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The Compliance Guy

The Compliance Guy

Auteur(s): Sean M. Weiss
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À propos de cet audio

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.

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Épisodes
  • Episode 384 - #TerryTuesday - What The Healthcare (WTH) - Navigating CDI

    Episode 384 - #TerryTuesday - What The Healthcare (WTH) - Navigating CDI
    Sep 30 2025

    Summary

    In this episode, Sean M Weiss and Terry Fletcher discuss the critical aspects of Clinical Documentation Integrity (CDI) in healthcare. They explore the importance of compliance, the implications of audits, and the responsibilities of providers in maintaining accurate medical records. The conversation highlights the need for integrity in documentation before any improvements can be made, emphasizing that compliance is essential for both legal and ethical practice in healthcare.

    Takeaways

    • Clinical Documentation Integrity (CDI) is crucial for accurate medical records.
    • Compliance must be prioritized before any improvements can be made.
    • Providers often overlook legal and compliance issues in documentation.
    • Audits reveal significant gaps in healthcare practices.
    • Education and training are essential for healthcare staff.
    • Providers must be aware of changing regulations and adapt accordingly.
    • Documentation should reflect the true nature of patient care.
    • Telehealth practices must comply with HIPAA regulations.
    • Ignoring compliance can lead to severe consequences for providers.
    • Healthcare professionals need to take accountability for their documentation.
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    25 min
  • Episode 383 - Monday Auditing, Coding and Compliance Roundtable

    Episode 383 - Monday Auditing, Coding and Compliance Roundtable
    Sep 30 2025

    I was joined by Terry, Stephanie, Scott, Paul and Christine for this all new episode to discuss a variety of issues including tied to Auditing, Coding, Compliance, and Documentation.

    I was so good to be back after a 3-week break to spend time with the panel and with all of our listeners/viewers and friends!

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    1 h et 3 min
  • Episode 382 - A Game Changer for AI Governance - Walter Haydock

    Episode 382 - A Game Changer for AI Governance - Walter Haydock
    Sep 5 2025

    Summary

    In this conversation, Sean M Weiss and Walter Haydock discuss the implications of ISO IEC 42001 in the healthcare sector, focusing on AI governance, regulatory compliance, and the management of bias in AI systems. They explore the challenges faced by multi-site healthcare organizations, the importance of leadership in ethical AI use, and real-world examples of organizations implementing ISO 42001. The discussion also touches on the legislative landscape surrounding AI and the need for clear policies in healthcare AI applications.

    Takeaways

    • ISO 42001 is a blueprint for managing AI risk.
    • Bias in AI is unavoidable but can be managed.
    • Leadership commitment is essential for effective AI governance.
    • ISO 42001 aids in compliance with regulations like HIPAA.
    • Multi-site healthcare systems face unique challenges in AI implementation.
    • Ethical AI use is crucial in telemedicine applications.
    • Real-world examples show the benefits of ISO 42001 certification.
    • Behavioral health can greatly benefit from AI governance.
    • Integrating ISO standards enhances overall AI governance.
    • Legislators need to improve their understanding of AI issues.

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    38 min
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