7 Things to Know About the Two-Midnight Rule

The Two-Midnight Rule is a Medicare policy determining when inpatient admissions are appropriate for payment under Medicare Part A. This rule is crucial for hospitals, physicians, and healthcare administrators to understand, as it significantly impacts hospital payment and beneficiary cost-sharing.  Understanding and complying with the Two-Midnight Rule is essential for healthcare providers to ensure appropriate Medicare billing and to avoid potential financial penalties.   Specific actions are needed, ...

By |2025-04-28T02:33:40+00:00February 7th, 2024|Governance, Risk & Compliance: GRC|

Join us at the 11th Bundeskongress Compliance in Berlin!

Whether in cooperation with sales, purchasing and employees or in the implementation of laws and guidelines – compliance faces extensive challenges and all too often has to move mountains in day-to-day operations. "Do it!" is therefore the motto of the 11th Bundeskongress Compliance in Berlin on 14 & 15 November 2023. Over the course of two days, participants will join experienced experts in discussions about ...

4 Things to Know Economic Crime & Corporate Transparency Bill

The United Kingdom (UK) boasts one of the globe's most expansive and dynamic economies, rendering it an alluring destination for international enterprises. Yet, this very openness also exposes the UK to the peril of unscrupulous individuals exploiting the system through illicit activities like money laundering that drive international corruption, at scale.    Fraud--the most common UK offense—amounts to 40 percent of offenses in England and Wales. As reported by the BBC, the UK loses ...

By |2025-05-08T21:21:58+00:00October 13th, 2023|Ethics & Compliance Learning|

The Importance of a Robust Conflict of Interest Program 

Conflict of interest (COI) is a serious issue that can have a significant impact on organizations of all sizes and industries. A COI occurs when an individual or organization has a personal or financial interest that could influence their judgment or decision-making. This can lead to biased decisions, decreased productivity, and even legal liability.  COIs—which involve situations where an individual or company has a common ...

By |2025-04-28T02:23:14+00:00July 11th, 2023|Healthcare GRC|

IT Governance Policy Management: 3 Recommendations for CIOs

To successfully meet their compliance objective, Chief Information Officers (CIOs) must implement a risk-adjusted information technology (IT) governance policy framework.   Having good IT risk mandates in place enables you to better understand what your enterprise policies need to look like, and why.  If done effectively and efficiently, having an appropriate framework in place in the right way safeguards your organization from risk and helps you ...

European Chemical Rules and Regulations: Part 2

This article is part two of a two-part series. Read part one about the impact of regulations and rule changes here. When it comes to European chemical rules, complying with regulations can bring benefits to manufacturers. Protecting public health and the environment is an important consideration for stakeholders. By demonstrating their products are safe and environmentally friendly, manufacturers can enhance their reputation and gain a ...

By |2025-04-28T02:16:57+00:00April 24th, 2023|Workplace Safety|

Navigating Healthcare’s IT Risk: 3 Strategies for Success

Healthcare Information Technology (IT) risk and cyber events are becoming more prevalent. In the meantime, healthcare’s attack surface is expanding quickly. This is especially true as remote technologies, connected devices such as the Internet of Things (IoT), and digitization all become more commonplace industry-wide. Of course, the pandemic only accelerated healthcare’s ongoing digitization. Healthcare data records—unlike other Personally Identifiable Information (PII) present drastically higher monetary value for cybercriminals. ...

By |2025-04-30T13:09:22+00:00March 15th, 2023|Compliance|

How to Combat Telehealth Fraud: 5 Smart Actions to Take 

Not long ago, telehealth adoption amidst COVID-19 soared--seemingly overnight—and continues to be mainstream. Now, unfortunately, telehealth fraud is, too. The number of data breaches have soared since the beginning of the pandemic. In fact, 2022 was the second-worst year ever regarding the number of reported data breaches—only to be topped by 2021.  Increased digital connections and communications in healthcare translates into increased audit and financial risks as ...

By |2023-03-15T05:28:59+00:00March 15th, 2023|Healthcare GRC|

ESG Metrics Management 101: What Businesses Need to Know

The link between Environmental, Social, and Governance (ESG) and positive corporate impact and performance is clear. Yet many organizations’ leaders and managers are still familiarizing themselves with operationalizing ESG metrics management and driving ESG efforts forward.  Prioritizing ESG can engender stakeholder and community support, as well as reduce fines, risks, and penalties. Some industry analysts have reported a correlation between higher equity returns and better ...