Best Sean M Weiss Podcasts (2025)

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Episode 382 - A Game Changer for AI Governance - Walter Haydock 37:41

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17d ago37:41

37:41

Summary In this conversation, Sean M Weiss and Walter Haydock discuss the implications of ISO IEC 42001 in the healthcare sector, focusing on AI governance, regulatory compliance, and the management of bias in AI systems. They explore the challenges faced by multi-site healthcare organizations, the importance of leadership in ethical AI use, and re…

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Episode 381 - #Terry Tuesday - The Critical Importance of Documentation 28:18

4d ago28:18

28:18

Summary In this episode, Sean M Weiss and Terry Fletcher discuss various trends and issues in healthcare auditing, coding, and documentation. They reflect on their recent experiences and the importance of accurate coding practices to avoid risks associated with incomplete documentation. The conversation also touches on behavioral change interventio…

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Episode - 380 - #TerryTuesday - Hospitalists "Major Risk" for Hospitals! 24:36

14d ago24:36

24:36

Summary In this episode, Sean and Terry discuss the critical role of hospitalists in patient care, emphasizing the importance of understanding their responsibilities and the challenges posed by overutilization and compliance issues. They highlight the necessity of medical necessity in documentation and the potential risks associated with billing pr…

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Episode 379 - Jonathan Porter, ESQ - A Prosecutor's Perspective on Compliance 50:02

14d ago50:02

50:02

Summary In this episode of the Compliance Guide podcast, Sean Weiss speaks with Jonathan Porter, a former prosecutor turned defense attorney, about the complexities of healthcare compliance and the legal landscape surrounding it. They discuss the transition from prosecution to defense, the power dynamics in legal practice, and the challenges faced …

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Episode 378 - Unmasking Embezzlement in Healthcare 21:28

18d ago21:28

21:28

Summary In this episode, Sean and Terry discuss the alarming prevalence of embezzlement in medical practices, particularly focusing on the role of family dynamics and the importance of compliance and auditing. Terry shares a recent experience where she uncovered significant embezzlement in a client's practice, emphasizing the need for vigilance and…

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Episode 377 - Monday Roundtable - Payor Downcoding - Illegal or Unethical? 1:03:43

21d ago1:03:43

1:03:43

Summary In this episode, the panel discusses the evolving landscape of telehealth, the implications of AI-driven ambient scribes in medical documentation, and the challenges posed by payer downcoding of evaluation and management services. The conversation emphasizes the importance of compliance, understanding payer contracts, and the need for proac…

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Episode 376 - #TerryTuesday - Navigating Telehealth Changes for October 1, 2025 26:24

26d ago26:24

26:24

Summary In this conversation, Sean and Terry discuss the latest updates in telehealth regulations, focusing on new Medicare codes, changes in billing practices, and the implications for healthcare providers. They emphasize the importance of understanding these changes to ensure compliance and effective patient care. Takeaways Telehealth services wi…

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Episode 375 - #TerryTuesdyay - The Audit Dilemma 25:37

1M ago25:37

25:37

Summary In this engaging conversation, Sean and Terry discuss the challenges and importance of audits in medical practices, the resistance to change within healthcare, and the critical role of compliance and implementation of recommendations. They share personal anecdotes and insights from their experiences, emphasizing the need for meaningful chan…

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Episode 374 - Monday Auditing, Coding and Compliance Roundtable 1:03:14

1M ago1:03:14

1:03:14

Summary In this conversation, the panel discusses various challenges in the healthcare industry, focusing on the roles of students in medical practices, the complexities of Medicaid, and the implications of proposed CMS regulations on skin substitutes. They emphasize the importance of compliance, accurate documentation, and the need for providers t…

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Episode 373 - #TerryTuesday - Laziness In Documentation is A Dagger to The Heart 22:21

1M ago22:21

22:21

Summary In this episode, Sean and Terry discuss the critical importance of accurate and specific documentation in healthcare, particularly in the context of E&M services and audits. They explore the challenges faced by providers in maintaining detailed records, the implications of using generic phrases, and the role of defense operatives in ensurin…

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Episode 372 - #TerryTuesday - Emergency Room Compliance Issues 28:17

2M ago28:17

28:17

Summary In this episode of Terry Tuesday, Sean and Terry discuss the challenges and insights from recent audits in emergency rooms, focusing on overutilization of services, critical care documentation, and the importance of accurate medical records. They highlight the need for compliance in healthcare practices and the implications of poor document…

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Episode 371 - #TerryTuesday - Navigating The Complexity of G2211 - Team Based Care 32:39

2M ago32:39

32:39

Summary In this episode, Sean and Terry discuss the complexities surrounding the G2211 add-on code in healthcare billing. They reflect on personal experiences, the importance of understanding coding regulations, and the implications of team-based care. The conversation highlights the challenges faced by healthcare providers in navigating compliance…

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Episode 370 - #TerryTuesday - Documentation is Key Regardless of Who's Paying 22:16

2M ago22:16

22:16

You Don't Want To Miss This One! Summary In this episode, Sean and Terry discuss the critical importance of proper documentation in healthcare, particularly focusing on the discrepancies that arise when dealing with cash patients versus insured patients. They emphasize that documentation should be consistent and thorough, regardless of the patient'…

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Episode 369 - Monday Roundtable - Urban vs. Rural "A Tale of 2 Healthcare Systems" 57:50

2M ago57:50

57:50

Summary The conversation delves into the recent healthcare cuts, particularly focusing on the $1.1 trillion in cuts to Medicaid, which are expected to have significant impacts on both rural and urban healthcare systems. The panel discusses the implications of these cuts, including the potential closure of rural hospitals, the challenges faced by ur…

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Episode 368 - #TerryTuesday - Who's Fault is It? 54:15

3M ago54:15

54:15

Summary In this conversation, Sean Weiss and Terry Fletcher discuss the complexities of accountability in healthcare billing and coding. They explore the challenges providers face in ensuring compliance, the role of coders, and the importance of accurate documentation. The discussion highlights the need for clear communication and responsibility am…

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Episode 367 - Monday Auditing, Coding and Compliance Roundtable 1:00:29

3M ago1:00:29

1:00:29

Summary In this episode, the hosts discuss various pressing issues in healthcare, including the recent increase in CMS investigations into Medicare risk adjustment data, the challenges faced by providers in complying with insurance requests, and the implications of Medicaid eligibility changes. They also delve into the role of GLP-1 medications in …

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Episode 366 - #TerryTuesday - The Critical Role of Documentation in Patient Care 31:54

3M ago31:54

31:54

Summary In this episode of the Compliance Guy podcast, Sean and Terry discuss the critical importance of medical necessity in healthcare, particularly in relation to patient preparation and documentation. They explore the challenges faced by providers and support staff in ensuring that patient records are complete and accurate, emphasizing the lega…

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Episode 365 - Andrew Feldman, ESQ - Prosecutorial Challenges in Healthcare Fraud Cases 42:02

3M ago42:02

42:02

Summary In this episode of the Compliance Guy podcast, Sean interviews attorney Andrew Feldman, who specializes in federal healthcare fraud cases. They discuss Andrew's recent trial victory, the impact of COVID-19 on healthcare fraud, and the legal challenges surrounding COVID testing and medical necessity. The conversation also touches on prosecut…

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Episode 364 - #TerryTuesday - Understanding Third-Party Auditor 33:14

3M ago33:14

33:14

Summary In this episode, Sean and Terry discuss various challenges in healthcare compliance, including the importance of networking, the role of third-party auditors, and the necessity of due diligence in verifying information. They delve into Medicare and Medicaid regulations, telehealth compliance, and the consequences of ignoring audit findings.…

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Episode 363 - Monday Auditing, Coding and Compliance Roundtable 1:03:32

4M ago1:03:32

1:03:32

Summary In this episode of the Compliance Guy Podcast, the hosts discuss various compliance issues in healthcare, including coding practices, the implications of audits, and the evolving role of artificial intelligence in documentation. They emphasize the importance of proper coding, the risks associated with unauthorized alterations, and the need …

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Episode 364 - #TerryTuesday - Navigating the Audit Landscape 17:22

4M ago17:22

17:22

Summary In this episode, Sean and Terry discuss the increasing prevalence of audits in healthcare, emphasizing the importance of being prepared and knowledgeable about compliance. They explore the challenges posed by third-party audit requests, the necessity of verifying the accuracy of cited policies, and the strategies for responding effectively …

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Episode 362 - #TerryTuesday - Eyes Wide Open 21:55

5M ago21:55

21:55

Summary In this episode of the Compliance Guy, Sean and Terry discuss the importance of being vigilant in healthcare compliance, particularly regarding Evaluation and Management (E&M) services. They emphasize the need for accurate documentation, understanding the risks involved in patient management, and relying on authoritative sources like the AM…

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Episode 361 - #TerryTuesday 26:38

5M ago26:38

26:38

Summary In this episode, Sean and Terry discuss the recent passing of Pope Francis and its impact on the world. They then transition into the complexities of healthcare audits, including SIU, CERT, TPE, UPIC, and ZPIC audits. The conversation emphasizes the importance of understanding audit types, the necessity of compliance, and the proactive meas…

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Episode 360 - Navigating The World of Physician Oversight 25:27

5M ago25:27

25:27

Summary In this episode, Sean and Terry discuss the complexities and challenges surrounding annual well visits in healthcare compliance. They emphasize the importance of physician involvement and the risks associated with allowing non-physician providers to conduct these visits without adequate supervision. The conversation highlights the potential…

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Episode 359 - #TerryTuesday - The Balance of Sensitivity and Accuracy 25:43

5M ago25:43

25:43

Summary In this episode, Sean and Terry discuss the critical importance of accurate claims submission in healthcare, particularly regarding the representation of patient identity and biological information. They explore the implications of inaccurate documentation on medical necessity, reimbursement, and patient safety, while also addressing the se…

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Episode 358 - #TerryTuesday - It's All About The Documentation! 20:45

6M ago20:45

20:45

Summary In this episode, Sean and Terry discuss the importance of maintaining high standards of medical record documentation, regardless of whether patients are cash pay or insured. They emphasize that documentation integrity is crucial for all patients and should not be compromised based on financial status. The conversation also touches on recent…

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Episode 357 - Monday Auditing, Coding and Compliance Roundtable 1:00:59

6M ago1:00:59

1:00:59

Summary In this episode of the Compliance Guy Monday Auditing, Coding, and Compliance Roundtable, the panel discusses various topics including updates on telehealth regulations, challenges in behavioral health documentation, privacy concerns under HIPAA, security risks associated with remote work, the complexities of split shared services, and the …

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Episode 356 - #TerryTuesday - Upcoding of Services and The Risks Associated with Bad Documentation 29:31

6M ago29:31

29:31

Summary In this episode, Sean and Terry discuss the complexities and challenges surrounding upcoding in medical billing and auditing. They explore the implications of upcoding, the importance of accurate documentation, and the consequences of non-compliance. The conversation also touches on prescription drug management and the nuances of E&M coding…

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Episode 355 - The Wild World of Healthcare Compliance 59:35

6M ago59:35

59:35

Summary The conversation delves into the evolving role of artificial intelligence (AI) in healthcare, particularly its implications for compliance, documentation, and evaluation and management services. The speakers discuss the benefits and challenges of AI, emphasizing the need for providers to understand its limitations and the importance of main…

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Episode 354 - Andrew Livingston - AI In Healthcare - Opportunities and Challenges 43:36

6M ago43:36

43:36

Summary In this conversation, Sean and Andrew Livingston explore the transformative role of artificial intelligence (AI) in healthcare. They discuss the potential benefits and challenges of AI, including its applications in diagnostics, mental health, and the importance of data privacy and regulation. Andrew shares insights on AI hallucinations, th…

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Episode 353 - #TerryTuesday - The Importance of Authoritative Documentation in Healthcare 27:53

7M ago27:53

27:53

Summary In this episode, Sean Weiss and Terry Fletcher discuss the complexities of healthcare compliance, emphasizing the importance of understanding various regulations, authoritative documentation, and the necessity of thorough preparation for audits and investigations. They highlight the challenges faced by medical practices in navigating compli…

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Episode 352 - #TerryTuesday - Navigating HIPAA In A Post-COVID World 27:12

7M ago27:12

27:12

Summary In this episode, Sean and Terry discuss the evolving landscape of healthcare compliance, particularly focusing on HIPAA protections and the implications of the Cures Act. They explore the changes in regulations post-COVID, the importance of safeguarding mental health information, and the need for practices to stay updated with compliance po…

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Episode 351 - Monday Auditing, Coding and Compliance Roundtable 1:01:14

7M ago1:01:14

1:01:14

Summary The conversation explores the evolving landscape of telehealth, focusing on recent regulatory changes, challenges faced by Congress in legislating telehealth, and the implications for patient care. The panel discusses the importance of documentation, access to services, and the need for guardrails to ensure quality care. They also highlight…

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Episode 350 - The Ethics of Compliance in Healthcare 59:49

7M ago59:49

59:49

Summary In this conversation, the panel discusses the complexities and challenges faced by external auditors in the healthcare industry. They explore the importance of maintaining integrity and ethical standards while navigating client relationships, compliance issues, and the business side of medicine. The discussion highlights the need for clear …

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Episode 349 - #TerryTuesday - Decoding Imaging Services 23:22

7M ago23:22

23:22

Summary In this episode, Sean and Terry discuss the complexities of billing for imaging services, focusing on the distinctions between professional and technical components. They explore compliance issues, the importance of proper documentation, and the challenges faced by healthcare providers in navigating billing practices. The conversation also …

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Episode 348 - #TerryTuesday - E&M Challenges and Solutions 30:52

8M ago30:52

30:52

Summary In this episode, Sean and Terry discuss various aspects of E&M audits, focusing on compliance, documentation, and the importance of accurate patient records. They share personal anecdotes and insights into the challenges faced by healthcare providers in maintaining proper documentation and the implications of upcoding. The conversation emph…

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Episode 347 - Monday Auditing, Coding and Compliance Roundtable 1:00:31

8M ago1:00:31

1:00:31

Summary This round table discussion focuses on critical aspects of healthcare compliance, particularly around deductibles, copays, telehealth, and billing practices. The panelists emphasize the importance of understanding patient financial responsibilities, the need for modernized billing processes, and the legal implications of waiving deductibles…

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Episode 346 - Vaccine Mandates and How To Handle Vaccine Injuries 42:42

8M ago42:42

42:42

Summary In this episode, Sean discusses the complexities of vaccine injury law with attorneys Jon Groth and Jubaile Abila. They explore the differences between various compensation programs, particularly focusing on the COVID-19 vaccine and the challenges faced by individuals seeking compensation for vaccine-related injuries. The conversation delve…

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Episode 345 - Navigating Compliance in Healthcare: Insights from Kenneth Polite 44:29

8M ago44:29

44:29

Summary In this conversation, Sean and Kenneth Polite discuss Kenneth's transition from the head of the criminal division at the DOJ to a partner at Sidley, a global law firm. They explore the importance of compliance in healthcare, the role of data in investigations, and the implications of AI in the industry. Kenneth shares insights on the focus …

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Episode 344 - #TerryTuesday - Navigating The New Political Landscape 25:38

8M ago25:38

25:38

Summary In this episode, Sean and Terry discuss the recent withdrawal of the United States from the World Health Organization, the implications of this decision on healthcare policy, and the political landscape surrounding healthcare administration. They explore the effectiveness of global health organizations, critique the previous administration'…

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Season 8 - Episode -25 - #TerryTuesday - Audio Only Clarification and Guidance for Mitigating Risk 31:18

8M ago31:18

31:18

Summary In this episode, Sean and Terry discuss the complexities surrounding audio-only telehealth services, particularly in the context of evolving regulations and compliance challenges. They emphasize the importance of understanding the regulatory landscape, the need for proactive measures in healthcare practices, and the potential risks associat…

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Season 8 - Episode -24 - #TerryTuesday - Metadata "The What, When and Who" 29:04

8M ago29:04

29:04

Summary In this episode of the Compliance Guy program, Sean and Terry discuss the importance of understanding compliance and auditing in the healthcare industry as they enter 2025. They emphasize the significance of metadata and audit trails in electronic medical records, the need for documentation integrity, and the challenges that healthcare prov…

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Season 8 - Episode 23 - Monday Roundtable - Payor Policies for Telehealth and The OIG's Year-Long Audit of Incident-To Servics 1:06:09

9M ago1:06:09

1:06:09

Summary In this episode, the panel discusses the complexities and challenges surrounding telehealth services, particularly focusing on the regulations, compliance issues, and the evolving landscape of audio-only services. They explore the implications of recent legislative changes, the importance of understanding payer policies, and the need for ca…

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Season 8 - Episode 22 - From Military to Medicine - Jose Vela, Jr., ESQ 1:23:58

9M ago1:23:58

1:23:58

Summary In this episode, Sean welcomes back Jose Vela Jr., a retired military officer and former federal prosecutor, to discuss his transition into healthcare law. They explore Jose's military career, his experiences as a prosecutor, and the complexities of healthcare fraud cases. The conversation delves into the impact of indictments on healthcare…

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Season 8 - Episode 21 - #TerryTuesday - Navigating CMS' Final Rule "Key Points" 30:58

10M ago30:58

30:58

Summary In this episode, Sean and Terry discuss the recent CMS final rule and its implications for healthcare practices, focusing on telehealth regulations, direct supervision requirements, and updates in behavioral health services. They also delve into the G2211 add-on complexity code, emphasizing the importance of understanding the nuances of the…

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Season 8 - Episode 20 - Navigating the Future of Healthcare: Challenges and Opportunities 1:02:21

9M ago1:02:21

1:02:21

Summary The conversation delves into significant healthcare issues, including the targeted assassination of a healthcare CEO, the ongoing challenges and expansion of telehealth services, and the implications of new Medicare regulations. The panel discusses the importance of compliance, the impact of the new administration on healthcare policies, an…

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Season 8 - Episode 19 - #Terry Tuesday - HIPAA Audits and OIG Identification of Significant Failures by OCR 28:29

10M ago28:29

28:29

Summary In this episode, Sean and Terry discuss the current state of healthcare regulations, focusing on HIPAA compliance and government oversight. They provide a critical analysis of the effectiveness of HIPAA audits and the contradictions within healthcare regulations. The conversation emphasizes the need for accountability in government and heal…

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Season 8 - Episode 18 - Daily Dose - The Role of DOJ and OIG in Healthcare Compliance 35:08

10M ago35:08

35:08

Summary In this conversation, Sean discusses the critical issue of healthcare fraud, emphasizing the roles of the Department of Justice and the Office of the Inspector General. He outlines various laws and regulations, shares alarming statistics about fraud losses, and highlights emerging challenges in the healthcare landscape. Sean also explores t…

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Season 8 - Episode - 17 - #TerryTuesday - The Role of AI in Provider Documentation 24:02

10M ago24:02

24:02

Summary In this conversation, Sean and Terry discuss the implications of artificial intelligence (AI) in healthcare, emphasizing its role as a tool rather than a replacement for human oversight. They explore the potential benefits and risks associated with AI in clinical documentation, the importance of maintaining patient privacy, and the legal ra…

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Season 8 - Episode 16 - Monday Auditing, Coding and Compliance Roundtable 42:02

10M ago42:02

42:02

Summary The conversation delves into the complexities and changes surrounding telehealth services, particularly in light of the 2025 Medicare physician fee schedule final rule. Key topics include the confusion regarding telehealth reimbursement post-public health emergency, the implications of new regulations, compliance challenges, malpractice con…