The Healthcare Compliance Step-By-Step Podcast

EPICompliance

We understand that compliance can feel overwhelming, but it doesn't have to be. Our weekly podcast breaks down one key aspect of healthcare compliance at a time, making it easier to stay informed and take actionable steps. These episodes aren't just for physicians; they're valuable for anyone involved in a healthcare-related business. Each week, we feature interviews with leading voices in the field, including healthcare executives, compliance experts, and innovators who share real-world insights and practical guidance.

  1. 1d ago

    #136 - Compliance, Cybersecurity, AI, Medicare Scrutiny, and the Operational Pressures Facing Medical Practices in 2026

    Compliance, Cybersecurity, AI, Medicare Scrutiny, and the Operational Pressures Facing Medical Practices in 2026 highlights the growing compliance, cybersecurity, AI, Medicare, documentation, training, and operational risks facing medical practices as healthcare organizations prepare for a more demanding regulatory environment. In this session, Dr. Jose Delgado, CEO of Taino Consultants and EPICompliance, discusses the current trends affecting medical practices in 2026, including increased cybersecurity expectations, the use of AI tools in daily workflows, stronger Medicare scrutiny, and the growing pressure on office managers, administrators, compliance leads, and practice owners to manage more responsibilities with fewer resources. Key Topics: How cybersecurity expectations are changing for medical practices.Why AI tools create new risks for privacy, security, documentation, and oversight.How Medicare scrutiny, fraud and abuse concerns, and billing compliance pressures affect daily operations.Resources: Learn more about healthcare compliance systems: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Explore healthcare compliance training and weekly webinars: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com/training-in...⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Originally Recorded: June 2, 2026.

    1h 9m

  2. May 29

    #135 - Hospice, Home Health, and Medicare Fraud: Why CMS Is Taking Action

    Hospice, Home Health, and Medicare Fraud: Why CMS Is Taking Action highlights the growing compliance, billing, enrollment, and audit risks facing hospice and home health organizations as CMS increases scrutiny across these sectors. In this session, Ray Walters (EPICompliance) and Mr. Jose Delgado (Taino Consultants) discuss CMS's recent six-month nationwide freeze on new Medicare enrollments for hospice and home health agencies as part of a broader effort to address fraud, waste, and abuse. The discussion explains why these areas are under increased review and what legitimate healthcare organizations should do now to strengthen their compliance programs, documentation practices, and audit readiness. Key Topics: How CMS's enrollment freeze affects hospice and home health agencies.Why hospice and home health organizations are facing increased scrutiny related to fraud, waste, and abuse.Why audit readiness, internal monitoring, and strong compliance systems are critical in today's enforcement environment.Resources: Learn more about healthcare compliance systems: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Explore healthcare compliance training and weekly webinars: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com/training-in...⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Originally Recorded: May 26, 2026.

    53 min

  3. May 21

    #134 - No Surprises, Big Disputes: Lessons from the Aetna and Radiology Partners Case

    No Surprises, Big Disputes: Lessons from the Aetna and Radiology Partners Case highlights the operational, billing, and compliance challenges healthcare organizations may face when payer reimbursement disputes escalate under the No Surprises Act. In this session, Ray Walters (EPICompliance) and Mr. Jose Delgado (Taino Consultants) discuss the recent Aetna and Radiology Partners dispute as a real-world example. The discussion explains how reimbursement disagreements, billing practices, documentation gaps, and the Independent Dispute Resolution process can create compliance and operational concerns for healthcare providers, payers, and billing teams. Key Topics: How the No Surprises Act affects healthcare billing operations and out-of-network payment disputes.Why clear documentation, payer contract awareness, billing transparency, and internal review processes matter.How healthcare organizations can identify when payment disputes may become compliance risks.Resources: Learn more about healthcare compliance systems: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Explore healthcare compliance training and weekly webinars: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com/training-in...⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Originally Recorded: May 19, 2026.

    34 min

  4. May 13

    #133 - A Breach Is More Than an IT Problem: HIPAA, Ransomware, and Patient Trust

    A Breach Is More Than an IT Problem: HIPAA, Ransomware, and Patient Trust highlights the serious compliance and operational risks healthcare organizations face when a ransomware attack exposes patient information or disrupts patient care. In this session, Ray Walters (EPICompliance) and Mr. Jose Delgado (Taino Consultants) discuss the recent Hospital Caribbean Medical Center data breach as a real-world example. The discussion explains why ransomware must be treated as more than an IT issue, since it can affect HIPAA compliance, breach notification, patient trust, documentation, operations, and leadership response. Key Topics: How ransomware can disrupt patient care and expose protected health information.Why healthcare organizations must prepare with risk assessments, training, access controls, and incident response planning.How strong documentation and clear communication can help protect patient trust after a cyber incident.Resources: Learn more about healthcare compliance systems: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Explore healthcare compliance training and weekly webinars: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com/training-in...⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Originally Recorded: May 12, 2026.

    38 min

  5. May 8

    #132 - Offshoring Healthcare Data: HIPAA Risks, Vendor Liability, and the Mirra Health Case

    Offshoring Healthcare Data: HIPAA Risks, Vendor Liability, and the Mirra Health Case highlights the growing compliance risks healthcare organizations face when protected health information, claims data, or regulated functions are handled by oversea vendors. In this session, Ray Walters (EPICompliance) and Mr. Jose Delgado (Taino Consultants) discuss the difference between using domestic resources, such as Puerto Rico-based support, and overseas resources where U.S. regulators may have limited enforcement reach. Using the recent Mirra Health case as a real-world example, the discussion explains how unclear data flows, weak vendor oversight, Business Associate Agreement concerns, and "No Offshoring" contract clauses can create serious liability for healthcare organizations. Key Topics: How offshoring healthcare data can create HIPAA and vendor liability risks.Why covered entities may still be responsible when vendors mishandle patient data.How organizations can strengthen vendor review, data-flow documentation, and contract protections.Resources: Learn more about healthcare compliance systems: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Explore healthcare compliance training and weekly webinars: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com/training-in...⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Originally Recorded: May 5, 2026.

    40 min

  6. May 4

    #131 - Can You Bill for a No-Show? Missed Appointment Fees and Insurance Billing Risks

    Can you Bill for a No-Show? Missed Appointment Fees and Insurance Billing Risks highlights a common but often misunderstood issue in healthcare operations: the difference between charging a patient a missed appointment fee and billing insurance for a service that was never provided. In this session, Ray Walters (EPICompliance) and Mr. Jose Delgado (Taino Consultants) discuss how no-show policies can create compliance risk when they are not clearly written, properly communicated, or aligned with payer rules, The discussion focuses on the importance of documentation, patient notices, internal policies, and avoiding billing practices that may raise fraud, abuse, or reimbursement concerns. Key Topics: How missed appointment fees differ from billable healthcare services.Why billing insurance for a no-show can create compliance and fraud concerns.How practices can strengthen no-show policies, documentation, and patient communication to reduce risk.Resources: Learn more about healthcare compliance systems: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Explore healthcare compliance training and weekly webinars: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com/training-in...⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Originally Recorded: April 28, 2026.

    39 min

  7. Apr 27

    #130 - Healthcare Realities: Challenges and a Plan of Action

    Healthcare Realities: Challenges and a Plan of Action is a reminder that success in today's healthcare environment is not only about delivering quality care; it is about building practical systems that help organizations survive increasing operational, financial, and compliance pressure. As insurance rules become more complex, patient costs rise, legislative relief remains limited, and HIPAA expectations continue to expand, healthcare organizations need a clear plan that protects both patient care and business stability. In this session, Ray Walters (EPICompliance) and special guest Dr. Jose Delgado (CEO of EPICompliance), discuss real-world challenges facing healthcare providers and outline practical steps organizations can take to move forward. The conversation explores payer issues, access and coverage concerns, administrative burden, patient communication, and the impact of HIPAA 2026 chances, including risk analysis, vendor oversight, documentation expectations, and security preparedness. Key Topics: How healthcare organizations can respond to growing payer complexity, coverage limitations, rising patient costs, and administrative pressure without losing focus on patient care.How to build a practical plan of action that strengthens daily operations, improves patient outreach, supports staff accountability, and helps leadership identify where the biggest risks and inefficiencies exist.How HIPAA 2026 expectations may effect healthcare organizations, including stronger security risk analysis practices, better vendor oversight, improved documentation controls, and more defensible compliance workflows.Resources: Learn more about healthcare compliance systems: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Explore healthcare compliance training and weekly webinars: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com/training-in...⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Originally Recorded: April 14 , 2026.

    55 min

  8. Apr 24

    #129 - Attractive Marketing vs. Insurance Rules: Where Healthcare Promotion Can Cross the Line

    Attractive Marketing vs. Insurance Rules: Where Healthcare Promotion Can Cross the Line highlights a serious challenge that continues to affect healthcare organizations today: the risk that marketing language. promotional claims, and service descriptions may go beyond what payer rules, documentation standards, and compliance expectations allow. In this session, Ray Walters (EPICompliance) and Mr. Jose Delgado (Taino Consultants) discuss how attractive healthcare marketing can create unintended compliance exposure when it does not align with insurance requirements, reimbursement rules, or regulatory expectations. The discussion focuses on the lessons organizations often overlook and the practical steps leaders can take to market services effectively while reducing risk related to billing, reimbursement, and compliance oversight. Key Topics: How marketing language and promotional claims can create compliance risk when they do not align with payer rules.How service descriptions, benefit statements, and advertising messages can lead to billing, reimbursement, and oversight concerns.How healthcare organizations can strengthen review processes and improve marketing practices while reducing compliance exposure.Resources: Learn more about healthcare compliance systems: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Explore healthcare compliance training and weekly webinars: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com/training-in...⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Originally Recorded: April 7, 2026.

    38 min
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About

We understand that compliance can feel overwhelming, but it doesn't have to be. Our weekly podcast breaks down one key aspect of healthcare compliance at a time, making it easier to stay informed and take actionable steps. These episodes aren't just for physicians; they're valuable for anyone involved in a healthcare-related business. Each week, we feature interviews with leading voices in the field, including healthcare executives, compliance experts, and innovators who share real-world insights and practical guidance.

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