309 episodes

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 advocate, Sean engages with clients to ensure a “level-playing-field” and due process when allegations and/or accusations of impropriety are leveled by a payor or government investigation agency.



When Sean is not engaging in administrative, civil and criminal matters on behalf of more than 30 nationally recognized law firms and clients, he is serving as a third-party compliance officer for a dozen organization across the country ranging in size and specialty to ensure a “Culture of Compliance”!



Sean is a proud member in good-standing with the National Society of Certified Healthcare Business Consultants (NSCHBC), American Health Lawyers Association (AHLA), National Alliance of Medical Auditing Specialists (NAMAS), and the American Academy of Professional Coders (AAPC). Sean holds (CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC, CMC, CMIS, CMOM) national certifications from the Health Care Compliance Association, The National Alliance of Medical Auditing Specialists, The American Academy of Professional Coders and Practice Management Institute.

The Compliance Guy Sean M. Weiss

    • Business
    • 4.9 • 35 Ratings

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 advocate, Sean engages with clients to ensure a “level-playing-field” and due process when allegations and/or accusations of impropriety are leveled by a payor or government investigation agency.



When Sean is not engaging in administrative, civil and criminal matters on behalf of more than 30 nationally recognized law firms and clients, he is serving as a third-party compliance officer for a dozen organization across the country ranging in size and specialty to ensure a “Culture of Compliance”!



Sean is a proud member in good-standing with the National Society of Certified Healthcare Business Consultants (NSCHBC), American Health Lawyers Association (AHLA), National Alliance of Medical Auditing Specialists (NAMAS), and the American Academy of Professional Coders (AAPC). Sean holds (CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC, CMC, CMIS, CMOM) national certifications from the Health Care Compliance Association, The National Alliance of Medical Auditing Specialists, The American Academy of Professional Coders and Practice Management Institute.

    Season 7 - Episode 42 - Defending Your Claims Action

    Season 7 - Episode 42 - Defending Your Claims Action

    This one is a head-scratcher for The Compliance Guy for so many reasons... Not going to give it away but this is a really good episode you are gonna want to catch!

    • 29 min
    Season 7 - Episode 41 - Monday Auditing, Coding and Compliance Roundtable

    Season 7 - Episode 41 - Monday Auditing, Coding and Compliance Roundtable

    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 services and the fact that a face-to-face visit has occurred in the office not being the only required component to be able to bill.

    And so much more!

    • 52 min
    Season 7 - Episode 40 - #TerryTuesday - G2211 and Some Payors Refusal to Pay

    Season 7 - Episode 40 - #TerryTuesday - G2211 and Some Payors Refusal to Pay

    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 discussion on Untied Healthcare and Aetna's decision to stop covering the G2211. The reason? Misinterpretation of the concept of a longitudinal relationship by the majority and over-utilization of the code. Other payors are sure to follow!

    A heartfelt thank you to all the #linkedin family, friends, followers, and listeners for your continuous support and engagement. Join us as we navigate through the world of #COMPLIANCE.

    Peace and Love!

    Sean

    • 27 min
    Season 7 - Episode 39 - Dana McMahon Chief Compliance Officer / Stryker

    Season 7 - Episode 39 - Dana McMahon Chief Compliance Officer / Stryker

    Sean sat down with Dana McMahon, Chief Compliance Officer for Stryker to discuss all the great things she and her team are doing to ensure a culture of compliance and to lead Stryker into the future. Beyond that Dana is the Global President for Stryker Women's Network (see bio below)!

    This is one great discussion you do not want to miss!

    Bio

    Dana serves as Chief Compliance Officer for Stryker and is responsible for overseeing the global compliance, privacy, and enterprise risk programs and functions. Under her leadership, the Compliance function has been focused on driving value for Stryker by partnering across the businesses to enable growth and manage risk. Dana also currently serves as the global president for Stryker Women’s Network, which seeks to improve Stryker’s results by fostering an open and inclusive culture, with a focus on attracting, developing, and retaining talented women.

    Dana has more than 20 years of experience in the life sciences industry. She joined Stryker in 2017 as Chief Legal Counsel, leading a global legal team advising on regulatory and quality, manufacturing and supply, technology and cybersecurity, commercial and government contracting, and privacy. Prior to Stryker, she served as Assistant General Counsel at Novo Nordisk, where during her 14-year career she held several positions of escalating responsibility within the legal team, overseeing support to the commercial, clinical, medical affairs, R&D, compliance, and government affairs organizations. Dana has worked extensively on matters related to product development and commercialization, market access and reimbursement, and compliance and risk management. Previously, Dana worked in private practice at O’Melveny in New York City.

    Dana received her law degree from New York University School of Law and her bachelor’s degree from Hamilton College.

    • 34 min
    Season 7 - Episode 38 - #TerryTuesday

    Season 7 - Episode 38 - #TerryTuesday

    Terry and Sean sat down to discuss credentialing vs contracting. What are the main differences, how do you handle various aspects of each and the pitfalls to avoid.

    • 32 min
    Season 7 - Episode 37 - Monday Auditing, Coding and Compliance Roundtable

    Season 7 - Episode 37 - Monday Auditing, Coding and Compliance Roundtable

    The full panel was back this week taking on an array of topics impacting healthcare organizations across the country! Join Stephanie, Paul, Scott, Christine and Terry as they discuss and debate HCC Coding Issues, No Charging Physicians and others who refer to the practice and so much more...

    • 1 hr 2 min

Customer Reviews

4.9 out of 5
35 Ratings

35 Ratings

Tess2976 ,

Episode 22

I love your podcast. This particular one hit close to home. We are in the middle of fighting UHC over my son’s Crohn’s medication. After being on his current medication for the last few years, UHC is denying this medication and has approved a new, similar medication. We are hoping everything gets worked out soon. Again, I love listening to this and your other podcasts!!!!

CarolHaH ,

The Compliance Guy

Love this podcast. Sean always presents lots of current information presented in a manner that is easy to listen to. Terry Tuesdays are a fave when Sean is joined by Terry Fletcher. Really excited about the new Daily Dose. Short daily up to date information. Highly recommend

malloryck ,

So informative!

I learn something new every time I listen!

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