The Healthcare Compliance Step-By-Step Podcast

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

34 min · 21 de may de 2026
Portada del episodio #134 - No Surprises, Big Disputes: Lessons from the Aetna and Radiology Partners Case

Descripción

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.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://epicompliance.com/] * Explore healthcare compliance training and weekly webinars: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠epicompliance.com/training-in...⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ [https://epicompliance.com/training-information-webinars] Originally Recorded: May 19, 2026.

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141 episodios

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

#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.

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

#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 de jul de 202645 min
episode #139 - HIPAA 2026: Small Business Adjustments Healthcare Practices Need to Make Now artwork

#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 de jun de 202652 min
episode #138 - Microsoft’s 2026 Phishing Warning: Why Healthcare Organizations Remain a Prime Target artwork

#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 de jun de 202646 min
episode #137 - HIPAA or FERPA? Understanding Which Privacy Rule Applies artwork

#137 - HIPAA or FERPA? Understanding Which Privacy Rule Applies

HIPAA or FERPA? Understanding Which Privacy Rule Applies highlights the important differences between two major privacy laws and why organizations must understand which rule applies before handling student, medical, counseling, athletic, or academic records. In this session, Ray Walters (EPICompliance) and Mr. Jose Delgado (Taino Consultants) discuss how HIPAA and FERPA apply in different settings, where confusion often occurs, and why proper record handling is essential for healthcare organizations, schools, colleges, universities, and organizations that work at the intersection of healthcare and education. Key Topics: * How HIPAA and FERPA differ and why the distinction matters. * When HIPAA applies to medical and healthcare records. * When FERPA applies to student education, academic, and certain student health records. 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 9, 2026.

10 de jun de 202644 min