To Bundle Or Not To Bundle?
In August of 2017, CMS announced the cancellation of a proposed Cardiac Care Bundled Payment model as well as reversing course on a proposal to
Jerry Shafran
May 7, 2018
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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...
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...
09 July 2024
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“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...
16 January 2024
Ready, Set, Go! Identifying Emerging Risks in Your 2024 Compliance Workplan
“Before moving on from 2023, it is important to take time and get feedback from business partners to ensure an “outside-in”...
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....
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...
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...
26 February 2026
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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....
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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Mitigating Conflicts of Interest that Drive Profit Over Health
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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...
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...
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...
09 October 2024
For the Love of the Game: Fourth Quarter Compliance Strategies
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20 August 2024
Five Tips for Making Better Compliance Decisions
“Whether you're resolving a complex billing issue, or advising your leadership team about a business proposal, the...
22 April 2026
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When a new regulation or update is enacted, the clock starts ticking toward its inevitable effective date and another...
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17 February 2026
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27 August 2025
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21 August 2025
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13 August 2025
Mitigating Conflicts of Interest that Drive Profit Over Health
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07 August 2025
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Compliance orientation educates new staff members about company policies, procedures, and various regulations that...
11 June 2025
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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
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22 April 2025
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"Being a healthcare compliance professional involves navigating a complex landscape where law, risk, operations,...
16 April 2025
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09 April 2025
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Healthcare Audit? Stay Ready. Don’t Get Ready.
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"The U.S. opioid epidemic holds important lessons for compliance professionals. This public health crisis is characterized...
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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...
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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
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04 September 2024
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13 August 2024
Next Jen: The Value of Compliance Programs and Teams
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23 July 2024
When Compliance is the Problem: “Us” Versus “Them”
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“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
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25 October 2023
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“In the business of healthcare, promoting a culture of compliance is not merely a goal – it's a necessity. There...
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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...
05 January 2026
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Risk Visibility Isn’t Optional in Healthcare Compliance
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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...
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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...
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...
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...
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
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“To protect patients’ privacy and adhere to federal law, compliance professionals must understand what online patient...
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...
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...
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...
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...
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....
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...
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,...
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...
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...
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...
11 November 2025
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It’s the nature of our mission to stay on top of what’s happening in the world of healthcare compliance....
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...
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...
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,...
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....
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,...
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...
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...
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...
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...
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...
23 October 2025
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18 September 2025
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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...
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,...
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...
21 May 2025
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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...
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...
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...
22 January 2026
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“Compliance professionals at nursing facilities and their business partners should regularly study the ICPG as they...
18 December 2024
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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...
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“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
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“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
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“Throughout the GCPG, helpful revisions and clarity are provided to a few areas that have proven problematic over...
15 November 2023
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“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
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Changes to PHE waivers and recommendations for hospitals. Compliance must assist and advise on policy, process,...
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...
10 February 2026
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Revenue leakage from non-compliance with regulations exposes health systems to compliance risks and penalties. We’ve curated...
27 August 2025
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30 July 2025
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Peripheral vascular disease (PVD) reimbursement is fraught with potential compliance pitfalls. With increased scrutiny...
25 June 2025
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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,...
22 April 2026
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When a new regulation or update is enacted, the clock starts ticking toward its inevitable effective date and another...
08 April 2026
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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...
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...
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
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A good healthcare compliance program is all about reducing risk, both in patient care and in financial reimbursement....
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
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Peripheral vascular disease (PVD) reimbursement is fraught with potential compliance pitfalls. With increased scrutiny...
16 July 2025
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In this expert interview, Amy shares insight surrounding compliance management software (like YouCompli) and examples...
11 June 2025
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In Q3, the exclusion screening software glitched. It missed a monthly sync. Then a second. By the third missed month,...
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...
02 January 2024
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“Compliance officers can make the most of the new GCPG to meet the requirements of the OIG’s seven elements in a...
15 November 2023
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“To protect patients’ privacy and adhere to federal law, compliance professionals must understand what online patient...
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...
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...
08 April 2026
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This is the first article in a series on medical necessity -- an area that many compliance programs struggle with....
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...
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
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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...
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.