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When a new regulation or update is enacted, the clock starts ticking toward its inevitable effective date and another compliance deadline. Regulatory change management is a moving target with constant deadlines and uncertain task status.
This is the first article in a series on medical necessity — an area that many compliance programs struggle with. In this piece, we explain the medical necessity compliance risk in general, while subsequent articles highlight specific examples of enforcement actions experienced by medical providers such as hospitals and health systems.
For years healthcare leaders have been faced with demonstrating their value and answering the question, “How is compliance doing?” Getting the answers typically involves a scattered, manual process of pulling data from multiple sources, departments, and teams, then going through the process of aggregating that data to pull important, need-to-know information. By the time that step is complete, often the information is already out of date.
For healthcare compliance leaders, financial literacy is not optional. Compliance risk often hides in the fine print of financial data, making literacy a prerequisite for effective oversight.
To identify anomalies or potential regulatory “red flags,” compliance officers must move beyond a high-level view of healthcare finance and understand how clinical operations translate into financial entries.
This Q&A with compliance expert, Lisa Herota, RHIA, CHC, CHIAP, CHPS, CCS covers best practices for a data-savvy compliance leader. Learn about realistic compliance metrics and how to share them effectively. Read more about Lisa’s background and experience at the end of this blog.
The overwhelming pace and complexity of healthcare regulatory change have become so routine that the constant grind now poses a distinct risk to the organization it’s intended to protect.
Yet, many hospitals still treat regulatory change as a routine monitoring activity, failing to adopt the systems thinking and discipline necessary to truly mitigate the risk.
This article by a top healthcare compliance expert explains what it takes to make that transformation. (She also explains what spinach has in common with compliance risk assessment.)
YouCompli is the leading healthcare compliance software designed to simplify regulatory change management. Our intuitive platform empowers compliance teams to interpret, operationalize, and track regulatory requirements with confidence. Trusted by healthcare organizations nationwide, YouCompli streamlines policy updates, workflows, and accountability—making regulatory compliance more manageable and effective. Discover why top hospitals and health systems choose YouCompli for reliable, efficient healthcare regulatory management software.