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, ...
Live webinar: Thursday, April 17 1:00 PM ET | 12:00 PM CT | 10:00 AM PT 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 ...
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 ...
The following article on risk management in healthcare is part of our ongoing series, CustomerConnect Insights: The Future of Ethics, GRC, and Training. This series brings together expert perspectives and actionable strategies from SAI360’s CustomerConnect events, focusing on the latest advancements, challenges, and innovations. The goal? Help organizations strengthen their approach to risk, compliance, and continuous learning in an evolving landscape. Why Is Integrating Risk Management Across Domains ...
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 ...
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 and support your rationale.
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 ...
This anonymized case study highlights how we helped an international healthcare company transform its internal audit processes. How? By implementing efficient information-sharing solutions and streamlining audit practices. Company background An international healthcare company headquartered in the U.K. served over 38 million customers. It employed 84,000 people worldwide. Its mission? Improve lives by ensuring people live longer and better than before while making the world a ...
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 ...
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 ...
