The Compliance Guy

The Compliance Guy

By Sean M. WeissBusiness
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The Compliance Guy episodes

  • Episode 19 TCG with Terry Fletcher on our #TerryTuesday Segment
    In this episode Terry and I attack audit targets all should expect in 2022 coming out of the pandemic. The year is already off to one of the fastest paces I have experienced in my 27 years of working in this industry.
    1. Commercial Payer and CMS explanation for use of 99211 for covid screening and assessment
    2. Evaluation and Management Service Audit Targets by OIG and Payers
    3. Rituxan Audits and so much more!!!
    57 min
  • Episode 18 TCG with Dr. Laura Purdy - Telehealth
    This was such an amazing podcast with Dr. Laura Purdy, Chief Telemedicine Officer with Rise Health! There was so much to unpack on this episode from where we started with telehealth prior to the pandemic to where we are now, ethics and compliance risks, and the incredible things coming down the pike.
    Dr. Purdy, Ret/Sr. Major, graduated Ball State University and then entered the military and attended the Uniformed Services University, the only Congress created medical school for the military!
    Hang out with us for a while and learn all about this amazing lady's rise to prominence in the telehealth field!
    57 min
  • Episode 17 Stark and Antikickback Update for 2022
    In this episode I address at a high-level the Stark and Antikickback updates put into effect January 1, 2022! There is a lot to unpack in this episode.
    As promised I am providing a link to the Federal Register for sourcing and further analysis of the rules.
    32 min
  • Episode 16 TCG with Terry Fletcher Credit Balances
    In this episode Sean and Terry during their #TerryTuesday breakdown Credit Balances for the Centers for Medicare and Mediciad Services (CMS). Such a significant episode! Don't make the mistake of holding on to money that doesn't belong to you and wind up in a FCA situation!
    38 min
  • Episode 15 with Traci Brown - Lies, Fraud and Identity Theft
    Special guest Traci Brown, CSP joins Sean to talk about detecting lies, fraud and identity theft and the things she and investigators look for during interviews.
    What does it mean to have shifty eyes? If you don't make eye contact does it make you a liar? What about body language, yawning, the Pan Am Smile, running feet, and so much more!
    This is such a great interview with one of the Nation's leading authorities on dealing with deception!!!
    1 hr
  • Episode 14 - TCG - #TerryTuesday
    Whether you are a consultant providing professional services or you're the client searching for a competent and qualified consultant, this episode is for you! Terry and Sean sit down to discuss how to write a winning proposal... This podcast is a step-by-step process to ensuring that expectations are met on the front-end by both the consultant and the potential client... Areas of focus include:
    1. Where to start
    2. Key Elements to the proposal
    3. Key Definitions
    4. The Rationale
    5. General Description
    6. Objectives
    7. Costs
    8. Development
    9. Summary
    51 min
  • TCG with Jeana Singleton - Advanced Practitioner Billing, Data Mining by UPICS, CERT, RAC, MAC, and OIG
    This was such an insightful interview with one of the industry's best and brightest attorneys! Jeana sits down with Sean to discuss the rapid changing landscape in healthcare, changes to the CMS Physician Fee Schedule for 2022 (Changes to Physician Assistants (PAs) billing, the impact on Split/Shared Services and the impact the changes will have on the billing of Advanced Practitioners). We also discuss the ins and outs of Incident-To Services and the associated risks with this type of service provision.
    The conversation shifts to how agencies are using data to investigate physician practices. There is so much that is discussed in this episode you won't want to miss it!
    51 min
  • TCG - Part 1: The Best of The Best - What These Mangers Do to Sustain Success
    In this episode Sean takes on strategies for effective leadership... Yup, you read that correctly, "The Compliance Guy" is going back to his roots of practice management in this episode to share with you strategies to creating a roadmap to achieving your goals and objectives.
    Prior to entering the world of compliance Sean cut his teeth in the world of practice management. Take a listen, you just might be surprised by what a regulatory professional knows about revenue cycle management, effective leadership, and strategic planning.
    Episode Objectives:
    Organization and Management
    Personnel and Policies
    Managed Care
    Time Management
    Financial Method, Billing Systems and Controls
    43 min
  • TCG - No Surprise Billing Act - Steve Verno
    In this episode, Sean brings to life his very good friend's Steve Verno's PowerPoint Presentation. Over the past several years Steve has suffered from a number of Transient Ischemic Attacks (TIAs) or mini strokes that have impacted his speech but not his ability to create amazing presentations on a number of topics.
    Over the coming weeks and months Sean will be recording a number of Steve's presentations to share with all of you along with the actual presentation, which will be available via email request to either Steve Verno or Sean.
    We hope you enjoy these presentations!
    18 min

About The Compliance Guy

From the publisher's feed

Sean is the host of “The Compliance Guy” a live production dedicated to the intersection of regulatory compliance and the business of medicine. The show provides timely, accurate, and easy to digest information to healthcare professionals.