Healthcare GRC Archives

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 ...

By Jacqueline DiChiara|2025-05-15T16:06:51+00:00May 12th, 2025|Governance, Risk & Compliance: GRC, Healthcare GRC|

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 ...

By SAI360|2025-05-12T21:00:37+00:00May 7th, 2025|Governance, Risk & Compliance: GRC, Healthcare GRC, Healthcare Revenue Integrity|

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 SAI360|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 SAI360|2025-05-07T16:50:41+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 SAI360|2025-05-05T12:49:05+00:00April 16th, 2025|Compliance, Governance, Risk & Compliance: GRC, Healthcare GRC|

2025 Healthcare Compliance Benchmark Report (pdf)

Thank you for your interest in the 2025 Healthcare Compliance Benchmark Report Download 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, reporting structures, operational challenges, and priorities for 2025, our report offers comprehensive analysis and actionable insights.

By SAI360|2025-04-28T23:06:33+00:00April 16th, 2025|Compliance, Governance, Risk & Compliance: GRC, Healthcare GRC|

How Are HIPAA Breaches Detected? How Healthcare Organizations Catch Privacy Violations

HIPAA compliance remains a critical focus for healthcare organizations. But how are most HIPAA breaches detected? Our 4th Annual HIPAA Compliance Survey reveals that employee reporting remains the primary detection method. However, relying solely on staff to identify breaches may not be enough to protect sensitive patient data and ensure regulatory compliance. HIPAA Privacy Programs: New Compliance Trends to Know Below, we analyze a few ...

By SAI360|2025-04-28T03:07:24+00:00March 24th, 2025|Governance, Risk & Compliance: GRC, Healthcare GRC|

Healthcare Business Continuity and Compliance: 4 Critical Life-or-Death Imperatives

Healthcare business continuity and compliance aren’t just back-office concerns—they’re a lifeline. Literally. When unexpected disaster strikes—a power outage, a cyber incident, or a supply chain disruption—patients’ lives could be on the line. Without a strong healthcare business continuity and compliance strategy, hospitals risk non-compliance, patient safety failures, and operational disruptions. Yet, when it comes to business continuity and disaster recovery (BCDR), too many healthcare systems approach critical healthcare ...

By SAI360|2025-05-09T17:23:49+00:00March 1st, 2025|Governance, Risk & Compliance: GRC, Healthcare GRC|

2025 HIPAA Benchmark Report

HIPAA Benchmark Report As 2025 unfolds, healthcare organizations are navigating an increasingly complex landscape of challenges and opportunities in HIPAA (Health Insurance Portability and Accountability Act) compliance. In an environment characterized by evolving federal and state regulations and heightened public awareness of data privacy, maintaining effective compliance requires adaptability, foresight, and robust strategies. Strategic Management Services, in partnership with SAI360, presents a comprehensive analysis of ...

By SAI360|2025-05-07T16:31:51+00:00February 2nd, 2025|Compliance, Governance, Risk & Compliance: GRC, Healthcare GRC|

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, ...

By SAI360|2025-04-28T23:06:13+00:00January 30th, 2025|Compliance, Governance, Risk & Compliance: GRC, Healthcare GRC, Healthcare Revenue Integrity|

Healthcare GRC News

What Are CMS Regulations for Hospitals and How To Stay Compliant

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

Watch Current State of Healthcare Compliance Programs: 2025 Benchmark Results

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

2025 Healthcare Compliance Benchmark Report

2025 Healthcare Compliance Benchmark Report (pdf)

How Are HIPAA Breaches Detected? How Healthcare Organizations Catch Privacy Violations

Healthcare Business Continuity and Compliance: 4 Critical Life-or-Death Imperatives

2025 HIPAA Benchmark Report

2025 HIPAA Benchmark Report (pdf)

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