The Healthcare Compliance Step-By-Step Podcast

AI Is Already in Your Practice: How to Govern Shadow AI, Vendors, and Everyday AI Use examines the growing use of artificial intelligence in healthcare and how organizations can establish effective oversight, mange third-party vendors, and address AI tools being used without formal approval.

In this session, Ray Walters (EPICompliance) and Mr. Jose Delgado (Taino Consultants) welcome special guests Jim Younkin, CTO, and Teresa Younkin, CEO, of Mosaic Life Tech. Together they discuss how AI is entering healthcare operations through EHR features, ambient scribes, coding tools, browser extensions, and generative AI applications. The discussion explores practical approaches to identifying AI use, evaluating vendors, managing risks, and establishing governance practices aligned with Joint Commission and Coalition for Health AI (CHAI) guidance.

Key Topics:

• Identifying AI use across healthcare organizations, including unauthorized "shadow AI' tools.
• Establishing AI inventories, evaluating vendors, reviewing BAAs, and defining acceptable AI use.
• Strengthening AI governance through risk assessments, human oversight, accountability, documentation, and ongoing monitoring.

Resources:

• Learn more about healthcare compliance systems: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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Originally Recorded: October 27, 2026.

Fake Patients, Invisible Access & Real Liability: New Healthcare Security Threats examines emerging healthcare cybersecurity threats and how EHR vulnerabilities, insider activity, and fraudulent patient records can expose healthcare organizations to serious privacy, compliance, and fraud risks.

In this session, Ray Walters (EPICompliance) and Mr. Jose Delgado (Taino Consultants) discuss recent reports involving Epic EHR security vulnerabilities and a Florida pharmacist accused of creating fake patient records to obtain oxycodone. they explore how unauthorized access, weak audit trails, insider threats, and inadequate monitoring can create significant risks for healthcare providers, practice leaders, and patients.

Key Topics:

• Epic EHR security vulnerabilities and invisible patient record access.
• Fake patient records, prescription fraud, and controlled-substance diversion.
• Practical strategies to strengthen access controls, oversight, and fraud prevention.

Resources:

• Learn more about healthcare compliance systems: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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Originally Recorded: October 20, 2026.

Medicare Advantage 2027: Fewer Plans, Changing Networks, New Challenges examines the significant changes coming to Medicare Advantage plans in 2027 and what they may mean for healthcare providers, practice leaders, and patients.

In this session, Ray Walters (EPICompliance) and Mr. Jose Delgado (Taino Consultants) discuss plan reductions, changing provider networks, patient coverage concerns, reimbursement challenges, referrals, authorizations, and continuity of care.

Key Topics:

• Out-of-network DMEPOS fraud risks.
• Supplier verification, Medicare enrollment, and documentation.
• Due diligence, staff training, vendor oversight, and internal auditing.

Resources:

• Learn more about healthcare compliance systems: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

• Explore healthcare compliance training and weekly webinars: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com/training-in...⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Originally Recorded: October 13, 2026.

Medicare Advantage Fraud: Understanding Out-of-Network DME Risks examines growing compliance concerns surrounding out-of-network Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) suppliers.

In this session, Ray Walters (EPICompliance), and Mr. Jose Delgado (Taino Consultants) discuss recent HHS-OIG findings and what healthcare organizations should understand about supplier verification, Medicare enrollment, documentation, referral risks, and fraud prevention.

Key Topics:

• Out-of-network DMEPOS fraud risks.
• Supplier verification, Medicare enrollment, and documentation.
• Due diligence, staff training, vendor oversight, and internal auditing.

Resources:

• Learn more about healthcare compliance systems: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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Originally Recorded: October 6, 2026.

Before You Deploy AI in Healthcare: Risks, Responsibilities & Opportunities examines what healthcare organizations should consider before introducing Artificial Intelligence into clinical, administrative, and compliance workflows.

In this session, Ray Walters (EPICompliance), Mr. Jose Delgado (Taino Consultants), and special guest, Dr. Jose Delgado (CEO of EPICompliance) discuss how AI is being used in healthcare and the privacy, security, compliance, and operational risks organizations should evaluate before implementation.

Key Topics:

• AI use in healthcare operations.
• HIPAA and Security Risk Analysis considerations.
• Policies, staff training, and responsible implementation.

Resources:

• Learn more about healthcare compliance systems: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

• Explore healthcare compliance training and weekly webinars: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com/training-in...⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Originally Recorded: September 29, 2026.

Health Plan Exits: Compliance Risks When Coverage Changes examines the compliance risks healthcare organizations may face when major insurers leave a market, networks change, or patients are forced to transition to new coverage.

In this session, Ray Walters (EPICompliance) and Mr. Jose Delgado (Taino Consultants) discuss the impact of Cigna and UnitedHealthcare leaving Georgia's ACA marketplace after 2026 and the compliance responsibilities that can arise when patients experience coverage changes, higher costs, or disruptions in care.

Key Topics:

• Health plan exits and coverage changes.
• Patient notification and communication.
• Documentation and internal auditing.

Resources:

• Learn more about healthcare compliance systems: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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Originally Recorded: September 22, 2026.

Rural Healthcare Transformation: Managing Compliance During Operational Change examines the compliance risks rural healthcare organizations may face when restructuring services, changing staffing models, adopting new technology, or introducing new care models.

In this session, Ray Walters (EPICompliance) and Mr. Jose Delgado (Taino Consultants) discuss the $50 billion Rural Health Transformation Program and the importance of patient access, continuity of care, staffing oversight, documentation, funding, accountability, and measurable outcomes.

Key Topics:

• Rural hospital restructuring and service reductions.
• Patient access and continuity of care.
• Funding accountability and measurable outcomes.

Resources:

• Learn more about healthcare compliance systems: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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Originally Recorded: September 15, 2026.

Medicare Advantage Quality Payments: Compliance Behind the Stat Ratings examines the compliance risks connected to Medicare Advantage quality measurements, Star Ratings, and the financial incentives tied to quality bonus payments.

In this session, Ray Walters (EPICompliance) and Mr. Jose Delgado (Taino Consultants) discuss why accurate reporting, reliable quality data, proper documentation, patient outreach, vendor oversight, and internal auditing are increasingly important as Medicare Advantage quality bonus payments are expected to exceed $13 billion in 2026.

The discussion focuses on an important compliance principle: a higher Star Rating is only valuable if the organization can support how that rating was achieved.

Healthcare organizations should be able to trace quality results back to reliable source documentation, validate reported data, monitor third-party vendors, document patient outreach, and take corrective action when errors are identified.

Key Topics:

• Patient outreach and the risks of financial pressure influencing care decisions.
• Vendor oversight and third-party accountability.
• Internal auditing and corrective action.

Resources:

• Learn more about healthcare compliance systems: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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Originally Recorded: September 8, 2026.

The Cost of a Healthcare Data Breach: Prevention, Response, and Legal Exposure examines the financial, operational, and legal consequences healthcare organizations may face after a cybersecurity incident.

In this session, Ray Walters (EPICompliance) and Mr. Jose Delgado (Taino Consultants) discuss the Watson Clinic data breach and the resulting $10 million settlement related to a 2024 cybersecurity incident that reportedly affected approximately 280,000 individuals.

The discussion focuses on an important compliance principle: the cost of a data breach extends far beyond restoring systems and recovering data.

Healthcare organizations may also face litigation, patient notification expenses, credit or identity monitoring, forensic investigations, regulatory scrutiny, reputational damage, corrective action, and long-term legal costs.

Key Topics:

• The Watson Clinic data breach and resulting $10 million settlement.
• The financial and legal exposure associated with healthcare data breaches.
• Why healthcare organizations should establish a breach-response plan before an incident occurs.

Resources:

• Learn more about healthcare compliance systems: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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Originally Recorded: September 1, 2026.

The Trusted User Threat: Social Engineering, Contractors, and Healthcare Cybersecurity examines how trusted access can become a major security vulnerability when employees, contractors, vendors, or business associates are targeted by attackers.

In this session, Ray Walters (EPICompliance) and Mr. Jose Delgado (Taino Consultants) discuss the 2026 AdaptHealth cybersecurity incident and other recent healthcare-related breaches involving DentaQuest, Medtronic, and Amazon-owned One Medical Senior Health.

The discussion focuses on a central compliance principle: trusted access does not mean risk-free access. An attacker may not need to defeat sophisticated security controls if they can manipulate a legitimate user, contractor, or help-desk process and gain access through valid credentials or an active session.

Ray and Jose discuss how healthcare organizations can strengthen cybersecurity by reviewing contractor access, multifactor authentication, password security, session management, phishing and vishing awareness, cloud application controls, access termination, incident detection, Business Associate Agreements (BAAs), and third-party security monitoring.

Key Topics:

• Social engineering, phishing, vishing, credential theft, and MFA manipulation.
• Contractor and third-party access, cloud applications, password security, and session management.
• Recent breach examples involving AdaptHealth, DentaQuest, Medtronic, and One Medical Senior Health, along with the growing use of social engineering and identity-based attacks.

Resources:

• Learn more about healthcare compliance systems: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

• Explore healthcare compliance training and weekly webinars: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com/training-in...⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Originally Recorded: August 25, 2026.