Healthcare Revenue Integrity News

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 ...

2025 HIPAA Benchmark Report (pdf)

Thank you for your interest in the 2025 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 4th Annual HIPAA Compliance Survey, conducted in November 2024. This survey, which garnered insights from various healthcare providers across the United States, sheds light on the intricacies of HIPAA program structures, ...

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 ...

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 ...

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 ...

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.

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, ...

Watch Mid-Year Check-In: Adapting the GCPG to your Existing Compliance Program

Compliance officers and compliance professionals have had six months to digest and begin applying the General Compliance Program Guidance (GCPG) published by the Office of Inspector General (OIG) in November 2023. The OIG reiterated several practices from previous guidance materials and outlined new ones that health care organizations should consider implementing in their compliance programs.  Among these practices include, but are not limited to, increased ...

Watch Mid-Year Check-In: Adapting the GCPG to your Existing Compliance Program (Video)

Compliance officers and compliance professionals have had six months to digest and begin applying the General Compliance Program Guidance (GCPG) published by the Office of Inspector General (OIG) in November 2023. For some compliance officers, there are real challenges associated with finding the right resources in implementing the best practices promulgated by the OIG in its various guidance materials, with getting leadership support as a ...