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The Compliance Guy

Sean M. Weiss

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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 ...
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Pharmacy Fika

The Pharmacy Fika Crew

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The Pharmacy Fika podcast is a positive and compassionate “place” (a virtual community) where pharmacy and other health professions educators gather to discuss teaching, learning, scholarship, and academic life… plus the snacks that support their best work. So grab your favorite beverage and listen to the Pharmacy Fika podcast with your colleagues.
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Info Matters

Information and Privacy Commissioner of Ontario

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Conversations about people, privacy, and access to information. Hosted by Patricia Kosseim, Information and Privacy Commissioner of Ontario.
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Corwynn Rosewood presents: . ALL VAMPIRES ARE GAY . All Vampires Are Gay is a supernatural action/adventure story with a sassy side dish of rom-com! It’s a campy, heartfelt send-up of the vampire genre through a modern lens. If you’re looking for an exciting and comforting show about magical & paranormal adventures, you’ve found it. . DESCRIPTION: Victor Nightingale is a few hundred years old and bored of everything. When he meets a beautiful and mysterious young DJ named Robert they have an ...
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Sixty-three essays on a variety of topics as wide apart as Family Life in America, Opera Synopses, Bigamy, International Finance and many more, Love Conquers All by Robert Benchley strangely enough does not touch upon romance at all! However, these delightful notes provide hours of browsing pleasure for young and old readers alike. Robert Benchley was a well-known humorist and newspaper columnist, radio and television presenter, actor, scriptwriter and broadcaster. He is also credited with c ...
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show series
 
Summary In this episode, Sean and Terry discuss the critical role of support staff in healthcare, and the necessity of listening to compliance experts to avoid legal pitfalls. They emphasize the need for collaboration and communication within healthcare practices to ensure compliance and effective billing practices. Takeaways Support staff play a c…
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Summary In this episode, Sean and Terry discuss the implications of the recent Medicare final rule, particularly focusing on the challenges facing telehealth services. They explore the political dynamics surrounding healthcare access, the importance of equitable access to telehealth, and the need for legislative action to address these issues. The …
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The Pharmacy Fika Crew talks with Conan MacDougall, PharmD, MAS, BCPS, BCIDP from the University of California San Francisco about the best uses of artificial intelligence (AI) to support learning. There are lots of "cool tools" that can summarize content and generate ideas (efficiently and effortlessly), but the work of learning requires some degr…
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Summary In this episode of the Compliance Guy Podcast, Sean engages with Dean Viskovich, a healthcare attorney with extensive experience in lab-related compliance and reimbursement. They discuss the challenges faced by healthcare providers in the wake of post-pandemic audits, the importance of documentation, and proactive measures that can be taken…
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Summary In this episode, Sean and Terry discuss the challenges faced by consultants in the healthcare industry, particularly regarding collaboration requests and the importance of maintaining credibility. They share personal experiences with scams and the necessity of due diligence when engaging with potential partners. The conversation also touche…
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Jeff Ward, is the CEO of Animikii and a member of the Global Partnership on Artificial Intelligence working group on responsible AI. His areas of expertise encompass the development of technology solutions tailored for Indigenous communities and organizations and the integration of traditional Indigenous values and culture into modern business prac…
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In this episode, Sarah explores the common questions Chinese families ask when selecting UK boarding schools for their children, the appeal of single-sex education, academic excellence, and cultural expectations. Learn about the critical factors that influence their decisions, from academic track records to extracurricular activities, and how tutor…
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SummaryIn this episode, Sean discusses the complexities of compliance in healthcare with Dr. Muhammad Ali Rafai, who faced a criminal indictment for healthcare fraud. The conversation covers the emotional toll of the indictment, the audit process, trial preparation, expert testimonies, and the eventual acquittal. Dr. Rifai shares insights on the ch…
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Summary In this episode, Sean and Terry discuss the critical importance of compliance in healthcare, focusing on the need for consequences for non-compliance, the implementation of financial penalties, and the role of documentation in ensuring patient safety. They emphasize the necessity of creating a culture of compliance within medical practices …
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Summary The conversation delves into the complexities of Medicare Advantage plans, highlighting concerns about their effectiveness and the implications of recent changes in coding. The panel discusses the challenges faced by patients under these plans, the deceptive marketing tactics used, and the potential shift towards remote patient monitoring a…
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If you’re a teacher or tutor who is looking to find more ways to scale into the international market, then look no further, Tutoring The World is the podcast for you. We've spoken previously about how important International Agents are to your tutoring business. During this episode Sarah discusses 3 BIG TIPS to help you build rapport with, and be a…
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Summary Eric Rubenstein and Ron Chapman join The Compliance Guy to discuss the implications of a recent dismissal of a False Claims Act case based on the appointment clause. The guys explore the historical context of key tam cases, the role of relators, and the complexities surrounding the appointment clause. The conversation delves into the differ…
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If you’re a teacher or tutor who is looking to find more ways to scale into the international market, then look no further, Tutoring The World is the podcast for you. In this episode, Sarah is joined by Sumantha McMahon, she's built a great brand on LinkedIn and today she shares some of her secrets and why you should NOT slack on LinkedIn. Connect …
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Summary In this episode, Sean and Terry discuss the intersection of sports and healthcare, particularly focusing on the implications of sports injuries on mental health. They delve into the nuances of preventative medicine visits, the complexities of evaluation and management services, and the importance of medical necessity in billing practices. T…
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Summary In this conversation, Sean and his guests discuss various pressing issues in healthcare, focusing on the implications of HIPAA violations, the challenges of patient privacy, and the recent controversies surrounding the Epic EMR system. They delve into the complexities of unauthorized access to patient information, the role of AI in healthca…
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If you’re a teacher or tutor who is looking to find more ways to scale into the international market, then look no further, Tutoring The World is the podcast for you. In this episode, Sarah talks about the importance of referrals. They are so important because when you meet a family you've been referred to, they already know how great you are! Get …
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Summary In this conversation, Sean and Nicole Thorn discuss the increasing challenges healthcare providers face regarding compliance, particularly in light of rising audit risks and overpayment demands. They explore the complexities of healthcare law, the role of attorneys in navigating disputes, and the importance of proactive compliance strategie…
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Summary In this episode, Sean and Terry discuss the current state of the healthcare industry, focusing on the business of medicine, the impact of external factors on healthcare operations, and the alarming rise in healthcare bankruptcies. They delve into the role of private equity in healthcare, the importance of compliance, and the need for health…
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The PharmacyFika crew critically examines educational trends, how fads develop, and why they fade. In this episode, you'll discover: 1) Tina loves boiled peanuts but is circumspect about the nutritional value of fish sticks, 2) Jeff, the grittiest guy we know, is ironically skeptical about measuring and teaching grit, 3) Stuart thinks learning styl…
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Summary In this episode, Sean and David discuss the importance of compliance education in healthcare, highlighting the diverse educational sources available, particularly through the Practice Management Institute (PMI). They explore the various certifications offered by PMI, the significance of personalized education, and the impact of recent chang…
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If you’re a teacher or tutor who is looking to find more ways to scale into the international market, then look no further, Tutoring The World is the podcast for you. In this episode, Sarah provides tips to kickstart building your tutoring brand. There are so many businesses and so much noise out there, so you and your brand NEED to stand out! Get …
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Guests and Transparency Showcase exhibits Council of Ontario Universities Steve Orsini, President and CEO Josh Lovell, Director, Policy and Planning Town of Innisfil Mike Melinyshyn, Chief Financial Officer, Director of Corporate Services and Innovation Damien Mainprize, Business Performance Specialist Ontario Ministry of the Environment, Conservat…
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Summary In this episode, Sean and Terry Fletcher discuss the complexities of prior authorization in healthcare, emphasizing its critical role in the reimbursement process. They explore the misconceptions surrounding prior authorization, the disconnect between healthcare providers and payers, and the challenges posed by Medicare Advantage plans. The…
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Summary In this episode, the panel discusses the critical importance of honesty in healthcare compliance, the challenges posed by audits, and the responsibilities of providers in navigating vendor relationships. They explore the implications of using AI in clinical documentation, the escalation of compliance issues to law enforcement, and the risks…
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If you’re a teacher or tutor who is looking to find more ways to scale into the international market, then look no further, Tutoring The World is the podcast for you. Curious about expanding your tutoring business internationally? In this episode, we dive into the key steps for going global, from finding your niche and understanding cultural differ…
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Summary In this conversation, Sean and Terry discuss the critical importance of conducting audits in healthcare practices, emphasizing the need for both internal and external reviews to ensure compliance and accuracy in coding and billing. They highlight real-world examples of practices that have suffered due to a lack of audits and the biases that…
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If you’re a teacher or tutor who is looking to find more ways to scale into the international market, then look no further, Tutoring The World is the podcast for you. We've touched specifically on the Chinese market several times during the shows so far. That's because it's SO IMPORTANT if you want to grow into the international market. This episod…
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Summary In this episode, Sean and Terry discuss various topics related to healthcare compliance. They start by sharing their recent experiences, including Sean's trip to Alaska. Then, they dive into the theme of the episode, which is when things are as clear as mud in the healthcare community. They discuss the challenges of finding clear guidelines…
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Summary The conversation revolves around the topic of padding medical bills and the importance of clear communication with patients regarding their financial responsibilities. The speakers discuss instances where unnecessary charges are added to the bill, such as billing for lifestyle medicine codes during a visit for a finger fracture or adding ch…
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If you’re a teacher or tutor who is looking to find more ways to scale into the international market, then look no further, Tutoring The World is the podcast for you. Meet Ed Borton, the driving force behind ESB Education & Family. With a rich background in elite private school education and a partnership with his wife Sabina, a former Norland Nann…
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The Fika Crew share their pharmacy educator meeting experiences at the Monash Pharmacy Education Symposium in Prato, Italy, and the American Association of Colleges of Pharmacy (AACP) Annual Meeting in Boston, MA. Kristin shares her travel misadventures, Tina wants to turn the "dark caves" of convention centers into "delightful" learning spaces, Je…
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If you’re a teacher or tutor who is looking to find more ways to scale into the international market, then look no further, Tutoring The World is the podcast for you. We've talked on past episodes about how amazing the BSA (Board Schools Association) are. During this episode, you'll hear Sarah's chat with Caroline Nixon who's the International and …
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Mediation is a powerful and efficient way to resolve freedom of information appeals. This episode explores the value-add of mediation and how building trust, active listening, and education can lead to win-win settlements for both parties. Commissioner Kosseim speaks with Shaun Sanderson, a mediator at the IPC, about how mediation works, what parti…
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If you’re a teacher or tutor who is looking to find more ways to scale into the international market, then look no further, Tutoring The World is the podcast for you. We've talked on past episodes about how amazing the BSA (Board Schools Association) are. During this episode, you'll hear Sarah's chat with Caroline Nixon who's the International and …
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In this episode, Sean and Terry discuss the recent incident where Sean accidentally went live with colorful language during a recording. They also dive into the proposed changes to the telehealth services and fee structure for 2025. Terry explains the challenges and limitations of telehealth services, especially when it comes to billing and coding.…
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If you’re a teacher or tutor who is looking to find more ways to scale into the international market, then look no further, Tutoring The World is the podcast for you. Have you considered how amazing Summer Schools can be for your business? During this episode Sarah explains how you can work with them, or alongside them to support your clients and g…
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This is a controversial topic depending on which side of the yellow line you stand on... The question is does all work with a consultant require attorney client privilege... This is a great discussion for those of you looking to engage in coding and billing audits.
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If you’re a teacher or tutor who is looking to find more ways to scale into the international market, then look no further, Tutoring The World is the podcast for you. Following on from Sarah's recent episode about Educational Agents, she's been getting questions! This episode answers some of the most common, such as "where do I find an agent?" and …
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Critical reflection is an important part of our work as teachers. Kristin, Jeff, and Stuart discuss the four lenses through which teaching practices can be examined: the personal lens, the student lens, the colleague lens, and the theoretical lens. Sadly, Tina had technical difficulties and couldn't join us for this discussion. But don't feel too b…
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If you’re a teacher or tutor who is looking to find more ways to scale into the international market, then look no further, Tutoring The World is the podcast for you. Local insight and information is essential when building trust with potential clients from China. During this episode Sarah explains how she's achieved this in her tutoring business. …
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Timely information sharing is crucial to prevent harm resulting from intimate partner violence (IPV). Sometimes, however, professionals may hesitate to share information due to misunderstandings about privacy laws. Priya Shastri, Director of Programs at WomanAct, provides insights from the front lines on information sharing, building trusting relat…
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If you’re a teacher or tutor who is looking to find more ways to scale into the international market, then look no further, Tutoring The World is the podcast for you. Your credibility relies upon the advice and information you supply to your students and their parents. During this episode Sarah talks about the importance of keeping up to date with …
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We had a great program on Monday with Terry Fletcher CPC CEMC CCC CCS CCS-P CMC ACS-CA SCP-CA PACS QMPM Christine Hall Stephanie Allard, CPC, CEMA, RHIT Scott Kraft and John Paul Spencer and their take on some hard-hitting issues: 1. Practices wanting to use RNs or MAs to do post of visits after 90-global surgery 2. Medical necessity for E/M servic…
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If you’re a teacher or tutor who is looking to find more ways to scale into the international market, then look no further, Tutoring The World is the podcast for you. We learned in the last episode that group tutoring to the Chinese market can be tricky, and heard about some of the pitfalls. During this episode you'll find out how Sarah overcame th…
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If you’re a teacher or tutor who is looking to find more ways to scale into the international market, then look no further, Tutoring The World is the podcast for you. Sarah has become an expert in tutoring to the Chinese market, and supporting other tutors to do the same....this didn't happen overnight and it didn't happen by accident. She's often …
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Terry Fletcher CPC CEMC CCC CCS CCS-P CMC ACS-CA SCP-CA PACS QMPM and #TheComplianceGuy, addressed critical issues in the latest #TerryTuesday episode. In this episode, we delved into current events affecting our country, marking a significant departure from our usual content. Listeners can fast forward to the 15-minute mark for an insightful discu…
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