Compliance Conversations by Healthicity CJ Wolf

We're thrilled to share the latest episode of Compliance Conversations featuring a Jeni Colarusso, a seasoned nurse and an expert in telehealth and Tele-ICU systems. In this episode, Jeni dives deep into the transformative power of telehealth, particularly in critical care environments.

Episode Highlights:

- Jeni’s extensive experience in surgical and cardiac ICU settings.

- An in-depth look at Tele-ICU and its role in expanding access to specialist care in remote areas.

- The impact of technology on patient outcomes and hospital efficiency.

- Insightful discussion on overcoming healthcare disparities through innovative telehealth solutions.

Jeni shares not only her professional journey but also gives us a peek into the future of healthcare where geography no longer limits access to top-notch medical expertise.

Are you navigating the complex world of healthcare compliance, particularly when it comes to Medicare and Advanced Beneficiary Notices (ABNs)? We've got you covered in the latest episode of Compliance Conversations, featuring industry expert Keisha Wilson, founder of KW Advanced Consulting.

Keisha brings over two decades of healthcare experience to the table, offering invaluable insights into the intricacies of ABNs. This episode delves deep into what ABNs mean for healthcare professionals and patients alike, recent changes to ABN forms, compliance risks, and the importance of proper education and implementation within healthcare settings.

Why Tune In?

- Uncover the essentials of ABNs: Learn what ABNs are and why they're critical in healthcare from a seasoned expert.

- Stay updated: Get the scoop on the latest ABN form changes effective from June 2023 and how they impact practices.

- Avoid common pitfalls: Keisha discusses frequent compliance risks and how to navigate them effectively.

- Engage in comprehensive learning: From policy implementation to case studies, this episode is packed with actionable advice and best practices.

Keisha's journey from aspiring social worker to healthcare compliance consultant adds a unique perspective to understanding patient communication and the nuances of Medicare coverage. Her passion for compliance and patient care shines throughout the conversation, making it a must-listen for anyone in the healthcare sector.

You can also read a recent blog post from KW Consulting on ABNs.

Keisha Wilson, CCS, CPC, CPCO, CPMA, CRC, CPB, Approved Instructor, is the Founder/CEO of KW Advanced Consulting LLC, Minority Women Own Business Enterprise (M/WBE) Certified, with 20+ years in healthcare specializing in various areas of compliance. Multi-specialty, Telehealth/Telemedicine, Risk Adjustment, provider and coder training. She currently sits on a Board of Directors for an outpatient mental health clinic. Keisha is a licensed PMCC who teaches coders looking to become Certified Risk Adjustment (CRC) and hosts various compliance documentation and coding webinars. She is a published author, having written for AAPC editors on Primary Care Coding Alert, Healthcare Business Monthly, and KW Advanced Consulting coding articles. Keisha can speak at various events this year, including the AAPC Regional Conference on Philidelphia and Cohen's Coding Summit on Telehealth in the U.S. vs Internationally.

In this episode, we're joined by Kandi O'Brien, the Founder of Delegated Credentialing Pro’s and an expert with extensive experience in credentialing and compliance.

Kandi shares her fascinating journey in healthcare, from clinical roles to owning urgent cares, and ultimately specializing in compliance and credentialing. We discuss the importance of credentialing, its various aspects, and why it's crucial for patient safety, regulatory compliance, and maintaining organizational reputation.

Tune in to our conversation to learn more about:

- The significance of credentialing as the first step for providers entering healthcare facilities.

- The distinction between facility credentialing and professional (provider) credentialing.

- The complexities of enrollment and why it's not synonymous with credentialing.

- The concept of delegated credentialing and its benefits for organizations, including improved efficiency and revenue generation.

- The primary source verification process and ongoing monitoring for compliance.

- The potential challenges and considerations associated with delegated credentialing.

Kandi's LinkedIn: https://www.linkedin.com/in/kandio/
Delegated Credentialing Pro's: https://www.linkedin.com/company/delegated-credentialing-pro-s/

This Compliance Conversations episode is a must-listen for anyone in healthcare compliance or coding. We invited Leslie Boles, Co-Owner and President of Revu Healthcare, to chat about identifying coding compliance risks within healthcare organizations.

Tune in to Leslie and CJ Wolf’s discussion for more on:

- The importance of staying curious and adaptable

- The significance of regular audits and assessments in proactively identifying compliance risks

- Common coding compliance risks and blind spots within organizations

- Strategies for mitigating compliance risks, including the role of data analytics and technology

They also talk about one of the most important things to keep top-of-mind – staying humble and acknowledging gaps in knowledge to drive continuous improvement.

Biometric technology can sometimes feel like sci-fi – which is why it raises so many great compliance questions.

That’s why we invited Dr. Mohamed Lazzouni, the Chief Technology Officer at Aware, a leading company in the field of biometrics, to join us for our latest episode of Compliance Conversations.

In this episode, Dr. Lazzouni shares insights into the exciting developments in biometrics and its pivotal role in healthcare. From access control to fraud prevention, Dr. Lazzouni and I discuss the impact on compliance and security in the healthcare industry.

Listen now to gain a deeper understanding of:

- How biometrics enhance healthcare access control

- Real-world applications of biometrics in preventing fraud

- The intersection of biometrics and compliance in healthcare

- The future of wearables and AI in biometric healthcare interventions

Ready for a crash course into regulatory considerations in health tech?

In this episode of Compliance Conversations featuring Susan Walberg, a seasoned regulatory and compliance professional and published author of fiction and non-fiction

In this interesting interview, Susan shares her journey from novels to HIPAA, offering a behind-the-scenes look at the challenges and triumphs of navigating compliance in the rapidly evolving health tech landscape.

Tune in to the episode to discover:

- Some surprising realities of health tech compliance

- Real-word intriguing cases (like the Jelly Bean dilemma!)

- Key lessons for startups and small organizations as they navigate compliance concerns

Thanks to Susan for joining us for this episode – we hope you enjoy!

Susan Walberg has worked in health care for nearly 30 years, from working as a fraud investigator at a health plan, to a regulatory attorney and privacy officer for a very large health system. She has worked as a compliance officer, and a subcontractor working with CMS on Part C and D Medicare fraud and abuse. Susan has also worked as an interim compliance officer for a range of healthcare organizations, designing and building compliance programs unique to the needs of those organizations.

Her specific experiences include helping clients manage a Corporate Integrity Agreement and developing programs for new organizations or those going through an organizational transition. Susan has trained and mentored many new compliance professionals, and strives to help those new to compliance to succeed in their roles. As a consultant, Susan uses her passion for building, creating, and organizing compliance programs along with a true understanding of the needs of healthcare organizations to help create programs that really fit within the each client’s unique culture and environment.