Tune in to this episode of Compliance Conversations interview with Maya Turner, a seasoned expert in the healthcare industry with close to 30 years of experience in auditing, coding, billing, compliance – you name it.

Maya shares her perspective on the evolution of telehealth, especially in the context of recent changes and challenges brought by the COVID-19 pandemic.

Maya and CJ also discuss:

- Significant changes in telehealth regulations from its early days to the present

- Telehealth’s crucial role in addressing healthcare disparities

- The importance of proper documentation in telehealth visits

- Compliance issues and risks that auditors and coders should be aware of

We welcomed an unexpected guest during the episode – Maya's dog! See if you can hear the friendly canine interruption.

Maya is a seasoned certified coder and auditor, boasting nearly 30 years of experience and subject matter expertise to many coding compliance subjects; she especially is sought after for her in-depth knowledge base of pro fee multi-specialty practice, primary care, hospitalists, telehealth, in-patient and SNF billing.

She is also a published author, having written articles for AAPC and HCCA, and currently is a part of the ACDIS Leadership Council. She showcases her unmatched three-dimensional thinking in complex subject matters, Mayas’ success is marked by her clear and well received presentation style, reflecting her profound understanding and expertise. Maya also has a consulting company, Turner Expert Consulting Services, LLC.

Dr. Adam Robinson, an internal medicine physician and founder of Aimedica, joined CJ Wolf, MD to explore the promises and pitfalls presented by AI in the healthcare landscape. Dr. Robinson provides valuable insights into the current state of electronic medical records, the impact of the 21st Century Cures Act, and the potential for AI to revolutionize patient care.

Tune in to our latest episode, “Beyond the Buzzwords: Understanding AI's Role in Healthcare,” to hear CJ and Adam's discussion on:

- Existing challenges with electronic medical records, such as data interoperability issues and the siloed nature of patient information.

- The implications of the 21st Century Cures Act and its role in making healthcare data more transparent and interoperable.

- Successful applications of AI in imaging specialties, highlighting the potential for improved diagnostics.

- The current lack of comprehensive regulations for AI in healthcare and predictions around the emergence of potential FDA regulations in the future.

In this episode, Jenny Hamilton the Clinical Project Research Manager at Barrow Neurologic Institute, joins CJ Wolf, MD for an in-depth discussion on compliance considerations for clinical trials.

From the complexities of protocol deviations to the vital role of Institutional Review Boards, they cover a wide range of topics. Tune in for valuable insights into the compliance landscape of clinical trials and learn more about the crucial role patients play in advancing medical research.

Jenny and CJ also cover:

- The importance of informed consent in clinical trials

- Insights into FDA audits and the role of Clinical Research Associates

- The fascinating and diverse landscape of global clinical trials

You can also learn more about Jenny’s work here. https://www.barrowneuro.org/centers-programs/als-neuromuscular-disease/

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 [email protected].

In the age of technology, data, and artificial intelligence, there’s one often-overlooked workplace tool: soft skills.

That’s why we invited Jay Anstine, the founder of Bluebird Healthlaw partners, to chat with CJ Wolf, MD about communication and navigating work environments.

In our new episode of Compliance Conversations, “From the Boardroom to the Exam Room: Diplomatic Communication in Healthcare,” Jay and CJ discuss:

- Real-world, complex scenarios with patients and clinicians

- How to adapt your communication style for different audiences

- Learning various communication tactics so you can effectively interact with physicians, leaders, and executives

- Addressing compliance concerns in a group setting

Jay Anstine is the founder of Bluebird Healthlaw Partners, a consulting firm with a mission to help compliance officers change the perception of compliance in their organizations. For over 20 years, he has worked on the provider and payer side of the healthcare market, consulting to leaders and clinicians about compliance program matters. He routinely writes and speaks about compliance program requirements and is a faculty member at the University of Southern California’s Gould School of Law, teaching courses on healthcare compliance.

Jay recently wrote a book entitled, Navigating the Politics of Healthcare: A Compliance Officer’s Guide to Communication, Relationships, and Gaining Buy-in, which is available on Amazon or at Barnes and Noble.

In his book, he talks about how there are two worlds within healthcare-the world the general public experiences in receiving care, and the world industry workers experience in providing that care. Jay’s theorizes it is the second world where the politics of healthcare lives, which impacts the effectiveness of a compliance program. His book then provides strategies to improve the compliance officer’s ability to communicate effectively with their healthcare leaders in order to gain buy-in to the compliance program.

You can find Jay at www.bluebirdhealthlaw.com. He has a blog dedicated to communication strategies for compliance officers. You can also find him on LinkedIn.

In this episode of Compliance Conversations, we’re taking an in-depth look at the revenue cycle and coding. We’re joined by Stephanie Perry, the outpatient medical supervisor for e4health, as she shares insights from her 12 years of experience in coding, auditing, training, and leadership roles within the healthcare industry.

Tune in to our episode, “Coding Strategies for Successful Revenue Cycle Management,” to understand modifiers, status indicators, and their significance in the reimbursement process. Stephanie sheds light on how coding decisions can either facilitate or hinder the smooth progress of claims through the revenue cycle.

In this episode, we welcomed Stacey Crudup, Chief Compliance Officer at The SEES Group, to share her insights on why building relationships with team members on the front lines of healthcare is essential in driving strong compliance programs.

Stacey's experience and practical advice shed light on the benefits of understanding the business, spending time with your internal teams, and creating value through compliance efforts.

Tune in to our new episode, “How Compliance Teams Can Build Trust to Accelerate Success,” to hear more about:

- Stacey's journey into compliance from an IT background

- The importance of building relationships in the world of compliance

- Practical tips for embedding compliance into operations

- Overcoming obstacles in the process

- How to add value to your organization through compliance

Stacey has unique expertise in recognizing the role of compliance in daily health care operations and communicating effectively with staff at all levels about the practical application of compliance principles. She is experienced in developing and executing organizational policies and procedures related to legal questions in the health care environment, compliance, and risk management.

We're excited to introduce a thought-provoking podcast episode that dives into the world of compliance in healthcare and explores the ever-evolving challenges compliance professionals face in their careers.

In this episode, “A Candid Conversation on Challenges and Balance in a Compliance Career,” Dieter Lehnortt and CJ Wolf share their insights on the complexities of the healthcare compliance landscape. From dealing with government regulations to navigating the uncharted territory of Artificial Intelligence, they cover it all.

Key takeaways from the podcast:

- Explore the potential of AI in compliance and the importance of using it appropriately to enhance efficiency.

- The significance of establishing boundaries, delegating tasks, and prioritizing for a better work-life balance.

- How to make compliance approachable more approachable for colleagues who find it intimidating

Join us for a deep dive into healthcare and nursing facility compliance during this episode.

Discover the ever-evolving landscape and common challenges faced by providers as CJ Wolf and Paige Pennington share their expert insights.

Whether you're a compliance professional, an HR specialist, or simply interested in the evolving landscape of workplace culture, our latest Compliance Conversations episode offers valuable takeaways for everyone.

We invited Kyle Manwaring, a DEI professional, for a great conversation about the possibilities at the intersection of DEI initiatives, compliance, and organizational culture.

Tune in to our new episode, “Exploring Diversity, Equity, and Inclusion in Compliance,” to learn more about:

- The fundamentals of DEI and its various components.

- The importance of DEI for organizations, both ethically and financially.

- Strategies for fostering a more inclusive and equitable work environment.

- The role of executives in championing DEI efforts.