Healthcare Compliance in the U.S.

Intense regulatory expectations in healthcare require integrated and effective compliance management. Here healthcare providers and health insurance can find insights on reducing risk, maximizing resources, and staying audit-ready with GRC software.

  • SAI360 Healthcare Compliance Benchmark Report – 2021

    SAI360 Healthcare Compliance Benchmark Report – 2021

    Results from our 12th annual Healthcare Compliance Benchmark Survey, conducted in collaboration with Strategic Management Services.

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  • 2021 Healthcare Compliance Benchmark Report: Q&A with Richard Kusserow

    2021 Healthcare Compliance Benchmark Report: Q&A with Richard Kusserow

    The following questions and answers are follow-ups to our webinar where we announced the results of our 2021 benchmark report on healthcare compliance.

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  • Current State of Healthcare Compliance Programs: 2021 Benchmark Survey Results

    Current State of Healthcare Compliance Programs: 2021 Benchmark Survey Results

    In collaboration with Strategic Management Services, we analyzed the results of our annual Healthcare Compliance Benchmark National Survey, looking for new trends in managing risks.

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  • Resources for Safely Returning to the Workplace & Managing Vaccination Policies

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  • Federal Agencies Watching for Medicare Abuse as Telehealth Expanded during the Pandemic

    Federal Agencies Watching for Medicare Abuse as Telehealth Expanded during the Pandemic

    The HHS OIG is actively investigating and prosecuting bad actors who try to take advantage of telehealth provisions in Medicare.

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  • Discover how our compliance risk management solution works in healthcare.

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  • Cyber Threat Alert in Healthcare: 3 Steps to Stay Ahead of Digital Risks

    Cyber Threat Alert in Healthcare: 3 Steps to Stay Ahead of Digital Risks

    Cybersecurity attacks are coming on strong in the last months of 2020. Here are a few key aspects where SAI Global can help you prevent these digital risks.

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  • Evaluating Hotline Program Effectiveness Against DOJ and OIG Standards

    Evaluating Hotline Program Effectiveness Against DOJ and OIG Standards

    Tips on how to self-evaluate your compliance hotline operation by applying OIG Standards and DOJ Prosecutors Questions.

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  • Top 3 Risk Management Program Considerations for Healthcare Organizations

    Top 3 Risk Management Program Considerations for Healthcare Organizations

    KPMG and SAI Global hosted a webinar in which the key change agents in the healthcare industry driving the need for GRC or IRM programs are presented.

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  • Audit Risks for 2021: New E&M Guidelines and Documentation with Financial Considerations

    Audit Risks for 2021: New E&M Guidelines and Documentation with Financial Considerations

    Day Egusquiza and Karen Kvarfordt discuss the new provider evaluation and management (E&M) documentation changes that take effect on Jan. 1, 2021.

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  • 2020 HIPAA Compliance Benchmark Survey

    2020 HIPAA Compliance Benchmark Survey

    This report summarizes the findings from the 2020 National HIPAA Compliance Benchmark Survey (HIPAA Survey) conducted by SAI Global and Strategic Management Services.

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  • Healthcare Compliance in the New Normal: Part 3

    Healthcare Compliance in the New Normal: Part 3

    Highlights from a recent panel discussion with compliance officers who shed light on how they are meeting the staffing and workload challenges of healthcare compliance through COVID-19. Part 3/3.

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  • SAI360 for Healthcare Compliance Demo: Policy Management

    SAI360 for Healthcare Compliance Demo: Policy Management

    Watch a demo of our policy management solution using SAI360 for Healthcare. Learn how to automate the policy change process, satisfy regulators and avoid negative consequences.

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  • Healthcare Compliance Infographic: COVID-19 Return to Office Trends

    Healthcare Compliance Infographic: COVID-19 Return to Office Trends

    Take a look at trends in what healthcare compliance teams are experiencing during return-to-the-workplace initiatives following Covid-19 workplace closures.

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  • Get a tour of our Revenue Risk Manager for Healthcare

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  • The Current State of HIPAA: Reviewing Our 2020 HIPAA Compliance Benchmark Survey Results

    The Current State of HIPAA: Reviewing Our 2020 HIPAA Compliance Benchmark Survey Results

    Strategic Management Services reviews the results of our 2020 benchmark survey on the state of HIPAA compliance programs.

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  • Q&A from our DOJ Healthcare Compliance Webinar

    Q&A from our DOJ Healthcare Compliance Webinar

    Our panelists answer questions from our webinar, Meeting Challenges of the New DOJ Compliance Program Guidelines.

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  • COVID-19 Healthcare Compliance Return-to-Office Checklist

    COVID-19 Healthcare Compliance Return-to-Office Checklist

    Infographic: See our checklist for healthcare compliance teams to redesign your compliance approach through the pandemic.

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  • Download our catalog of online and offline Learning content and training tools, covering 21 risk topics.

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  • Healthcare Compliance in the New Normal: Part 2

    Healthcare Compliance in the New Normal: Part 2

    Highlights from a recent panel discussion with compliance officers who shed light on how they are meeting the staffing and workload challenges of healthcare compliance through COVID-19. Part 2/3.

    Read Now
  • Day Egusquiza: Disruption in the Healthcare Revenue Cycle

    Day Egusquiza: Disruption in the Healthcare Revenue Cycle

    Healthcare revenue cycle expert Day Egusquiza, President of AR Systems discusses COVID-19 regulatory and payment issues impacting both hospitals and physician practices.

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  • Meeting Challenges of the New DOJ Compliance Program Guidelines

    Meeting Challenges of the New DOJ Compliance Program Guidelines

    The DOJ's updated compliance guidance contains detailed questions, factors and tests of the supporting evidence for a program’s effectiveness. Does your program measure up?

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  • Insights on the DOJ’s 2020 Compliance Program Guidance

    Insights on the DOJ’s 2020 Compliance Program Guidance

    In a preview of an upcoming webinar discussion, healthcare compliance expert Richard Kusserow explores the questions and potential impact of the DOJ's new 2020 compliance guidance.

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  • Healthcare Compliance in the New Normal: Part 1

    Healthcare Compliance in the New Normal: Part 1

    Highlights from a recent panel discussion with compliance officers who shed light on how they are meeting the challenges of healthcare compliance through the COVID-19 pandemic.

    Read Now
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