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Learn from our compliance expert, CJ Wolf, and Psychiatrist, Dave Paulson, about how to optimize mental health outcomes in this episode.
It’s that time of year again, when everyone is either breathing a sigh of relief because they’ve just completed their annual HIPAA risk assessment, or they’re cramming to get it done before year’s end. In the spirit of HIPAA season, we decided to turn the tables on CJ. So in this latest episode of Compliance Conversations, we had our very own SVP, Jeremy Schow, interview our local HIPAA expert, CJ Wolf, MD, to discuss all things HIPAA. And he had a lot to say. “The number one reason we do a risk assessment is it's a requirement. Number two though, it's good practice, right? We're in the business of helping patients, and we want to keep that information private and confidential. So, it's a good business practice,” CJ observed, before going on to answer all sorts of questions around HIPAA, including: Should I Conduct an Assessment Every Year? How Do I Conduct an Effective HIPAA Risk Assessment? What are Some Common HIPAA Mistakes I Should Avoid?
In this episode of Compliance Conversations, I chatted with Charla Prillaman, the Regional Vice President of Audit Services and 30-year compliance veteran, about the crucial differences between Medical Necessity and Medical Decision Making (MDM). Prillaman pointed out that both terms are incorrectly used interchangeably, though they have distinctly different meanings. “Medical Necessity is the foundation for payment for all medical services. We find the original or the beginning statement about medical necessity being the overarching criteria all the way back into the social security act…Now the complexity of medical decision making is that it’s intended to somehow or another quantify a provider’s cognitive work in a specific encounter with the patient.” Said Prillaman. In this highly requested conversation, Prillaman breaks down how to properly document medical necessity and medical decision making and how to quantify something as difficult as “cognitive effort” for MDM. Tune into this episode of Compliance Conversations, “Recognizing the Differences Between Medical Necessity and Medical Decision Making” with me, CJ Wolf, and Charla Prillaman for the full scoop on Medical Necessity and MDM, including: The History of Both Medical Necessity and MDM Key Differences of Medical Necessity and MDM Ways to Properly Quantify and Document MDM
Compliance Mastermind: Strategies for your healthcare compliance program and your career
Today I am talking with CJ Wolf. CJ is a physician who now works in compliance full time as a senior compliance executive at Healthicity. Given his background and experience I knew he would be the perfect person to talk about strategies to engage physicians in the work of compliance. CJ can be reached at: CJ.Wolf@healthicity.com Healthicity Blog: https://www.healthicity.com/blog Podcast website: www.compliancemastermind.com Rebekah can be reached at: compliancemastermind@gmail.com Remember to subscribe to the show! Disclaimer: On this podcast I speak only for myself and what I share are the opinions of me alone. My guests also speak for themselves only and do not represent the opinions of their firms or organizations. All content provided on this podcast is for information purposes only. Neither I or my guests make any representations as to the accuracy or completeness of any information on the podcast or in the show notes. This podcast should not be used in any legal capacity whatsoever. Please consult a qualified attorney before taking any action that could have legal implications to you or your business.
Everything You Never Knew You Needed to Know About ACO Compliance by CJ Wolf
In this episode, compliance expert CJ Wolf sits down with product development expert Jeff Young to discuss tools that can simplify compliance and make you so much more effective as a compliance officer. Young explains how tools are changing healthcare organizations, “with the tools that are out there today you can gather data consistently in one location, identify risks based on data trends and decide what to do. Maybe you need to put a new policy in place, or you need to introduce training to your organization. The idea is that it gives you the power to get away from some of this manual work by utilizing technology to help automate and optimize what you’re doing as a compliance officer.” Regarding random audits, Young asks, “if you’re looking at just ten random records, how do you know those are representative of what the physicians doing, and how does it really help you to understand where you need to focus for that physician?” Listen to this episode to learn how to utilize technology to decrease manual labor, improve training, easily identify risks, and much, much more!
Back in the 1980’s, Larry Plutko started his career in Healthcare. By the 90’s he found himself fascinated by compliance. And in 2008, he accepted a position of compliance officer in Austin, Texas, where he became an important career mentor to our very own compliance expert, CJ Wolf. Now, Plutko is a compliance consultant who currently sees clients across the country. In this episode of Compliance Conversations, Wolf interviews Plutko on the compliance career path and how to to become a compliance officer. “I believe in diversity and organizations benefit from having compliance Officers from a number of different backgrounds. Compliance Officers come from all sorts of backgrounds from legal to clinical, ethics and auditing,” said Plutko. Plutko and Wolf discuss the ways in which compliance is growing rapidly and why it was named one of the hottest career tracks in an article in the Wall Street Journal in 2014. Then, they dive into what it means to be a good compliance officer and how to develop the unique skills necessary to excel. Tune in to our podcast, The Unique Qualifications Of A Skilled Compliance Officer, to learn how to: Prepare for the Future Compliance Become a Compliance Officer Excel in a Compliance Career
In our newest episode of Compliance Conversations, CJ Wolf sits down with Security and Privacy expert, Steve Spearman, for an enthusiastic chat about how healthcare practices can protect themselves from imminent threats. In just a few seconds, Wolf and Spearman launch into a dynamic back and forth exchange about why privacy and security matters, how OCR audits have been a gift that keeps on giving and why more organizations need to have a list of their Business Associates on hand. Plus, a little banter about why some companies are forced to negotiate with terrorists. Listen to our newest podcast, Episode 2 of Compliance Conversations, So Now You Take Security And Privacy Seriously, to learn: Why OCR Audits Have Been A Gift To Security Experts How To Protect Your Organization When Working With Business Associates The Real Reason Your Organization Needs to Backup Your Data