risk management » YouCompli

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, such as a doctor, researcher or healthcare administrator, has a secondary interest (financial, professional or personal) that could compromise or influence their objectivity and clinical judgment.

This secondary interest has the potential to affect decisions about diagnosis, treatment, or research in a way that’s not aligned with the best interests of the patient or public health.

board of directors risk management

How to Avoid Compliance Risk in Peripheral Vascular Reimbursement

Peripheral vascular disease (PVD) reimbursement is fraught with potential compliance pitfalls. With increased scrutiny and worrisome statistics about improper payments, healthcare providers must identify and mitigate any PVD compliance risks that could jeopardize their operations.

This expert-written blog addresses the pressing concern of compliance risks in PVD reimbursement. It provides insights into regulatory trends, recent investigations and best practices.

Equip yourself with the knowledge to navigate this complex environment and safeguard your organization’s reputation and financial sustainability. Learn effective strategies to mitigate compliance risks in peripheral vascular reimbursement by focusing on medical necessity and adherence to guidelines.

billing How to OIG risk management Tips

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 of what it takes for organizations to be successful.

board of directors Compliance Culture Q&A risk management Tips Training

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, the compliance officer dismissed it as “a minor lag,” promising the HR department everything would be rerun soon.

Unfortunately, even a seemingly small glitch can have major consequences for healthcare compliance.”

board of directors OIG regulatory change management revenue cycle risk management