New Year, New Conflicts of Interest Strategy: January Compliance Checklist

Conflicts of interest in the workplace happen more often than you might think. A senior manager approves a vendor contract, unaware the vendor employs a family member.   An employee fails to disclose a financial interest in a competitor’s business, creating a potential bias in decision-making.   These are just two examples of how conflicts of interest can quietly develop in the workplace. All while exposing organizations ...

Can Your Compliance Program Adapt to Changing Times?

How well-equipped is your compliance program to handle the unpredictable shifts in the healthcare landscape? To help answer this pressing question, Richard Kusserow, CEO of Strategic Management Services, and former DHHS Inspector General recently shared results of a 2024 benchmark survey about the current state of healthcare compliance programs. This annual survey provides valuable insights into the challenges and trends shaping the compliance landscape.  Challenges Facing ...

By |2025-04-28T02:45:25+00:00August 5th, 2024|Compliance, Governance, Risk & Compliance: GRC, Healthcare GRC|

Ensuring Compliance with Open Payments: Innovative Solutions from SAI360

Open Payments, mandated by the Affordable Care Act, require certain industries to report payments and other transfers of value to healthcare providers.  Open Payments remain a key focal point now for ethics, governance, risk management, and compliance leaders. Namely, the expansion of the Open Payments Data to include other healthcare providers—in addition to physicians—has significantly enhanced the transparency available to your organization and the public. This ...

By |2025-04-28T02:39:58+00:00June 1st, 2024|Governance, Risk & Compliance: GRC, Healthcare GRC|

Why is the Medicare Two-Midnight Rule Still Misunderstood Over a Decade Later?

Traditional Medicare’s Two-Midnight Rule is a guideline used in the U.S. healthcare system specifically for Medicare billing. It helps determine whether a patient's hospital stay should be billed as inpatient or outpatient care. This rule was designed to clarify hospital admissions criteria and plays a critical role in healthcare reimbursement, impacting institutions' operational and financial dynamics nationwide.  According to this rule, if doctors expect a ...

Watch Current State of Healthcare Compliance Programs: 2024 Benchmark Results

For the fifteenth 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 them. In this webinar, former HHS Inspector General, Richard ...

Introducing the 2024 Healthcare Compliance Benchmark Report by SAI360

Introducing the Healthcare Compliance Benchmark Report For the fifteenth consecutive year, SAI360 has collaborated with Strategic Management Services to conduct an industry-leading healthcare compliance benchmark report survey of 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 ...

By |2025-04-11T12:37:01+00:00April 10th, 2024|Compliance, Governance, Risk & Compliance: GRC, Healthcare GRC|

2024 Healthcare Compliance Benchmark Report (pdf)

Thank you for your interest in the 2024 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 2024, our report offers comprehensive analysis and actionable insights.

By |2025-04-28T23:03:27+00:00April 10th, 2024|Compliance, Governance, Risk & Compliance: GRC, Healthcare GRC|