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See how clear records connect compliance activity to ownership, action, and verification.
Read article โRead how the compliance team used YouCompli to support more accurate billing and reduce self-identified overpayments.
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See how Great River Health used YouCompli to support accurate billing and reduce self-identified overpayments.
View case studyโRead how a hospital system improved its process for deciding which regulatory changes needed attention.
View case studyโExplore how a health system connected regulatory change work to efficiency, revenue, and leadership visibility.
View case studyโSee how a health system coordinated payment compliance training and documented completion.
View case studyโRead how hospital teams used relevance questions and model resources to prepare for No Surprises Act implementation.
View case studyโA historical example of coordinating regulatory changes and documenting actions during the COVID-19 pandemic.
View case studyโA historical look at managing pandemic-era regulatory changes and preparing to reverse temporary measures.
View case studyโRead how a merged health system used verification and reporting to support coding accuracy and revenue collection.
Read case studyโUse a maturity framework to assess how your team manages regulatory change and identify opportunities to improve.
View white paperโExplore four areas of revenue cycle risk and considerations for compliance and reimbursement.
View white paperโExplore the connections between compliance, patient safety, quality, and operational improvement.
View white paperโConsider how structured risk assessments can help set priorities and focus a compliance programโs resources.
View white paperโExplore how relationships, training, metrics, and patient care contribute to a stronger compliance culture.
View white paperโExplore how compliance leaders can communicate value and strengthen organizational culture.
View white paperโConsider how compliance contributes to revenue protection, patient experience, privacy, and risk management.
View white paperโExplore expert perspectives on influence, repeatable regulatory change processes, and demonstrating compliance value.
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Connect regulatory monitoring, assigned work, and verification with documentation that demonstrates what your team accomplished.
Explore an enforcement case involving skilled nursing facilities, with takeaways for billing reviews, documentation, and data analysis.
Examine how medical necessity concerns can affect financial risk, operational performance, and quality of care.
Review six capabilities to consider when evaluating software for managing healthcare regulatory change.
Explore medical necessity risks, coverage considerations, and the role of compliance leaders in reviewing claims.
Build familiarity with financial statements, revenue cycle processes, and the financial signals that matter to compliance.
Explore ways to use audit findings and follow-through to prepare for future inspections and reviews.
Strengthen quality leadership through clearer communication, shared responsibility, and consistent operational follow-through.
Use five coaching strategies to help operational leaders take ownership of their compliance responsibilities.
Explore three approaches to building a stronger working relationship between compliance and revenue cycle teams.
Learn the difference between assertive and aggressive communication, with practical steps for clearer, more respectful conversations.
Use eighteen prompts to reflect on policies, communication, and your own approach to leading a compliance program.
Explore five ways to create room for thoughtful decisions, stronger work habits, and a more sustainable pace.
Review radiology compliance considerations involving clinician orders, medical necessity, coverage, and teaching settings.
Take stock of program progress, prepare leadership updates, and plan the next steps for the final quarter.
Explore how Medicare contractorsโ Target, Probe and Educate plans can inform compliance auditing and monitoring priorities.
Use five strategies to assess your choices and make more deliberate compliance decisions.
Recognize gaps in regulatory understanding and communicate concerns more clearly with healthcare leaders.
Explore starting points for reviewing medical necessity risks and discussing coverage requirements with clinical teams.
Review revenue cycle compliance challenges and practices for supporting billing accuracy and financial integrity.
Use five approaches to separate facts from emotion, ask clearer questions, and respond constructively to feedback.
Read an introduction to the G2211 evaluation and management add-on code, originally published in April 2024.
Identify four communication blind spots and explore practical ways to share information and build understanding.
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Explore articles on regulatory change, audits, revenue cycle, and compliance leadership.
Selected articles from the blog
Durable Medical Equipment (DME) billing remains a significant target of the government with regard to compliance risks. The insights and strategies in this blog offer guidance toโฆ
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OIGโs latest report to Congress offers clues about where enforcement and oversight may be focused. Here are four areas healthcare compliance leaders should have on their radar.
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New to healthcare compliance? Find practical resources on communication, audits, regulatory change, and program oversight, organized by the work you need to learn.
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The FY 2027 IPPS Final Rule is nearly 900 pages, but four areas deserve compliance leadersโ attention. Dr. CJ Wolf breaks down changes involving CJR-X, organ acquisition costs,โฆ
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A recent OIG audit found that Medicare improperly paid an estimated $15.2 million for SI joint injections. CJ Wolf examines the coverage, billing, medical necessity, andโฆ
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A compliance control can be documented, automated and still fail to manage risk consistently. An HHS-OIG audit offers a practical example of why healthcare organizations need toโฆ
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