Episodes
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Medicare Advantage in the Crosshairs: Risk Adjustment, the False Claims Act, and AI
Fraud risks in Medicare Advantage, which now covers more than half of all Medicare beneficiaries, have been flagged as a top priority for government agencies. With that in mind, Rachel Rose, JD, MBA, joins the 1st Talk Compliance podcast to bring her expertise in False Claims Act litigation to…
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The Importance of the OIG’s Exclusions List
In this episode of 1st Talk Compliance, Kevin Chmura is joined by Mike Herold to discuss the crucially important LEIE. The LEIE, or List of Excluded Individuals or Entities, also known as the OIG Exclusions List, is a fundamental piece of any medical practice’s compliance program. Yet so few…
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Telehealth Extensions & 2026 Compliance Priorities: A Compliance Cliffs Update
In this episode of 1st Talk Compliance, Kevin Chmura is joined by Robyn Johns, as they discuss recent updates to their November live webinar, Compliance Cliffs: Navigating Telehealth Waivers and Reimbursement Changes. Learn how the policy landscape has shifted in recent months—especially around...
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Update to the HIPAA Privacy Rule to Support Reproductive Healthcare Privacy Compliance
In this episode of 1st Talk Compliance, Kevin Chmura is joined by Rachel Rose, JD, MBA, as they discuss recent changes to the HIPAA Privacy Rule to Support Reproductive Health Care and Privacy in relation to recent court rulings. This rule, which went into effect in April of 2024, still has…
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The Role of Compliance Programs in Mitigating False Claims Act Liability
In this episode of 1st Talk Compliance, Kevin Chmura is joined by Rachel Rose, JD, MBA, as they discuss the False Claims Act in detail. The FCA, one of five federal laws built to combat fraud, waste, and abuse, is the government’s primary fraud fighting tool, with the healthcare industry paying…
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HIPAA Privacy Rule to Support Reproductive Healthcare Privacy Compliance
In this episode of 1st Talk Compliance, Kevin Chmura is joined by Rachel Rose, JD, MBA, to discuss the HIPAA Privacy Rule to Support Reproductive Healthcare Privacy, passed in 2024. With the reproductive healthcare landscape being very dynamic, this new rule has already passed one compliance...
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RE-RELEASE Employee Snooping & Insider Threats
1st Talk Compliance features guest Raymond Ribble, CEO and Founder at SPHER, Inc., on the topic of “Employee Snooping & Insider Threats.” Ray joins our host Catherine Short to discuss snooping and insider threats and why user monitoring and ePHI access strategies are vital to the security of...
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RE-RELEASE Mastering Defensible Pricing in the Era of Price Transparency
In this episode of 1st Talk Compliance, we dive into an increasingly crucial topic in healthcare: price transparency and its ever-growing impact on the industry. Kevin Chmura, CEO at Panacea Healthcare Solutions, joins us to share expert insights on strategic pricing and compliance, emphasizing…
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RE-RELEASE The Sky’s the Limit: How Price Transparency Can Empower Healthcare Providers
Grace Walsh speaks with Kevin Chmura, CEO at Panacea Healthcare Solutions, to explore an extremely timely topic: price transparency and its far-reaching impact on how healthcare providers interact with consumers, with each other, and with the market at large. Tune in as Kevin shares some…
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New HCPCS Code Requirements for Supplies: Managing Your CDM to Avoid Claim Denials
In this episode of 1st Talk Compliance, Kevin Chmura and BreAnn Meadows discuss the challenges healthcare providers face due to payers increasingly denying claims for supplies that are missing HCPCS codes. The issue stems from recent payer policy changes, with supplies that were previously...
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The Two-Midnight Rule: Navigating the Complexities and Achieving Compliance
The Centers for Medicare and Medicaid Services (CMS) recently released additional guidance on the Two-Midnight rule that carries important implications for hospitals seeking to apply the rule correctly and consistently. In this episode of 1st Talk Compliance, host Kevin Chmura is joined by Stacy...
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Delivering Innovative Solutions: A Conversation with Panacea’s Newest Division President
For over 40 years, KA Consulting Services has delivered unmatched revenue cycle solutions, helping hospitals and health systems nationwide enhance reimbursement, improve compliance, and streamline Medicaid eligibility. Known for its eligibility services, clinical coding and auditing services, and...
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The Role of Compliance Programs in Mitigating False Claims Act Liability
The False Claims Act—alongside the Anti-Kickback Statute and Stark Law—represents one of the five core fraud, waste, and abuse laws identified by the HHS Office of the Inspector General. Out of the billions of dollars reclaimed through False Claims Act recoveries in 2023, the majority was...
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Part 2: The Sky’s The Limit – How Price Transparency Can Empower Healthcare Providers
Previously on First Talk Compliance, we spoke with Kevin Chmura, CEO of Panacea Healthcare Solutions, about how the advent of price transparency has caused the business of healthcare to evolve and opened up fresh possibilities for healthcare providers to gain a competitive advantage. In this...
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Navigating Private Equity in Healthcare
Private equity has become increasingly entrenched in the healthcare sector, offering various financing options for providers to consider. However, like all types of financing, private equity introduces its own unique set of benefits and drawbacks and carries important legal implications. It’s...
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The Sky’s the Limit: How Price Transparency Can Empower Healthcare Providers
Grace Walsh speaks with Kevin Chmura, CEO at Panacea Healthcare Solutions, to explore an extremely timely topic: price transparency and its far-reaching impact on how healthcare providers interact with consumers, with each other, and with the market at large. Tune in as Kevin shares some…
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The Importance of Defensible Pricing
Grace Walsh is joined by Govi Goyal, President of Panacea's Financial Services Division, and Brian Prokop, Senior Vice President of Financial Consulting Services at Panacea, to discuss the importance of undertaking a strategic pricing initiative for your organization. In our current healthcare...
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2024 E/M Updates: What You Need to Know (Extended)
Grace Walsh is joined by Becky Jacobsen, Vice President of CDM, Coding & Audit Services at Panacea Healthcare Solutions, to explore the key updates to evaluation and management (E/M) guidelines for 2024. On the surface, this year's changes may appear fairly straightforward, but dig a little…
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2024 E/M Updates: What You Need to Know
Grace Walsh is joined by Becky Jacobsen, Vice President of CDM, Coding & Audit Services at Panacea Healthcare Solutions, to explore the key updates to evaluation and management (E/M) guidelines for 2024. On the surface, this year's changes may appear fairly straightforward, but dig a little…
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Mastering Defensible Pricing in the Era of Price Transparency
In this episode of 1st Talk Compliance, we dive into an increasingly crucial topic in healthcare: price transparency and its ever-growing impact on the industry. Kevin Chmura, CEO at Panacea Healthcare Solutions, joins us to share expert insights on strategic pricing and compliance, emphasizing…
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The Increasing Role of the FTC in the Poaching of PHI – A Discussion of Better Help, GoodRx & Flo: Audio Version of the Webinar
Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX will be presenting this informative webinar. Cybersecurity risk management and the potential for enforcement actions is not diminishing. An area of increasing interest by the Federal Trade Commission,...
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Evolution of Price Transparency and How to Stay Ahead of CMS Requirements
1st Talk Compliance features guest Govi Goyal, President, Financial Services, at Panacea Healthcare Solutions, on the topic of Evolution of Price Transparency and How to Stay Ahead of CMS Requirements. Govi joins our host Catherine Short to discuss how the new CMS Price Transparency Rule and No...
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Healthcare Assets – How to Preserve and Protect
1st Talk Compliance features attorneys Sean McKenna, Lauren Nelson, and Vincent Aiello of Spencer Fane LLP, on the topic of Healthcare Assets: How to Preserve and Protect. We will discuss the interplay between enforcement and liability proceedings with asset protection, explore how government and...
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A Harassment-Free Workplace vs the Right to Engage in Concerted Activity
1st Talk Compliance features guest Lauren Moak Russell, Counsel at Young Conaway Stargatt & Taylor, LLP in Wilmington, Delaware, on the topic of “A Harassment-Free Workplace vs the Right to Engage in Concerted Activity.” Lauren joins our host Catherine Short to discuss how the National Labor...
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False Claims Act “Hot Areas” – What You Need to Know: Audio Version of the Webinar
Expert presenter, Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX guides us through current trends and tips. With its roots stemming back to 1863, the False Claims Act continues to be the U.S. Department of Justice's primary enforcement tool for...
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A Practical Approach to The Safe Harbor Law
1st Talk Compliance features guest Raymond Ribble, CEO and Founder at SPHER, Inc., on the topic of A Practical Approach to The Safe Harbor Law. Ray joins our host Catherine Short to discuss how HIPAA data breach penalties typically get measured in millions of dollars, even following an…
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The Safe Harbor Law: A Practical Approach – Audio Version of the Webinar
Raymond Ribble is the CEO and Founder at SPHER, Inc. HIPAA data breach penalties typically get measured in millions of dollars even following an organization implementing NIST cybersecurity framework measures. It is important to understand that the Safe Harbor Law, while offering substantial...
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The Risk of Data Sharing
1st Talk Compliance features guest Iliana L. Peters, Shareholder at Polsinelli PC, on the topic of The Risk of Data Sharing. Iliana joins our host Catherine Short to discuss how these days, health data is an incredibly valuable commodity. Companies of all types should consider the legal risk with...
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DMEPOS – In Compliance with CMS
1st Talk Compliance features guest Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., on the topic “DMEPOS – In Compliance with CMS.” Rachel joins our host Catherine Short to discuss special payment rules associated with durable medical equipment, prosthetics,...
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Evaluation and Management Updates 2023, Training, Q and A- Audio Version of the Training
An audio version from the live event: It’s important to understand how the application of the 2023 E&M codes impacts reimbursement. Inaccurate coding and inefficient documentation practices can result in a decline in revenue and increase the likelihood of downstream inaccuracies of patient data....
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The Criminal Side of Cybersecurity and HIPAA – Audio Version of the Webinar
Expert presenter, Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX guides us during this important and informative webinar. Breaches and the lack of the requisite technical, administrative, and physical safeguards can have criminal consequences.…
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Health Data, A Value Proposition: Legal Risks with Innovative Data Sharing Projects – Audio Version of the Webinar
Iliana L. Peters, Shareholder at Polsinelli PC will be leading this engaging audio version of her webinar presentation. These days, data is more valuable than oil. And health data is the most valuable of all data! Companies of all types should consider the legal risk with data valuation, data...
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A Business Associate Agreement? Tell Me More!
1st Talk Compliance features guest Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX, on the topic of “A Business Associate Agreement? Tell Me More!” Rachel joins our host Catherine Short to discuss how Business Associate Agreements (BAA) are not new;...
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Have a Breach? Reporting Requirements with the OCR
1st Talk Compliance features guest Trey Scott, Coordinating Attorney at Kennedy, Attorneys & Counselors at Law, on the topic of “Have a Breach? Reporting Requirements with the OCR.”Trey joins our host, Catherine Short to discuss the reporting requirements for a data breach of a healthcare…
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Preserving and Protecting Assets In Healthcare: Audio Version of the Webinar
Expert attorneys Sean McKenna, Lauren Nelson, and Vincent Aiello of Spencer Fane LLP will present this dynamic webinar. They will discuss the interplay between enforcement and liability proceedings with asset protection, explore how government and private litigation matters can impact healthcare...
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Automatic Dispensing Cabinets, Patient Care, and Nurse RaDonda Vaught: Audio Version of the Webinar
Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX presents this very timely and fascinating subject for us. A former nurse was charged, criminally prosecuted, and in March 2022, convicted of gross neglect of an impaired adult and negligent homicide…
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How New Legislation Impacts Privacy
1st Talk Compliance features guest Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX, on the topic of “How New Legislation Impacts Privacy.” The Dobbs Opinion repealed fifty years of precedent under Roe. The implications of the Opinion extend beyond...
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The Dobbs Opinion, the Repealing of Roe, & the Impact on the Privacy & Security of Patient Information – Audio Version of the Webinar
Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX presents this very timely subject for us.The Dobbs Opinion repealed fifty years of precedent under Roe. The implications of the Opinion extend beyond women’s reproductive rights and impact the privacy...
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The Insecurity of Everything: The Vital Importance of Hardware Data Security
1st Talk Compliance features guest John Shegerian, Chairman and CEO of ERI, the largest cybersecurity-focused hardware destruction and electronic waste recycling company in the United States and co-author of the cybersecurity book, "The Insecurity of Everything" on the topic of “The Insecurity of...
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Work Civility: A Harassment-Free Workplace vs Employees’ Right to Engage in Concerted Activity: Audio Version of the Webinar
Lauren E.M. Russell, Counsel at Young Conaway Stargatt & Taylor, LLP leads this hot-topic webinar. The National Labor Relations Board under the Biden Administration has expressed a renewed interest in expanding its influence into non-unionized work forces. This includes reviewing and--in the…
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Combatting Ransomware in Healthcare
1st Talk Compliance features guest William J McBorrough, co-Founder and Chief Security Advisor at MCGlobalTech, a D.C.-based Information Security Consulting Firm on the topic of “Combatting Ransomware in Healthcare.” William joins our host, Catherine Short to examine how ransomware attacks have...
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How to Handle Document Retention & Destruction
1st Talk Compliance features guest Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX, on the topic of “HIPAA and Beyond: Documentation Retention & Legal Holds.” This episode addresses laws that are relevant to healthcare industry participants, as well...
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How to Prevent Employee Snooping and Insider Threats – Audio Version of the Webinar
Raymond Ribble is the CEO and Founder at SPHER, Inc. a market-leading compliance analytics, cyber-security solution addressing: HIPAA compliance, State Privacy Laws, and ePHI security threats and our presenter for this webinar. Snooping and Insider threats are exactly why user monitoring and ePHI...
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Medical Error & Patient Advocacy – How Can We Have More Candor?
1st Talk Compliance features guest Kathleen W. McNicholas, MD, JD, CHC, CCEP, Consultant and Patient Advocate with Medical Legal Patient Advocacy Inc., on the topic of “Medical Error & Patient Advocacy - How Can We Have More Candor?” Kathleen joins our host, Catherine Short to review medical…
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Employment and Labor Law Digest
1st Talk Compliance features guest Catherine Walters, a partner at BYBEL RUTLEDGE LLP and management-side labor and employment attorney representing employers of all sizes, on the topic of “Employment and Labor Law Digest.” Catherine joins our host, Catherine Short to update employers and human...
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DMEPOS – CMS Compliance and Requirements Updates: Audio Version of the Webinar
Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX presents this very timely subject for us. Durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) includes an "entity or individual, including a physician or a Part A provider, which...
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Reporting Requirements with OCR for Breaches: Audio Version of the Webinar
First Healthcare Compliance hosts C. Trey Scott, Coordinating Attorney at Kennedy, Attorneys & Counselors at Law, for an interactive discussion on “Under Pressure: Reporting Requirements with OCR for Breaches.” Attendees will learn the reporting requirements for a data breach of a healthcare...
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Healthcare and Technology Negotiations
Catherine Short converses with Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX and Bruce J. Lynskey, Co-Founder at ePrevenir, on the topic of “Negotiations in Healthcare and Technology.” Negotiating occurs in every facet of business and law. From...
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2022 Forecast of Employment and Labor With Other HOT Topics: Audio Version of the Webinar
First Healthcare Compliance hosts Catherine Walters, Esq., Partner at BYBEL RUTLEDGE LLP a management-side labor and employment attorney representing employers of all sizes, for an interactive discussion on “Employment and Labor Law Round-up With 2022 Forecast and Other HOT Topics.” During 2021…
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Fraud, Healthcare, COVID-19 and the False Claims Act
Catherine Short speaks with Shauna Itri, Partner at Seeger Weiss LLP on the topic of “Fraud, Healthcare, COVID-19 and the False Claims Act.” A whistleblower or qui tam action can provide financial rewards to individuals who have information that a company/individual has committed fraud. The…
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1st Talk Compliance currently has 273 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.
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1st Talk Compliance is a podcast covering topics in news.
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1st Talk Compliance is created and hosted by First Healthcare Compliance.
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