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The Compliance Guy
By Sean M. WeissBusiness
The Compliance Guy episodes
- TCG with Terry Fletcher - Payor AuditsTerry sits down with Sean for her #TerryTuesday discussion on the many payor audits providers can be subject to with a great breakdown of each!21 min
- Jeanmarie Loria - Managing Partner (CEO) Advize HealthSean is joined by Jeanmarie Loria to discuss her evolution in healthcare from CPC to Managing Director (CEO) at Advize Health! The discussion takes an in-depth look into the current and future landscape of our industry. Jeanmarie provides invaluable insights and truly is a breath of fresh air and an inspiration for the younger, aspiring generation of healthcare leaders! She truly is one of the most interesting women in healthcare!!!About Jeanmarie:Ms. Loria provides quality consulting and project management services that accelerate clients' ROI and satisfaction. At Sunera Healthcare (now Advize Health), Ms. Loria streamlined operations and improved client retention resulting in a steady, ongoing stream of income. Ms. Loria‘s focus at Advize Health is to deliver the utmost quality of service in all Audit and Advisory services.Previously with KPMG's North Florida Advisory Practice, Ms. Loria coordinated and executed testing efforts surrounding the healthcare industry to deliver process improvement and integration with data mapping, policy and procedure design and development, and organizational analysis and alignment. She performed integrated IT audit testing and reviews specific to healthcare and insurance organizations by analyzing business processes and assessing the effectiveness of controls surrounding key financial modules, general IT controls, and interfaces.As a skilled project manager, Ms. Loria has an acute ability to focus on data flow and business applications by interviewing companies to develop an organized process overview, drilling into areas of potential weakness and then building plans to mitigate risk. She has a MBA with a concentration in Finance, and her certifications include Project Management Professional, Six Sigma Green Belt, and Conflict Resolution Mediator.1 hr 2 min
- Interview with Dr. Matthew KolinskiDr. Kolinski joins Sean to discuss his latest book Work - Passion - Life Balance - and the process of "Reengineering"! The world we work in doesn't allow for many opportunities to balance the demands of the job and what we seek as fulfillment. Dr. Kolinski talks about what professionals should and can be doing to take the steps necessary to create that perfect work-life balance! Don't miss this insightful discussion!59 min
- TCG Ronald Chapman II Executive Order and Garland Memo BreakdownIf you missed this live episode you can catch the podcast here! I sat down with Ronald Chapman II, Esq. LLM Chapman II to discuss and breakdown the Biden-Harris Executive Order and its impact on approximately 100 million American workers! We address the "work-around" employed by OSHA as well as previous Supreme Court cases that could impact future litigation... This is a comprehensive explanation of where things are and what can be expected in the days, weeks and months ahead!We then shift to the Garland Memorandum and what it means for the Session's and Brand Memos! You just might be surprised to learn what this all means to you!This episode was previously live on LinkedIn, Facebook and YouTube and the video version is available if you prefer to watch it!#executiveorder #covidvaccinemandate #hospitals #healthsystems #physicians #nurses #providers #healthcareprofessionals #levelplayingfield #thecomplianceguy #OSHA #CMS #medicare57 min
- Compliance Audit RoundtableIn this special episode Sean is Joined by Nationally Recognized Medical Auditors Stephanie Allard, Scott Kraft and J. Paul Spencer from the National Alliance of Medical Auditing Specialists (NAMAS) to discuss Risk Mitigation, Coding, Billing, Documenation and Audit issues providers, hospitals and health systems face daily!1 hr 1 min
- The False Claims ActIn this episode Sean takes on The False Claims Act (FCA) and all the ins and outs of these type cases. Sean shares his insights and expertise in this critical area of regulatory compliance and health law. The importance of understanding this Act cannot be overstated.53 min
- Super Lawyer Ronald Chapman, II of Chapman Law GroupIn this episode Sean sits down with Ron Chapman to discuss Fraud, Waste and Abuse in healthcare, strategic litigation defense services and the never ending battle with the Department of Justice! This dynamic conversation is one you do not want to miss.1 hr 14 min
- Information Blocking with Attorney Amanda Waesch of BMDIn this episode, Sean and Amanda sit down and discuss Information Blocking and the misperceptions and misinformation that exists. Providers (physician practices, hospitals, health systems, etc.) need to understand their obligation(s) to providing patients access to their protected health information in a readable/useable format in a timely manner... Failure to comply can have significant financial repercussions (up to $1 million in fines).Don't miss this dynamic discussion!53 min
- PCI Compliance and Credit Card ProcessingThis is the latest episode of The Compliance Guy... I sat down with Ray McGrogan and Steven Kleinberg, Co-founders of CardChoice International to discuss PCI Compliance and the misunderstandings between this and HIPAA Compliance and other little known facts about this type of compliance that is the responsibility of each entity and not your vendor or bank!The guys did a great job of explaining so many aspects of credit card processing requirements and dos and don'ts and the trouble companies can get into for violating the rules... for example, surcharging a debit card whether or not a PIN is entered is a violation but yet so many business are doing it.Tune in to this episode and walk away with more than you would have expected!1 hr 4 min
- Breaking Podcast on TelehealthToday it was a privilege to welcome Terry Fletcher and Brianna Santolli on to the Compliance Guy Podcast to discuss Telehealth misunderstandings! Given the fact there is federal guidance, state guidance and then variances from state to state it's no wonder risk continues to increase while complete understanding for the requirements lags! Don't miss this in-depth discussion with two outstanding professionals who certainly have mastered their craft!Topics of discussion:1. Originating site.2. Audio only vs. Interactive.3. Compliant Platform(s) and the risks you face for non-compliance.4. Licensure requirements for rendering services across state lines.5. Potential for med/mal issues, telehealth/Telefraud schemes; and so much more!Thank you to all my listeners/subscribers for tuning-in and listening to what I and my very special guests have to say on this critical topic and one that is sure to land at the top of every insurance payer and investigational agency if it already hasn't!1 hr 1 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.
The show features interviews of industry leaders, government officials, and others helping to shape the healthcare landscape.
Sean M. Weiss (AKA – The Compliance Guy) has been an industry respected name for more than 25-years. A physician and health system advocate, Sean engages with clients to ensure a “level-playing-field” and due process when allegations and/or accusations of impropriety are leveled by a payor or government investigation agency.
When Sean is not engaging in administrative, civil and criminal matters on behalf of more than 30 nationally recognized law firms and clients, he is serving as a third-party compliance officer for a dozen organization across the country ranging in size and specialty to ensure a “Culture of Compliance”!
Sean is a proud member in good-standing with the National Society of Certified Healthcare Business Consultants (NSCHBC), American Health Lawyers Association (AHLA), National Alliance of Medical Auditing Specialists (NAMAS), and the American Academy of Professional Coders (AAPC). Sean holds (CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC, CMC, CMIS, CMOM) national certifications from the Health Care Compliance Association, The National Alliance of Medical Auditing Specialists, The American Academy of Professional Coders and Practice Management Institute.