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...

It’s the nature of our mission to stay on top of what’s happening in the world of healthcare compliance. And right now, that focus couldn’t be more important.

In this blog, experts offer the real scoop on audit readiness in healthcare. Learn the unfiltered truth about compliance audits and what audit etiquette means. Get essential tips...

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...

Healthcare compliance/accreditation professional Amy Laufmann, MBA, has held a variety of quality and compliance roles for over ten years in multiple settings. Currently the...

The Nurse Who Slipped Through: A Tale of Missed Screenings and Million-Dollar Consequences ABC Health, a mid-sized midwestern provider, was thriving. With a regional flagship...

Traditionally, many healthcare compliance programs have left the work of patient safety and quality to other departments. However, according to the Health and Human Services (HHS)...