Sean is the host of “The Compliance Guy” a live production dedicated to the intersection of regulatory compliance and the business of medicine. The show provides timely, accurate, and easy to digest information to healthcare professionals. The show features interviews of industry leaders, government officials, and others helping to shape the healthcare landscape. Sean M. Weiss (AKA – The Compliance Guy) has been an industry respected name for more than 25-years. A physician and health system ...
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Microsoft Partners and Employees hosted by Gui Carvalhal
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Membahas isu sosial budaya, politik, dan literasi di Indonesia dari perspektif pertemanan yang santai, dengan prinsip tidak melekatkan diri dengan kelompok, golongan dan kekuatan sosial, ekonomi dan politik manapun. Managed by @mataharitimoer Powered by Firstory Hosting
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A NYC real estate attorney who loves what he does. Listening to this podcast does not create an attorney-client relationship. I know, I know, but we have to say it. We really hope you enjoy.
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Season 7 - Episode 47 - #TerryTuesday - Navigating the Challenges of Telehealth Services and Billing
42:49
42:49
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In this episode, Sean and Terry discuss the recent incident where Sean accidentally went live with colorful language during a recording. They also dive into the proposed changes to the telehealth services and fee structure for 2025. Terry explains the challenges and limitations of telehealth services, especially when it comes to billing and coding.…
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Season 7 - Episode 46 - #TerryTuesday - Privilege or No Privilege "That is the Question"
29:50
29:50
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This is a controversial topic depending on which side of the yellow line you stand on... The question is does all work with a consultant require attorney client privilege... This is a great discussion for those of you looking to engage in coding and billing audits.
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Season 7 - Episode 45 - Monday Auditing, Coding, and Compliance Roundtable
58:35
58:35
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This was a great live show! Sean was joined by Terry, Christine, and Paul to discuss Medical Decision-Making for levels of EM service when Rx Management is involved. There was a lot to unpack in this episode so don't miss this one!
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Season 7 - Episode 44 - #TerryTuesday - Words Matter
22:43
22:43
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22:43
Terry and Sean take on the importance of words in the medical record. There is no slowing of the audit trend so providers better buckle up!
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Season 7 - Episode 43 - #TerryTuesday - Flat-lining!
29:09
29:09
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29:09
In this episode Terry and Sean take on what it means to flat-line with your coding and how to avoid unnecessary scrutiny!
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Season 7 - Episode 42 - Defending Your Claims Action
29:21
29:21
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29:21
This one is a head-scratcher for The Compliance Guy for so many reasons... Not going to give it away but this is a really good episode you are gonna want to catch!
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Season 7 - Episode 41 - Monday Auditing, Coding and Compliance Roundtable
52:50
52:50
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52:50
We had a great program on Monday with Terry Fletcher CPC CEMC CCC CCS CCS-P CMC ACS-CA SCP-CA PACS QMPM Christine Hall Stephanie Allard, CPC, CEMA, RHIT Scott Kraft and John Paul Spencer and their take on some hard-hitting issues: 1. Practices wanting to use RNs or MAs to do post of visits after 90-global surgery 2. Medical necessity for E/M servic…
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Season 7 - Episode 40 - #TerryTuesday - G2211 and Some Payors Refusal to Pay
27:49
27:49
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27:49
Terry Fletcher CPC CEMC CCC CCS CCS-P CMC ACS-CA SCP-CA PACS QMPM and #TheComplianceGuy, addressed critical issues in the latest #TerryTuesday episode. In this episode, we delved into current events affecting our country, marking a significant departure from our usual content. Listeners can fast forward to the 15-minute mark for an insightful discu…
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Season 7 - Episode 39 - Dana McMahon Chief Compliance Officer / Stryker
34:39
34:39
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Sean sat down with Dana McMahon, Chief Compliance Officer for Stryker to discuss all the great things she and her team are doing to ensure a culture of compliance and to lead Stryker into the future. Beyond that Dana is the Global President for Stryker Women's Network (see bio below)! This is one great discussion you do not want to miss! Bio Dana s…
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Terry and Sean sat down to discuss credentialing vs contracting. What are the main differences, how do you handle various aspects of each and the pitfalls to avoid.
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Season 7 - Episode 37 - Monday Auditing, Coding and Compliance Roundtable
1:02:12
1:02:12
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The full panel was back this week taking on an array of topics impacting healthcare organizations across the country! Join Stephanie, Paul, Scott, Christine and Terry as they discuss and debate HCC Coding Issues, No Charging Physicians and others who refer to the practice and so much more...
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This episode Terry and Sean take on adding services to your revenue mix and the costs for doing so if "Medical Necessity" is not met. There is a ton to unpack in the episode. Sean also blogged about this topic on LinkedIn Monday, July 1, 2024... take a look at that blog!
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Terry and Sean are back at it once again taking on the big issues impacting healthcare providers! It's all about risk mitigation and creating a culture of compliance!
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Season 7 - Episode 34 - Monday Auditing, Coding and Compliance Roundtable
1:02:47
1:02:47
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The Monday Roundtable is back with all new segments and compliance centered topics. Join Sean, Terry, Christine, Scott, Paul and Stephanie as they tackle the biggest issues in healthcare.
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Season 7 - Episode 33 - #TerryTuesday - Employment Requirement of Incident-To
24:31
24:31
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Don't let the title fool you... this is not just another incident-to podcast. This episode focuses on the employee/employment requirement(s) and how organizations continue to make significant mistakes.
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Season 7 - Episode 32 - Monday Auditing, Coding and Compliance Roundtable
1:03:31
1:03:31
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Terry, Christine, Stephanie, Paul, and Scott were all back for this new episode of the Monday Roundtable. It was quite the discussion on various payor guidelines regarding G2211, The Anatomy of CPT Codes, Split/Shared Services, EMR as a Tool, and so much more...
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Kamu bersahaja sopan berwibawa selalu rendah hati kerja tiada henti kamu ingin perbaiki dari dalam politik negeri yang penuh dendam tapi kamu malah makin kejam para penjilat, kamu redam yang tak sepakat, kamu rendam bila ada rakyat mempertanyakan kamu bilang "biar rakyat yg menilai." kamu makin jadi keluargamu menguasai kamu makin jadi kuasamu mend…
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iya, kamu benar kamu orang baik kamu tidak rakus kekuasaan kamu bertindak demi rakyat tapi itu dulu dulu sekali kini kamu sama saja seperti politisi lainnya mumpung lagi berkuasa ubah aja semua syarat dan ketentuan biar keluarga dan kroni dapat jalan kamu berubah kamu berbeda kamu gegabah kamu bedebah lirik: MT musik: Suno AI https://open.firstory.…
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UNTUK ANAKKU [Verse1] Anakku, Ayah sangat menyayangimu Meskipun waktu kerap memisahkan kita Ayah ingin selalu bisa mendekapmu Menguatkan daya hidupmu [Verse 2] Ayah selalu bangga padamu Apa yang telah kamu jalani sejauh ini Jalani hidup dengan keyakinan Kamu adalah cahayaku [Chorus] Tetaplah percaya Kita bisa tumbuh bersama Doaku tak pernah berhent…
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Pekerja Buku di Era Digital Publishing
1:00:57
1:00:57
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1:00:57
Tinggalkan komentar dan berikan pendapatmu: https://open.firstory.me/user/clloliozm000301w91hlmhg0l/comments Powered by Firstory Hosting
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Kau bilang demi Indonesia Padahal demi kepuasan nafsumu saja Pamer kabar di mana-mana kaulah, si paling Indonesia Mereka sebenarnya tahu kartumu Seperti apa hasrat kuasamu Bagaimana bujuk rayumu Kaulah, si paling banyak mau Si paling Indonesia Si paling banyak mau Si paling Indonesia Si paling tipu-tipu Berapa banyak mereka yang kamu rayu Demi memu…
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Season 7 - Episode 31 - Brian Lobley - CEO Tango
46:38
46:38
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Brian Lobley brings over 20 years of experience leading healthcare businesses, operations, and strategy. Prior to joining tango, he served as the executive vice president, chief operating officer, and president of Health Markets at Independence Health Group, the parent company of Independence Blue Cross, LLC. He was responsible for leading Commerci…
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In this episode Sean and Terry take on Addendums, Corrections, and Late Entries, and when you can make them, when you shouldn't, and when clinical summaries are a better options.
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[Verse 1] Para pejabat koar-koar Menuju Indonesia Emas Proyek-proyek makin lebar Harga sembako bikin rakyat cemas [Verse 2] Korupsi merajalela Hukum takut hadapi mereka Politisi makin culas Rakyat kecil makin cemas [Chorus] Visi Indonesia Emas Tapi kita makin Cemas Visi Indonesia Emas Tapi kita makin Cemas [Bridge] [Rap] Aktivis bersuara karena don…
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Ormas Benalu Politik Negara pelihara Ormas Buat bantu jaga stabilitas Seolah mewakili rakyat Karena anggota dewan gak terhormat Ormas seperti orbat bius Dapat perlakuan khusus Kalau anggota bikin kasus Bakal ada yang urus Ormas benalu politik Ormas budak politik Ormas benalu politik Ormas budak politik Ormas benalu politik Ormas budak politik Lirik…
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Sean and Terry are back with an all new #TerryTuesday episode that you are not going to want to miss!
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Season 7 - Episode 28 - Monday Auditing, Coding, and Compliance Roundtable
1:00:29
1:00:29
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The full panel! Scott Kraft, John Paul Spencer, Terry Fletcher CPC CEMC CCC CCS CCS-P CMC ACS-CA SCP-CA PACS QMPM, Stephanie Allard, CPC, CEMA, RHIT and Christine Hall CHC was back with all new topics! 1. Weight loss drugs and all the confusion on medical necessity 2. Physician disclaimers and the misnomers 3. Developing the next generation of code…
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Politik adalah dunia tipu muslihat Seperti dukun palsu yang pandai menjilat Saat berkuasa rakus korupsi Saat kalah sok paling suci Bicara tentang perubahan Padahal cuma ingin kekuasaan Pura-pura peduli kesejahteraan Tapi rakyat kecil selalu dikorbankan Politisi Asu Menebar janji-janji palsu Politisi Asu Rakyat kecil selalu diadu Politisi Asu Politi…
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Demokrasi sudah mati Dijadikan sesaji oligarki Demokrasi sudah mati Dijadikan sesaji oligarki Kedaulatan rakyat hanya teori busuk di negara yang penguasanya tunduk pada oligarki Politikusnya oportunis Sehabis berseteru saat pemilu Kongkalikong berbagi kekuasaan Bersama penguasa baru Karena takut beroposisi Demokrasi sudah mati Dijadikan sesaji olig…
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Season 7 - Episode 27 - Non-compete Agreements - "The Road Ahead"
45:29
45:29
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Bryan Meek of Brennan, Manna, and Diamond joins Sean to discuss last weeks final rule issued by the Federal Trade Commission and what it means at this point, where things are headed and how to navigate through all the noise. Don't miss this episode!
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Menanti Matahari Menembus gelap Mendamaikan hati Hanya aku dan sedikit bulan yang tersisa Dapatkah air matamu menghanyutkan luka? Puisiku adalah diam Nyanyianku adalah malam Susuri sepi menanti matahari Aku di tepi Masih seperti yang kamu temui di satu pagi Puisiku adalah diam Nyanyianku adalah malam lirik: MT musik: Suno Powered by Firstory Hostin…
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Sean and Terry are at it again, taking on the most perplexing and head-scratching auditing, coding and compliance topics and bringing a sense of sanity to insane situations!
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Season 7 - Episode 25 - Monday Auditing, Coding and Compliance Roundtable
1:00:52
1:00:52
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Most of the all star team was back for this one and it was an outstanding discussion of the G2211, Medical Necessity vs. Correct Coding, SNF Visits and Medical Necessity, and so much more!
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SPECIAL Satya Nadella - FY24 Q3 Microsoft Earnings Release
14:01
14:01
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“Microsoft Copilot and Copilot stack are orchestrating a new era of AI transformation, driving better business outcomes across every role and industry", said Satya Nadella, chairman and chief executive officer of Microsoft.Listen to the entire pitch of Satya, talking not only about earnings and how Microsoft is winning share, but also key areas whe…
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Sean and Terry are back at it with another great episode focusing on the most challenging issues facing healthcare providers and their organizations.
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Season 7 - Episode 23 - Monday Auditing, Coding and Compliance Roundtable
1:01:36
1:01:36
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The all star panel is back together again with an all new episode. 1. Clean Claims 2. Misapplication of Diagnosis Codes 3. Change Healthcare Debacle
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Season 7 - Episode 22 - #TerryTuesday - IPPE and AWE (Medicare)
43:59
43:59
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Terry and Sean take on Medicare's IPPE and AWV and all the misinformation and dos and don'ts! Hear directly from a Medicare Auditor on her thoughts and opinions on direct supervision / incident-to regarding these services.
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Season 7 - Episode 21 - Monday Auditing, Coding and Compliance Roundtable
1:03:55
1:03:55
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The Panel takes on the most pressing issues facing healthcare providers today! 1. Medicare Physician Fee Schedule Update 2. G0136 - SD0H HCPCSII Code Dos and Don'ts 3. TPE Targeting Level II and IV EM Services
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Season 7 - Episode - 20 - Christine Hall - Coding and Compliance
45:01
45:01
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45:01
It was such a treat to have Christine Hall of Stirling Global Solutions (https://www.stirlingglobalsolutions.com/) join The Compliance Guy Podcast to discuss compliance and coding issues surrounding Chronic Care Management (CCM), Providers Failing to Issue Voluntary Refunds, and so much more!
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Season 7 - Episode 19 - #TerryTuesday - OIG Compliance Program Guidance
36:32
36:32
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In this episode Terry and Sean take on the updated Compliance Program Guidance from the OIG and more specifically the section dealing with quality and substandard care leading to prosecution. Don't miss this one!
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Season 7 - Episode 18 - Monday Auditing, Coding and Compliance Roundtable
1:03:52
1:03:52
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Join Sean, Stephanie, Scott, Christine, and Terry as they take on: 1. Collaboration Agreements 2. CERT Studies and error rate
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Sayantan Dev - Redington MEA President - Largest CSP CEMA Partner going all in for AI & Copilot
9:24
9:24
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Redington is Microsoft's CEMA largest CSP Partner and the most successful Distributor to become a Services Aggregator focused on growing Cloud with value added at the forefront. In this interview Dev talks about the company's transformation and how Cloud, AI and Copilot are the current and next frontier to empower Partners and Customers.…
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Season 7 - Episode - 17 - #TerryTuesday - Bad Coding = Bad Business
25:39
25:39
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25:39
Terry and Sean take on providers who render services but choose to bill for a higher level of service than what was actually performed or what they are able to support with their documentation. Oh, but there is more... so much more!
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Season 7 - Episode 16 - Monday Auditing, Coding and Compliance Roundtable
56:22
56:22
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56:22
The panel is back for a much-needed discussion on two critical topics that are generating a ton of issues for providers. We'll be addressing G2211, a code that requires specific requirements and documentation components to support it, and Incident-to, a provisional billing service that continues to wreak havoc on providers. Unfortunately, self-proc…
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Season 7 - Episode 15 - Dan Cohen - PainScript
50:27
50:27
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Dan Cohen of PainScript joined Sean to discuss their innovative solution for managing opioid prescriptions. As the focus on prescriber compliance intensifies, Dan and his team have developed a HIPAA-compliant app that connects physicians with their chronic pain and SUD patients daily. Through real-time data and daily digital care, patients are more…
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Season 7 - Episode 14 - #TerryTuesday - HIPAA and The Unknown
22:48
22:48
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Terry joined Sean to discuss some of the more obscure aspects of HIPAA and what practices should be doing to cover their assets!
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Season 7 - Episode 13 - The AI Modifier and Taking on Medicaid
39:09
39:09
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What do you do when a State Medicaid program and their contractor fail to comply with their own published guidance... you call The Compliance Guy! Listen to this episode and hear an unbelievable story of incompetence and what happens when folks dig their heels in to deep and lose in the end. Paul Spencer Joins Sean to discuss all the details of thi…
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Season 7 - Episode 12 - #TerryTuesday - When Audit Results Are Ignored
37:47
37:47
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Sean and Terry take on the risks associated with not following audit results whether internal or external results. Don't miss this one!
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Season 7 - Episode 11 - Monday Coding and Compliance Roundtable
1:01:19
1:01:19
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The team was back and took on when it does and does not make sense to employ remote workers as well as the do's and don'ts. The team also took on AI and the inherent risks associated with EHRs deploying this technology into their systems.
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Season 7 - Episode 10 - #TerryTuesday - Incident-To
38:30
38:30
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Before you say, "not again" keep in mind these are the problem child of providers and the government. The provisional services continue to create problems and until the ambiguous aspects of these services are more clearly defined we will have to continue threading the needle to keep you compliant.
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