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2026 Healthcare Compliance: Navigating Medicare RAC Audits with Confidence

Executive Summary: As we approach the middle of 2026, the Centers for Medicare & Medicaid Services (CMS) is intensifying its focus on improper payments through expanded Medicare RAC oversight. Regulators are increasingly using AI and predictive analytics to flag claims. For hospital Chief Compliance Officers, relying on manual, periodic checks is no longer viable. Hospitals must adopt AI-powered healthcare compliance software to continuously monitor data, automate the RAC audit process, and build a defensible compliance posture. The 2026 Regulatory ...

By Charlotte Yatsko|2026-05-13T16:30:15+00:00May 13th, 2026|blog|

What Is the NIST AI Risk Management Framework?

Artificial intelligence is moving quickly from experimentation to everyday use. As AI systems influence decisions and automate processes, the question leaders face is no longer whether to use AI, but how to manage the risks that come with it. That challenge has pushed organizations to seek practical guidance on AI risk mitigation, and the NIST AI Risk Management Framework has emerged as a widely trusted reference point. The NIST Artificial Intelligence Risk ...

By Charlotte Yatsko|2026-05-08T13:10:19+00:00May 8th, 2026|blog|

2026 Healthcare Compliance Benchmark Webinar: 4 Key Insights

Healthcare compliance teams are entering 2026 under growing pressure. Regulatory expectations continue to rise, resources remain constrained, and enforcement scrutiny shows no signs of easing. What separates strong compliance programs from vulnerable ones is no longer intent or effort, but evidence, structure, and execution. That reality was front and center during SAI360’s recent webinar on the 2026 Healthcare Compliance Benchmark Report, led by Richard P. Kusserow, former DHHS Inspector General and CEO of Strategic Management Services. ...

By Charlotte Yatsko|2026-04-22T15:52:50+00:00April 23rd, 2026|blog|

Forecasting Regulatory Changes for 2026: What Ethics, Risk & Compliance Leaders Should Watch

No one needs another reminder that regulations move faster than most organizations can react. What ethics, risk, and compliance leaders actually need is a way to stay ahead of the next wave before it becomes a headline, then an audit, then a penalty. The coming year won’t be defined by incremental requirements. It will be driven by big, structural shifts in how governments expect organizations ...

By Charlotte Yatsko|2026-04-15T14:36:59+00:00April 15th, 2026|blog|

How AI Governance in Risk Management Is Reshaping Modern Risk and Compliance

Risk doesn’t wait anymore. It emerges in headlines, regulatory signals, market sentiment, and AI‑driven decisions that move faster than traditional frameworks were built to handle. To keep pace, organizations need more than reactive controls. They need strong AI governance in risk management paired with the right external intelligence to see what’s coming and act with confidence. What is AI Governance? AI governance provides the structure organizations need to use artificial intelligence responsibly and with ...

By Charlotte Yatsko|2026-04-20T16:30:25+00:00April 7th, 2026|blog|

When Corporate Settlements Don’t Protect Executives: What the Corsa Coal FCPA Case Means for Today’s Compliance Programs

Foreign Corrupt Practices Act (FCPA) enforcement may ebb and flow across administrations, but the recent conviction of a former Corsa Coal executive makes one thing clear: the FCPA is very much alive, and individual accountability is front and center. On February 19, 2026, the U.S. Department of Justice’s Office of Public Affairs announced that a federal jury convicted Charles Hunter Hobson, a former Corsa Coal vice president, for his role in ...

By Charlotte Yatsko|2026-03-30T17:16:28+00:00March 31st, 2026|blog|

Connected Compliance: The Smarter, Stronger Way to Build a Modern Compliance Program

Most compliance programs weren’t designed for the way risk operates today. New regulations don’t arrive neatly. Risks don’t stay contained within a single function. And yet, many teams are still managing compliance across a mix of disconnected tools, siloed workflows, and manual processes that make it difficult to see what is actually happening. The result isn’t a lack of effort; it’s a lack of visibility. Compliance starts to feel reactive. Issues surface late. And teams spend more time piecing information together than ...

By Charlotte Yatsko|2026-03-18T20:08:13+00:00March 19th, 2026|blog|

How to Build a Speak-Up Culture That Actually Works

Silence is not a sign of success. If your whistleblower hotline is quiet and your managers aren't hearing bad news, you might think your compliance program is working perfectly. In reality, you are likely sitting on a powder keg. When employees see misconduct—fraud, harassment, or safety violations—and choose to say nothing, they are making a rational calculation. They have weighed the risk of speaking up ...

By SAI360|2026-02-26T18:29:57+00:00January 23rd, 2026|Whistleblowing|

Predictive, Not Reactive: What AI Means for Modern Compliance Teams in 2026

If you work in compliance today, you know the ground is moving under your feet. Regulatory change is accelerating across every major jurisdiction. You are managing everything from GDPR and DORA in Europe to fast-evolving AI and ESG mandates globally. Regulators now expect more than just answers; they expect timely, evidence-backed responses and digital audit trails. Legacy systems were not designed for this environment. Static ...

By SAI360|2026-01-26T20:53:25+00:00January 22nd, 2026|Compliance|

Trust Requires Security: Why End-to-End Encryption in Whistleblower Programs is Non-Negotiable

In 2024, 43% of all fraud was detected through tips. That’s more than three times the rate of internal audits. If you want to protect your revenue, your reputation, and your operational integrity, you must rely on the people inside your walls to speak up. Yet, despite the implementation of enhanced protection policies across the globe, one in every three employees who are aware of ...

By SAI360|2026-01-26T20:54:05+00:00January 21st, 2026|Whistleblowing|

2026 Healthcare Compliance: Navigating Medicare RAC Audits with Confidence

What Is the NIST AI Risk Management Framework?

2026 Healthcare Compliance Benchmark Webinar: 4 Key Insights

Forecasting Regulatory Changes for 2026: What Ethics, Risk & Compliance Leaders Should Watch

How AI Governance in Risk Management Is Reshaping Modern Risk and Compliance

When Corporate Settlements Don’t Protect Executives: What the Corsa Coal FCPA Case Means for Today’s Compliance Programs

Connected Compliance: The Smarter, Stronger Way to Build a Modern Compliance Program

How to Build a Speak-Up Culture That Actually Works

Predictive, Not Reactive: What AI Means for Modern Compliance Teams in 2026

Trust Requires Security: Why End-to-End Encryption in Whistleblower Programs is Non-Negotiable

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