Compliance Conversations by Healthicity
Business & Finance
About
Compliance Conversations is a biweekly podcast for healthcare professionals and compliance officers who want to stay on top of the compliance game. Host CJ Wolf has in-depth conversations with industry experts to explore the riddles and complexities of the compliance world. Wolf chats with fellow compliance experts, auditors, physicians and government officials. Compliance Conversations is produced by Healthicity.
Episodes
- Designing AI That Works in Clinical Care
This episode of Compliance Conversations features Dr. Ashok Gupta discussing AI in clinical care. He shares insights on AI adoption, trust, safety, and future healthcare technology with host CJ Wolf.
- What to Watch at HCCA’s Compliance Institute and HEALTHCON
This episode of Compliance Conversations features CJ Wolf and Brian Burton discussing what to watch for at the HCCA Compliance Institute and AAPC HEALTHCON. They will cover emerging trends, regulatory insights, and strategies for complianc…
- Who’s Watching Your Vendors? Rethinking Compliance Oversight
This episode of Compliance Conversations features CJ Wolf and Susan Walberg discussing challenges and best practices in vendor oversight within healthcare. They address how organizations can better manage compliance, privacy, and security…
- Inside CRUSH: The Government’s Next Move on Fraud, Waste & Abuse
This episode of Compliance Conversations by Healthicity discusses the CRUSH initiative, which focuses on regulations to uncover suspicious healthcare. CJ Wolf and Lisa Taylor analyze what this request for information (RFI) means for organi…
- Telehealth Rules, Risks, and Red Flags for 2026
This episode of Compliance Conversations discusses telehealth rules, risks, and red flags for 2026. It covers extended flexibilities, evolving documentation requirements, and audit risks related to telehealth services.
- Make It Make Sense: Medical Decision Making Documentation That Holds Up
CJ Wolf and Amanda Reikowsky discuss essential Medical Decision Making (MDM) documentation practices. They cover common auditor findings, how to link diagnoses to care plans, and the importance of documenting risk based on patient-specific…
- Career Moves for Coders Who Want More
In this episode of Compliance Conversations, host CJ Wolf talks with Barbara Shaw about the impact of mentorship on healthcare coders' careers. Shaw shares insights on how mentorship works, finding support through resources like AAPC chapt…
- Physician Buy-In, Audit Blind Spots, and Enforcement Trends
In this episode of Compliance Conversations, host CJ Wolf interviews Amy Bailey about prevalent compliance failures, particularly focusing on audit blind spots and enforcement trends within healthcare organizations. They discuss the import…
- Doing the Right Thing the Wrong Way: Refunds in Healthcare Compliance
This episode of Compliance Conversations features healthcare attorney David Glaser discussing how organizations can confidently navigate refund decisions, covering the difference between binding law and guidance, and Medicare's look-back r…
- Building Ethical Cultures That Drive Innovation
In this episode of Compliance Conversations, host CJ Wolf talks with Jill Fallows Macaluso of Novo Nordisk about building ethical cultures. They discuss how psychological safety, empowered risk-taking, and inclusion contribute to stronger…
- Why Case Management Is Critical to Demonstrating Compliance
Healthcare compliance expert Jessica Zeff discusses the importance of structured, electronic case management for demonstrating compliance, managing risk, and handling audits. She covers practical aspects, common mistakes, and the benefits…
- Rethinking Critical Care Coding Beyond the Bedside
This episode of Compliance Conversations with CJ Wolf and Maya Turner discusses how critical care coding extends beyond bedside time, incorporating recent CPT guidance on telehealth and pre-arrival care coordination. It covers discrepancie…
- Telehealth Compliance in Late 2025
This episode of Compliance Conversations discusses the evolving landscape of telehealth compliance in late 2025, covering Medicare, Medicaid, and commercial payer coverage. Hosts CJ Wolf, MD and Keisha Wilson explain how to navigate curren…
- Shutdowns, Telehealth & Enforcement: Compliance Perspectives on Current Events
This episode of Compliance Conversations discusses current events impacting compliance, including enforcement realities, backlogs, Medicare Advantage audits, and telehealth billing. Hosts CJ Wolf and Brian Burton offer guidance on maintain…
- Inside the Whistleblower’s World: What Compliance Needs to Know
CJ Wolf discusses the False Claims Act, whistleblower realities, and compliance program effectiveness with Jacklyn DeMar and Elin Kunz. Topics include FCA case basics, evidence documentation, anti-retaliation measures, and closing program…
- Shadow AI, Emerging Risks, and What Compliance Leaders Need to Know
This episode of Compliance Conversations discusses the emerging risks of artificial intelligence in healthcare, including shadow AI and model drift. Host CJ Wolf speaks with Santosh Kaveti about the need for AI governance, workforce educat…
- What ISO 42001 Means for Healthcare Compliance
This episode discusses the impact of ISO 42001 on healthcare compliance amidst AI transformation. Hosts CJ Wolf and Walter Haydock cover AI risks, patient safety, regulatory alignment, and the balance between innovation and security.
- Compliance and Revenue Cycle: A Shared Mission
In this episode, CJ Wolf and Melinda Hawk discuss the collaboration between compliance and revenue cycle teams. They share insights from Hawk's 35-year career, leadership lessons, and strategies for mentoring and staying current with regul…
- The Compliance Impact of the CMS TEAM Model
CJ Wolf and Eddie Qureshi discuss the CMS TEAM Model's implications for hospitals. The episode covers which hospitals are affected, the shift in post-acute care accountability, compliant practices, and the potential of AI in healthcare com…
- Hidden Security Vulnerabilities in Healthcare Portals
This episode features CJ Wolf, MD, and Rui Ribeiro discussing overlooked client-side security threats in healthcare portals. They cover browser-based vulnerabilities, HIPAA evolution, PCI DSS standards, and Zero-Trust Architecture.
- Hospital Transparency in 2025: What’s Changed and What’s Coming
This episode features CJ Wolf interviewing Dave Cardelle about upcoming changes in hospital price transparency for 2025. They discuss what constitutes a compliant machine-readable file, the challenges with negotiated rates, and how automat…
- How Telehealth and Chronic Care Management Drive Modern Reimbursement
CJ Wolf and Maya Turner discuss how telehealth and chronic care management impact provider reimbursement. They cover value-based care, overlooked billing codes, documentation, virtual care models, and telehealth's future implications for b…
- Healthcare Marketing in a Privacy-First World
Aaron Burnett and CJ Wolf explore healthcare marketing amidst evolving privacy laws. They discuss the changing legal landscape, alternatives to third-party tracking, and new solutions for compliance and risk management.
- Top Takeaways from New Skilled Nursing Facility Guidance
CJ Wolf and Paige Pennington analyze the Office of Inspector General's new industry-specific compliance program guidance for skilled nursing facilities. They cover the OIG's prioritization of SNFs, identified risk areas, and the changing r…
- Cybersecurity in Healthcare: What Every Compliance Officer Needs to Know
This episode features Anurag Lal discussing why healthcare is a prime target for cyberattacks. Learn about evolving tactics, identifying insecure communications, understanding encryption, and the connection between patient care and cyberse…
- Conferences, Coding, and Compliance: What We Learned
This episode of Compliance Conversations covers major themes from HEALTHCON and HCCA’s Compliance Institute, including AI in audit workflows and CMS’s focus on fraud, waste, and abuse. Hosts CJ Wolf and Brian Burton discuss AI's impact on…
- What to Do When the Audit Letter Arrives
In this episode of Compliance Conversations, CJ Wolf and healthcare attorney Christina Kuta discuss how providers should respond to audit letters. They cover immediate actions, differences in audit types, the importance of self-auditing, a…
- Inside IROs: What Compliance Professionals Need to Know
This episode features CJ Wolf interviewing Stephani Scott about Independent Review Organizations (IROs) and their importance in healthcare compliance, particularly concerning Corporate Integrity Agreements. They cover the functions of IROs…
- From Templates to Time-Savers: EHR Tips for Coders and Clinicians
Host CJ Wolf speaks with Elizabeth Herbert about EHR templates, covering myth-busting, practical tips for providers and compliance professionals, and underused tools to improve efficiency and documentation.
- Stay Compliant, Stay Connected: Navigating Healthcare Outreach
CJ Wolf and Dan Fox discuss leveraging AI for healthcare compliance, covering patient engagement, regulatory challenges, and practical implementation examples in this episode of Compliance Conversations.
- Top Enforcement Trends Every Healthcare Compliance Officer Should Watch
CJ Wolf and Sean McKenna discuss top enforcement trends in healthcare law and compliance. Key topics include the False Claims Act, data analytics in enforcement, whistleblower initiatives, and strategies for effective compliance programs.
- Telehealth Fraud, AI, and Cybersecurity: The Compliance Landscape in 2025
This episode of Compliance Conversations discusses telehealth fraud, common compliance pitfalls, regulatory updates from the FTC, FDA, and HHS, and the role of AI in healthcare risk management with host CJ Wolf and healthcare attorney Susa…
- What DOJ and FDA Are Looking For in Compliance Programs
Clint Narver, former DOJ prosecutor and healthcare compliance expert, discusses best practices, emerging trends, and strategies for compliance programs. The episode covers safeguarding against research fraud, the DOJ perspective, avoiding…
- Beyond the Deal: Compliance Lessons for Healthcare Transactions
This episode of Compliance Conversations features healthcare attorney Ericka Adler discussing compliance pitfalls in healthcare transactions. Adler shares strategies for practices preparing for sale and key steps buyers should take during…
- The Next Big Shift: AI in Healthcare Compliance and Coding
This episode of Compliance Conversations features CJ Wolf interviewing AI pioneer Nick Sahar about the role of AI in healthcare compliance and coding. They discuss how AI improves coding accuracy and speeds up workflows, with practical app…
- Inside Payment Integrity: Key Insights from a Payer’s Lens
CJ Wolf interviews Dave Cardelle on the payer perspective of payment integrity. They discuss DRG audits, the impact of technology on payer-provider relations, and solutions for improving payment accuracy and efficiency in healthcare.
- Lessons on Compliance Communication and Leadership
CJ Wolf and Jay Anstine discuss effective compliance communication and leadership strategies, including delivering tough news, avoiding false urgency, and navigating healthcare compliance politics.
- Improper Payments Explained: Tips from the Field
Healthcare compliance expert Nancy Clark joins CJ Wolf, MD on Compliance Conversations to discuss improper payments. The episode covers common coding errors, using Medicare data for compliance, and protecting practice revenue and reputatio…
- Behind the Mic: 100 Episodes of Compliance and Auditing Insights
Compliance Conversations celebrates its 100th episode with Healthicity experts CJ Wolf, MD, Debi Behunin, Brian Burton, Remo Peshkepia, and Sarah Crane. They discuss the evolution of compliance and auditing, key milestones for Healthicity,…
- Expert Insights on E/M Coding
E/M coding expert Sharisa Freeman joins CJ Wolf on Compliance Conversations to discuss the evolution of E/M coding, focusing on medical decision-making, documentation challenges, and offering advice for new coders.
- Healthcare Fraud, Compliance, and Expert Testimony
Compliance expert Rebecca Busch shares her transition from trauma nurse to legal expert in healthcare fraud and compliance. She discusses key legal challenges faced as an expert witness and offers advice on staying ahead of compliance tren…
- Innovation at the Intersection of Healthcare, Science, and Startups
On Compliance Conversations, host CJ Wolf, MD, speaks with Steve VanNurden about innovation at the Fitzsimons Innovation Community. They discuss the integration of academic and entrepreneurial ecosystems, tech transfer, and building a biot…
- Behavioral Health Compliance: Insights and Challenges
Maeve O'Neill shares insights on behavioral health compliance, including navigating complex regulations, building effective programs, and the connection between compliance and patient care. The episode highlights best practices for organiz…
- Navigating Medicare Audits and Appeals
Alicia Shickle discusses how to navigate Medicare audits and appeals, covering common triggers, preparation strategies, the five levels of appeals, and the importance of proactive compliance programs.
- Pharmacy in the Digital Age: Challenges and Innovations
Heidi McKinnon shares her expertise on digital pharmacy, covering its definition, regulatory hurdles, impact on patient care, and compliance strategies for new professionals in the field.
- Healthcare's Legal Tightrope: Navigating Physician Contracts
This episode features Hal McCard discussing healthcare law, focusing on STARK and Anti-Kickback statutes in physician contracting. Key topics include fair market value, auditing, and compliance risk mitigation.
- Telehealth Beyond Borders: Legalities and Logistics
This episode discusses the nuances, challenges, and opportunities in international telehealth services, including the impact of COVID-19, compliance and legalities, infrastructure limitations, insurance hurdles, and the roles of organizati…
- Expert Tips on Gastrointestinal Coding and Billing
Host CJ Wolf speaks with coding supervisor Laidy Diana Martinez about challenges, coding, and compliance in gastrointestinal procedures. They cover screening vs. diagnostic colonoscopies, modifiers, documentation, and Medicare policies.
- Meet Healthicity's Inaugural Compliance Officer of the Year Award Recipient
Healthicity names Johanna Brown as its 2023 Compliance Officer of the Year. Host CJ Wolf discusses her career, leadership, and qualities with Brown, featuring colleague recommendations.
- Demystifying Anesthesia Coding and Billing
This episode of Compliance Conversations features CJ Wolf and Kimberly Jolivette Williams discussing anesthesia coding and billing. Topics include Kimberly's career path, unique aspects of anesthesia coding, the role of modifiers, and tips…