The Healthcare Compliance Step-By-Step Podcast

#136 - Compliance, Cybersecurity, AI, Medicare Scrutiny, and the Operational Pressures Facing Medical Practices in 2026

Compliance, Cybersecurity, AI, Medicare Scrutiny, and the Operational Pressures Facing Medical Practices in 2026 highlights the growing compliance, cybersecurity, AI, Medicare, documentation, training, and operational risks facing medical practices as healthcare organizations prepare for a more demanding regulatory environment. In this session, Dr. Jose Delgado, CEO of Taino Consultants and EPICompliance, discusses the current trends affecting medical practices in 2026, including increased cybersecurity expectations, the use of AI tools in daily workflows, stronger Medicare scrutiny, and the growing pressure on office managers, administrators, compliance leads, and practice owners to manage more responsibilities with fewer resources. Key Topics: * How cybersecurity expectations are changing for medical practices. * Why AI tools create new risks for privacy, security, documentation, and oversight. * How Medicare scrutiny, fraud and abuse concerns, and billing compliance pressures affect daily operations. 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 2, 2026.

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

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.

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

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.

#133 - A Breach Is More Than an IT Problem: HIPAA, Ransomware, and Patient Trust

A Breach Is More Than an IT Problem: HIPAA, Ransomware, and Patient Trust highlights the serious compliance and operational risks healthcare organizations face when a ransomware attack exposes patient information or disrupts patient care. In this session, Ray Walters (EPICompliance) and Mr. Jose Delgado (Taino Consultants) discuss the recent Hospital Caribbean Medical Center data breach as a real-world example. The discussion explains why ransomware must be treated as more than an IT issue, since it can affect HIPAA compliance, breach notification, patient trust, documentation, operations, and leadership response. Key Topics: * How ransomware can disrupt patient care and expose protected health information. * Why healthcare organizations must prepare with risk assessments, training, access controls, and incident response planning. * How strong documentation and clear communication can help protect patient trust after a cyber incident. 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 12, 2026.

#132 - Offshoring Healthcare Data: HIPAA Risks, Vendor Liability, and the Mirra Health Case

Offshoring Healthcare Data: HIPAA Risks, Vendor Liability, and the Mirra Health Case highlights the growing compliance risks healthcare organizations face when protected health information, claims data, or regulated functions are handled by oversea vendors. In this session, Ray Walters (EPICompliance) and Mr. Jose Delgado (Taino Consultants) discuss the difference between using domestic resources, such as Puerto Rico-based support, and overseas resources where U.S. regulators may have limited enforcement reach. Using the recent Mirra Health case as a real-world example, the discussion explains how unclear data flows, weak vendor oversight, Business Associate Agreement concerns, and "No Offshoring" contract clauses can create serious liability for healthcare organizations. Key Topics: * How offshoring healthcare data can create HIPAA and vendor liability risks. * Why covered entities may still be responsible when vendors mishandle patient data. * How organizations can strengthen vendor review, data-flow documentation, and contract protections. 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 5, 2026.