HeyJaredThe Compliance Guy
Sean is the host of “The Compliance Guy” a live production dedicated to the intersection of regulatory compliance and the business of medicine.
- Indexed episodes, last 90 days
- 9
- Latest publication
- Sep 14, 2026
- Audience
- Checking…
- Earliest in this view
- Jul 14, 2026
Latest episodes
Season 10 - Episode 439 - #TerryTuesday - RAC Audits, TPE Reviews, and Why Ignoring Requests Can Hurt (opens the original)
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Sean and Terry cover a practical warning for providers and billing teams: do not ignore audit letters, documentation requests, or compliance notices just because the language says you can if you agree. They also break down how RAC and TPE reviews work, why silence can be read as weakness, and why timely responses matter even when you think the issue is minor. Main topics In this episode, Sean Weiss and Terry Fletcher discuss why before you appeal anything, you need to confirm it is actually appe
Season 10 - Episode 438 - #TerryTuesday - Stay in Your Lane: The Advice Healthcare Consultants Ignore (opens the original)
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In this episode Sean and Terry take on a very real issue plaguing healthcare! Our dynamic duo in this episode focuses on a deceptively simple idea with high stakes in healthcare and consulting: verify claims before you trust them. Sean and Terry discuss why vetting staff, contractors, and consultants matters just as much as checking credentials on a resume. They connect that idea to compliance risk, real-world billing mistakes, and the importance of knowing your lane. Why practices should vet al
Season 10 - Episode 437 - #TerryTuesday - Proposed CMS Changes 2027 (opens the original)
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Summary In this episode, Terry Fletcher and Sean Weiss discuss the latest Medicare final rule, its implications for healthcare providers, and how stakeholders can engage in the comment process to influence policy changes. They explore key topics like telehealth flexibilities, modifiers, and upcoming payment adjustments for 2027. Key Topics Medicare final rule published on July 14th Comment period ending September 14th, 2023 Telehealth flexibilities extended until 2028 Modifiers BB and BC for inc
Season 10 - Episode 436 - #TerryTuesday - The Complexities of Lifestyle Medicine (opens the original)
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In this episode, Terry Fletcher and Sean discuss the complexities of lifestyle medicine, insurance reimbursement, and the importance of understanding what services are covered. They explore how providers can navigate insurance limitations while advocating for patient care. Key Topics Insurance reimbursement for lifestyle medicine Medical necessity and insurance coverage Billing and coding challenges in healthcare Advocating for patient services outside insurance coverage Impact of diagnosis on s
Season 10 - Episode 435 - #TerryTuesday: Incident Two, Split Shared Visits, and Why Medical Student Documentation Cannot Be Billed (opens the original)
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This episode focuses on a compliance issue that keeps tripping up practices: incident to billing, split shared visits, and the limits of what medical students can document. Sean M Weiss and Terry walk through where the rules apply, where they do not, and why using student documentation to support a billable service is not allowed. Terry also shares a real world question from recent presentations that pushed the conversation into medical student use, supervisory rules, and the risk of stretching
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