Budgeting isn’t just a spreadsheet exercise—it’s a compliance strategy. In Episode 13 of Compliance Deconstructed, Jessica Zeff, Lorie Davis, and Elvan Baker explore how to build a budget that truly supports the demands of modern compliance work. They unpack common budgeting pitfalls, risks of under-resourcing, and why the 2025 Medicare Final Rule makes proactive planning more important than ever.

The CY 2026 Medicare Final Rule introduces major updates impacting costs, coverage, and care coordination. From the $35 insulin cap to free vaccines and enhanced dual-eligible integration, these changes continue CMS’s push for affordability, transparency, and person-centered care. This blog unpacks what providers and plans need to know—and how to prepare for the upcoming contract year.

A strong compliance plan is more than a checklist—it’s a strategic roadmap. In Episode 11 of Compliance Deconstructed, the hosts break down how to build, refine, and implement an effective compliance work plan. From risk assessment to ongoing monitoring, this episode offers clear guidance for transforming compliance from a reactive task into a proactive advantage that supports growth, integrity, and accountability across your organization.

Compliance isn’t just a checklist—it’s a cultural foundation. In Episode 10 of Compliance Deconstructed, the hosts explore how organizations can turn compliance into a strategic advantage. From leadership tone to employee training and cross-team collaboration, this episode offers practical insights on building a culture of integrity, transparency, and shared responsibility across the business.

The proposed “Big Beautiful Bill” promises billing transparency—but could create serious risks for patients, providers, and healthcare systems. In Episode 9 of Compliance Deconstructed, the hosts explore its potential ripple effects: from Medicaid coverage instability to workforce shortages and red tape. Compliance professionals will walk away with critical insights to help prepare their organizations for the real-world impact behind the headlines.

Federal prosecutors aren’t just fining companies anymore — they’re putting leaders in the crosshairs. In this episode, we unpack the Hertel & Brown case and why owners, not just businesses, are facing the consequences

CMS is expanding RADV audits—and it’s not just business as usual. In Episode 7 of Compliance Deconstructed, Jessica Zeff, Lorie Davis, and Elvan Baker discuss what the shift to annual audits, AI-driven targeting, and extrapolated findings means for Medicare Advantage plans and beyond. From provider strain to operational planning, they unpack the risks—and offer practical insight for compliance professionals.

AI is changing the fraud landscape—both for better and worse. In this episode of Compliance Deconstructed, Jessica Zeff, Lorie Davis, and Elvan Baker discuss how AI can detect fraud, streamline audits, and even summarize regulations. But they also explore its darker side: enabling sophisticated fraud at scale. Plus, a candid look at prior auth challenges and why eliminating fraud completely may never be possible.

Fraud investigations, billing scrutiny, and emergency fund misuse are reshaping healthcare compliance. In this episode, Simply Compliance's own Jessica Zeff and her co-hosts Lorie Davis and Elvan Baker unpack high-profile cases, including the DOJ’s probe into United Healthcare, and share why even small providers must stay vigilant. Learn how proactive audits, strong documentation, and sound emergency protocols can help protect your organization—and your patients—from risk.

The healthcare regulatory landscape is always evolving, and keeping up with changes—especially in Medicare—is crucial for compliance professionals. As of January 1, 2026, new Medicare guidelines are set to take effect, bringing a mix of clarity, continued uncertainty, and opportunities to improve patient care. Understanding the key updates, what was left out, and how to manage these changes proactively can help compliance teams support their organizations more effectively.

The healthcare regulatory landscape is always evolving, and keeping up with changes—especially in Medicare—is crucial for compliance professionals. As of January 1, 2026, new Medicare guidelines are set to take effect, bringing a mix of clarity, continued uncertainty, and opportunities to improve patient care. Understanding the key updates, what was left out, and how to manage these changes proactively can help compliance teams support their organizations more effectively.

Artificial intelligence (AI) is no longer a futuristic concept—it's a present-day reality reshaping industries across the globe, including healthcare compliance. As regulatory requirements grow more complex and data continues to multiply, AI presents a promising solution to the challenges compliance professionals face daily. But along with the promise comes a set of risks and ethical questions that demand thoughtful consideration.

Welcome to the debut episode of Compliance Deconstructed, a podcast designed to simplify the complexities of healthcare compliance. In our first episode, we explore the foundational principles and practical strategies that drive effective compliance programs in healthcare settings. Whether you’re a seasoned compliance professional or just beginning your journey in the field, understanding these basics is key to building a culture of integrity and reducing regulatory risk.

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.