Physician Buy-In, Audit Blind Spots, and Enforcement Trends

Compliance risks don’t always start in obvious places—and that’s what makes them dangerous. In this episode of Compliance Conversations, host CJ Wolf talks with Amy Bailey of HBE Advisors about the real-world compliance failures she sees most often across hospitals and physician groups nationwide. Drawing on decades of experience with investigations, self-disclosures, and Corporate Integrity Agreements, Amy shares practical insights compliance leaders can apply immediately. In this episode, you’ll learn: Where compliance blind spots commonly occur—and why frontline teams matter How missed or misunderstood payer correspondence can escalate into enforcement actions What works (and what doesn’t) when gaining physician buy-in Why traditional audit approaches miss documentation and behavior risks Key enforcement and audit trends shaping compliance priorities today Whether you’re managing audits, responding to payer inquiries, or building a proactive compliance strategy, this episode delivers candid insights you won’t find in a policy manual. You can also see Amy at the upcoming HCCA 30th Annual Compliance Institute where she’ll be presenting  “Bridging Boundaries: Strengthening Collaboration Between Healthcare Organizations, Independent Review Organizations, and OIG Monitors.”  Thank you for listening! Please share, like, and subscribe.If you'd like to see more compliance and auditing content feel free to follow us on social media.LinkedInYoutubeFacebookInstagramCheck out our resource center and weekly compliance newsletter for additional compliance and auditing content from our experts.