Summary

In this episode of the Compliance Guide podcast, Sean Weiss speaks with Jonathan Porter, a former prosecutor turned defense attorney, about the complexities of healthcare compliance and the legal landscape surrounding it. They discuss the transition from prosecution to defense, the power dynamics in legal practice, and the challenges faced by healthcare providers in navigating compliance issues.

The conversation highlights the importance of robust compliance programs, the intricacies of medical billing, and the role of metadata in legal cases. Jonathan shares insights on best practices for compliance and the increasing scrutiny on kickback investigations, emphasizing the need for healthcare providers to document their processes and decisions effectively.

Takeaways

• Transitioning from prosecutor to defense attorney involves a significant shift in power dynamics.
• Prosecutors often have more power and options than defense attorneys.
• The healthcare compliance landscape is complex and requires thorough understanding.
• Many younger prosecutors are focused on quick wins rather than collaboration.
• Healthcare providers face challenges in understanding intricate billing codes and regulations.
• Robust compliance programs are essential for healthcare organizations.
• Documenting processes and decisions can protect against legal scrutiny.
• Kickback investigations are increasing, necessitating careful documentation of relationships with pharmaceutical companies.
• Metadata plays a crucial role in legal cases, providing insights into provider actions.
• Open communication and transparency can mitigate risks of legal action.