The Healthcare Compliance Step-By-Step Podcast

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

52 min · 29. maj 2026
episode #135 - Hospice, Home Health, and Medicare Fraud: Why CMS Is Taking Action cover

Beskrivelse

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.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://epicompliance.com/] * Explore healthcare compliance training and weekly webinars: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com/training-in...⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://epicompliance.com/training-information-webinars] Originally Recorded: May 26, 2026.

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Alle episoder

142 episoder

episode #142 - 2026 Insurance Upheaval: What Healthcare Practices Need to Watch as ACA Markets Shift cover

#142 - 2026 Insurance Upheaval: What Healthcare Practices Need to Watch as ACA Markets Shift

2026 Insurance Upheaval: What Healthcare Practices Need to Watch as ACA Markets Shift examines the changing Affordable Care Act insurance marketplace and what growing uncertainty may mean for healthcare organizations, patients, and providers. In this session, Ray Walters (EPICompliance) and Mr. Jose Delgado (Taino Consultants) discuss Cigna's announcement that it will leave the Affordable Care Act marketplace after the 2026 plan year, affecting approximately 369,000 members across 11 states. They also explore why major insurance carriers are reconsidering ACA participation and how rising premiums, changing subsidies, narrower plan options, and insurer exits may affect healthcare practices. Key Topics: * Why healthcare practices should pay attention to changes in the ACA marketplace. * How insurance carrier exits may affect patient access, coverage, and continuity of care. * The importance of monitoring coverage changes and documenting patient communications. Resources: * Learn more about healthcare compliance systems: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://epicompliance.com/] * Explore healthcare compliance training and weekly webinars: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com/training-in...⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://epicompliance.com/training-information-webinars] Originally Recorded: July 14, 2026.

I går44 min
episode #141 - HIPAA Security and HR: Managing Workforce Risk Before It Becomes a Breach cover

#141 - HIPAA Security and HR: Managing Workforce Risk Before It Becomes a Breach

HIPAA Security and HR: Managing Workforce Risk Before It Becomes a Breach highlights why HIPAA Security is not just an IT issue and why Human Resources plays an important role in protecting electronic protected health information. In this session, Ray Walters (EPICompliance) and Mr. Jose Delgado (Taino Consultants) discuss how HR decisions can affect HIPAA Security compliance, including hiring, onboarding, role changes, training, discipline, terminations, access management, and workforce clearance. Key Topics: * Why HR plays a major role in HIPAA Security compliance. * How workforce changes can create privacy and security risks. * Why the HIPAA Security Officer and HR must work together on access, training, sanctions, and documentation. Resources: * Learn more about healthcare compliance systems: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://epicompliance.com/] * Explore healthcare compliance training and weekly webinars: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com/training-in...⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://epicompliance.com/training-information-webinars] Originally Recorded: July 7, 2026.

9. juli 202641 min
episode #140 - OSHA 2026: Connecting SDS Requirements to SOPs and Daily Compliance cover

#140 - OSHA 2026: Connecting SDS Requirements to SOPs and Daily Compliance

OSHA 2026: Connecting SDS Requirements to SOPs and Daily Compliance highlights why Safety Data Sheets are more than a binder requirement and why healthcare organizations must connect chemical safety information to real workplace procedures, employee training, and daily compliance practices. In this session, Ray Walters (EPICompliance) and Mr. Jose Delgado (Taino Consultants) discuss how SDS requirements support OSHA's Hazard Communication expectations and how healthcare organizations can use SDS records to identify chemical hazards, train employees, follow manufacturer instructions, store products properly, label containers, and respond to exposure or spills. Key Topics: * Why Safety Data Sheets must be part of daily operations, not just stored in a binder. * How SDS requirements connect to SOPs, training, labeling, storage, and exposure response. * How to keep SDS records accessible and ensure staff know how to use them. Resources: * Learn more about healthcare compliance systems: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://epicompliance.com/] * Explore healthcare compliance training and weekly webinars: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com/training-in...⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://epicompliance.com/training-information-webinars] Originally Recorded: June 30, 2026.

1. juli 202645 min
episode #139 - HIPAA 2026: Small Business Adjustments Healthcare Practices Need to Make Now cover

#139 - HIPAA 2026: Small Business Adjustments Healthcare Practices Need to Make Now

HIPAA 2026: Small Business Adjustments Healthcare Practices Need to Make Now highlights why small healthcare organizations should prepare for anticipated changes to the HIPAA Security Rule and stronger cybersecurity expectations. The session focuses on practical safeguards such as asset inventories, ePHI data mapping, multifactor authentication, encryption, vulnerability management, contingency planning, access control, and vendor oversight. In this session, Jose Delgado (Taino Consultants) sits down with Mr. Jose Carbia, owner and president of TeamLogic IT, to discuss what small healthcare businesses should be doing now for HIPAA 2026. The conversation translates technical and regulatory expectations into practical steps that owners, administrators, compliance officers, office managers, and healthcare leaders can understand and begin implementing. Key Topics: * Why small healthcare organizations should begin preparing for HIPAA 2026 now. * How expected HIPAA Security Rule updates may affect daily operations. * Why asset inventories, ePHI data mapping, MFA, encryption, and access controls matter. Resources: * Learn more about healthcare compliance systems: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://epicompliance.com/] * Explore healthcare compliance training and weekly webinars: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com/training-in...⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://epicompliance.com/training-information-webinars] Originally Recorded: June 23, 2026.

30. juni 202652 min
episode #138 - Microsoft’s 2026 Phishing Warning: Why Healthcare Organizations Remain a Prime Target cover

#138 - Microsoft’s 2026 Phishing Warning: Why Healthcare Organizations Remain a Prime Target

Microsoft’s 2026 Phishing Warning: Why Healthcare Organizations Remain a Prime Target highlights why healthcare continues to be one of the most targeted industries for cyberattacks and why phishing remains a major threat to patient data, systems, and organizational security. In this session, Ray Walters (EPICompliance) and Mr. Jose Delgado (Taino Consultants) discuss Microsoft's 2026 phishing warning, the campaign that reached more than 35,000 users across 13,000 organizations, and why healthcare organizations must stay alert to modern phishing tactics, credential theft, and token compromise. Key Topics: * Why healthcare remains a prime target for phishing attacks. * How modern phishing has evolved beyond simple fake emails. * How adversary-in-the-middle attacks can bypass traditional multifactor authentication. Resources: * Learn more about healthcare compliance systems: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://epicompliance.com/] * Explore healthcare compliance training and weekly webinars: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com/training-in...⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://epicompliance.com/training-information-webinars] Originally Recorded: June 16, 2026.

17. juni 202646 min