Ensuring medical necessity for services or supplies isn’t just about getting paid. It’s a safeguard against unnecessary or duplicative services that increase the risk of patient...

For years healthcare leaders have been faced with demonstrating their value and answering the question, “How is compliance doing?” Getting the answers typically involves a...

For healthcare compliance leaders, financial literacy is not optional. Compliance risk often hides in the fine print of financial data, making literacy a prerequisite for...

This Q&A with compliance expert, Lisa Herota, RHIA, CHC, CHIAP, CHPS, CCS covers best practices for a data-savvy compliance leader. Learn about realistic compliance metrics and...

Why Managing Compliance Risk Is Like Eating Spinach

Revenue leakage from non-compliance with regulations exposes health systems to compliance risks and penalties. We’ve curated eleven resources to help compliance leaders be better...

In this article, Lisa Estrada shares her perspectives on why systems beat heroes in compliance and how AI can help accelerate systems thinking in fast-paced healthcare...

It amazes us how many healthcare facilities don’t always store records appropriately. Check that. People don’t store records properly.

In this blog, learn how to go on offense following a regulatory compliance audit or inspection, so you’re well-prepared for the next one. Using sports training analogies, the...

Artificial intelligence is beginning to reshape the compliance landscape, but the field is still in the early stages of adoption. Compared with other business functions,...