The Healthcare Compliance Step-By-Step Podcast · EPICompliance
#105 - 2026 Playbook: Noncompete, Prior Auth & Medicare Fee Schedule
·1 hr 4 min·1 clip
An RN approves clinical decisions of MDs. This isn't about reducing waste—it's about insurance companies not paying.
As heard by us
Compliance gets practical when non-competes meet Medicare fee schedule math.
Ray Walters and Jose Delgado Jr. make healthcare compliance feel like operational math. They start with non-compete scrutiny, then move through Medicare fee schedule changes and the way CMS calculations can alter reimbursement for procedures and services done in facilities like…
Why you'd press play
For the week when noncompetes, prior auth, and Medicare rates all hit at once.
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