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Recent Blogs

LTCs Could Use Some Compliance TLC This Year

You can’t say they didn’t warn us. For almost four years, since November 2016, the LTC Final Rule for qualifying to receive Medicare and Medicaid

Jerry Shafran May 1, 2020

5 Payer Audit Errors Every Hospital Must Avoid

Revised September 2022 Most healthcare providers, from large hospitals to solo practitioners, experience an external audit at some point. The scrutiny can unveil errors and

Jerry Shafran April 24, 2020

Understanding and Managing the HIPAA Security Rule

Protecting the privacy of patients is of paramount concern to healthcare organizations today. Data breaches and/or hacking attempts are happening more frequently. Regulatory requirements are

Jerry Shafran April 3, 2020

The Role of Compliance Professionals During a Pandemic

COVID-19 has had a significant impact on every industry in almost every country. Healthcare is, obviously, one of the most affected sectors, as the number

Jerry Shafran March 30, 2020

Michigan’s Massive Licensing Reg – Processed, Translated and Defined

We process a lot of regulatory changes in the course of business, across both the state and federal landscape. Usually, the more voluminous changes come from the federal level — but a recent new state regulation from

Jerry Shafran March 23, 2020

Legal Challenges and the Benefit of a Comprehensive Compliance Program

The list of compliance and legal challenges facing providers, hospitals and healthcare systems over the next year is long: A list like this can seem

Jerry Shafran March 13, 2020

Trending Blogs

Blogs by Category

Compliance and Business Strategy

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....

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...

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,...

07 August 2025

Three Tips for Strong Compliance Education Practices

Compliance orientation educates new staff members about company policies, procedures, and various regulations that...

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,...

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....

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...

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,...

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....

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...

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...

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...

28 January 2025

Managing Healthcare Compliance is like Juggling Chainsaws

“Managing priorities, like juggling chainsaws, requires not just courage, but a deep respect for the risks and rewards...

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...

18 September 2024

How to Use TPE Plans for Compliance Auditing and Monitoring

“There’s another incredibly helpful resource that some might not be as familiar with: the list of services that...

Compliance Career Tips

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...

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...

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...

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...

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...

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...

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,...

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...

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,...

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...

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,...

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....

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...

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...

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...

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...

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,...

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,...

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...

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,...

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...

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...

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,...

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...

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...

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...

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...

25 October 2023

Reversing Conventional Thinking About Compliance 

Explore how compliance professionals can prove their true value in organizations, dispel misconceptions, and effectively...

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...

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...

Industry Trends

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...

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....

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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,...

01 March 2023

How the Three Lines Model Strengthens Healthcare Compliance

Show that healthcare compliance and operations share responsibility for identifying and mitigating risks with the...

Revenue Cycle

Rules and Regulations

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....

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...

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...

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...

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....

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...

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...

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...

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...

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...

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...

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...

13 April 2022

Beneficiary inducements…don’t cross that line

Illegal beneficiary inducements include: free insulin, deflated Medicare copayment, courtesy adjustments for injections,...

16 February 2022

Avoiding up to $1.5 million a year in Privacy Rule penalties may be easier than you think.

Avoid up to $1.5M a year in Privacy Rule penalties and investigations. Information blocking oversight team for effective...

05 January 2022

Get ready to comply with strict new privacy regs [or pay big fines]

New rules from the Health and Human Services (HHS) department put stricter guardrails on how and when healthcare...

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....

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...

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....

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...

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,...

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...

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,...

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...

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...

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...

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...

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...

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...

16 October 2024

How to Ensure Compliance in Radiology Services

“Radiology services have unique characteristics, and some unique compliance considerations that accompany them include...

18 September 2024

How to Use TPE Plans for Compliance Auditing and Monitoring

“There’s another incredibly helpful resource that some might not be as familiar with: the list of services that...

What YouCompli Does

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.