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1st Talk Compliance

1st Talk Compliance

First Healthcare Compliance 273 Episodes Jul 16, 2026

1st Talk Compliance is a podcast from First Healthcare Compliance that focuses on regulatory and compliance issues in the healthcare industry. Each episode features conversations with experts on topics such as HIPAA, billing and coding compliance, privacy, and risk management. The show is aimed at healthcare compliance officers, administrators, and legal professionals seeking practical guidance. It provides updates on evolving healthcare regulations and best practices for avoiding compliance pitfalls. The podcast is produced in the United States.

Episodes

Medicare Advantage in the Crosshairs: Risk Adjustment, the False Claims Act, and AI
Medicare Advantage in the Crosshairs: Risk Adjustment, the False Claims Act, and AI Jul 16, 2026 34:36 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 the discussion on how best to avoid these risks, or run afoul of the DOJ or CMS. Listen now for firsthand
The Importance of the OIG’s Exclusions List
The Importance of the OIG’s Exclusions List Jun 16, 2026 19:39 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 people working in the healthcare space, even some compliance specialists, have never even heard of the list
Telehealth Extensions & 2026 Compliance Priorities: A Compliance Cliffs Update
Telehealth Extensions & 2026 Compliance Priorities: A Compliance Cliffs Update Feb 4, 2026 19:51 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 telehealth flexibilities, controlled substance prescribing, and the 2026 CMS payment rules.   Ke
Update to the HIPAA Privacy Rule to Support Reproductive Healthcare Privacy Compliance
Update to the HIPAA Privacy Rule to Support Reproductive Healthcare Privacy Compliance Jul 14, 2025 33:21 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 certain components which practices need to know about and adhere to heading into 2026. Learn about how thes
The Role of Compliance Programs in Mitigating False Claims Act Liability
The Role of Compliance Programs in Mitigating False Claims Act Liability Jun 11, 2025 36:11 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 the largest contributor in recoveries for over a decade. Learn not only about how to avoid running afou
HIPAA Privacy Rule to Support Reproductive Healthcare Privacy Compliance
HIPAA Privacy Rule to Support Reproductive Healthcare Privacy Compliance May 12, 2025 20:10  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 date, with a second important date coming in February 2026. Tune in to learn about this new rule, and wh
RE-RELEASE Employee Snooping & Insider Threats
RE-RELEASE Employee Snooping & Insider Threats Mar 18, 2025 29:16 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 sensitive patient information and data protection. With so much attention and money surrounding cybers
RE-RELEASE Mastering Defensible Pricing in the Era of Price Transparency
RE-RELEASE Mastering Defensible Pricing in the Era of Price Transparency Feb 19, 2025 15:55 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 the transformative benefits for healthcare providers. Learn how to proactively engage with CMS regulati
RE-RELEASE The Sky’s the Limit: How Price Transparency Can Empower Healthcare Providers
RE-RELEASE The Sky’s the Limit: How Price Transparency Can Empower Healthcare Providers Feb 18, 2025 27:19 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 important insights about how price transparency has opened the door to a whole new world of data analysis and
New HCPCS Code Requirements for Supplies: Managing Your CDM to Avoid Claim Denials
New HCPCS Code Requirements for Supplies: Managing Your CDM to Avoid Claim Denials Feb 3, 2025 16:04 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 chargeable now being rejected if they lack a corresponding HCPCS code. The conversation tackles the complexi
The Two-Midnight Rule: Navigating the Complexities and Achieving Compliance
The Two-Midnight Rule: Navigating the Complexities and Achieving Compliance Jan 8, 2025 18:42 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 Pereira, Executive Director of Coding and Clinical Services in Panacea’s KA Consulting Division, to con
Delivering Innovative Solutions: A Conversation with Panacea’s Newest Division President
Delivering Innovative Solutions: A Conversation with Panacea’s Newest Division President Oct 14, 2024 24:07 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 revenue integrity solutions, KA Consulting has earned a reputation for providing solutions that go the

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