Compliance risks don’t always start in obvious places—and that’s what makes them dangerous.

In this episode of Compliance Conversations, host CJ Wolf talks with Amy Bailey of HBE Advisors about the real-world compliance failures she sees most often across hospitals and physician groups nationwide. Drawing on decades of experience with investigations, self-disclosures, and Corporate Integrity Agreements, Amy shares practical insights compliance leaders can apply immediately.

In this episode, you’ll learn:

• Where compliance blind spots commonly occur—and why frontline teams matter
• How missed or misunderstood payer correspondence can escalate into enforcement actions
• What works (and what doesn’t) when gaining physician buy-in
• Why traditional audit approaches miss documentation and behavior risks
• Key enforcement and audit trends shaping compliance priorities today

Whether you’re managing audits, responding to payer inquiries, or building a proactive compliance strategy, this episode delivers candid insights you won’t find in a policy manual.

You can also see Amy at the upcoming HCCA 30th Annual Compliance Institute where she’ll be presenting “Bridging Boundaries: Strengthening Collaboration Between Healthcare Organizations, Independent Review Organizations, and OIG Monitors.”

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Refunds and overpayments sit at the intersection of compliance, finance, and legal risk. In this episode of Compliance Conversations, CJ Wolf speaks with David Glaser, healthcare attorney and in Fredrikson’s Health Law group, about how organizations can navigate refund decisions with greater confidence and clarity.

Drawing from years of advising providers nationwide, David explains:

• The difference between binding law and non-binding guidance
• Navigating refunds
• How far Medicare can actually look back on claims

This practical, real-world conversation is essential listening for compliance, audit, revenue integrity, and legal professionals.

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In this episode of Compliance Conversations, host CJ Wolf sits down with Jill Fallows Macaluso, Corporate Vice President and Chief Compliance Officer at Novo Nordisk, to explore how ethical culture, psychological safety, and empowered risk-taking can transform compliance from a regulatory obligation into a strategic asset.

Jill shares insights from more than two decades in a highly regulated industry, discussing how organizations can move beyond check-the-box compliance and build cultures that foster trust, innovation, and sustainable business results.

In this episode, you’ll learn:

• Why ethical culture consistently correlates with stronger business performance
• How psychological safety strengthens both compliance and innovation
• What “risk-based decision-making” really looks like in practice
• How leaders can empower teams without sacrificing accountability
• Why inclusion is foundational to ethical, high-performing organizations

Whether you’re a compliance officer, legal leader, or executive, this conversation offers practical guidance for building a culture where people feel safe to speak up, take smart risks, and do the right thing.

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