Healthcare GRC Archives

The Time is Now to Start Breaking Silos in Healthcare: Why Integrated Risk Management is Essential

The following article on risk management in healthcare is part of our ongoing series, CustomerConnect Insights: The Future of Ethics, GRC, and Training. This series brings together expert perspectives and actionable strategies from SAI360’s CustomerConnect events, focusing on the latest advancements, challenges, and innovations. The goal? Help organizations strengthen their approach to risk, compliance, and continuous learning in an evolving landscape. Why Is Integrating Risk Management Across Domains ...

By SAI360|2025-04-28T02:58:54+00:00November 13th, 2024|Governance, Risk & Compliance: GRC, Healthcare GRC|

Watch Strategies for Addressing Medicare Advantage Denials, Downgrades, and Disputes

Medicare Advantage plans continue to present challenges with frequent denials, downgrades, and disputes—the "3 D's." It’s time to shift from a reactive stance to a proactive approach by mastering the regulations and turning denials into actionable strategies. In this recorded webinar Day Egusquiza, President of AR Systems Inc., shares her expertise on effectively responding to Medicare Advantage denials by leveraging regulations to confidently reject unjust ...

By SAI360|2025-05-07T17:56:56+00:00November 8th, 2024|Governance, Risk & Compliance: GRC, Healthcare GRC, Healthcare Revenue Integrity|

Watch Strategies for Addressing Medicare Advantage Denials, Downgrades, and Disputes (Video)

Join Day Egusquiza, President of AR Systems Inc., as she shares her expertise on effectively responding to Medicare Advantage denials by leveraging regulations to confidently reject unjust claims and support your rationale.

By SAI360|2025-04-30T12:55:50+00:00November 7th, 2024|Governance, Risk & Compliance: GRC, Healthcare GRC, Healthcare Revenue Integrity|

2025 HIPAA Compliance Survey Results

Live webinar: Thursday, January 23 Time: 1:00 PM ET | 12:00 PM CT | 10:00 AM PT Strategic Management Services, in partnership with SAI360, will present the 4th Annual HIPAA Compliance Survey results. The survey is designed to address the structure, status and progress of HIPAA Privacy Programs in today’s healthcare industry. This webinar will feature a discussion of best practices and improvements that can be gleaned from the results ...

By SAI360|2025-04-22T15:30:30+00:00October 2nd, 2024|Compliance, Governance, Risk & Compliance: GRC, Healthcare GRC|

Denials, Denials, Denials – Strategies for Addressing Medicare Advantage Denials, Downgrades, and Disputes

Medicare Advantage plans continue to present challenges with frequent denials, downgrades, and disputes—the "3 D's." It’s time to shift from a reactive stance to a proactive approach by mastering the regulations and turning denials into actionable strategies. Join Day Egusquiza, President of AR Systems Inc., as she shares her expertise on effectively responding to Medicare Advantage denials by leveraging regulations to confidently reject unjust claims ...

By SAI360|2025-05-06T19:42:58+00:00September 26th, 2024|Governance, Risk & Compliance: GRC, Healthcare GRC, Healthcare Revenue Integrity|

Watch The Modern Compliance Office: Tackling Present-Day Challenges and Refreshing Practices

It’s undeniable that the work environment and how we work has been fundamentally changed by the Covid pandemic. As we adapt to these changes, industries across the board, including healthcare, are tasked with modernizing their practices to stay relevant and effective. This webinar delves into the evolving landscape of Compliance Offices, examining the current challenges and exploring strategies to overcome them. Designed for compliance professionals ...

By SAI360|2025-05-06T20:27:15+00:00September 20th, 2024|Compliance, Governance, Risk & Compliance: GRC, Healthcare GRC, Healthcare Revenue Integrity|

Watch The Modern Compliance Office: Tackling Present-Day Challenges and Refreshing Practices (Video)

This webinar delves into the evolving landscape of Compliance Offices, examining the current challenges and exploring strategies to overcome them. Hear from compliance industry experts, Strategic Management CEO Richard Kusserow and COO Jillian Concepcion.

By SAI360|2024-09-18T15:35:14+00:00September 18th, 2024|Compliance, Governance, Risk & Compliance: GRC, Healthcare GRC, Healthcare Revenue Integrity|

A Chief Compliance Officer’s Blueprint for Patient-Centric Compliance

Happy National Compliance Officer Day 2024! To bridge the compliance-care divide, chief compliance officers must foster collaboration between academic and seasoned professionals, blending theoretical knowledge with practical experience from the start. By tailoring compliance programs to the unique risks of each healthcare environment and strategically leveraging technology, they ensure effective risk assessments and compassionate patient care. Prioritizing education, open communication, and innovation drives continuous improvement ...

By SAI360|2025-04-28T02:45:22+00:00August 27th, 2024|Compliance, Governance, Risk & Compliance: GRC, Healthcare GRC|

Can Your Compliance Program Adapt to Changing Times?

How well-equipped is your compliance program to handle the unpredictable shifts in the healthcare landscape? To help answer this pressing question, Richard Kusserow, CEO of Strategic Management Services, and former DHHS Inspector General recently shared results of a 2024 benchmark survey about the current state of healthcare compliance programs. This annual survey provides valuable insights into the challenges and trends shaping the compliance landscape. Challenges Facing ...

By SAI360|2025-04-28T02:45:25+00:00August 5th, 2024|Compliance, Governance, Risk & Compliance: GRC, Healthcare GRC|

The Modern Compliance Office: Tackling Present-Day Challenges and Refreshing Practices

Live webinar: Thursday, September 19th Time: 1:00PM ET | 12:00PM CT | 10:00AM PT It’s undeniable that the work environment and how we work has been fundamentally changed by the Covid pandemic. As we adapt to these changes, industries across the board, including healthcare, are tasked with modernizing their practices to stay relevant and effective. This webinar delves into the evolving landscape of Compliance Offices, ...

By SAI360|2025-04-23T20:37:23+00:00July 23rd, 2024|Compliance, Governance, Risk & Compliance: GRC, Healthcare GRC, Healthcare Revenue Integrity|

Healthcare GRC News

The Time is Now to Start Breaking Silos in Healthcare: Why Integrated Risk Management is Essential

Watch Strategies for Addressing Medicare Advantage Denials, Downgrades, and Disputes

Watch Strategies for Addressing Medicare Advantage Denials, Downgrades, and Disputes (Video)

2025 HIPAA Compliance Survey Results

Denials, Denials, Denials – Strategies for Addressing Medicare Advantage Denials, Downgrades, and Disputes

Watch The Modern Compliance Office: Tackling Present-Day Challenges and Refreshing Practices

Watch The Modern Compliance Office: Tackling Present-Day Challenges and Refreshing Practices (Video)

A Chief Compliance Officer’s Blueprint for Patient-Centric Compliance

Can Your Compliance Program Adapt to Changing Times?

The Modern Compliance Office: Tackling Present-Day Challenges and Refreshing Practices

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