Healthcare GRC Archives

2024 HIPAA Benchmark Report (pdf)

Thank you for your interest in the 2024 HIPAA Benchmark Report Download Strategic Management Services, in partnership with SAI360, presents a comprehensive look at the current state of HIPAA Privacy Programs through our 3rd Annual HIPAA Compliance Survey, conducted in November 2023. This survey, which garnered insights from various healthcare providers across the United States, sheds light on the intricacies of HIPAA program structures, ...

By SAI360|2025-04-28T23:02:31+00:00February 6th, 2024|Compliance, Governance, Risk & Compliance: GRC, Healthcare GRC, Healthcare Revenue Integrity, Uncategorized|

2024 HIPAA Benchmark Report

HIPAA Benchmark Report As 2024 presses on, healthcare organizations are finding themselves amidst a sea of evolving challenges and opportunities in compliance with HIPAA (the Health Insurance Portability and Accountability Act). In a landscape shaped by the ongoing effects of COVID-19, changing federal and state regulations, and heightened public awareness of data privacy, staying afloat requires adaptability, foresight, and robust compliance strategies. Strategic Management Services, ...

By SAI360|2025-06-02T16:37:26+00:00January 31st, 2024|Compliance, Governance, Risk & Compliance: GRC, Healthcare GRC|

Watch 2024 HIPAA Compliance Survey Results

In this webinar, Strategic Management Services and SAI360 present results from the 3rd Annual HIPAA Compliance Survey. The survey was designed to address the structure, status and progress of HIPAA Privacy Programs in today’s healthcare industry. This webinar on-demand features a discussion by Strategic Management Services' Robbi-Lynn Watnik and Natalie Lesnick on best practices and improvements based on information gleaned from the survey results. Specific ...

By SAI360|2025-11-07T21:51:59+00:00January 24th, 2024|Governance, Risk & Compliance: GRC, Healthcare GRC, Whistleblowing|

Watch 2024 HIPAA Compliance Survey Results (Video)

Strategic Management Services, in partnership with SAI360, presents the 3rd Annual HIPAA Compliance Survey results. The survey was designed to address the structure, status and progress of HIPAA Privacy Programs in today’s healthcare industry. This webinar on-demand features a discussion by Strategic Management Services' Robbi-Lynn Watnik and Natalie Lesnick on best practices and improvements based on information gleaned from the survey results.

By SAI360|2024-01-23T17:50:08+00:00January 23rd, 2024|Governance, Risk & Compliance: GRC, Healthcare GRC, Whistleblowing|

Compliance Hotlines: How to Build, Evaluate, and Ensure Effectiveness

In today's complex regulatory landscape, organizations are faced with pressing questions about the efficacy and management of compliance hotlines. For example: How does one ensure 24/7 accessibility without compromising on quality? What are the cost implications of in-house versus outsourced operations? How do evolving technological preferences influence the way reports are received? And amid all this, how does one maintain the crucial element of anonymity? These ...

By SAI360|2025-06-30T19:18:22+00:00January 12th, 2024|Governance, Risk & Compliance: GRC, Healthcare GRC|

Medicare Advantage & The Two-Midnight Rule Follow Up: Where Are We Now

Embark on a comprehensive exploration of the Two-Midnight Rule with renowned health care reimbursement and operations expert, Day Egusquiza, in this follow-up to her previous "Two-Midnight Rule Nightmares" webinar. *This webinar is intended for healthcare providers* Gain valuable insights into the current landscape as we delve into the Two-Midnight Rule after its implementation. This webinar will provide an in-depth analysis of where the rule ...

By SAI360|2025-05-06T20:04:43+00:00December 10th, 2023|Governance, Risk & Compliance: GRC, Healthcare GRC, Healthcare Revenue Integrity|

Gifts with Strings Attached: Where’s the Line in Medical Compliance?

In the intricate world of medical compliance—particularly within sectors like pharmaceuticals and medical devices—receiving gifts or incentives raises significant ethical and regulatory questions. This delicate balance often resembles a tightrope between maintaining healthy business relationships and adhering to stringent compliance standards. Here lies the crux of conflicts of interest (COI) in open payments. Open payments are a form of financial transaction where exchanging money, ...

By SAI360|2025-04-28T02:30:52+00:00December 5th, 2023|Governance, Risk & Compliance: GRC, Healthcare GRC|

Watch Two-Midnight Rule Nightmares? Let’s talk scenarios, challenges, and Medicare Advantage denials

Medicare Advantage (MA) plans are gearing up to implement the Two-Midnight Rule, necessitating a fresh perspective on securing inpatient status. In this webinar, health care reimbursement and operations expert Day Egusquiza unpacks the Two-Midnight Rule, explores key elements of traditional Medicare, and delves into distinct facets of the Two-Midnight Rule (2MN) – Presumption and Benchmark. This session includes real-world denials scenarios, offering practical insights into ...

By SAI360|2025-05-07T17:57:45+00:00November 15th, 2023|Governance, Risk & Compliance: GRC, Healthcare GRC, Healthcare Revenue Integrity|

Watch Two-Midnight Rule Nightmares? Let’s talk scenarios, challenges, and Medicare Advantage denials (Video)

In this webinar health care reimbursement and operations expert Day Egusquiza unpacks the Two-Midnight Rule, explores key elements of traditional Medicare, and delves into distinct facets of the Two-Midnight Rule (2MN) – Presumption and Benchmark. Day Egusquiza brings over 40 years’ experience in health care reimbursement, including 20 years in an Idaho hospital leading hospital revenue cycle operation, contracting, new program development, auditing and ...

By SAI360|2023-11-14T17:55:22+00:00November 14th, 2023|Governance, Risk & Compliance: GRC, Healthcare GRC, Healthcare Revenue Integrity|

Prime Therapeutics Puts Compliance at its Core with SAI360

Case study at-a-glance Prime Therapeutics provides pharmacy benefit management services for health plans, employers and government programs. It is collectively owned by 19 Blue Cross and Blue Shield plans, subsidiaries, or affiliates of those plans. It manages the entire administrative lifecycle of pharmacy benefits, from when a member is given a prescription to when a pharmacy fills it. Ryan Sloneker is the Compliance Systems & ...

By SAI360|2025-04-28T23:02:11+00:00October 31st, 2023|Compliance, Data Privacy & Protection, Healthcare GRC, Third-Party and Vendor Risk|

Healthcare GRC News

2024 HIPAA Benchmark Report (pdf)

2024 HIPAA Benchmark Report

Watch 2024 HIPAA Compliance Survey Results

Watch 2024 HIPAA Compliance Survey Results (Video)

Compliance Hotlines: How to Build, Evaluate, and Ensure Effectiveness

Medicare Advantage & The Two-Midnight Rule Follow Up: Where Are We Now

Gifts with Strings Attached: Where’s the Line in Medical Compliance?

Watch Two-Midnight Rule Nightmares? Let’s talk scenarios, challenges, and Medicare Advantage denials

Watch Two-Midnight Rule Nightmares? Let’s talk scenarios, challenges, and Medicare Advantage denials (Video)

Prime Therapeutics Puts Compliance at its Core with SAI360

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