In this episode of Compliance Conversations, CJ Wolf speaks with Eddie Qureshi, CEO of Rainfall Health, to break down the new CMS TEAM Model—and what it means for your hospital’s future. 

What You’ll Learn: 

• Which hospitals are impacted (and how to check the list) 
• Why CMS is shifting post-acute accountability to hospitals 
• What compliant documentation, coordination, and reporting looks like 
• How AI and integrated tools can make all the difference 

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In this episode of Compliance Conversations, CJ Wolf, MD, is joined by Rui Ribeiro, Co-Founder and CEO of Jscrambler, to dive into the client-side security threats healthcare organizations often overlook.  

From patient portals to embedded video players, Rui explains how browser-based vulnerabilities are creating new risks that healthcare teams need to be aware of. 

You’ll learn: 

• Why client-side protection could be the next step in HIPAA evolution 
• How healthcare can follow the lead of PCI DSS standards 
• The critical role of Zero-Trust Architecture and JavaScript integrity 
• Simple ways to start reducing hidden compliance risks today 

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In this powerful episode of Compliance Conversations, CJ Wolf interviews Dave Cardelle, RPh, Chief Strategy Officer at AMS, who shares practical insights on CMS’s shifting enforcement landscape and the real-world impact of hospital price transparency. 

What You’ll Learn: 

• What makes a machine-readable file compliant (and what doesn’t) 
• Why average negotiated rates are the most challenging—and most scrutinized—data element 
• How automation and governance can save your hospital from costly penalties 
• What CMS is planning next for labs, diagnostics, and even physician services 

You can also listen to Dave’s previous Compliance Conversations interview on payment integrity considerations from a payer’s perspective. 

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In this episode of Compliance Conversations, CJ Wolf welcomes back Maya Turner, a nationally recognized expert in medical coding and consulting. Together, they explore how value-based care and ancillary services are transforming provider reimbursement, especially in a telehealth-enabled world. 

You'll learn: 

• What value-based care really means (and why it matters) 
• The billing codes you may be overlooking 
• How to streamline documentation and consent 
• Why ancillary staff and virtual care models are key to success 
• What telehealth's future means for your billing strategy 

Whether you're already billing for chronic care or just starting to explore value-based models, this episode will help you uncover new revenue opportunities—without adding more hours to your day. 

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Aaron Burnett, CEO of Wheelhouse Digital Marketing Group, joins CJ Wolf to decode the complex world of healthcare marketing, privacy laws, and risk mitigation. 

What You’ll Learn: 

• The evolving legal landscape: OCR guidance, AHA lawsuits, FTC enforcement 
• Why third-party tracking is out—and what to use instead 
• How to collaborate across marketing, IT, and compliance 
• What “data destiny” really means for covered entities 
• Emerging solutions like media mix modeling and private analytics 

Who Should Listen: 
Compliance officers, healthcare marketers, IT leaders, and anyone responsible for HIPAA risk management in a digital world. 

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Join Healthicity’s CJ Wolf and Compliagent’s Paige Pennington as they break down the first industry-specific compliance program guidance (ICPG) from the OIG—focused entirely on skilled nursing facilities. 

Key Takeaways: 

• Why the OIG prioritized SNFs 
• Top risk areas flagged in the new guidance 
• The evolving role of compliance in quality and contracting 
• Actionable steps for aligning your risk assessments and audit plans 

This episode is a must-listen for compliance professionals navigating the post-acute space.  

You can reach out to Paige at  [email protected] or via phone at 310-736-4972. 

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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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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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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 [email protected].

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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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