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...

Why Managing Compliance Risk Is Like Eating Spinach

A good healthcare compliance program is all about reducing risk, both in patient care and in financial reimbursement. This detailed blog by compliance expert, CJ Wolf, will bring...

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...

With its emphasis on risk management, compliance training is pivotal in protecting both employees and organizations from legal and ethical pitfalls. By having a good understanding...

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)...

Compliance in healthcare isn’t just about meeting regulatory requirements – it’s about protecting patients, maintaining trust, and ensuring operational efficiency. Too often, ...

How do you become a more valuable compliance professional?