compliance Archives

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

Live webinar: Tuesday, November, 14 Time: 1:00 PM ET | 12:00 PM CT | 11:00 AM PT Medicare Advantage (MA) plans are gearing up to implement the Two-Midnight Rule, necessitating a fresh perspective on securing inpatient status. Join health care reimbursement and operations expert Day Egusquiza to understand the Two-Midnight Rule, explore key elements of traditional Medicare, and delve into distinct facets of the Two-Midnight Rule (2MN) ...

By SAI360|2025-07-29T20:46:08+00:00September 25th, 2023|Governance, Risk & Compliance: GRC, Healthcare GRC, Healthcare Revenue Integrity|

DentaQuest Maintains Clear Checkups with SAI360

Case study at-a-glance DentaQuest, a Sun Life company, is a purpose-driven oral healthcare company dedicated to improving the oral health of all. DentaQuest manages dental and vision benefits for 30+ million Americans and provides direct patient care through a network of more than 80 oral health centers in six states. DentaQuest provides outcome-based, cost-effective dental solutions for Medicaid and CHIP, Medicare Advantage, small and large ...

By SAI360|2025-04-28T23:01:14+00:00June 15th, 2023|Compliance, Governance, Risk & Compliance: GRC, Healthcare GRC, Third-Party and Vendor Risk|

8 Ways Technology Creates Agile Provider Compliance Work Plans

Healthcare compliance executives are constantly challenged to stretch limited resources when executing a compliance work plan. Those looking for a path to better efficiency and effectiveness will find the answer lies in using healthcare compliance software solutions as a tool across every work plan stage. When building a provider compliance work plan, you need smart, well-designed compliance software. This will simplify your job and improve organizational effectiveness. ...

By SAI360|2025-04-28T02:12:42+00:00February 22nd, 2023|Compliance|

IT Risk Management for Compliance: The Blueprint for an Effective, Efficient & Agile IT Risk Management Program

A GRC 20/20 by Design Workshop When: Wednesday, November 2, 2022 | 12 - 5 PM ET Where: Tampa Marriott Water Street in Tampa Bay, FL Risk and compliance professionals are under enormous pressure to guide and manage digital transformation while navigating a dramatically changing ecosystem and economy. Organizations are dealing with rapid technology adoption, distributed ways of working in the post-Covid world, new vulnerabilities, ...

By SAI360|2022-10-04T13:00:06+00:00October 4th, 2022|SAI360|

Building Resilience Into Your Supply Chain: Insights Into the German Supply Chain Due Diligence Act

Learn how to put your organization in a stronger position to provide evidence of E&C program efficacy to meet ethics and compliance guidelines set out by the DOJ.

By SAI360|2025-04-28T02:07:18+00:00September 23rd, 2022|Ethics & Compliance Learning|

Preparing for Chicago’s New Sexual Harassment Training Requirements

On April 27, 2022, the city of Chicago enacted additional measures to help protect individuals from sexual harassment. The changes include significant new requirements for employers related to mandatory trainings, written policies, and recordkeeping. The ordinances also revised what constitutes sexual harassment, extended the reporting and notification period, and increased monetary penalties for violations. KEY POINTS FOR COMPLIANCE: The modified ordinance became effective on July ...

By SAI360|2025-08-21T21:07:12+00:00July 21st, 2022|Ethics & Compliance Learning, SAI360, Sexual Harassment|

DOJ’s Guidance Details Corporate Compliance Criteria and Spotlights Your CCO

In June 2020, the Department of Justice (DOJ) intensified its emphasis on rooting out corporate crime with the Criminal Division’s updated guidance for the “Evaluation of Corporate Compliance Programs.” This acceleration was motivated by several factors, including heightened national security implications of misconduct and the criminal exploitation of emerging technologies and digital financial innovations. Since then, the department has pursued a two-pronged approach: encouraging the ...

By SAI360|2025-11-07T21:37:40+00:00July 21st, 2022|Code of Conduct, Ethics & Compliance Learning, SAI360|

Your Corporate Compliance Program Blueprint: What to Know About DOJ & CFTC Regulatory Guidance

In reviewing new guidance from DOJ and CFTC, your corporate compliance program needs to be actively monitored and assessed. Ideally, it should evolve as your business evolves.

By SAI360|2025-05-09T20:05:08+00:00March 10th, 2022|Code of Conduct, Ethics & Compliance Learning, Governance, Risk & Compliance: GRC, Integrated GRC, Regulatory Change|

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

DentaQuest Maintains Clear Checkups with SAI360

8 Ways Technology Creates Agile Provider Compliance Work Plans

Top Healthcare Provider HIPAA Questions and Answers

IT Risk Management for Compliance: The Blueprint for an Effective, Efficient & Agile IT Risk Management Program

Building Resilience Into Your Supply Chain: Insights Into the German Supply Chain Due Diligence Act

Preparing for Chicago’s New Sexual Harassment Training Requirements

DOJ’s Guidance Details Corporate Compliance Criteria and Spotlights Your CCO

Your Corporate Compliance Program Blueprint: What to Know About DOJ & CFTC Regulatory Guidance

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