Guess What? Compliance Can Be Simple!

Dr. Natasha Guess
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Guess What? Compliance Can Be Simple! is the podcast for small and mid-size healthcare and wellness leaders who want to build operational compliance that stands up to real-world scrutiny. Hosted by Dr. Natasha Guess, each short episode breaks down healthcare enforcement actions, regulatory expectations, and practical strategies to help your practice reduce risk, and strengthen day-to-day operations. The show is supported by the Compliance Support Hub, offering tools, and education to help you build defensible compliance systems. https://guesscomplianceconsultingllc.com/compliance-support-hub

  1. Oct 26

    The Patient Complaint That Looked Like Customer Service Until Regulators Got Involved

    A negative online review. A well-intentioned response defending the practice. And just like that, a reputation problem became a federal privacy violation. In this episode of Guess What? Compliance Can Be Simple!, Dr. Natasha Guess breaks down a HIPAA settlement that started with a patient review and ended with an OCR investigation. She walks through why a patient disclosing their own care publicly does not give a practice permission to respond in kind, and the bigger lesson underneath it: how an ordinary complaint can carry a privacy, access, billing, or discrimination issue that the first person to hear it never recognizes. If your practice has ever responded to a negative review without asking who approved the language first, this episode is for you. Guess What? Compliance Can Be Simple! is hosted by Dr. Natasha Guess, founder of Guess Compliance Consulting LLC. Apple Podcasts: https://podcasts.apple.com/us/podcast/guess-what-compliance-can-be-simple/id1853309920YouTube: https://www.youtube.com/playlist?list=PLsdYEfN6ziUxSXY0sefq0e1XMXUdJaF7P Resources mentioned in this episode: The Compliance Trap: How Not to Get Fined, Sued, or Shut Down is available now on Kindle.https://a.co/d/07KjFkr6 Request a Compliance Diagnostic:https://guesscomplianceconsultingllc.com/compliance-diagnostic

  2. Oct 19

    The Records Request Sent to the Wrong Inbox

    A patient requested her records in January 2023. She did not receive them until January 2025, two years and an OCR investigation later. In this episode of Guess What? Compliance Can Be Simple!, Dr. Natasha Guess breaks down a 2026 HIPAA settlement that grew out of something far more ordinary than a policy failure: a records request that was never tracked all the way through to completion. She walks through why the thirty day clock starts the moment a request is received, regardless of which inbox it lands in, and the seven things every practice needs in place so an access request can never quietly disappear between departments. If you are not certain every employee in your practice would recognize an access request the moment they saw one, this episode is for you. Guess What? Compliance Can Be Simple! is hosted by Dr. Natasha Guess, founder of Guess Compliance Consulting LLC. Apple Podcasts: https://podcasts.apple.com/us/podcast/guess-what-compliance-can-be-simple/id1853309920YouTube: https://www.youtube.com/playlist?list=PLsdYEfN6ziUxSXY0sefq0e1XMXUdJaF7P Resources mentioned in this episode: The Compliance Trap: How Not to Get Fined, Sued, or Shut Down is available now on Kindle.https://a.co/d/07KjFkr6 Request a Compliance Diagnostic:https://guesscomplianceconsultingllc.com/compliance-diagnostic

  3. Oct 12

    The Service Animal Your Front Desk Turned Away

    A disabled veteran was turned away from a post hospitalization appointment because of a dog. The consequences were not theoretical. In this episode of Guess What? Compliance Can Be Simple!, Dr. Natasha Guess breaks down a 2026 Department of Justice settlement involving a Tampa area pain management clinic and a disabled veteran whose service animal was denied entry. She walks through what the ADA actually permits a front desk employee to ask, the limited and specific circumstances where a service animal can be excluded, and why a general no pets policy leaves your least prepared employee making a decision with real legal and human consequences. If your front desk has never been given a clear answer for this exact scenario, this episode is for you. Guess What? Compliance Can Be Simple! is hosted by Dr. Natasha Guess, founder of Guess Compliance Consulting LLC. Spotify: https://open.spotify.com/show/0PiHkaXMXOJk2NfWm5UfUm?si=jjDtTOaZQ9SfDtn7-trA7QApple Podcasts: https://podcasts.apple.com/us/podcast/guess-what-compliance-can-be-simple/id1853309920YouTube: https://www.youtube.com/playlist?list=PLsdYEfN6ziUxSXY0sefq0e1XMXUdJaF7P Resources mentioned in this episode: The Compliance Trap: How Not to Get Fined, Sued, or Shut Down is available now on Kindle.https://a.co/d/07KjFkr6 Request a Compliance Diagnostic:https://guesscomplianceconsultingllc.com/compliance-diagnostic

  4. Oct 5

    The Patient Who Could Not Understand Their Own Care

    Everyone followed the rule. The patient still could not explain their own treatment plan afterward. In this episode of Guess What? Compliance Can Be Simple!, Dr. Natasha Guess examines a 2024 Department of Justice case involving a major healthcare system and the exclusion of support persons for patients with disabilities. She walks through why offering an accommodation is not the same thing as confirming it worked, what effective communication actually requires under the law, and the specific operational process every practice needs before, during, and after a patient encounter to catch this gap before a regulator does. If your practice has ever relied on a policy to answer a question that only a person in the room could actually answer, this episode is for you. Guess What? Compliance Can Be Simple! is hosted by Dr. Natasha Guess, founder of Guess Compliance Consulting LLC. Spotify: https://open.spotify.com/show/0PiHkaXMXOJk2NfWm5UfUm?si=jjDtTOaZQ9SfDtn7-trA7QApple Podcasts: https://podcasts.apple.com/us/podcast/guess-what-compliance-can-be-simple/id1853309920YouTube: https://www.youtube.com/playlist?list=PLsdYEfN6ziUxSXY0sefq0e1XMXUdJaF7P Resources mentioned in this episode: Request a Compliance Diagnostic:https://guesscomplianceconsultingllc.com/compliance-diagnostic

  5. Sep 28

    The Employee You Hired Before Anyone Checked

    What happens when a growing healthcare practice needs someone to start immediately—but the required checks have not been completed? In Episode 47, Dr. Natasha Guess examines how an ordinary hiring decision can become a serious compliance risk when onboarding moves faster than screening, credentialing, and operational oversight. You will learn: Why hiring an employee and clearing them to perform healthcare services are not the same decisionHow rapid growth can expose weaknesses in onboarding and workforce screeningWhy assigning a screening task is not enough without documented verificationOne practical question leaders can use to test their pre-start process Your practice may have screening requirements on paper. But would your actual workflow stop an employee from working if one of those checks had not been completed? Take the free Practice Risk Assessment to identify potential operational gaps inside your practice: https://guesscomplianceconsultingllc.com/compliance-diagnostic- Connect with Dr. Natasha Guess:Website: https://guesscomplianceconsultingllc.comLinkedIn: Dr. Natasha Guess

  6. Sep 21

    The New Service You Launched Before Compliance Was Ready

    Your practice launches a new service. The technology works, patients are being enrolled, and claims are ready to go. Then someone asks: “Has compliance reviewed this?” In this episode, Dr. Natasha Guess examines what can happen when growth moves faster than a practice’s compliance systems. Using a federal remote patient monitoring case, she explores why a service can appear ready for launch while important operational requirements remain unresolved. You will learn: Why a vendor’s assurance may not be enoughThe compliance questions that can get missed during a fast launchHow technology, workflow, documentation, and billing can fall out of alignmentWhy compliance should be involved before the launch date is set If your practice has recently added a new service, technology, location, or provider type, this episode will help you consider whether your compliance operation has kept pace with that growth. Resources mentioned in this episode: Compliance Diagnostic: https://guesscomplianceconsultingllc.com/compliance-diagnostic- Listen now: Spotify: https://open.spotify.com/show/0PiHkaXMXOJk2NfWm5UfUm Apple Podcasts: https://podcasts.apple.com/us/podcast/guess-what-compliance-can-be-simple/id1853309920 Connect with Dr. Natasha Guess: Website: https://guesscomplianceconsultingllc.com LinkedIn: Dr. Natasha Guess

  7. Sep 14

    The AI Tool Your Staff Started Using Without You Knowing

    If you asked five employees right now what AI tools they actually use to do their jobs, and then asked leadership what AI tools have actually been approved, would those two lists match? In this episode, Dr. Natasha Guess breaks down why that gap, not the absence of an AI policy, is often the real compliance risk hiding inside growing practices. She connects it to a recent federal development in AI oversight, and walks through exactly how to find out where your own practice stands before the gap finds you first. You will learn: Why "they are only using it to save time" is not actually a governance answerThe real difference between an approved AI tool and one an employee just started using on their ownWhy approving a tool once is not the end of the governance processA simple, five-person exercise you can run this week to find your own AI visibility gap If you are not confident you could name every AI tool currently being used inside your practice, this episode is worth twenty minutes of your time. Resources mentioned in this episode:Compliance Confidence Assessment: https://guesscomplianceconsulting.myflodesk.com/compliance-confidence-assessment Listen now:Spotify: https://open.spotify.com/show/0PiHkaXMXOJk2NfWm5UfUmApple Podcasts: https://podcasts.apple.com/us/podcast/guess-what-compliance-can-be-simple/id1853309920 Connect with Dr. Natasha Guess:Website: https://guesscomplianceconsultingllc.comLinkedIn: Dr. Natasha Guess

  8. Sep 7

    When Patients Can't Be Heard: When Communication Access Becomes a Compliance Issue

    There is a compliance question that does not get nearly enough attention. What happens when your patient cannot effectively communicate with your staff? Not because they are not trying, but because your practice has not built a reliable process to meet their communication needs. In this episode, Dr. Natasha Guess breaks down a real resolution involving a repeated communication failure, and a strikingly similar case resolved by federal regulators at a completely different kind of facility around the same time. Together, they show this is not a niche accessibility issue that only applies to certain specialties. You will learn: Why effective communication is a meaningfully higher bar than most practices assume they are operating underWhy relying on a family member to interpret informally does not meet the standard, and what actually doesHow to reverse engineer a real communication access system before you ever need oneThe exact question to ask your front desk this week to find out whether you have a functioning process or just good intentions If your practice has ever assumed "we will figure it out when the patient arrives," this episode is worth twenty minutes of your time. Resources mentioned in this episode:Compliance Confidence Assessment: https://guesscomplianceconsulting.myflodesk.com/compliance-confidence-assessment Listen now:Spotify: https://open.spotify.com/show/0PiHkaXMXOJk2NfWm5UfUmApple Podcasts: https://podcasts.apple.com/us/podcast/guess-what-compliance-can-be-simple/id1853309920 Connect with Dr. Natasha Guess:Website: https://guesscomplianceconsultingllc.comLinkedIn: Dr. Natasha Guess

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Guess What? Compliance Can Be Simple! is the podcast for small and mid-size healthcare and wellness leaders who want to build operational compliance that stands up to real-world scrutiny. Hosted by Dr. Natasha Guess, each short episode breaks down healthcare enforcement actions, regulatory expectations, and practical strategies to help your practice reduce risk, and strengthen day-to-day operations. The show is supported by the Compliance Support Hub, offering tools, and education to help you build defensible compliance systems. https://guesscomplianceconsultingllc.com/compliance-support-hub

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