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Healthcare GRC News

Focused insights on healthcare organizations’ unique compliance, data‑protection, and patient‑safety needs. Implementation roadmaps and expert perspectives illustrate best practices in clinical and administrative settings.

U.S. Hospital Regulatory Compliance: How to Prove It with Software

Hospital rules keep shifting. Whether it’s emergency room duties, billing protections, cybersecurity, behavioral health, AI, and financing, all have moving parts. Keeping up-to-date on what’s different today versus yesterday ensures compliance. To stay informed better, here's a brief snapshot of what’s recently changed regarding hospital regulatory compliance, what it means operationally, and how to easily prove compliance without creating busy work.   What kinds of protections do patients have ...

By |2025-10-13T16:44:59+00:00October 13th, 2025|Governance, Risk & Compliance: GRC, Healthcare GRC|

What Are the Benefits of HIPAA Software?

To keep patient data out of the wrong hands, HIPAA software helps you reduce small mistakes that can lead to major breaches. Just one misaddressed email can expose protected health information and put a healthcare organization at risk.   Patient data is highly valuable to hackers because it contains information that’s often permanent, such as blood type, medical history, and health records. One healthcare record can ...

Keeping Up with Regulatory Requirements in Healthcare

Regulatory requirements in healthcare are constantly changing. Why? Rules that govern healthcare sit at the intersection of public health, technology, economics, and policy—all of which evolve rapidly. A public health crisis or patient safety issues can trigger new standards, as can advancements in medicine and technology. Patient advocacy groups and professional associations also lobby for regulatory change to address gaps or improve service.  Healthcare organizations ...

Failproof Strategies for Hospital Regulatory Compliance

When it comes to hospital regulatory compliance, no two days are ever the same. Constant change related to evolving regulations, new threats, and shifting policies is the norm, not the exception. This means hospital compliance teams must foster a culture that embraces continuous improvement and responsiveness to change. Below we offer several strategies that can support a continuous improvement mentality for the long-term, leading to ...

How to Prove Healthcare Compliance Program Effectiveness

Can you walk the healthcare compliance walk? Regulators no longer accept activity reports as proof of success. They want hard evidence that your compliance program changes behavior and operates independently. What's next? Here are three actionable steps to improve your healthcare compliance program, as suggested by our annual survey, in partnership with Strategic Management Services, on the current state of healthcare compliance programs. Since Outcomes ...

What Are CMS Regulations for Hospitals and How To Stay Compliant

Centers for Medicare & Medicaid Services (CMS) regulations for hospitals and other healthcare organizations define the federal requirements providers must follow to receive Medicare and Medicaid reimbursement. These rules govern patient safety, billing accuracy, infection control, privacy, and electronic health records (EHRs). Conditions of Participation (CoPs) refers to the specific health and safety standards organizations must maintain. Additionally, hospitals also closely monitor regulations related to ...

Denials, Denials, Denials – Strategies for Step 1 and Step 2

Live Webinar: Friday, June 13 Time: 1:00 PM ET| 11:00 AM CT | 10:00 AM PT In this webinar, Day Egusquiza, President of AR Systems Inc., returns to address the persistent challenge of healthcare denials through a practical two-step framework. Building on her previous insights on Medicare Advantage challenges, this session offers concrete strategies to transform your organization's approach to denials management. Step 1: Data-Driven ...

Watch Current State of Healthcare Compliance Programs: 2025 Benchmark Results

Current State of Healthcare Compliance Programs: 2025 Benchmark Results For the sixteenth year in a row, SAI360 partnered with Strategic Management Services to study the state of healthcare compliance programs in an industry benchmark survey of programs in the United States. This annual survey is designed to gain an understanding of issues currently confronting compliance programs and how compliance officers and organizations are responding to ...

By |2025-05-12T15:06:19+00:00April 18th, 2025|Compliance, Governance, Risk & Compliance: GRC, Healthcare GRC|

Watch Current State of Healthcare Compliance Programs: 2025 Benchmark Results (Video)

For the sixteenth year in a row, SAI360 partnered with Strategic Management Services to study the state of healthcare compliance programs in an industry benchmark survey of programs in the United States. In this webinar, former HHS Inspector General, Richard Kusserow, CEO of Strategic Management Services, reports on the results and provides analysis of the data from the survey, including important trending and cumulative ...

By |2025-06-03T20:19:57+00:00April 17th, 2025|Compliance, Governance, Risk & Compliance: GRC, Healthcare GRC|

2025 Healthcare Compliance Benchmark Report

Introducing the Healthcare Compliance Benchmark Report For the sixteenth consecutive year, SAI360 has collaborated with Strategic Management Services to conduct an industry-leading survey and benchmark report on healthcare compliance programs across the United States. The survey objectives were to provide insights into the current state and progress of compliance program development within the healthcare sector. Delving into key areas such as demographic data, resource allocation, ...

By |2025-05-05T12:49:05+00:00April 16th, 2025|Compliance, Governance, Risk & Compliance: GRC, Healthcare GRC|