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Recent Blogs

When Compliance Risk Is Driven by Medical Necessity Problems

Compliance risks associated with medical necessity happen when providers fail to show clinical evidence that a service is essential for a patient’s health. This often leads to legal, financial and operational consequences.

Read More

CJ Wolf, MD May 27, 2026

OIG Compliance North Star: Roadmap to the 2026 Modernized CIA Framework

With the release of the CIA changes within the General Compliance Program Guidance (GCPG), the OIG has officially moved the goal posts. This isn’t just a new set of rules for organizations under investigation.

The May 2026 update to the Corporate Integrity Agreement (CIA) framework signals a definitive shift from passive reporting to active governance. Compliance is no longer an administrative sub-function. It’s now a board-level strategic imperative.

Read More

Jerry Shafran May 14, 2026

The Compliance Leadership Paradox: Why You Must Choose Your Hard

Healthcare compliance leadership requires choosing between the “hard” of stagnation and the “hard” of growth. This post by John R. Nocero and Andrea L. Bordonaro explores how to

Read More

John R. Nocero, Ph.D. Andrea L. Bordonaro, MAT May 6, 2026

What to Look for in Regulatory Change Management Software for Healthcare Compliance

When a new regulation or update is enacted, the clock starts ticking toward its inevitable effective date and another compliance deadline. Regulatory change management is a moving target with constant deadlines and uncertain task status.

Read More

Amy Laufmann, MBA April 22, 2026

Medical Necessity: A Guide for Healthcare Compliance Leaders

This is the first article in a series on medical necessity — an area that many compliance programs struggle with. In this piece, we explain the medical necessity compliance risk in general, while subsequent articles highlight specific examples of enforcement actions experienced by medical providers such as hospitals and health systems.

Read More

CJ Wolf, MD April 8, 2026

Healthcare Compliance KPIs: Real-Time Data Dashboards

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 scattered, manual process of pulling data from multiple sources, departments, and teams, then going through the process of aggregating that data to pull important, need-to-know information. By the time that step is complete, often the information is already out of date.

Read More

Amy Laufmann, MBA March 24, 2026

Trending Blogs

Blogs by Category

AI

09 July 2024

Experts Weigh In: The Oversight Role of a Healthcare Board of Directors

“Whether you are new to the field or a seasoned professional, hopefully the viewpoints offer insight that can influence...

13 February 2024

The ABC’s of Integrating AI Into Your Compliance Strategy

“By taking a practical approach to this complex topic, you will be viewed positively by your team and able to respond...

16 January 2024

Ready, Set, Go! Identifying Emerging Risks in Your Annual Compliance Workplan

“Before moving on from 2023, it is important to take time and get feedback from business partners to ensure an “outside-in”...

22 January 2026

How to Build a Holistic Approach to Healthcare Compliance with Systems

In this article, Lisa Estrada shares her perspectives on why systems beat heroes in compliance and how AI can help...

20 November 2025

How to Use AI for Systems Thinking in Compliance Processes

Artificial intelligence is beginning to reshape the compliance landscape, but the field is still in the early...

09 July 2024

“Whether you are new to the field or a seasoned professional, hopefully the viewpoints offer insight that can influence...

13 February 2024

“By taking a practical approach to this complex topic, you will be viewed positively by your team and able to respond...

16 January 2024

“Before moving on from 2023, it is important to take time and get feedback from business partners to ensure an “outside-in”...

22 January 2026

In this article, Lisa Estrada shares her perspectives on why systems beat heroes in compliance and how AI can help...

20 November 2025

Artificial intelligence is beginning to reshape the compliance landscape, but the field is still in the early...

09 July 2024

“Whether you are new to the field or a seasoned professional, hopefully the viewpoints offer insight that can influence...

Board of Directors

13 August 2025

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,...

16 July 2025

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...

11 June 2025

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,...

21 May 2025

Four Ways to Integrate Compliance with Safety/Quality Efforts

Traditionally, many healthcare compliance programs have left the work of patient safety and quality to other departments....

06 May 2025

Beyond the Checklist: Integrate Compliance into Everyday Operations

"Compliance in healthcare isn’t just about meeting regulatory requirements – it’s about protecting patients, maintaining...

11 February 2025

Navigating Compliance Responsibility: A Foundation for Compliance Program Success

“Healthcare compliance professionals face significant challenges when managing who is responsible for completing...

21 January 2025

Plug and Play: You are Not Bought, You are Built

“Still, it’s possible for smaller healthcare systems to compete. To do so, you need to ask yourself two questions...

09 October 2024

For the Love of the Game: Fourth Quarter Compliance Strategies

“As we get underway in the Fourth Quarter, both football coaches and Compliance Officers must be prepared to take...

14 May 2026

OIG Compliance North Star: Roadmap to the 2026 Modernized CIA Framework

With the release of the CIA changes within the General Compliance Program Guidance (GCPG), the OIG has officially...

08 April 2026

Medical Necessity: A Guide for Healthcare Compliance Leaders

This is the first article in a series on medical necessity -- an area that many compliance programs struggle with....

24 March 2026

Healthcare Compliance KPIs: Real-Time Data Dashboards

For years healthcare leaders have been faced with demonstrating their value and answering the question, “How is...

11 March 2026

Financial Literacy: The "Superpower" Every Modern Compliance Leader Needs

For healthcare compliance leaders, financial literacy is not optional. Compliance risk often hides in the fine print...

26 February 2026

Beyond the Penalty: What Metrics Should Healthcare Compliance Officers Track?

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

11 November 2025

How to Prepare for New CMS Final Rules and Transmittals

It’s the nature of our mission to stay on top of what’s happening in the world of healthcare compliance....

21 August 2025

Audit Readiness? How about Audit Etiquette?

In this blog, experts offer the real scoop on audit readiness in healthcare. Learn the unfiltered truth about compliance...

13 August 2025

A conflict of interest (COI) in healthcare occurs when a person or organization involved in medical decision-making,...

16 July 2025

In this expert interview, Amy shares insight surrounding compliance management software (like YouCompli) and examples...

11 June 2025

In Q3, the exclusion screening software glitched. It missed a monthly sync. Then a second. By the third missed month,...

21 May 2025

Traditionally, many healthcare compliance programs have left the work of patient safety and quality to other departments....

06 May 2025

"Compliance in healthcare isn’t just about meeting regulatory requirements – it’s about protecting patients, maintaining...

11 February 2025

“Healthcare compliance professionals face significant challenges when managing who is responsible for completing...

21 January 2025

Plug and Play: You are Not Bought, You are Built

“Still, it’s possible for smaller healthcare systems to compete. To do so, you need to ask yourself two questions...

09 October 2024

“As we get underway in the Fourth Quarter, both football coaches and Compliance Officers must be prepared to take...

14 May 2026

With the release of the CIA changes within the General Compliance Program Guidance (GCPG), the OIG has officially...

08 April 2026

This is the first article in a series on medical necessity -- an area that many compliance programs struggle with....

24 March 2026

Healthcare Compliance KPIs: Real-Time Data Dashboards

For years healthcare leaders have been faced with demonstrating their value and answering the question, “How is...

11 March 2026

For healthcare compliance leaders, financial literacy is not optional. Compliance risk often hides in the fine print...

26 February 2026

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

11 November 2025

It’s the nature of our mission to stay on top of what’s happening in the world of healthcare compliance....

21 August 2025

Audit Readiness? How about Audit Etiquette?

In this blog, experts offer the real scoop on audit readiness in healthcare. Learn the unfiltered truth about compliance...

13 August 2025

A conflict of interest (COI) in healthcare occurs when a person or organization involved in medical decision-making,...

Compliance and Business Strategy

11 June 2025

In Q3, the exclusion screening software glitched. It missed a monthly sync. Then a second. By the third missed month,...

21 May 2025

Traditionally, many healthcare compliance programs have left the work of patient safety and quality to other departments....

06 May 2025

"Compliance in healthcare isn’t just about meeting regulatory requirements – it’s about protecting patients, maintaining...

22 April 2025

Ditch the "Department of No" & Embrace the Business of Compliance

"Being a healthcare compliance professional involves navigating a complex landscape where law, risk, operations,...

16 April 2025

Best Practices for Documenting Compliance Training in Healthcare

There have been many times where we have talked to auditors or inspectors who wanted to know if training occurred....

09 April 2025

Integrate Self-Awareness into Healthcare Compliance Programs: 18 Tips

As compliance officers, we spend a lot of time focused on how others perform their jobs. However, being self-aware...

27 March 2025

Healthcare Audit? Stay Ready. Don’t Get Ready.

"Audit readiness in quality is no different than anything else – follow a pre-defined process to the letter, tweak...

18 March 2025

What Happens When Integrity and Accountability Fail: Lessons for Compliance Professionals

"The U.S. opioid epidemic holds important lessons for compliance professionals. This public health crisis is characterized...

22 April 2026

What to Look for in Regulatory Change Management Software for Healthcare Compliance

When a new regulation or update is enacted, the clock starts ticking toward its inevitable effective date and another...

08 April 2026

This is the first article in a series on medical necessity -- an area that many compliance programs struggle with....

17 February 2026

From Manual to Scalable: How to Manage Healthcare Compliance Risk

The overwhelming pace and complexity of healthcare regulatory change have become so routine that the constant grind...

27 August 2025

Know the Compliance Risk for Certain Anesthesia Services

A good healthcare compliance program is all about reducing risk, both in patient care and in financial reimbursement....

21 August 2025

Audit Readiness? How about Audit Etiquette?

In this blog, experts offer the real scoop on audit readiness in healthcare. Learn the unfiltered truth about compliance...

13 August 2025

A conflict of interest (COI) in healthcare occurs when a person or organization involved in medical decision-making,...

07 August 2025

Three Tips for Strong Compliance Education Practices

Compliance orientation educates new staff members about company policies, procedures, and various regulations that...

11 June 2025

In Q3, the exclusion screening software glitched. It missed a monthly sync. Then a second. By the third missed month,...

21 May 2025

Traditionally, many healthcare compliance programs have left the work of patient safety and quality to other departments....

06 May 2025

"Compliance in healthcare isn’t just about meeting regulatory requirements – it’s about protecting patients, maintaining...

22 April 2025

"Being a healthcare compliance professional involves navigating a complex landscape where law, risk, operations,...

16 April 2025

There have been many times where we have talked to auditors or inspectors who wanted to know if training occurred....

09 April 2025

As compliance officers, we spend a lot of time focused on how others perform their jobs. However, being self-aware...

27 March 2025

Healthcare Audit? Stay Ready. Don’t Get Ready.

"Audit readiness in quality is no different than anything else – follow a pre-defined process to the letter, tweak...

18 March 2025

"The U.S. opioid epidemic holds important lessons for compliance professionals. This public health crisis is characterized...

22 April 2026

When a new regulation or update is enacted, the clock starts ticking toward its inevitable effective date and another...

08 April 2026

This is the first article in a series on medical necessity -- an area that many compliance programs struggle with....

17 February 2026

The overwhelming pace and complexity of healthcare regulatory change have become so routine that the constant grind...

27 August 2025

A good healthcare compliance program is all about reducing risk, both in patient care and in financial reimbursement....

21 August 2025

Audit Readiness? How about Audit Etiquette?

In this blog, experts offer the real scoop on audit readiness in healthcare. Learn the unfiltered truth about compliance...

13 August 2025

A conflict of interest (COI) in healthcare occurs when a person or organization involved in medical decision-making,...

07 August 2025

Compliance orientation educates new staff members about company policies, procedures, and various regulations that...

11 June 2025

In Q3, the exclusion screening software glitched. It missed a monthly sync. Then a second. By the third missed month,...

Compliance Culture

13 August 2024

Next Jen: The Value of Compliance Programs and Teams

“Rather than limiting the breadth and scope of your compliance program to what is minimally required by regulators,...

23 July 2024

When Compliance is the Problem: “Us” Versus “Them”

“By bridging the gap between “us” and “them,” compliance teams can transform the perception of compliance teams...

19 June 2024

I Got the Compliance Job! Now What?

“During that first interview of mine, the interviewer told me, “I need someone who can build relationships, is strategic...

29 May 2024

Tips for Handling Tough Feedback

“Handling tough feedback is never easy, and quickly challenges your ability to remain professional. With the right...

28 February 2024

Tips for Overcoming Four Common Blind Spots for Effective Communication

“Falling victim to communications blind spots can damage your relationships with healthcare leaders and contradict...

25 October 2023

Reversing Conventional Thinking About Compliance

Explore how compliance professionals can prove their true value in organizations, dispel misconceptions, and effectively...

05 October 2023

How to Make a Compliance Culture Contagious

“In the business of healthcare, promoting a culture of compliance is not merely a goal – it's a necessity. There...

20 September 2023

Three Ways to Take a Service-Minded Approach to Compliance

“We’re continually being asked for advice to help our healthcare leaders. Essentially, we are acting as a customer...

07 July 2025

5 Strategies for Compliance Accountability Across the Organization

On a daily basis, compliance officers are asked to find solutions to a variety of operational requirements. For...

04 June 2025

Aggressive vs Assertive Communication: What New Healthcare Compliance Officers Need to Know

"When it comes to the compliance program, effective communication is essential for building strong relationships,...

14 May 2025

How Storytelling Improves Compliance Communication and Training

"It’s really simple – people get hooked on stories, and the tales stick with us.  For example, once upon a time,...

15 January 2025

Five Strategies for Aligning Human Behavior With Your Compliance Program

“Compliance work is complex, and success in compliance requires human interaction. By understanding the psychological...

19 November 2024

How Slowing Down Makes for a More Productive Compliance Program

“As regulations change or investigations are needed, we often get pushed to work faster, meet tighter deadlines,...

23 October 2024

Compliance Leadership Diversity is Key: Legal, Business, and Clinical Backgrounds

“No single background has all the answers, but by combining the strengths of these diverse perspectives, healthcare...

04 September 2024

How to Build Compliance Competence, Credibility, and Collaboration

“Compliance is not just about enforcing rules – it is about guiding your organization towards a culture of integrity...

13 August 2024

Next Jen: The Value of Compliance Programs and Teams

“Rather than limiting the breadth and scope of your compliance program to what is minimally required by regulators,...

23 July 2024

When Compliance is the Problem: “Us” Versus “Them”

“By bridging the gap between “us” and “them,” compliance teams can transform the perception of compliance teams...

19 June 2024

I Got the Compliance Job! Now What?

“During that first interview of mine, the interviewer told me, “I need someone who can build relationships, is strategic...

29 May 2024

Tips for Handling Tough Feedback

“Handling tough feedback is never easy, and quickly challenges your ability to remain professional. With the right...

28 February 2024

“Falling victim to communications blind spots can damage your relationships with healthcare leaders and contradict...

25 October 2023

Reversing Conventional Thinking About Compliance

Explore how compliance professionals can prove their true value in organizations, dispel misconceptions, and effectively...

05 October 2023

How to Make a Compliance Culture Contagious

“In the business of healthcare, promoting a culture of compliance is not merely a goal – it's a necessity. There...

20 September 2023

“We’re continually being asked for advice to help our healthcare leaders. Essentially, we are acting as a customer...

07 July 2025

On a daily basis, compliance officers are asked to find solutions to a variety of operational requirements. For...

04 June 2025

"When it comes to the compliance program, effective communication is essential for building strong relationships,...

14 May 2025

"It’s really simple – people get hooked on stories, and the tales stick with us.  For example, once upon a time,...

15 January 2025

“Compliance work is complex, and success in compliance requires human interaction. By understanding the psychological...

19 November 2024

“As regulations change or investigations are needed, we often get pushed to work faster, meet tighter deadlines,...

23 October 2024

“No single background has all the answers, but by combining the strengths of these diverse perspectives, healthcare...

04 September 2024

“Compliance is not just about enforcing rules – it is about guiding your organization towards a culture of integrity...

13 August 2024

Next Jen: The Value of Compliance Programs and Teams

“Rather than limiting the breadth and scope of your compliance program to what is minimally required by regulators,...

Compliance Career Tips

07 July 2025

On a daily basis, compliance officers are asked to find solutions to a variety of operational requirements. For...

25 June 2025

Three Strategies to Align Compliance with Revenue Cycle

The revenue cycle is the process that starts with a patient's initial appointment and ends with full payment for...

04 June 2025

"When it comes to the compliance program, effective communication is essential for building strong relationships,...

29 May 2025

Best Practices for Better Training in Healthcare Compliance

"Maintaining quality in compliance training is a constant challenge for healthcare organizations of all sizes. Any...

14 May 2025

"It’s really simple – people get hooked on stories, and the tales stick with us.  For example, once upon a time,...

06 May 2025

"Compliance in healthcare isn’t just about meeting regulatory requirements – it’s about protecting patients, maintaining...

22 April 2025

"Being a healthcare compliance professional involves navigating a complex landscape where law, risk, operations,...

16 April 2025

There have been many times where we have talked to auditors or inspectors who wanted to know if training occurred....

06 May 2026

The Compliance Leadership Paradox: Why You Must Choose Your Hard

Healthcare compliance leadership requires choosing between the “hard” of stagnation and the “hard”...

17 February 2026

The overwhelming pace and complexity of healthcare regulatory change have become so routine that the constant grind...

05 January 2026

Hoarders Need Borders: Quality’s Role in Healthcare Record Storage

Just this week, I was in a colleague’s office. Literally, it looked like Staples puked up aisle 3. I asked her what...

23 October 2025

Risk Visibility Isn’t Optional in Healthcare Compliance

Risk comes in many forms . Financial. Patient-related. But the biggest unforeseen risk to me is reputational. If...

18 September 2025

Healthcare Quality Leadership: How to Be an Operational Partner, Not a Roadblock

In every organization there is a moment where the quality department becomes either the trusted operational partner...

08 September 2025

Q&A: Regulatory Intelligence with a Healthcare Compliance Expert

This blog goes deep into regulatory intelligence for healthcare, guided by the expert commentary of longtime compliance...

21 August 2025

Audit Readiness? How about Audit Etiquette?

In this blog, experts offer the real scoop on audit readiness in healthcare. Learn the unfiltered truth about compliance...

07 July 2025

On a daily basis, compliance officers are asked to find solutions to a variety of operational requirements. For...

25 June 2025

Three Strategies to Align Compliance with Revenue Cycle

The revenue cycle is the process that starts with a patient's initial appointment and ends with full payment for...

04 June 2025

"When it comes to the compliance program, effective communication is essential for building strong relationships,...

29 May 2025

"Maintaining quality in compliance training is a constant challenge for healthcare organizations of all sizes. Any...

14 May 2025

"It’s really simple – people get hooked on stories, and the tales stick with us.  For example, once upon a time,...

06 May 2025

"Compliance in healthcare isn’t just about meeting regulatory requirements – it’s about protecting patients, maintaining...

22 April 2025

"Being a healthcare compliance professional involves navigating a complex landscape where law, risk, operations,...

16 April 2025

There have been many times where we have talked to auditors or inspectors who wanted to know if training occurred....

06 May 2026

Healthcare compliance leadership requires choosing between the “hard” of stagnation and the “hard”...

17 February 2026

The overwhelming pace and complexity of healthcare regulatory change have become so routine that the constant grind...

05 January 2026

Just this week, I was in a colleague’s office. Literally, it looked like Staples puked up aisle 3. I asked her what...

23 October 2025

Risk comes in many forms . Financial. Patient-related. But the biggest unforeseen risk to me is reputational. If...

18 September 2025

In every organization there is a moment where the quality department becomes either the trusted operational partner...

08 September 2025

This blog goes deep into regulatory intelligence for healthcare, guided by the expert commentary of longtime compliance...

21 August 2025

Audit Readiness? How about Audit Etiquette?

In this blog, experts offer the real scoop on audit readiness in healthcare. Learn the unfiltered truth about compliance...

07 July 2025

On a daily basis, compliance officers are asked to find solutions to a variety of operational requirements. For...

HIPAA

05 October 2023

How to Make a Compliance Culture Contagious

“In the business of healthcare, promoting a culture of compliance is not merely a goal – it's a necessity. There...

16 August 2023

How to Sell Compliance without “Selling” Compliance

If we want to improve our organizations’ compliance culture, then we need to interact with our healthcare leaders...

03 July 2023

Ensuring Private Information Stays Private

“Privacy can make or break an organization. For healthcare systems in particular, it’s essential to lock down data...

14 June 2023

Complexities of Covered Entities and Business Associates

Due to their violations of patient rights, covered entities and business associates are now facing increasing enforcement...

26 April 2023

10 Tips for Building a Compliance Culture in Healthcare

The tips below explore how you can convince leaders that a strong compliance culture adds value to the organization....

15 February 2023

Transforming Compliance to a Department of Yes

Five impactful, interrelated, and critical actions transform Compliance from the “Department of No” to the “Department...

01 February 2023

Patient-Focused Elements of an Effective Healthcare Compliance Program

Improve patient experience. Use the OIG’s seven elements to guide and align healthcare compliance with compassionate,...

11 October 2022

Five ways to show how healthcare Compliance delivers value

Compliance leaders with influencer skills employing culturally impactful metrics show the value of compliance programs...

10 December 2024

The HIPAA Reproductive Health Rule: A Potential Plot Twist

“With Donald J. Trump set to return to the White House in January, the healthcare industry should expect to see...

18 March 2024

The Cost of Non-Compliance in Healthcare

“The cost of non-compliance in healthcare extends far beyond fines and penalties. It encompasses legal fees, reputational...

02 January 2024

How the OIG’s New General Compliance Program Guidance (GCPG) Addresses the Seven Elements

“Compliance officers can make the most of the new GCPG to meet the requirements of the OIG’s seven elements in a...

19 December 2023

Key Takeaways from OIG’s New General Compliance Program Guidance (GCPG)

“Throughout the GCPG, helpful revisions and clarity are provided to a few areas that have proven problematic over...

11 December 2023

Key Takeaways from OIG’s Newly Released General Compliance Program Guidance

“Successful compliance programs are adapted to fit the organization and maximize compliance for individual organizations...

29 November 2023

Key Takeaways from OIG’s New General Compliance Program Guidance (GCPG)

“Throughout the GCPG, helpful revisions and clarity are provided to a few areas that have proven problematic over...

15 November 2023

Mitigating Risks from Online Tracking Technologies

“To protect patients’ privacy and adhere to federal law, compliance professionals must understand what online patient...

05 October 2023

How to Make a Compliance Culture Contagious

“In the business of healthcare, promoting a culture of compliance is not merely a goal – it's a necessity. There...

16 August 2023

How to Sell Compliance without “Selling” Compliance

If we want to improve our organizations’ compliance culture, then we need to interact with our healthcare leaders...

03 July 2023

Ensuring Private Information Stays Private

“Privacy can make or break an organization. For healthcare systems in particular, it’s essential to lock down data...

14 June 2023

Due to their violations of patient rights, covered entities and business associates are now facing increasing enforcement...

26 April 2023

The tips below explore how you can convince leaders that a strong compliance culture adds value to the organization....

15 February 2023

Transforming Compliance to a Department of Yes

Five impactful, interrelated, and critical actions transform Compliance from the “Department of No” to the “Department...

01 February 2023

Improve patient experience. Use the OIG’s seven elements to guide and align healthcare compliance with compassionate,...

11 October 2022

Five ways to show how healthcare Compliance delivers value

Compliance leaders with influencer skills employing culturally impactful metrics show the value of compliance programs...

10 December 2024

“With Donald J. Trump set to return to the White House in January, the healthcare industry should expect to see...

18 March 2024

The Cost of Non-Compliance in Healthcare

“The cost of non-compliance in healthcare extends far beyond fines and penalties. It encompasses legal fees, reputational...

02 January 2024

“Compliance officers can make the most of the new GCPG to meet the requirements of the OIG’s seven elements in a...

19 December 2023

“Throughout the GCPG, helpful revisions and clarity are provided to a few areas that have proven problematic over...

11 December 2023

“Successful compliance programs are adapted to fit the organization and maximize compliance for individual organizations...

29 November 2023

“Throughout the GCPG, helpful revisions and clarity are provided to a few areas that have proven problematic over...

15 November 2023

Mitigating Risks from Online Tracking Technologies

“To protect patients’ privacy and adhere to federal law, compliance professionals must understand what online patient...

05 October 2023

How to Make a Compliance Culture Contagious

“In the business of healthcare, promoting a culture of compliance is not merely a goal – it's a necessity. There...

How To

04 June 2025

"When it comes to the compliance program, effective communication is essential for building strong relationships,...

21 May 2025

Traditionally, many healthcare compliance programs have left the work of patient safety and quality to other departments....

14 May 2025

"It’s really simple – people get hooked on stories, and the tales stick with us.  For example, once upon a time,...

16 April 2025

There have been many times where we have talked to auditors or inspectors who wanted to know if training occurred....

09 April 2025

As compliance officers, we spend a lot of time focused on how others perform their jobs. However, being self-aware...

26 February 2025

Healthcare Compliance Readiness: Do What’s Doable

“Any discussion or plan that doesn’t take into account whether or not you can actually execute on it is an exercise...

11 February 2025

“Healthcare compliance professionals face significant challenges when managing who is responsible for completing...

03 December 2024

Building a Quality Education Program That’s Good Enough

“The first thing that you should understand is this: you don’t have to build the perfect program. Your education...

17 February 2026

The overwhelming pace and complexity of healthcare regulatory change have become so routine that the constant grind...

22 January 2026

In this article, Lisa Estrada shares her perspectives on why systems beat heroes in compliance and how AI can help...

11 November 2025

It’s the nature of our mission to stay on top of what’s happening in the world of healthcare compliance....

18 September 2025

In every organization there is a moment where the quality department becomes either the trusted operational partner...

30 July 2025

How to Avoid Compliance Risk in Peripheral Vascular Reimbursement

Peripheral vascular disease (PVD) reimbursement is fraught with potential compliance pitfalls. With increased scrutiny...

07 July 2025

On a daily basis, compliance officers are asked to find solutions to a variety of operational requirements. For...

25 June 2025

Three Strategies to Align Compliance with Revenue Cycle

The revenue cycle is the process that starts with a patient's initial appointment and ends with full payment for...

04 June 2025

"When it comes to the compliance program, effective communication is essential for building strong relationships,...

21 May 2025

Traditionally, many healthcare compliance programs have left the work of patient safety and quality to other departments....

14 May 2025

"It’s really simple – people get hooked on stories, and the tales stick with us.  For example, once upon a time,...

16 April 2025

There have been many times where we have talked to auditors or inspectors who wanted to know if training occurred....

09 April 2025

As compliance officers, we spend a lot of time focused on how others perform their jobs. However, being self-aware...

26 February 2025

Healthcare Compliance Readiness: Do What’s Doable

“Any discussion or plan that doesn’t take into account whether or not you can actually execute on it is an exercise...

11 February 2025

“Healthcare compliance professionals face significant challenges when managing who is responsible for completing...

03 December 2024

Building a Quality Education Program That’s Good Enough

“The first thing that you should understand is this: you don’t have to build the perfect program. Your education...

17 February 2026

The overwhelming pace and complexity of healthcare regulatory change have become so routine that the constant grind...

22 January 2026

In this article, Lisa Estrada shares her perspectives on why systems beat heroes in compliance and how AI can help...

11 November 2025

It’s the nature of our mission to stay on top of what’s happening in the world of healthcare compliance....

18 September 2025

In every organization there is a moment where the quality department becomes either the trusted operational partner...

30 July 2025

Peripheral vascular disease (PVD) reimbursement is fraught with potential compliance pitfalls. With increased scrutiny...

07 July 2025

On a daily basis, compliance officers are asked to find solutions to a variety of operational requirements. For...

25 June 2025

Three Strategies to Align Compliance with Revenue Cycle

The revenue cycle is the process that starts with a patient's initial appointment and ends with full payment for...

04 June 2025

"When it comes to the compliance program, effective communication is essential for building strong relationships,...

Quality

29 May 2025

"Maintaining quality in compliance training is a constant challenge for healthcare organizations of all sizes. Any...

21 May 2025

Traditionally, many healthcare compliance programs have left the work of patient safety and quality to other departments....

21 January 2025

Plug and Play: You are Not Bought, You are Built

“Still, it’s possible for smaller healthcare systems to compete. To do so, you need to ask yourself two questions...

03 December 2024

Building a Quality Education Program That’s Good Enough

“The first thing that you should understand is this: you don’t have to build the perfect program. Your education...

13 November 2024

QA + QC = QM  The Quality Equation for an Effective Quality Management Program

“Both of these are tools in your toolkit, so why limit yourself to one or the other? Determine which of the two...

05 January 2026

Just this week, I was in a colleague’s office. Literally, it looked like Staples puked up aisle 3. I asked her what...

23 October 2025

Risk comes in many forms . Financial. Patient-related. But the biggest unforeseen risk to me is reputational. If...

18 September 2025

In every organization there is a moment where the quality department becomes either the trusted operational partner...

23 July 2025

Elevate Healthcare Quality Training: Focus, Not Filler

This blog explains how to make healthcare quality education programs more effective through focused efforts. It’s...

18 June 2025

Polish Your Quality Education Program

Without a good employee education program, your quality program can suffer. And without a good quality program,...

29 May 2025

"Maintaining quality in compliance training is a constant challenge for healthcare organizations of all sizes. Any...

21 May 2025

Traditionally, many healthcare compliance programs have left the work of patient safety and quality to other departments....

21 January 2025

Plug and Play: You are Not Bought, You are Built

“Still, it’s possible for smaller healthcare systems to compete. To do so, you need to ask yourself two questions...

03 December 2024

Building a Quality Education Program That’s Good Enough

“The first thing that you should understand is this: you don’t have to build the perfect program. Your education...

13 November 2024

“Both of these are tools in your toolkit, so why limit yourself to one or the other? Determine which of the two...

05 January 2026

Just this week, I was in a colleague’s office. Literally, it looked like Staples puked up aisle 3. I asked her what...

23 October 2025

Risk comes in many forms . Financial. Patient-related. But the biggest unforeseen risk to me is reputational. If...

18 September 2025

In every organization there is a moment where the quality department becomes either the trusted operational partner...

23 July 2025

Elevate Healthcare Quality Training: Focus, Not Filler

This blog explains how to make healthcare quality education programs more effective through focused efforts. It’s...

18 June 2025

Polish Your Quality Education Program

Without a good employee education program, your quality program can suffer. And without a good quality program,...

Industry Trends

13 February 2024

“By taking a practical approach to this complex topic, you will be viewed positively by your team and able to respond...

02 January 2024

“Compliance officers can make the most of the new GCPG to meet the requirements of the OIG’s seven elements in a...

19 December 2023

“Throughout the GCPG, helpful revisions and clarity are provided to a few areas that have proven problematic over...

11 December 2023

“Successful compliance programs are adapted to fit the organization and maximize compliance for individual organizations...

29 November 2023

“Throughout the GCPG, helpful revisions and clarity are provided to a few areas that have proven problematic over...

15 November 2023

Mitigating Risks from Online Tracking Technologies

“To protect patients’ privacy and adhere to federal law, compliance professionals must understand what online patient...

22 August 2023

Significant Upcoding Risks Emerge with Medicare Advantage

Christi Grimm, the Inspector General of HHS, gave a recent keynote address to compliance professionals. In it, she...

12 April 2023

New DOJ Guidance on Compliance Programs Released March 2023

Healthcare organizations should benchmark the DOJ Evaluation of Corporate Compliance Programs (ECCP) guidance (March...

27 May 2026

When Compliance Risk Is Driven by Medical Necessity Problems

Compliance risks associated with medical necessity happen when providers fail to show clinical evidence that a service...

22 January 2026

In this article, Lisa Estrada shares her perspectives on why systems beat heroes in compliance and how AI can help...

20 November 2025

Artificial intelligence is beginning to reshape the compliance landscape, but the field is still in the early...

11 November 2025

It’s the nature of our mission to stay on top of what’s happening in the world of healthcare compliance....

04 February 2025

Breaking Down the OIG’s First Industry-Specific Guidance

“Compliance professionals at nursing facilities and their business partners should regularly study the ICPG as they...

18 December 2024

Recapping 2024 and Ringing In 2025

CEO Jerry Shafran has prepared a festive video to help us wrap up the year. We wish you a safe and happy Holidays...

09 July 2024

“Whether you are new to the field or a seasoned professional, hopefully the viewpoints offer insight that can influence...

13 February 2024

“By taking a practical approach to this complex topic, you will be viewed positively by your team and able to respond...

02 January 2024

“Compliance officers can make the most of the new GCPG to meet the requirements of the OIG’s seven elements in a...

19 December 2023

“Throughout the GCPG, helpful revisions and clarity are provided to a few areas that have proven problematic over...

11 December 2023

“Successful compliance programs are adapted to fit the organization and maximize compliance for individual organizations...

29 November 2023

“Throughout the GCPG, helpful revisions and clarity are provided to a few areas that have proven problematic over...

15 November 2023

Mitigating Risks from Online Tracking Technologies

“To protect patients’ privacy and adhere to federal law, compliance professionals must understand what online patient...

22 August 2023

Christi Grimm, the Inspector General of HHS, gave a recent keynote address to compliance professionals. In it, she...

12 April 2023

Healthcare organizations should benchmark the DOJ Evaluation of Corporate Compliance Programs (ECCP) guidance (March...

27 May 2026

When Compliance Risk Is Driven by Medical Necessity Problems

Compliance risks associated with medical necessity happen when providers fail to show clinical evidence that a service...

22 January 2026

In this article, Lisa Estrada shares her perspectives on why systems beat heroes in compliance and how AI can help...

20 November 2025

Artificial intelligence is beginning to reshape the compliance landscape, but the field is still in the early...

11 November 2025

It’s the nature of our mission to stay on top of what’s happening in the world of healthcare compliance....

04 February 2025

“Compliance professionals at nursing facilities and their business partners should regularly study the ICPG as they...

18 December 2024

Recapping 2024 and Ringing In 2025

CEO Jerry Shafran has prepared a festive video to help us wrap up the year. We wish you a safe and happy Holidays...

09 July 2024

“Whether you are new to the field or a seasoned professional, hopefully the viewpoints offer insight that can influence...

13 February 2024

“By taking a practical approach to this complex topic, you will be viewed positively by your team and able to respond...

Revenue Cycle

12 July 2023

Uncovering $9 Million in Unbilled Services

“My success in uncovering millions of dollars in unbilled services demonstrates how revenue protection is a tangible...

22 March 2023

Healthcare Compliance Risks with Urine Drug Testing Overpayments

Urine drug testing overpayments drove up to $216 million in overpayments to Medicare over five years, according...

22 February 2023

Compliance Risks Associated with Outlier Payments

Protect healthcare revenue: reduce the risk of fines and payback for inappropriate outlier payments created by unjustified...

14 December 2022

Healthcare Compliance is Everybody’s Business: Clinical, Revenue Cycle, IT, Sales and Marketing

Build relationships with these key clinical and operational areas - Nursing, Physicians, Revenue Cycle, IT, Sales...

09 November 2022

Critical Care Services Under the Microscope

Complex and billed at a higher rate, OIG added physicians billing for critical care evaluation and management services...

26 October 2022

A million-dollar healthcare compliance monitoring mistake

Avoid this million-dollar monitoring mistake. Help clinical colleagues apply their expertise to your scalable, repeatable...

11 May 2022

Physician Coding and Billing Enforcement: What to Watch For

CJ Wolf, MD writes enforcement action summaries for the YouCompli blog. These summaries provide real-world examples...

13 April 2022

Beneficiary inducements…don’t cross that line

Illegal beneficiary inducements include: free insulin, deflated Medicare copayment, courtesy adjustments for injections,...

11 March 2026

For healthcare compliance leaders, financial literacy is not optional. Compliance risk often hides in the fine print...

10 February 2026

11 Educational Resources on Revenue Cycle and Healthcare Compliance

Revenue leakage from non-compliance with regulations exposes health systems to compliance risks and penalties. We’ve curated...

27 August 2025

A good healthcare compliance program is all about reducing risk, both in patient care and in financial reimbursement....

30 July 2025

Peripheral vascular disease (PVD) reimbursement is fraught with potential compliance pitfalls. With increased scrutiny...

25 June 2025

Three Strategies to Align Compliance with Revenue Cycle

The revenue cycle is the process that starts with a patient's initial appointment and ends with full payment for...

31 July 2024

How to Avoid False Claims Related to Medical Necessity

“There is no silver bullet to solving medical necessity risks as they relate to medical claims submitted to payers...

16 July 2024

Revenue Cycle Management Compliance: Ensuring Financial Health in Healthcare

“Revenue cycle management compliance is crucial for the financial health and operational success of healthcare providers....

12 July 2023

Uncovering $9 Million in Unbilled Services

“My success in uncovering millions of dollars in unbilled services demonstrates how revenue protection is a tangible...

22 March 2023

Urine drug testing overpayments drove up to $216 million in overpayments to Medicare over five years, according...

22 February 2023

Compliance Risks Associated with Outlier Payments

Protect healthcare revenue: reduce the risk of fines and payback for inappropriate outlier payments created by unjustified...

14 December 2022

Build relationships with these key clinical and operational areas - Nursing, Physicians, Revenue Cycle, IT, Sales...

09 November 2022

Critical Care Services Under the Microscope

Complex and billed at a higher rate, OIG added physicians billing for critical care evaluation and management services...

26 October 2022

A million-dollar healthcare compliance monitoring mistake

Avoid this million-dollar monitoring mistake. Help clinical colleagues apply their expertise to your scalable, repeatable...

11 May 2022

Physician Coding and Billing Enforcement: What to Watch For

CJ Wolf, MD writes enforcement action summaries for the YouCompli blog. These summaries provide real-world examples...

13 April 2022

Beneficiary inducements…don’t cross that line

Illegal beneficiary inducements include: free insulin, deflated Medicare copayment, courtesy adjustments for injections,...

11 March 2026

For healthcare compliance leaders, financial literacy is not optional. Compliance risk often hides in the fine print...

10 February 2026

Revenue leakage from non-compliance with regulations exposes health systems to compliance risks and penalties. We’ve curated...

27 August 2025

A good healthcare compliance program is all about reducing risk, both in patient care and in financial reimbursement....

30 July 2025

Peripheral vascular disease (PVD) reimbursement is fraught with potential compliance pitfalls. With increased scrutiny...

25 June 2025

Three Strategies to Align Compliance with Revenue Cycle

The revenue cycle is the process that starts with a patient's initial appointment and ends with full payment for...

31 July 2024

How to Avoid False Claims Related to Medical Necessity

“There is no silver bullet to solving medical necessity risks as they relate to medical claims submitted to payers...

16 July 2024

“Revenue cycle management compliance is crucial for the financial health and operational success of healthcare providers....

12 July 2023

Uncovering $9 Million in Unbilled Services

“My success in uncovering millions of dollars in unbilled services demonstrates how revenue protection is a tangible...

Risk Management
Rules and Regulations

13 August 2025

A conflict of interest (COI) in healthcare occurs when a person or organization involved in medical decision-making,...

30 July 2025

Peripheral vascular disease (PVD) reimbursement is fraught with potential compliance pitfalls. With increased scrutiny...

16 July 2025

In this expert interview, Amy shares insight surrounding compliance management software (like YouCompli) and examples...

11 June 2025

In Q3, the exclusion screening software glitched. It missed a monthly sync. Then a second. By the third missed month,...

30 October 2024

Ensuring Compliance for Academic Medical Centers

“The U.S. government has recently increased its focus on foreign influence in academic research – which some call...

02 January 2024

“Compliance officers can make the most of the new GCPG to meet the requirements of the OIG’s seven elements in a...

15 November 2023

Mitigating Risks from Online Tracking Technologies

“To protect patients’ privacy and adhere to federal law, compliance professionals must understand what online patient...

11 October 2023

Our Youth Mental Health Crisis: How Compliance Can Help Providers Address It

“While youth intervention is not a traditional focus for compliance professionals, they have a vital role to play...

27 May 2026

When Compliance Risk Is Driven by Medical Necessity Problems

Compliance risks associated with medical necessity happen when providers fail to show clinical evidence that a service...

22 April 2026

When a new regulation or update is enacted, the clock starts ticking toward its inevitable effective date and another...

08 April 2026

This is the first article in a series on medical necessity -- an area that many compliance programs struggle with....

17 February 2026

The overwhelming pace and complexity of healthcare regulatory change have become so routine that the constant grind...

05 January 2026

Just this week, I was in a colleague’s office. Literally, it looked like Staples puked up aisle 3. I asked her what...

09 October 2025

OIG Cites Fraud, Waste and Abuse Concerns with Skin Substitutes

Many compliance professionals rely on HHS OIG focus areas as they perform risk assessments and plan subsequent auditing...

27 August 2025

A good healthcare compliance program is all about reducing risk, both in patient care and in financial reimbursement....

13 August 2025

A conflict of interest (COI) in healthcare occurs when a person or organization involved in medical decision-making,...

30 July 2025

Peripheral vascular disease (PVD) reimbursement is fraught with potential compliance pitfalls. With increased scrutiny...

16 July 2025

In this expert interview, Amy shares insight surrounding compliance management software (like YouCompli) and examples...

11 June 2025

In Q3, the exclusion screening software glitched. It missed a monthly sync. Then a second. By the third missed month,...

30 October 2024

Ensuring Compliance for Academic Medical Centers

“The U.S. government has recently increased its focus on foreign influence in academic research – which some call...

02 January 2024

“Compliance officers can make the most of the new GCPG to meet the requirements of the OIG’s seven elements in a...

15 November 2023

Mitigating Risks from Online Tracking Technologies

“To protect patients’ privacy and adhere to federal law, compliance professionals must understand what online patient...

11 October 2023

“While youth intervention is not a traditional focus for compliance professionals, they have a vital role to play...

27 May 2026

When Compliance Risk Is Driven by Medical Necessity Problems

Compliance risks associated with medical necessity happen when providers fail to show clinical evidence that a service...

22 April 2026

When a new regulation or update is enacted, the clock starts ticking toward its inevitable effective date and another...

08 April 2026

This is the first article in a series on medical necessity -- an area that many compliance programs struggle with....

17 February 2026

The overwhelming pace and complexity of healthcare regulatory change have become so routine that the constant grind...

05 January 2026

Just this week, I was in a colleague’s office. Literally, it looked like Staples puked up aisle 3. I asked her what...

09 October 2025

Many compliance professionals rely on HHS OIG focus areas as they perform risk assessments and plan subsequent auditing...

27 August 2025

A good healthcare compliance program is all about reducing risk, both in patient care and in financial reimbursement....

13 August 2025

A conflict of interest (COI) in healthcare occurs when a person or organization involved in medical decision-making,...

21 August 2025

Audit Readiness? How about Audit Etiquette?

In this blog, experts offer the real scoop on audit readiness in healthcare. Learn the unfiltered truth about compliance...

13 August 2025

A conflict of interest (COI) in healthcare occurs when a person or organization involved in medical decision-making,...

30 July 2025

Peripheral vascular disease (PVD) reimbursement is fraught with potential compliance pitfalls. With increased scrutiny...

11 June 2025

In Q3, the exclusion screening software glitched. It missed a monthly sync. Then a second. By the third missed month,...

27 March 2025

Healthcare Audit? Stay Ready. Don’t Get Ready.

"Audit readiness in quality is no different than anything else – follow a pre-defined process to the letter, tweak...

18 March 2025

"The U.S. opioid epidemic holds important lessons for compliance professionals. This public health crisis is characterized...

11 March 2025

New Regulation– Now What? Step-by-Step Guide to Managing Compliance Changes

"With regulations often spanning hundreds of pages, how can compliance teams efficiently manage the process without...

04 February 2025

“Compliance professionals at nursing facilities and their business partners should regularly study the ICPG as they...

27 May 2026

When Compliance Risk Is Driven by Medical Necessity Problems

Compliance risks associated with medical necessity happen when providers fail to show clinical evidence that a service...

14 May 2026

With the release of the CIA changes within the General Compliance Program Guidance (GCPG), the OIG has officially...

08 April 2026

This is the first article in a series on medical necessity -- an area that many compliance programs struggle with....

04 December 2025

With Compliance Audits, The Best Defense is a Good Offense

In this blog, learn how to go on offense following a regulatory compliance audit or inspection, so you’re well-prepared...

11 November 2025

It’s the nature of our mission to stay on top of what’s happening in the world of healthcare compliance....

09 October 2025

Many compliance professionals rely on HHS OIG focus areas as they perform risk assessments and plan subsequent auditing...

27 August 2025

A good healthcare compliance program is all about reducing risk, both in patient care and in financial reimbursement....

21 August 2025

Audit Readiness? How about Audit Etiquette?

In this blog, experts offer the real scoop on audit readiness in healthcare. Learn the unfiltered truth about compliance...

13 August 2025

A conflict of interest (COI) in healthcare occurs when a person or organization involved in medical decision-making,...

30 July 2025

Peripheral vascular disease (PVD) reimbursement is fraught with potential compliance pitfalls. With increased scrutiny...

11 June 2025

In Q3, the exclusion screening software glitched. It missed a monthly sync. Then a second. By the third missed month,...

27 March 2025

Healthcare Audit? Stay Ready. Don’t Get Ready.

"Audit readiness in quality is no different than anything else – follow a pre-defined process to the letter, tweak...

18 March 2025

"The U.S. opioid epidemic holds important lessons for compliance professionals. This public health crisis is characterized...

11 March 2025

"With regulations often spanning hundreds of pages, how can compliance teams efficiently manage the process without...

04 February 2025

“Compliance professionals at nursing facilities and their business partners should regularly study the ICPG as they...

27 May 2026

When Compliance Risk Is Driven by Medical Necessity Problems

Compliance risks associated with medical necessity happen when providers fail to show clinical evidence that a service...

14 May 2026

With the release of the CIA changes within the General Compliance Program Guidance (GCPG), the OIG has officially...

08 April 2026

This is the first article in a series on medical necessity -- an area that many compliance programs struggle with....

04 December 2025

In this blog, learn how to go on offense following a regulatory compliance audit or inspection, so you’re well-prepared...

11 November 2025

It’s the nature of our mission to stay on top of what’s happening in the world of healthcare compliance....

09 October 2025

Many compliance professionals rely on HHS OIG focus areas as they perform risk assessments and plan subsequent auditing...

27 August 2025

A good healthcare compliance program is all about reducing risk, both in patient care and in financial reimbursement....

21 August 2025

Audit Readiness? How about Audit Etiquette?

In this blog, experts offer the real scoop on audit readiness in healthcare. Learn the unfiltered truth about compliance...

What YouCompli Does

YouCompli is the leading healthcare compliance software designed to simplify regulatory change management. Our intuitive platform empowers compliance teams to interpret, operationalize, and track regulatory requirements with confidence. Trusted by healthcare organizations nationwide, YouCompli streamlines policy updates, workflows, and accountability—making regulatory compliance more manageable and effective. Discover why top hospitals and health systems choose YouCompli for reliable, efficient healthcare regulatory management software.