Shows
Compliance DeconstructedMaster Medicaid Audits: Your ECRO & ISCA Survival GuideMedicaid 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. Hosts Jessica Zeff, Lorie Davis, and Elvan Baker explore how ECRO and ISCA audits function within Medicaid programs and why understanding them is essential for operational success.Throughout this in-depth conversation, your hosts explain that ECRO audits, conducted by External Quality Review Organizations, focus on evaluating the quality of care, member services, and adherence to state and federal Medicaid standards. ISCA audits concentrate o...
2026-01-2048 min
Compliance DeconstructedWhistleblowing: It's Not What You Think It IsIn 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 - whether ethical, operational, or regulatory - helps healthcare organizations identify risks early and protect patients, staff, and reputation.This in-depth discussion reframes whistleblowing as a proactive compliance tool rather than an act of disloyalty, especially within highly regulated healthcare environments. The hosts explain how fostering transparency and psychological safety strengthens compliance culture and supports long-term organizational integrity.Jessica, Lorie, and Elvan...
2026-01-0638 min
Compliance DeconstructedUnited Healthcare's Shocking Billing Fraud Exposed: What You Need to Know - Part 2In 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. They explore how insurance-driven decision-making continues to impact healthcare delivery, compliance expectations, and provider operations.Today’s conversation highlights how prior authorization, though positioned as a cost-control tool, can delay essential care and complicate compliance workflows. The hosts discuss real-world scenarios where automation, incomplete reviews, and non-specialist evaluators contribute to patient risk and provider frustration.Jessica, Lorie, and Elvan will ta...
2025-12-2357 min
Compliance DeconstructedUnited Healthcare's Shocking Billing Fraud Exposed: What You Need to Know - Part 1In 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 Healthcare, to be exact) to show how compliance failures ripple across quality of care, operations, and public trust.The hosts explore how organizational culture can make or break an effective compliance program, emphasizing the powerful influence of informal norms and leadership behavior. Collectively, they highlight why even the strongest policies fall flat when daily actions don’t align with written expectations.As you dive in...
2025-12-0942 min
Compliance DeconstructedBoard Fiduciary Duties Explained - How to Avoid Costly MistakesCompliance 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 oversight begins with understanding the core responsibilities every board member holds, showcasing how fiduciary duties serve as the backbone of organizational stewardship and how compliance programs empower boards to uphold those duties effectively.Jessica, Lorie, and Elvan explain the three pillars of fiduciary duty: care, loyalty, and obedience, as well as why each is essential for informed and ethical decision-making. Their...
2025-11-2544 min
Compliance DeconstructedProven Strategies to Justify Your Compliance BudgetCompliance 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 compliance is a low-cost, back-office function and outline why underfunding it puts organizations at risk.Throughout this episode you will gain insight into the true nature of compliance work, from developing policies to managing investigations and why these tasks require specialized resources. Compliance is not a “plug-and-play” role, but a complex, thought-driven function that operates across the entire organization.The discussion also...
2025-11-1145 min
Compliance DeconstructedThe 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 centers on how these updates are poised to drive better health outcomes and increase clarity for healthcare providers and patients alike.One major highlight is the new $35 cap on insulin costs for Medicare beneficiaries, offering a more predictable and affordable path for managing diabetes. This episode explores the real-world impact of this change, particularly for individuals who previously had to ration or delay life-saving...
2025-10-2841 min
The High NoteThe High Note S1 E2The High Note
Executive Producer: Jan Corran
Starring:
Thea Gill - Jody Stewart
Also Starring
Chelsea M. Davis - Diane Devane
John Kennard - Richard Moorehead.
Co-Starring:
Lucy Butler - Blanche Reynolds
Leah Cevoli - Gloria Leonard
Barbara Deutsch - Matilda Minnie Geoodfellow
Sam Benjamin -Guy Whitney
Travis Simmons - Ernie St. James
Jeffrey Ashkin- Sherman Phelps
Hank Grover - Emcee/Limo Driver
Written by: Gina Glass & Lori Wallis based on Characters from the original screenplay “In Love” written by: Lori...
2025-10-2422 min
Compliance DeconstructedHow to Create a Bulletproof Compliance Plan - A Step-by-Step GuideHosts 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 deep dive that explores how a well-structured plan can shift compliance from a reactive process to a proactive, strategic advantage.A compliance work plan serves as your organization’s annual roadmap, outlining priorities, audits, and goals that guide your compliance function. This detailed conversation explains how to create a dynamic, data-driven plan based on thorough risk assessment, continuous monitoring of...
2025-10-1448 min
Compliance DeconstructedCompliance Culture: It's More Than Just RulesBuilding 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 break down the foundational principles that turn compliance from a burden into a powerful driver of trust, integrity, and long-term success.Compliance culture is more than a policy manual; it’s the framework that ensures ethical behavior, consistent practices, and clear accountability. Businesses that prioritize compliance not only avoid costly penalties but also create a workplace built on transparency, strong leadership, an...
2025-09-3043 min
Compliance DeconstructedOne Big Beautiful Bill Act Explained: What You Need to KnowIn 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 stated goal of simplifying billing and the unintended consequences that could create new challenges for patients and professionals alike.For compliance professionals and healthcare leaders, understanding healthcare policy changes requires more than reading the surface-level intentions. It’s important to critically examine proposed regulations, compare goals with likely outcomes, and identify potential risks such as coverage gaps, workforce shortages, or added administ...
2025-09-1638 min
Compliance DeconstructedNo Hiding Behind the Company: Leaders Face Jail TimeFederal 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 Hertel & Brown case and why owners (not just businesses) are facing the consequences. Throughout this episode, they reveal how a network of billing scams, data manipulation, and oversight failures resulted in criminal charges for not only executives but also the compliance officer.Healthcare fraud can include overbilling, upcoding, billing for services not rendered, and data tampering, all of which are deliberate strategies rather th...
2025-09-021h 11
Compliance DeconstructedRADV Audit Prep: Compliance Tips You Can't IgnoreIn 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 of focus for healthcare compliance professionals navigating today’s regulatory landscape and this conversation will help you understand them on a deeper level.Throughout this episode, your hosts cover the purpose and impact of RADV audits, including how CMS uses them to ensure billing accuracy and recover overpayments. With annual audits now planned for every Medicare Advantage plan, the pressure on he...
2025-08-1953 min
Compliance DeconstructedThe Good, The Bad, and The Bot: AI’s Role in Healthcare FraudJessica, 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 preventing healthcare fraud. With healthcare systems facing persistent issues of fraud, waste, and abuse, AI offers new tools to identify patterns, flag anomalies, and streamline compliance efforts.The discussion dives into how AI can both help and hinder fraud detection, acting as a powerful tool for compliance or a potential risk when exploited by bad actors. Real-world examples illustrate how AI identifies unusual billing...
2025-08-0541 min
Compliance DeconstructedThe United Healthcare Investigation - What It Means For YOUWe’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 importance of understanding fraud, waste, and abuse regulations to reduce risk and protect patient care quality.Throughout this conversation, the ladies discuss the Department of Justice’s investigation into United Healthcare for alleged upcoding practices to inflate reimbursements. This case highlights the critical need for transparency and the potential consequences of manipulating patient data.Even smaller providers are subject to the same leve...
2025-07-2254 min
Compliance DeconstructedIs It Fraud, Waste, or Abuse? Know The DifferenceIn this insightful episode of Compliance Deconstructed, Jessica Zeff, Lorie Davis, and Elvan Baker break down the often-misunderstood concepts of fraud, waste, and abuse in the healthcare industry. With real-world examples and expert commentary, the team explores how these terms differ and why the distinctions matter for healthcare professionals and organizations alike.Throughout this conversation, you’ll gain clarity on what constitutes healthcare fraud, including how intent plays a central role in determining fraudulent behavior. The discussion covers deceptive practices like billing for unprovided services, upcoding, and illegal kickbacks, all of which carry serious compliance implications....
2025-07-0844 min
Compliance DeconstructedHealthcare Compliance Deconstructed: Our Inaugural Episode!In the premiere episode of Compliance Deconstructed, your hosts Jessica Zeff, Lorie Davis, and Elvan Baker dive into the foundational principles that shape effective healthcare compliance programs. Whether you're a newcomer to the compliance world or a seasoned professional with years of experience under your belt, this episode offers a comprehensive, yet accessible overview to help you confidently navigate the regulatory landscape.The conversation is built around the Seven Elements of an effective compliance program - core building blocks that support ethical behavior and regulatory adherence. Each element plays a critical role in establishing a strong compliance...
2025-07-011h 06
Compliance DeconstructedAI & Compliance - Friend or Foe? Navigating the Risks & RewardsIt’s Episode 2 of Compliance Deconstructed and your favorite trio of Compliance professionals are back to take a closer look at how artificial intelligence (AI) is reshaping the landscape of healthcare compliance. With the ability to automate routine tasks, analyze vast data sets, and flag potential issues, AI offers exciting possibilities for improving both efficiency and effectiveness in compliance operations.But alongside these opportunities come critical risks and ethical considerations. From algorithmic transparency to potential bias in sensitive areas like compliance hotlines, the introduction of AI raises important questions around trust, accountability, and the need for ongoing hu...
2025-07-0137 min
Compliance DeconstructedMedicare Final Rule 2026 | AI, Weight Loss Drugs & Prior Authorizations Under ScrutinyIt’s time for Episode 3 of Compliance Deconstructed and today, Jessica Zeff, Lorie Davis, and Elvan Baker break down the recent Medicare final rule updates effective January 1, 2026, focusing on what was left out, positive changes, and how compliance professionals can navigate the evolving regulatory environment. A key focus of discussion are the absence of clear AI guidelines, coverage decisions on anti-obesity medications, and prior authorization requirements continue to create challenges for healthcare organizations.The conversation also highlights some encouraging developments, including the elimination of cost sharing for adult vaccines, caps on insulin costs, and expanded acc...
2025-07-0126 minCompliance DeconstructedIntroducing Compliance Deconstructed!Welcome to Compliance Deconstructed, a podcast brought to you by Simply Compliance. Hosted by Jessica Zeff, Lorie Davis, and Elvan Baker, this podcast is set to break down and deconstruct many of the various complex aspects of Healthcare Compliance. From the 7 Elements to Medicare to AI's role in today's healthcare landscape and everything in between, you've discovered the best resource for elevating your knowledge in the healthcare compliance space.Whether you're new to the industry or a seasoned professional, you'll find useful information to help you better understand what's happening at many levels of healthcare c...
2025-06-1818 min
EASY INJECTIONS and calm patientsSind Frauen sensibler?!🎧 Folge 5 – Spüren Frauen mehr?Warum Schmerz nicht gleich Schmerz ist – und was Geschlecht damit zu tun hatIn dieser Folge gehen Lilly und Dr. Easy der Frage auf den Grund:Empfinden Frauen wirklich mehr Schmerzen als Männer – oder werden sie einfach anders wahrgenommen, bewertet oder sogar ignoriert?Lilly berichtet von Studien, in denen Frauen häufiger über stärkere Schmerzen klagen – und gleichzeitig medizinisch oft weniger ernst genommen werden.Dr. Easy beleuchtet die neurobiologischen, hormonellen und psychologischen Aspekte von Schmerzverarbeitung – und erklärt, wie Geschlecht, Zyklus, Erziehung und sogar Sprache die Schmerz...
2025-06-0908 min
The Better Dental Life PodcastHealth and Wellness of Practice Team Members with Lorie StreeterLorie is the Vice President of the American Association of Dental Office Managers. She is the Founder and Owner of StreeterBuilt Coaching and Consulting. She has over 30 years of dental and marketing experience, a Life Coach and Master Reiki Healer on the Gong Show, voice on mickie mouse clubhouse, opened for raskel flatts, health and wellness of the practice administrator and more. Mark and Lorie talk about singing, passions, growth, dentistry, life, health and wellness and more. Enjoy!
2023-12-0548 minThe Better Dental Life PodcastHealth and Wellness of Practice Team Members with Lorie StreeterLorie is the Vice President of the American Association of Dental Office Managers. She is the Founder and Owner of StreeterBuilt Coaching and Consulting. She has over 30 years of dental and marketing experience, a Life Coach and Master Reiki Healer on the Gong Show, voice on mickie mouse clubhouse, opened for raskel flatts, health and wellness of the practice administrator and more. Mark and Lorie talk about singing, passions, growth, dentistry, life, health and wellness and more. Enjoy!
2023-11-2848 min
Who Am I Really?090 – It’s Not Your Fault, I Made It ThroughLori was adopted after her biological mother lived with her adoptive parents, desperately trying to escape the tyranny of her abusive husband. The abuse her birth mother suffered would be a recurring theme in her own life when her mother’s drinking got worse. Lorie tells the story of growing up reminded of the privilege she lived with but wanting only to be herself, not keep up appearances for her mother. When she found her birth mother, she was able to share her own sons with their new grandmother, a woman who missed out Lori’s youth.Read Fu...
2023-09-0237 min
Sailing Through LifeEmbracing Resilience: Navigating the Emotional Journey of Skin Cancer | Bronwyn DavisMelanoma and Skin Cancer Awareness Series - Part 11What if hearing someone's personal journey of living with skin cancer could help you navigate the emotional aspects that come with it? Join us as we talk to the inspirational Bronwyn Davis, who shares her experience with squamous cell carcinoma and how she transformed her life despite the challenges.Bronwyn opens up about the powerful shift in her relationship with her skin after her diagnosis and how she turned her pain into purpose by creating a community of skin cancer survivors...
2023-06-2246 min
Court Watch with Alex SwoyerSupreme Court takes on major First Amendment, LGBTQ battleThe Supreme Court heard a major battle between First Amendment rights and LGBTQ protections this month. Lorie Smith, the plaintiff in the case fighting for her free speech rights, and her attorney Kristen Waggoner of Alliance Defending Freedom joined Alex Swoyer to comment on the oral arguments. Mike Davis, a former clerk to Justice Neil M. Gorsuch, also joined the episode to break down other major legal topics facing the justices this term, including the ongoing probe into who leaked the draft opinion earlier this year revealing the justices would overturn Roe v. Wade.
2022-12-3035 min
Sailing Through LifeSkin Cancer Awareness, Pt. 5: Into the Depths- Beauty is Not Just Skin Deep with Bronwyn DavisI am excited to have today’s guest on my show. Bronwyn Davis has found her niche as a coach, but not just any coach. She is coaching others with a twist- as a Sun Care Coach (TM)I know you are thinking, what is that? Well Bronwyn will be telling us more about that as well as her history with her skin issues and how she was frightened by her pediatrician at the tender age of 12. Her focus on awareness now shines on skin cancer and skin related conditions. If you are struggling with confidence and unabl...
2022-05-2640 min
LifeClips PodcastBethel, NAR and BSSM Deception | 093Send us a text Show NotesLet us not be deceived by Bethel!What is BSSM? It is Bethel's School of Supernatural Ministry. Why am I devoting an episode to this?Bethel is demonic. All music that comes from Bethel should not be played in your churches, car, home, or wherever you listen to this “Christian” music out there today.A LOT of video content!! Can’t expose without showing you what they do!!Links:Lindsey Davis video https://www.facebook.com/watch/?v=409833139573568BS...
2021-11-262h 50
Mysteryrat’s Maze PodcastSprinkles of Suspicion by Kim DavisThis episode features the first chapter of Sprinkles of Suspicion written by Kim Davis. It is read by local actor Karina Balfour. Sprinkles of Suspicion was published in May of 2020 and is available for purchase. Learn more about the author and her writing on her website.
In each episode, we share with you mystery short stories and mystery novel first chapters read by actors from the San Joaquin Valley. Our theme song was written and performed by Kevin Memley. If you enjoyed this episode please review or rate it as that helps more people be able...
2021-05-3117 min
Damn Good Movie MemoriesEpisode 187 - Teen Wolf (1985)Nobody was a bigger name than Michael J. Fox in 1985, as he starred in a hit TV series (Family Ties) and had a number one film at the box office (Back to the Future). How does the original Teen Wolf hold up today? Co-starring James Hampton, Jerry Levine, Susan Ursitti, and Lorie Griffin. Directed by Rod Daniel.
2020-04-251h 24
The Minds of Madness - True Crime StoriesEpisode 70 - Veronica NavarroIn the spring of 2011, Veronica Navarro was taking a break from an on and off again relationship when she thought she’d met the man of her dreams. Little did Veronica realize, within two months, her dreams would turn into an unimaginable nightmare.
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Music Credits:
The Minds Of Madness Theme Music – Duncan Foster
The Funkoars – Feel The Madness
Used with Pe...
2020-02-1742 min
Bulture Podcastis the grass ever really greener on the other side?? Ep50Antonio Brown through a bag of dicks at his BM and police
1- bad boy3 / just mercy (( will Smith said he used be jealous Jada and 2pac relationship!! have you ever been jealous of ex relationship of a partner))
2- is hard to date women fresh out of a bad relationship?
3- have you ever been the rebound relationship? Did you kno? Can you ever tell that you just rebound
4- how do you test to see if the grass is really greener on the other side b4 jumping the gun
2020-01-212h 10
Supreme Court Oral Arguments[18-6943] Banister v. DavisBanister v. Davis
Justia (with opinion) · Docket · oyez.org
Argued on Dec 4, 2019.Decided on Jun 1, 2020.
Petitioner: Gregory Dean Banister.Respondent: Lorie Davis, Director, Texas Department of Criminal Justice, Correctional Institutions Division.
Advocates: Brian T. Burgess (for the petitioner)
Kyle D. Hawkins (for the respondent)
Benjamin W. Snyder (Assistant to the Solicitor General, Department of Justice, for the United States, as amicus curiae, supporting the respondent)
Facts of the case (from oyez.org)
Gregory Dean Banister was convicted by a jury of aggravated assault wi...
2019-12-0458 min
Who Am I Really?090 – It’s Not Your Fault, I Made It ThroughLori was adopted after her biological mother lived with her adoptive parents, desperately trying to escape the tyranny of her abusive husband. The abuse her birth mother suffered would be a recurring theme in her own life when her mother’s drinking got worse. Lorie tells the story of growing up reminded of the privilege she lived with…
2019-04-2737 min
WhysAdvice™ with FatDagAlice in OnderdlandTake the next step as a Wingman! Join them - become a Patron! Thank you! GENERAL Jeanne Blankenship CHIEF Jennifer Cunningham | Stella COLONEL Amy Wallack | Denise Metcalf | Diane Musachio | Donna cutting | HEATHER D MORSE | Karen Maddox | Kim Bixel | Lisa Hensarling | Mitzi Daggett | Pam Goepfarth MAJOR Amy Gilbert | Andrea Moore | Carie Sauders | Christie Eller | Danielle Rocco | David Marquez | Gayle Stetson | Karen Antczak | KeithNY | Kim Morris | Leigh M Meeks | Lorie Saito | Melanie C Weitz | Michelle Rhodes | Mike Daggett | Rebecca Hargis | Tammy Swinne...
2018-03-0535 min