Compliance Deconstructed

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 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 de...

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 ...

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 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 ro...

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 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; i...

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 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, understandi...

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 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 result...

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 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 ...

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 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 effor...

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 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 investigat...

In 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 const...

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 land...

It’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 ...

It’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 pr...

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 i...