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Recent Blogs

Increasing Scrutiny, Audit, and Enforcement of Telehealth Services

Telehealth Enforcement 

The increase in telehealth services by Medicare beneficiaries drives more scrutiny, audit, and enforcement actions by the Office of the Inspector General (OIG).

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CJ Wolf, MD July 12, 2022

Trending Blogs

Blogs by Category

AI
22 January 2026
How to Build a Holistic Approach to Healthcare Compliance with Systems 
In this article, Lisa Estrada shares her perspectives on why systems beat heroes in compliance and how AI can help...
Read More
20 November 2025
How to Use AI for Systems Thinking in Compliance Processes 
Artificial intelligence is beginning to reshape the compliance landscape, but the field is still in the early...
Read More
09 July 2024
Experts Weigh In: The Oversight Role of a Healthcare Board of Directors 
“Whether you are new to the field or a seasoned professional, hopefully the viewpoints offer insight that can influence...
Read More
13 February 2024
The ABC’s of Integrating AI Into Your Compliance Strategy 
“By taking a practical approach to this complex topic, you will be viewed positively by your team and able to respond...
Read More
16 January 2024
Ready, Set, Go! Identifying Emerging Risks in Your Annual Compliance Workplan 
“Before moving on from 2023, it is important to take time and get feedback from business partners to ensure an “outside-in”...
Read More
Board of Directors
14 May 2026
OIG Compliance North Star: Roadmap to the 2026 Modernized CIA Framework 
With the release of the CIA changes within the General Compliance Program Guidance (GCPG), the OIG has officially...
Read More
08 April 2026
Medical Necessity: A Guide for Healthcare Compliance Leaders 
This is the first article in a series on medical necessity -- an area that many compliance programs struggle with....
Read More
24 March 2026
Healthcare Compliance KPIs: Real-Time Data Dashboards 
For years healthcare leaders have been faced with demonstrating their value and answering the question, “How is...
Read More
11 March 2026
Financial Literacy: The "Superpower" Every Modern Compliance Leader Needs 
For healthcare compliance leaders, financial literacy is not optional. Compliance risk often hides in the fine print...
Read More
26 February 2026
Beyond the Penalty: What Metrics Should Healthcare Compliance Officers Track? 
This Q&A with compliance expert, Lisa Herota, RHIA, CHC, CHIAP, CHPS, CCS covers best practices for a data-savvy...
Read More
11 November 2025
How to Prepare for New CMS Final Rules and Transmittals 
It’s the nature of our mission to stay on top of what’s happening in the world of healthcare compliance....
Read More
21 August 2025
Audit Readiness? How about Audit Etiquette? 
In this blog, experts offer the real scoop on audit readiness in healthcare. Learn the unfiltered truth about compliance...
Read More
13 August 2025
Mitigating Conflicts of Interest that Drive Profit Over Health 
A conflict of interest (COI) in healthcare occurs when a person or organization involved in medical decision-making,...
Read More
16 July 2025
Expert Advice: Compliance Software Q&A with a Compliance Professional 
In this expert interview, Amy shares insight surrounding compliance management software (like YouCompli) and examples...
Read More
11 June 2025
Exclusion Screening Failure Causes Compliance Nightmare 
In Q3, the exclusion screening software glitched. It missed a monthly sync. Then a second. By the third missed month,...
Read More
21 May 2025
Four Ways to Integrate Compliance with Safety/Quality Efforts 
Traditionally, many healthcare compliance programs have left the work of patient safety and quality to other departments....
Read More
06 May 2025
Beyond the Checklist: Integrate Compliance into Everyday Operations 
"Compliance in healthcare isn’t just about meeting regulatory requirements – it’s about protecting patients, maintaining...
Read More
11 February 2025
Navigating Compliance Responsibility: A Foundation for Compliance Program Success 
“Healthcare compliance professionals face significant challenges when managing who is responsible for completing...
Read More
21 January 2025
Plug and Play: You are Not Bought, You are Built 
“Still, it’s possible for smaller healthcare systems to compete. To do so, you need to ask yourself two questions...
Read More
09 October 2024
For the Love of the Game: Fourth Quarter Compliance Strategies 
“As we get underway in the Fourth Quarter, both football coaches and Compliance Officers must be prepared to take...
Read More
Compliance and Business Strategy
22 April 2026
What to Look for in Regulatory Change Management Software for Healthcare Compliance 
When a new regulation or update is enacted, the clock starts ticking toward its inevitable effective date and another...
Read More
08 April 2026
Medical Necessity: A Guide for Healthcare Compliance Leaders 
This is the first article in a series on medical necessity -- an area that many compliance programs struggle with....
Read More
17 February 2026
From Manual to Scalable: How to Manage Healthcare Compliance Risk 
The overwhelming pace and complexity of healthcare regulatory change have become so routine that the constant grind...
Read More
27 August 2025
Know the Compliance Risk for Certain Anesthesia Services 
A good healthcare compliance program is all about reducing risk, both in patient care and in financial reimbursement....
Read More
21 August 2025
Audit Readiness? How about Audit Etiquette? 
In this blog, experts offer the real scoop on audit readiness in healthcare. Learn the unfiltered truth about compliance...
Read More
13 August 2025
Mitigating Conflicts of Interest that Drive Profit Over Health 
A conflict of interest (COI) in healthcare occurs when a person or organization involved in medical decision-making,...
Read More
07 August 2025
Three Tips for Strong Compliance Education Practices 
Compliance orientation educates new staff members about company policies, procedures, and various regulations that...
Read More
11 June 2025
Exclusion Screening Failure Causes Compliance Nightmare 
In Q3, the exclusion screening software glitched. It missed a monthly sync. Then a second. By the third missed month,...
Read More
21 May 2025
Four Ways to Integrate Compliance with Safety/Quality Efforts 
Traditionally, many healthcare compliance programs have left the work of patient safety and quality to other departments....
Read More
06 May 2025
Beyond the Checklist: Integrate Compliance into Everyday Operations 
"Compliance in healthcare isn’t just about meeting regulatory requirements – it’s about protecting patients, maintaining...
Read More
22 April 2025
Ditch the "Department of No" & Embrace the Business of Compliance 
"Being a healthcare compliance professional involves navigating a complex landscape where law, risk, operations,...
Read More
16 April 2025
Best Practices for Documenting Compliance Training in Healthcare 
There have been many times where we have talked to auditors or inspectors who wanted to know if training occurred....
Read More
09 April 2025
Integrate Self-Awareness into Healthcare Compliance Programs: 18 Tips 
As compliance officers, we spend a lot of time focused on how others perform their jobs. However, being self-aware...
Read More
27 March 2025
Healthcare Audit? Stay Ready. Don’t Get Ready. 
"Audit readiness in quality is no different than anything else – follow a pre-defined process to the letter, tweak...
Read More
18 March 2025
What Happens When Integrity and Accountability Fail: Lessons for Compliance Professionals 
"The U.S. opioid epidemic holds important lessons for compliance professionals. This public health crisis is characterized...
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Compliance Culture
07 July 2025
5 Strategies for Compliance Accountability Across the Organization 
On a daily basis, compliance officers are asked to find solutions to a variety of operational requirements. For...
Read More
04 June 2025
Aggressive vs Assertive Communication: What New Healthcare Compliance Officers Need to Know 
"When it comes to the compliance program, effective communication is essential for building strong relationships,...
Read More
14 May 2025
How Storytelling Improves Compliance Communication and Training 
"It’s really simple – people get hooked on stories, and the tales stick with us.  For example, once upon a time,...
Read More
15 January 2025
Five Strategies for Aligning Human Behavior With Your Compliance Program
“Compliance work is complex, and success in compliance requires human interaction. By understanding the psychological...
Read More
19 November 2024
How Slowing Down Makes for a More Productive Compliance Program
“As regulations change or investigations are needed, we often get pushed to work faster, meet tighter deadlines,...
Read More
23 October 2024
Compliance Leadership Diversity is Key: Legal, Business, and Clinical Backgrounds 
“No single background has all the answers, but by combining the strengths of these diverse perspectives, healthcare...
Read More
04 September 2024
How to Build Compliance Competence, Credibility, and Collaboration
“Compliance is not just about enforcing rules – it is about guiding your organization towards a culture of integrity...
Read More
13 August 2024
Next Jen: The Value of Compliance Programs and Teams 
“Rather than limiting the breadth and scope of your compliance program to what is minimally required by regulators,...
Read More
23 July 2024
When Compliance is the Problem: “Us” Versus “Them”  
“By bridging the gap between “us” and “them,” compliance teams can transform the perception of compliance teams...
Read More
19 June 2024
I Got the Compliance Job! Now What? 
“During that first interview of mine, the interviewer told me, “I need someone who can build relationships, is strategic...
Read More
29 May 2024
Tips for Handling Tough Feedback
“Handling tough feedback is never easy, and quickly challenges your ability to remain professional. With the right...
Read More
28 February 2024
Tips for Overcoming Four Common Blind Spots for Effective Communication
“Falling victim to communications blind spots can damage your relationships with healthcare leaders and contradict...
Read More
25 October 2023
Reversing Conventional Thinking About Compliance  
Explore how compliance professionals can prove their true value in organizations, dispel misconceptions, and effectively...
Read More
05 October 2023
How to Make a Compliance Culture Contagious 
“In the business of healthcare, promoting a culture of compliance is not merely a goal – it's a necessity. There...
Read More
20 September 2023
Three Ways to Take a Service-Minded Approach to Compliance
“We’re continually being asked for advice to help our healthcare leaders. Essentially, we are acting as a customer...
Read More
Compliance Career Tips
06 May 2026
The Compliance Leadership Paradox: Why You Must Choose Your Hard 
Healthcare compliance leadership requires choosing between the “hard” of stagnation and the “hard”...
Read More
17 February 2026
From Manual to Scalable: How to Manage Healthcare Compliance Risk 
The overwhelming pace and complexity of healthcare regulatory change have become so routine that the constant grind...
Read More
05 January 2026
Hoarders Need Borders: Quality’s Role in Healthcare Record Storage 
Just this week, I was in a colleague’s office. Literally, it looked like Staples puked up aisle 3. I asked her what...
Read More
23 October 2025
Risk Visibility Isn’t Optional in Healthcare Compliance 
Risk comes in many forms . Financial. Patient-related. But the biggest unforeseen risk to me is reputational. If...
Read More
18 September 2025
Healthcare Quality Leadership: How to Be an Operational Partner, Not a Roadblock
In every organization there is a moment where the quality department becomes either the trusted operational partner...
Read More
08 September 2025
Q&A: Regulatory Intelligence with a Healthcare Compliance Expert 
This blog goes deep into regulatory intelligence for healthcare, guided by the expert commentary of longtime compliance...
Read More
21 August 2025
Audit Readiness? How about Audit Etiquette? 
In this blog, experts offer the real scoop on audit readiness in healthcare. Learn the unfiltered truth about compliance...
Read More
07 July 2025
5 Strategies for Compliance Accountability Across the Organization 
On a daily basis, compliance officers are asked to find solutions to a variety of operational requirements. For...
Read More
25 June 2025
Three Strategies to Align Compliance with Revenue Cycle 
The revenue cycle is the process that starts with a patient's initial appointment and ends with full payment for...
Read More
04 June 2025
Aggressive vs Assertive Communication: What New Healthcare Compliance Officers Need to Know 
"When it comes to the compliance program, effective communication is essential for building strong relationships,...
Read More
29 May 2025
Best Practices for Better Training in Healthcare Compliance 
"Maintaining quality in compliance training is a constant challenge for healthcare organizations of all sizes. Any...
Read More
14 May 2025
How Storytelling Improves Compliance Communication and Training 
"It’s really simple – people get hooked on stories, and the tales stick with us.  For example, once upon a time,...
Read More
06 May 2025
Beyond the Checklist: Integrate Compliance into Everyday Operations 
"Compliance in healthcare isn’t just about meeting regulatory requirements – it’s about protecting patients, maintaining...
Read More
22 April 2025
Ditch the "Department of No" & Embrace the Business of Compliance 
"Being a healthcare compliance professional involves navigating a complex landscape where law, risk, operations,...
Read More
16 April 2025
Best Practices for Documenting Compliance Training in Healthcare 
There have been many times where we have talked to auditors or inspectors who wanted to know if training occurred....
Read More
HIPAA
10 December 2024
The HIPAA Reproductive Health Rule: A Potential Plot Twist 
“With Donald J. Trump set to return to the White House in January, the healthcare industry should expect to see...
Read More
18 March 2024
The Cost of Non-Compliance 
“The cost of non-compliance in healthcare extends far beyond fines and penalties. It encompasses legal fees, reputational...
Read More
02 January 2024
How the OIG’s New General Compliance Program Guidance (GCPG) Addresses the Seven Elements  
“Compliance officers can make the most of the new GCPG to meet the requirements of the OIG’s seven elements in a...
Read More
19 December 2023
Key Takeaways from OIG’s New General Compliance Program Guidance (GCPG) 
“Throughout the GCPG, helpful revisions and clarity are provided to a few areas that have proven problematic over...
Read More
11 December 2023
Key Takeaways from OIG’s Newly Released General Compliance Program Guidance 
“Successful compliance programs are adapted to fit the organization and maximize compliance for individual organizations...
Read More
29 November 2023
Key Takeaways from OIG’s New General Compliance Program Guidance (GCPG) 
“Throughout the GCPG, helpful revisions and clarity are provided to a few areas that have proven problematic over...
Read More
15 November 2023
Mitigating Risks from Online Tracking Technologies 
“To protect patients’ privacy and adhere to federal law, compliance professionals must understand what online patient...
Read More
05 October 2023
How to Make a Compliance Culture Contagious 
“In the business of healthcare, promoting a culture of compliance is not merely a goal – it's a necessity. There...
Read More
16 August 2023
How to Sell Compliance without “Selling” Compliance  
If we want to improve our organizations’ compliance culture, then we need to interact with our healthcare leaders...
Read More
03 July 2023
Ensuring Private Information Stays Private  
“Privacy can make or break an organization. For healthcare systems in particular, it’s essential to lock down data...
Read More
14 June 2023
Complexities of Covered Entities and Business Associates 
Due to their violations of patient rights, covered entities and business associates are now facing increasing enforcement...
Read More
26 April 2023
10 Tips for Building a Compliance Culture in Healthcare
The tips below explore how you can convince leaders that a strong compliance culture adds value to the organization....
Read More
15 February 2023
Transforming Compliance to a Department of Yes 
Five impactful, interrelated, and critical actions transform Compliance from the “Department of No” to the “Department...
Read More
01 February 2023
Patient-Focused Elements of an Effective Healthcare Compliance Program
Improve patient experience. Use the OIG’s seven elements to guide and align healthcare compliance with compassionate,...
Read More
11 October 2022
Five ways to show how healthcare Compliance delivers value
Compliance leaders with influencer skills employing culturally impactful metrics show the value of compliance programs...
Read More
How To
17 February 2026
From Manual to Scalable: How to Manage Healthcare Compliance Risk 
The overwhelming pace and complexity of healthcare regulatory change have become so routine that the constant grind...
Read More
22 January 2026
How to Build a Holistic Approach to Healthcare Compliance with Systems 
In this article, Lisa Estrada shares her perspectives on why systems beat heroes in compliance and how AI can help...
Read More
11 November 2025
How to Prepare for New CMS Final Rules and Transmittals 
It’s the nature of our mission to stay on top of what’s happening in the world of healthcare compliance....
Read More
18 September 2025
Healthcare Quality Leadership: How to Be an Operational Partner, Not a Roadblock
In every organization there is a moment where the quality department becomes either the trusted operational partner...
Read More
30 July 2025
How to Avoid Compliance Risk in Peripheral Vascular Reimbursement  
Peripheral vascular disease (PVD) reimbursement is fraught with potential compliance pitfalls. With increased scrutiny...
Read More
07 July 2025
5 Strategies for Compliance Accountability Across the Organization 
On a daily basis, compliance officers are asked to find solutions to a variety of operational requirements. For...
Read More
25 June 2025
Three Strategies to Align Compliance with Revenue Cycle 
The revenue cycle is the process that starts with a patient's initial appointment and ends with full payment for...
Read More
04 June 2025
Aggressive vs Assertive Communication: What New Healthcare Compliance Officers Need to Know 
"When it comes to the compliance program, effective communication is essential for building strong relationships,...
Read More
21 May 2025
Four Ways to Integrate Compliance with Safety/Quality Efforts 
Traditionally, many healthcare compliance programs have left the work of patient safety and quality to other departments....
Read More
14 May 2025
How Storytelling Improves Compliance Communication and Training 
"It’s really simple – people get hooked on stories, and the tales stick with us.  For example, once upon a time,...
Read More
16 April 2025
Best Practices for Documenting Compliance Training in Healthcare 
There have been many times where we have talked to auditors or inspectors who wanted to know if training occurred....
Read More
09 April 2025
Integrate Self-Awareness into Healthcare Compliance Programs: 18 Tips 
As compliance officers, we spend a lot of time focused on how others perform their jobs. However, being self-aware...
Read More
26 February 2025
Healthcare Compliance Readiness: Do What’s Doable 
“Any discussion or plan that doesn’t take into account whether or not you can actually execute on it is an exercise...
Read More
11 February 2025
Navigating Compliance Responsibility: A Foundation for Compliance Program Success 
“Healthcare compliance professionals face significant challenges when managing who is responsible for completing...
Read More
03 December 2024
Building a Quality Education Program That’s Good Enough 
“The first thing that you should understand is this: you don’t have to build the perfect program. Your education...
Read More
Quality
05 January 2026
Hoarders Need Borders: Quality’s Role in Healthcare Record Storage 
Just this week, I was in a colleague’s office. Literally, it looked like Staples puked up aisle 3. I asked her what...
Read More
23 October 2025
Risk Visibility Isn’t Optional in Healthcare Compliance 
Risk comes in many forms . Financial. Patient-related. But the biggest unforeseen risk to me is reputational. If...
Read More
18 September 2025
Healthcare Quality Leadership: How to Be an Operational Partner, Not a Roadblock
In every organization there is a moment where the quality department becomes either the trusted operational partner...
Read More
23 July 2025
Elevate Healthcare Quality Training: Focus, Not Filler 
This blog explains how to make healthcare quality education programs more effective through focused efforts. It’s...
Read More
18 June 2025
Polish Your Quality Education Program 
Without a good employee education program, your quality program can suffer. And without a good quality program,...
Read More
29 May 2025
Best Practices for Better Training in Healthcare Compliance 
"Maintaining quality in compliance training is a constant challenge for healthcare organizations of all sizes. Any...
Read More
21 May 2025
Four Ways to Integrate Compliance with Safety/Quality Efforts 
Traditionally, many healthcare compliance programs have left the work of patient safety and quality to other departments....
Read More
21 January 2025
Plug and Play: You are Not Bought, You are Built 
“Still, it’s possible for smaller healthcare systems to compete. To do so, you need to ask yourself two questions...
Read More
03 December 2024
Building a Quality Education Program That’s Good Enough 
“The first thing that you should understand is this: you don’t have to build the perfect program. Your education...
Read More
13 November 2024
QA + QC = QM  The Quality Equation for an Effective Quality Management Program 
“Both of these are tools in your toolkit, so why limit yourself to one or the other? Determine which of the two...
Read More
Industry Trends
22 January 2026
How to Build a Holistic Approach to Healthcare Compliance with Systems 
In this article, Lisa Estrada shares her perspectives on why systems beat heroes in compliance and how AI can help...
Read More
20 November 2025
How to Use AI for Systems Thinking in Compliance Processes 
Artificial intelligence is beginning to reshape the compliance landscape, but the field is still in the early...
Read More
11 November 2025
How to Prepare for New CMS Final Rules and Transmittals 
It’s the nature of our mission to stay on top of what’s happening in the world of healthcare compliance....
Read More
04 February 2025
Breaking Down the OIG’s First Industry-Specific Guidance 
“Compliance professionals at nursing facilities and their business partners should regularly study the ICPG as they...
Read More
18 December 2024
Recapping 2024 and Ringing In 2025 
CEO Jerry Shafran has prepared a festive video to help us wrap up the year. We wish you a safe and happy Holidays...
Read More
09 July 2024
Experts Weigh In: The Oversight Role of a Healthcare Board of Directors 
“Whether you are new to the field or a seasoned professional, hopefully the viewpoints offer insight that can influence...
Read More
13 February 2024
The ABC’s of Integrating AI Into Your Compliance Strategy 
“By taking a practical approach to this complex topic, you will be viewed positively by your team and able to respond...
Read More
02 January 2024
How the OIG’s New General Compliance Program Guidance (GCPG) Addresses the Seven Elements  
“Compliance officers can make the most of the new GCPG to meet the requirements of the OIG’s seven elements in a...
Read More
19 December 2023
Key Takeaways from OIG’s New General Compliance Program Guidance (GCPG) 
“Throughout the GCPG, helpful revisions and clarity are provided to a few areas that have proven problematic over...
Read More
11 December 2023
Key Takeaways from OIG’s Newly Released General Compliance Program Guidance 
“Successful compliance programs are adapted to fit the organization and maximize compliance for individual organizations...
Read More
29 November 2023
Key Takeaways from OIG’s New General Compliance Program Guidance (GCPG) 
“Throughout the GCPG, helpful revisions and clarity are provided to a few areas that have proven problematic over...
Read More
15 November 2023
Mitigating Risks from Online Tracking Technologies 
“To protect patients’ privacy and adhere to federal law, compliance professionals must understand what online patient...
Read More
22 August 2023
Significant Upcoding Risks Emerge with Medicare Advantage
Christi Grimm, the Inspector General of HHS, gave a recent keynote address to compliance professionals. In it, she...
Read More
12 April 2023
New DOJ Guidance on Compliance Programs Released March 2023
Healthcare organizations should benchmark the DOJ Evaluation of Corporate Compliance Programs (ECCP) guidance (March...
Read More
29 March 2023
Preparing for the End of the Public Health Emergency
Changes to PHE waivers and recommendations for hospitals. Compliance must assist and advise on policy, process,...
Read More
Revenue Cycle
11 March 2026
Financial Literacy: The "Superpower" Every Modern Compliance Leader Needs 
For healthcare compliance leaders, financial literacy is not optional. Compliance risk often hides in the fine print...
Read More
10 February 2026
11 Educational Resources on Revenue Cycle and Healthcare Compliance 
Revenue leakage from non-compliance with regulations exposes health systems to compliance risks and penalties. We’ve curated...
Read More
27 August 2025
Know the Compliance Risk for Certain Anesthesia Services 
A good healthcare compliance program is all about reducing risk, both in patient care and in financial reimbursement....
Read More
30 July 2025
How to Avoid Compliance Risk in Peripheral Vascular Reimbursement  
Peripheral vascular disease (PVD) reimbursement is fraught with potential compliance pitfalls. With increased scrutiny...
Read More
25 June 2025
Three Strategies to Align Compliance with Revenue Cycle 
The revenue cycle is the process that starts with a patient's initial appointment and ends with full payment for...
Read More
31 July 2024
How to Avoid False Claims Related to Medical Necessity  
“There is no silver bullet to solving medical necessity risks as they relate to medical claims submitted to payers...
Read More
16 July 2024
Revenue Cycle Management Compliance: Ensuring Financial Health in Healthcare 
“Revenue cycle management compliance is crucial for the financial health and operational success of healthcare providers....
Read More
12 July 2023
Uncovering $9 Million in Unbilled Services   
“My success in uncovering millions of dollars in unbilled services demonstrates how revenue protection is a tangible...
Read More
22 March 2023
Healthcare Compliance Risks with Urine Drug Testing Overpayments
Urine drug testing overpayments drove up to $216 million in overpayments to Medicare over five years, according...
Read More
22 February 2023
Compliance Risks Associated with Outlier Payments 
Protect healthcare revenue: reduce the risk of fines and payback for inappropriate outlier payments created by unjustified...
Read More
14 December 2022
Healthcare Compliance is Everybody’s Business: Clinical, Revenue Cycle, IT, Sales and Marketing
Build relationships with these key clinical and operational areas - Nursing, Physicians, Revenue Cycle, IT, Sales...
Read More
09 November 2022
Critical Care Services Under the Microscope 
Complex and billed at a higher rate, OIG added physicians billing for critical care evaluation and management services...
Read More
26 October 2022
A million-dollar healthcare compliance monitoring mistake 
Avoid this million-dollar monitoring mistake. Help clinical colleagues apply their expertise to your scalable, repeatable...
Read More
11 May 2022
Physician Coding and Billing Enforcement: What to Watch For
CJ Wolf, MD writes enforcement action summaries for the YouCompli blog. These summaries provide real-world examples...
Read More
13 April 2022
Beneficiary inducements…don’t cross that line
Illegal beneficiary inducements include: free insulin, deflated Medicare copayment, courtesy adjustments for injections,...
Read More
Risk Management
Rules and Regulations
22 April 2026
What to Look for in Regulatory Change Management Software for Healthcare Compliance 
When a new regulation or update is enacted, the clock starts ticking toward its inevitable effective date and another...
Read More
08 April 2026
Medical Necessity: A Guide for Healthcare Compliance Leaders 
This is the first article in a series on medical necessity -- an area that many compliance programs struggle with....
Read More
17 February 2026
From Manual to Scalable: How to Manage Healthcare Compliance Risk 
The overwhelming pace and complexity of healthcare regulatory change have become so routine that the constant grind...
Read More
05 January 2026
Hoarders Need Borders: Quality’s Role in Healthcare Record Storage 
Just this week, I was in a colleague’s office. Literally, it looked like Staples puked up aisle 3. I asked her what...
Read More
09 October 2025
OIG Cites Fraud, Waste and Abuse Concerns with Skin Substitutes 
Many compliance professionals rely on HHS OIG focus areas as they perform risk assessments and plan subsequent auditing...
Read More
27 August 2025
Know the Compliance Risk for Certain Anesthesia Services 
A good healthcare compliance program is all about reducing risk, both in patient care and in financial reimbursement....
Read More
13 August 2025
Mitigating Conflicts of Interest that Drive Profit Over Health 
A conflict of interest (COI) in healthcare occurs when a person or organization involved in medical decision-making,...
Read More
30 July 2025
How to Avoid Compliance Risk in Peripheral Vascular Reimbursement  
Peripheral vascular disease (PVD) reimbursement is fraught with potential compliance pitfalls. With increased scrutiny...
Read More
16 July 2025
Expert Advice: Compliance Software Q&A with a Compliance Professional 
In this expert interview, Amy shares insight surrounding compliance management software (like YouCompli) and examples...
Read More
11 June 2025
Exclusion Screening Failure Causes Compliance Nightmare 
In Q3, the exclusion screening software glitched. It missed a monthly sync. Then a second. By the third missed month,...
Read More
30 October 2024
Ensuring Compliance for Academic Medical Centers 
“The U.S. government has recently increased its focus on foreign influence in academic research – which some call...
Read More
02 January 2024
How the OIG’s New General Compliance Program Guidance (GCPG) Addresses the Seven Elements  
“Compliance officers can make the most of the new GCPG to meet the requirements of the OIG’s seven elements in a...
Read More
15 November 2023
Mitigating Risks from Online Tracking Technologies 
“To protect patients’ privacy and adhere to federal law, compliance professionals must understand what online patient...
Read More
11 October 2023
Our Youth Mental Health Crisis: How Compliance Can Help Providers Address It  
“While youth intervention is not a traditional focus for compliance professionals, they have a vital role to play...
Read More
13 September 2023
Improving Patient Care With a “Prevent, Detect, Report” Strategy  
“This three-pronged strategy focuses on educating patients and staff about how to avoid misconduct. It also emphasizes...
Read More
14 May 2026
OIG Compliance North Star: Roadmap to the 2026 Modernized CIA Framework 
With the release of the CIA changes within the General Compliance Program Guidance (GCPG), the OIG has officially...
Read More
08 April 2026
Medical Necessity: A Guide for Healthcare Compliance Leaders 
This is the first article in a series on medical necessity -- an area that many compliance programs struggle with....
Read More
04 December 2025
With Compliance Audits, The Best Defense is a Good Offense 
In this blog, learn how to go on offense following a regulatory compliance audit or inspection, so you’re well-prepared...
Read More
11 November 2025
How to Prepare for New CMS Final Rules and Transmittals 
It’s the nature of our mission to stay on top of what’s happening in the world of healthcare compliance....
Read More
09 October 2025
OIG Cites Fraud, Waste and Abuse Concerns with Skin Substitutes 
Many compliance professionals rely on HHS OIG focus areas as they perform risk assessments and plan subsequent auditing...
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27 August 2025
Know the Compliance Risk for Certain Anesthesia Services 
A good healthcare compliance program is all about reducing risk, both in patient care and in financial reimbursement....
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21 August 2025
Audit Readiness? How about Audit Etiquette? 
In this blog, experts offer the real scoop on audit readiness in healthcare. Learn the unfiltered truth about compliance...
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13 August 2025
Mitigating Conflicts of Interest that Drive Profit Over Health 
A conflict of interest (COI) in healthcare occurs when a person or organization involved in medical decision-making,...
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30 July 2025
How to Avoid Compliance Risk in Peripheral Vascular Reimbursement  
Peripheral vascular disease (PVD) reimbursement is fraught with potential compliance pitfalls. With increased scrutiny...
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11 June 2025
Exclusion Screening Failure Causes Compliance Nightmare 
In Q3, the exclusion screening software glitched. It missed a monthly sync. Then a second. By the third missed month,...
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27 March 2025
Healthcare Audit? Stay Ready. Don’t Get Ready. 
"Audit readiness in quality is no different than anything else – follow a pre-defined process to the letter, tweak...
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18 March 2025
What Happens When Integrity and Accountability Fail: Lessons for Compliance Professionals 
"The U.S. opioid epidemic holds important lessons for compliance professionals. This public health crisis is characterized...
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11 March 2025
New Regulation– Now What? Step-by-Step Guide to Managing Compliance Changes 
"With regulations often spanning hundreds of pages, how can compliance teams efficiently manage the process without...
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04 February 2025
Breaking Down the OIG’s First Industry-Specific Guidance 
“Compliance professionals at nursing facilities and their business partners should regularly study the ICPG as they...
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10 December 2024
The HIPAA Reproductive Health Rule: A Potential Plot Twist 
“With Donald J. Trump set to return to the White House in January, the healthcare industry should expect to see...
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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.