthicity-compliance-conversations-new-oig-guidance-changing-compliance-landscape.mp3 https://feeds.soundcloud.com/stream/948884215-healthicity-compliance-conversations-a-pros-guide-to-conducting-your-annual-privacy-and-security-risk-assessment.mp3 Recently, I sat down with Brian Burton, our new Chief Compliance and Privacy Officer, for an all-new episode of the Compliance Conversations podcast. Given the time of year, and his area of expertise, we focused our discussion on a topic on many people’s minds: Privacy and Security Risk Assessments. I know these assessments can be daunting to approach or, as Brian put it, “I think a lot of organizations struggle with what does that mean, and how can I accomplish this activity with the minimum amount of effort, but still know that it’s accurate, and that your organization is protected from cyber security threats.”Having worked in the healthcare industry for more than 15 years, Brian become an expert in all things project management and technology. He's devoted most of his career to developing, implementing, and providing oversight for Compliance and Privacy program initiatives, working with more than one hundred healthcare facilities. Considering Brian’s vast experience, we discussed the symbiosis be... Wed, 16 Dec 2020 18:05:37 +0000 https://feeds.soundcloud.com/stream/948884215-healthicity-compliance-conversations-a-pros-guide-to-conducting-your-annual-privacy-and-security-risk-assessment.mp3 http://feeds.soundcloud.com/stream/728763988-healthicity-compliance-conversations-ask-an-auditor-anything-dec-2019.mp3 Around Healthicity, we love nothing more than to provide answers to some of your most pressing questions. And boy, do we get a lot of them. Because of this, we asked you to send us the questions that most perplex you while on the job. We got a ton of great questions (thank you), some of which even had us scratching our heads, too. So, I took a bunch of your questions to our resident auditing experts, Stephani Scott and Lori Cox, and sat down for a little chat. What we Then, we took a handful of those questions and and sat down to discuss them during this episode of Compliance Conversations, titled “Ask an Auditor Anything.” Here’s a sneak peak at some of the questions we discussed, and answered:Can Documentation of a Previous Allergic Reaction be Used Under ROS, or Only PMH?If the physician states "same/unchanged from last visit" to History will they receive credit for reviewing the last visit information? If the Documentation States “NO PFSH," Is This Applicable On a New PT or Consult Visit? Mon, 16 Dec 2019 18:14:56 +0000 http://feeds.soundcloud.com/stream/728763988-healthicity-compliance-conversations-ask-an-auditor-anything-dec-2019.mp3 https://feeds.soundcloud.com/stream/728763988-healthicity-compliance-conversations-ask-an-auditor-anything-dec-2019.mp3 Around Healthicity, we love nothing more than to provide answers to some of your most pressing questions. And boy, do we get a lot of them. Because of this, we asked you to send us the questions that most perplex you while on the job. We got a ton of great questions (thank you), some of which even had us scratching our heads, too. So, I took a bunch of your questions to our resident auditing experts, Stephani Scott and Lori Cox, and sat down for a little chat. What we Then, we took a handful of those questions and and sat down to discuss them during this episode of Compliance Conversations, titled “Ask an Auditor Anything.” Here’s a sneak peak at some of the questions we discussed, and answered:Can Documentation of a Previous Allergic Reaction be Used Under ROS, or Only PMH?If the physician states "same/unchanged from last visit" to History will they receive credit for reviewing the last visit information? If the Documentation States “NO PFSH," Is This Applicable On a New PT or Consult Visit? Mon, 16 Dec 2019 18:14:56 +0000 https://feeds.soundcloud.com/stream/728763988-healthicity-compliance-conversations-ask-an-auditor-anything-dec-2019.mp3 http://feeds.soundcloud.com/stream/726302824-healthicity-compliance-conversations-what-you-must-do-to-be-hipaa-compliant-in-2020.mp3 It’s that time of year again, when everyone is either breathing a sigh of relief because they’ve just completed their annual HIPAA risk assessment, or they’re cramming to get it done before year’s end. In the spirit of HIPAA season, we decided to turn the tables on CJ. So in this latest episode of Compliance Conversations, we had our very own SVP, Jeremy Schow, interview our local HIPAA expert, CJ Wolf, MD, to discuss all things HIPAA. And he had a lot to say. “The number one reason we do a risk assessment is it's a requirement. Number two though, it's good practice, right? We're in the business of helping patients, and we want to keep that information private and confidential. So, it's a good business practice,” CJ observed, before going on to answer all sorts of questions around HIPAA, including:Should I Conduct an Assessment Every Year?How Do I Conduct an Effective HIPAA Risk Assessment?What are Some Common HIPAA Mistakes I Should Avoid? Wed, 11 Dec 2019 17:07:48 +0000 http://feeds.soundcloud.com/stream/726302824-healthicity-compliance-conversations-what-you-must-do-to-be-hipaa-compliant-in-2020.mp3 https://feeds.soundcloud.com/stream/726302824-healthicity-compliance-conversations-what-you-must-do-to-be-hipaa-compliant-in-2020.mp3 It’s that time of year again, when everyone is either breathing a sigh of relief because they’ve just completed their annual HIPAA risk assessment, or they’re cramming to get it done before year’s end. In the spirit of HIPAA season, we decided to turn the tables on CJ. So in this latest episode of Compliance Conversations, we had our very own SVP, Jeremy Schow, interview our local HIPAA expert, CJ Wolf, MD, to discuss all things HIPAA. And he had a lot to say. “The number one reason we do a risk assessment is it's a requirement. Number two though, it's good practice, right? We're in the business of helping patients, and we want to keep that information private and confidential. So, it's a good business practice,” CJ observed, before going on to answer all sorts of questions around HIPAA, including:Should I Conduct an Assessment Every Year?How Do I Conduct an Effective HIPAA Risk Assessment?What are Some Common HIPAA Mistakes I Should Avoid? Wed, 11 Dec 2019 17:07:48 +0000 https://feeds.soundcloud.com/stream/726302824-healthicity-compliance-conversations-what-you-must-do-to-be-hipaa-compliant-in-2020.mp3 https://feeds.soundcloud.com/stream/689994910-healthicity-compliance-conversations-a-deep-dive-into-the-ncci-policy-manual.mp3 In part two of my conversation with Christopher Chandler, a Technical Manager of Professional Documentation and Coding, at Intermountain Healthcare, we dove into the NCCI policy manual.It’s been a hot topic, as of late. Mostly because, as Chandler put it with a grin, “people hate the NCCI Policy Manual. They see it as a big book of rules that stops them from getting paid for the stuff they are doing.” But as you’ll hear, the manual is so much more. For instance, sometimes you can bill two codes together and, other times, you can’t. And when you need to know the answer, you consult the NCCI manual. Because many commercial payers have adopted these edits as well, it’s become an indispensable resource for any compliance billing department that’s using today’s best practices. But the manual can be daunting, and oftentimes difficult to decipher. Which is why during this episode of Compliance Conversations, "A Deep Dive Into the NCCI Policy Manual," Chandler and I jump right into the ins-and-outs of... Wed, 02 Oct 2019 14:56:29 +0000 https://feeds.soundcloud.com/stream/689994910-healthicity-compliance-conversations-a-deep-dive-into-the-ncci-policy-manual.mp3 http://feeds.soundcloud.com/stream/689994910-healthicity-compliance-conversations-a-deep-dive-into-the-ncci-policy-manual.mp3 In part two of my conversation with Christopher Chandler, a Technical Manager of Professional Documentation and Coding, at Intermountain Healthcare, we dove into the NCCI policy manual.It’s been a hot topic, as of late. Mostly because, as Chandler put it with a grin, “people hate the NCCI Policy Manual. They see it as a big book of rules that stops them from getting paid for the stuff they are doing.” But as you’ll hear, the manual is so much more. For instance, sometimes you can bill two codes together and, other times, you can’t. And when you need to know the answer, you consult the NCCI manual. Because many commercial payers have adopted these edits as well, it’s become an indispensable resource for any compliance billing department that’s using today’s best practices. But the manual can be daunting, and oftentimes difficult to decipher. Which is why during this episode of Compliance Conversations, "A Deep Dive Into the NCCI Policy Manual," Chandler and I jump right into the ins-and-outs of... Wed, 02 Oct 2019 14:56:29 +0000 http://feeds.soundcloud.com/stream/689994910-healthicity-compliance-conversations-a-deep-dive-into-the-ncci-policy-manual.mp3 https://feeds.soundcloud.com/stream/686749486-healthicity-compliance-conversations-understanding-the-nuance-of-npp-coding.mp3 Recently, I sat down with Christopher Chandler, a Technical Manager of Professional Documentation and Coding, and we had a lot to cover during our podcast. So much so, that we actually recorded two new podcast episodes. In this first episode, Understanding the Nuance of NPP Coding, we dove into the world of non-physician practitioner (NPP) coding. NPPs, as Medicare calls them, are made up of a number of different provider types. They include nurse practitioners, physician assistants, certified nurse anesthetists, clinical nurse specialists, amongst others. The world of NPPs is ever-changing as hospitals are, in Chandler’s words, “developing new ways of providing care to patients… and help alleviate the burden that physicians are feeling, with the amount of patient load that they have.”If your hospital or clinic has a number of NPPs, it could be a signal to payers to keep an eye on your claim submissions. Which makes it all the more critical that your billing department has the tools to correctly code ... Wed, 25 Sep 2019 20:29:29 +0000 https://feeds.soundcloud.com/stream/686749486-healthicity-compliance-conversations-understanding-the-nuance-of-npp-coding.mp3 http://feeds.soundcloud.com/stream/686749486-healthicity-compliance-conversations-understanding-the-nuance-of-npp-coding.mp3 Recently, I sat down with Christopher Chandler, a Technical Manager of Professional Documentation and Coding, and we had a lot to cover during our podcast. So much so, that we actually recorded two new podcast episodes. In this first episode, Understanding the Nuance of NPP Coding, we dove into the world of non-physician practitioner (NPP) coding. NPPs, as Medicare calls them, are made up of a number of different provider types. They include nurse practitioners, physician assistants, certified nurse anesthetists, clinical nurse specialists, amongst others. The world of NPPs is ever-changing as hospitals are, in Chandler’s words, “developing new ways of providing care to patients… and help alleviate the burden that physicians are feeling, with the amount of patient load that they have.”If your hospital or clinic has a number of NPPs, it could be a signal to payers to keep an eye on your claim submissions. Which makes it all the more critical that your billing department has the tools to correctly code ... Wed, 25 Sep 2019 20:29:29 +0000 http://feeds.soundcloud.com/stream/686749486-healthicity-compliance-conversations-understanding-the-nuance-of-npp-coding.mp3