
122 episodes

The Compliance Guy Sean M. Weiss
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- Business
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5.0 • 57 Ratings
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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 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 10 (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, Medical Group Management Association (MGMA), The American Academy of Professional Coders and Practice Management Institute.
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TCG Season 4 - Episode 7 Colin Callahan of Flannery / Georgalis
Colin Callahan of Flannery Georgalis, LLC sat down with Sean on Friday, August 12, 2022 to discuss the Ruan ruling by the Supreme Court. This ruling has and will continue to impact the litigation landscape significantly for matters tied to the Substance Control Act (SCA)!
High profile cases have already been impacted and several that are pending decisions by Prosecutors to dismiss or move forward on hang in the balance!
This is a critical discussion for physician providers attorneys complianceofficers administrators and healthcare professionals
Don't miss this one on LinkedIn Live! You can also find it on your favorite streaming platform (facebook twitter youtube stitcher) and immediately following the live program it will be available on your favorite podcast platform! -
TCG Season 4 - Episode 6 - Steve Gallion of Medtrainer
Steve Gallion, CEO of Medtrainer sits down to discuss all things compliance with Sean on this episode! The discussion covers the current landscape, ramped-up enforcement actions, and a bit about economics! Such an outstanding discussion with one of the industry's thought leaders! Don't miss this one!
About Steve Gallion
Chief Executive Officer
Steve’s passion for people and eye for market opportunities have led him to build several companies over the past 15 years that have brought benefit to healthcare. Today Steve is directly responsible for company vision and empowerment of the executive team to fulfill MedTrainer’s mission. Academically Steve holds multiple degrees from the University of California Riverside in Business Economics as well as his Juris Doctorate from California Southern Law. In his free time, Steve is active with his two children, enjoys outdoors, loves to read, has a passion for cooking, an affection for travel as well as doing his best to limit time in the gym while still being an active doughnut connoisseur. Steve loves building companies, loves technology, loves people, believes in inclusive leadership, and has a passion for enjoying the journey along each path he ventures down.
Visit their company here: www.medtrainer.com -
Special Episode of TCG with Interview Performed by Scott Kraft
Sean sat down with Scott Kraft, Senior Compliance Auditor for DoctorsManagement, LLC to discuss strategic defense litigation services and how those played a key role in the outcome of the United States v. Rajendra Bothra, et. al case on June 28th, 2022!
Here are some of the headlines in what is one of the Nation's largest heath care fraud cases.
"How 4 doctors beat the feds in botched $500 million pill mill case" (https://www.freep.com/story/news/local/michigan/macomb/2022/06/30/doctors-opioid-scheme-birmingham-bothra/7778004001/)
United States v. Bothra: (https://casetext.com/case/united-states-v-bothra-1)
"Michigan Physician Rajendra Bothra Acquitted in Prescription Drug Fraud Case After More Than 3 Years in Prison" (https://americankahani.com/community/michigan-physician-rajendra-bothra-acquitted-in-prescription-drug-fraud-case-after-more-than-3-years-in-prison/)
"4 Michigan doctors acquitted of charges in prescription drug scheme" (https://www.clickondetroit.com/news/2022/06/29/4-michigan-doctors-acquitted-of-charges-in-prescription-drug-scheme/) -
TCG Season 4 - Episode 5 - Marlene Maheu, PhD
Dr. Maheu joins Sean on this episode to discuss telehealth in behavioral health and the impact it is having on patient care. This is such an important episode for so many reasons especially coming out of the pandemic of the past 2 years! Do not miss this episode with one of the industry's leading voices on this topic!
About Marlene M. Maheu, PhD
Dr. Marlene Maheu started publically addressing telehealth in 1994 when she was invited to Chair a subcommittee at the American Psychological Association (APA) to examine Internet issues. Her early work was based on a self-funded, consumer-based behavioral health magazine dedicated to bringing behavioral information to the consumer public on the World Wide Web. Her interest in the legal and ethical aspects of using technology fueled her research, which led to invitations from no less than 7 established publishers in 1997 after speaking at the APA’s annual meeting. Those invitations launched her subsequent focus on professional writing and training about a legal and ethical risk management related to clinical interventions mediated through technology.
As the Executive Director of Telebehavioral Health Institute, Dr. Maheu has served on a dozen professional association committees to assist with developing telehealth standards, guidelines, and other consensus documents. She has published 43 book chapters and journal articles as well as 5 professional books related to telehealth practice. Dr. Maheu is a consultant, researcher, author, and trainer who has served more than 55,000 professionals from 109+ countries.
Learn more about her organization here: https://telehealth.org/marlenemaheu/ -
TCG Season 4 - Episode 4 - #TerryTuesday on TCG with Special Guest Karen N. George, ESQ
On this episode of TCG - The #TerryTuesday episode Karen N. George of Buchalter Law Firm joins Sean and Terry Fletcher to discuss payer contracting and all the ins and outs to ensure success!
Such a great episode!
About Karen N. George:
Karen George is an attorney at Buchalter in the Los Angeles office and is a member of firm’s Health Care Practice group. Karen specializes in managed care contracting and routinely represents healthcare providers in large exposure reimbursement disputes and litigation against payors. Karen regularly handles out-of-network reimbursement disputes, coverage disputes, coordination of benefits issues, and recoupment demands. Karen represents a diverse array of healthcare providers, including hospital systems, physician groups, ambulatory surgery centers, urgent care centers, outpatient clinics, billing companies, and telehealth companies. Karen has resolved significant disputes with payors, recovering millions of dollars for providers in civil actions and arbitrations. Karen received a bachelor’s degree in Psychology and Criminology from the University of California, Irvine and earned her law degree from Georgetown University of Law Center. -
TCG Season 4 - Episode 3 - Monday Coding and Compliance Roundtable
On this episode Terry Fletcher, Scott Kraft and Paul Spencer join Sean for their Monday Coding and Compliance Roundtable to discuss Cloning and Clinical Plagiarism and who is actually accountable for compliance within an organization.
This was a live stream with great audience participation and outstanding interaction between the panelists!
Customer Reviews
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!!!!
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
So informative!
I learn something new every time I listen!