Compliance Deconstructed
Welcome to Compliance Deconstructed, a podcast dedicated to all things Healthcare Compliance.
Hosted by Healthcare Compliance professionals Jessica Zeff, Lorie Davis, and Elvan Baker, each episode thoroughly breaks down the complex inner-workings of compliance in the healthcare industry.
From the 7 Elements that make up Healthcare Compliance to AI's impact on the industry and everything in between, Compliance Deconstructed is your resource for information, strategy, and commentary to elevate your knowledge base.
Click play and join us for an episode today!
Episodes
30 episodes
The Best Ways to Manage Compliance In a Critical Access Hospital w/ Denise Lord
In this episode of Compliance Deconstructed, Jessica Zeff and Elvan Baker sit down with Denise Lord to explore the realities of managing healthcare compliance in a critical access hospital. Denise shares firsthand insights into balancing multip...
How Important Is Information Security In Healthcare Compliance w/ Joe Wynn
Information security plays a critical role in healthcare compliance, risk management, and organizational resilience. In this episode of Compliance Deconstructed, Jessica Zeff, Lorie Davis, and special guest Joe Wynn, Founder & CEO of Seiso,...
A Comprehensive Breakdown of Medicaid In Healthcare Compliance
In this episode of Compliance Deconstructed, Jessica Zeff joins co-hosts Elvan Baker and Lorie Davis to unpack one of the most operationally complex areas of healthcare compliance: Medicaid and the realities of navigating state-specific healthc...
A Comprehensive Guide to Understanding MIPS
Healthcare providers continue to face growing pressure to improve patient outcomes while meeting evolving regulatory expectations, and this episode of Compliance Deconstructed breaks down how the Merit-based Incentive Payment System (MIPS) shap...
Your HEDIS Action Plan: Tips & Strategies to Help Your Practices
HEDIS measures, developed by the National Committee for Quality Assurance, provide a standardized framework for evaluating healthcare quality across health plans and provider organizations. In Episode 24 of Compliance Deconstructed, Je...
MSO & Medical Spa Risks (and Rewards) You MUST Know
This episode of Compliance Deconstructed is brought to you by Jessica Zeff of Simply Compliance and features Emma Howard of Cozza Law Group. Together, they focus on medical spa compliance and Managed Service Organizations (MSOs). This episode e...
What Makes a Well-Rounded Compliance Professional?
In this episode of Compliance Deconstructed, hosts Jessica Zeff, Elvan Baker, and Lorie Davis challenge the outdated perception of compliance as a rigid, rule-enforcing function and instead position it as a dynamic, strategic driver wi...
The Truth About Medical Education Gaps
On this episode of Compliance Deconstructed, hosts Jessica Zeff, Lorie Davis, and Elvan Baker explore the critical non-clinical skills every healthcare professional must master to succeed beyond medical training. Listeners will learn why clinic...
Is Your AI Policy Truly Safe? What You Need to Know
In this episode of Compliance Deconstructed, hosts Jessica Zeff and Elvan Baker explore why written policies and procedures are foundational to business success, risk mitigation, and regulatory compliance. Throughout this conversation,...
An Up-Close Look at Compliance Whistleblowing, Practices, & Procedures
In this episode of Compliance Deconstructed, hosts Jessica Zeff, Elvan Baker, and Lorie Davis unpack the true meaning of whistleblowing in healthcare compliance and why speaking up is essential to protecting patients and public funds. ...
Why Professional Development Matters For Compliance Pros
Continuous learning is essential for healthcare compliance professionals navigating constant regulatory updates, operational changes, and emerging risks. In this episode of Compliance Deconstructed, hosts Jessica Zeff, Lorie Davis, and...
Master Medicaid Audits: Your ECRO & ISCA Survival Guide
Medicaid audits play a critical role in ensuring healthcare organizations meet compliance, quality, and contractual requirements, and this episode of Compliance Deconstructed breaks down what providers and health plans need to know. Ho...
Whistleblowing: It's Not What You Think It Is
In this episode of Compliance Deconstructed, hosts Jessica Zeff, Lorie Davis, and Elvan Baker unpack why whistleblowing remains a critical pillar of effective healthcare compliance programs. They explore how speaking up about concerns ...
United Healthcare's Shocking Billing Fraud Exposed: What You Need to Know - Part 2
In this episode of Compliance Deconstructed, hosts Jessica Zeff, Elvan Baker, and Lorie Davis continue to break down the complexities of the ongoing United Healthcare case through the lens of prior authorization and patient access. The...
United Healthcare's Shocking Billing Fraud Exposed: What You Need to Know - Part 1
In this episode of Compliance Deconstructed, Jessica, Elvan, and Lorie break down the complex relationship between healthcare compliance, patient safety, and organizational integrity. They use a major real-world case study (United Heal...
Board Fiduciary Duties Explained - How to Avoid Costly Mistakes
Compliance Deconstructed is back and in this episode, hosts Jessica Zeff, Lorie Davis, and Elvan Baker break down the fundamentals of fiduciary duties and why they matter for every organization. This in-depth conversation explores how strong ov...
Proven Strategies to Justify Your Compliance Budget
Compliance Deconstructed is back and, in this episode, Jessica Zeff, Elvan Baker, and Lorie Davis dive into why budgeting is essential for building a strong, sustainable compliance program. They challenge the common misconception that ...
The 2026 Medicare Final Rule --- Are You Ready?
In this all-new episode of Compliance Deconstructed, Jessica Zeff, Elvan Baker, and Lorie Davis unpack the major changes included in the latest Medicare Final Rule. From medication affordability to patient rights, the discussion center...
How to Create a Bulletproof Compliance Plan - A Step-by-Step Guide
Hosts Jessica Zeff, Lorie Davis, and Elvan Baker are back and, in this episode of Compliance Deconstructed, they break down the key elements of building an effective compliance work plan that truly supports organizational success. This is a dee...
Compliance Culture: It's More Than Just Rules
Building a strong compliance culture requires more than just checking boxes. It demands a shift in mindset across the entire organization. In this informative episode of Compliance Deconstructed, hosts Jessica Zeff, Lorie Davis, and Elvan Baker...
One Big Beautiful Bill Act Explained: What You Need to Know
In this episode of Compliance Deconstructed, hosts Jessica Zeff, Lorie Davis, and Elvan Baker break down the complexities of the “Big Beautiful Bill” and its potential impact on healthcare. The conversation highlights both the bill’s s...
No Hiding Behind the Company: Leaders Face Jail Time
Federal prosecutors aren't just fining companies anymore. They're putting leaders in the crosshairs. In this eye-opening episode of Compliance Deconstructed, hosts Jessica Zeff, Lorie Davis, and Elvan Baker unpack the Herte...
RADV Audit Prep: Compliance Tips You Can't Ignore
In this episode of Compliance Deconstructed, hosts Jessica Zeff, Lorie Davis, and Elvan Baker take a deep dive into the world of Risk Adjustment Data Validation (RADV) audits. These audits have become an increasingly high-stakes area o...
The Good, The Bad, and The Bot: AI’s Role in Healthcare Fraud
Jessica, Lorie, and Elvan (your favorite Compliance professionals) are back with another installment of Compliance Deconstructed and In this insightful episode, they explore the growing role of Artificial Intelligence (AI) in detecting and prev...
The United Healthcare Investigation - What It Means For YOU
We’re back for Episode 5 of Compliance Deconstructed and today, Jessica Zeff, Lorie Davis, and Elvan Baker explore how recent fraud investigations and emergency response funding missteps impact healthcare compliance. They emphasize the importan...
