Top 10 Healthcare Compliance Concerns in 2026
The healthcare industry is never short on compliance concerns, but 2026 presents an unusually complex set of challenges. Rapid technological…
OIG Issues New Medicare Advantage Compliance Program Guidance: 15 Compliance Risk Areas
On February 3, 2026, the U.S. Department of Health and Human Services Office of Inspector General (OIG) issued updated Medicare…
DOJ Fraud Section 2025 Report on Healthcare Fraud
In fiscal year 2025, the U.S. Department of Justice (DOJ) Fraud Section reported that False Claims Act settlements and judgments…
Arrangements With Referral Sources Remains The Top Compliance Risk Area
Eleven Areas of Risk For healthcare providers, the highest area of enforcement by the Department of Justice (DOJ), Office of…
2026 Compliance Risk Assessments
Key Points: Most Compliance Officers schedule Compliance Risk Assessments in the first quarter of the year in order to incorporate…
Eight Reasons Why Compliance Risk Assessments Are Important
Healthcare organizations  operate in a highly regulated and intensive enforcement environment that makes conducting compliance risk assessments a critical part…
Evaluating Compliance Programs: Gap Analysis or Effectiveness Evaluation?
Key Points: The difference between a Gap Analysis and an Effectiveness Evaluation of a compliance program is that the former…
Checklist for Evaluating Compliance Consultants
Check credentials, qualifications, experience, cost, references & responsiveness to RFP. The OIG and DOJ stress that compliance programs are always…
When To Have Independent Compliance Evaluations
For most organizations, the ideal time to have evaluations is early in the fiscal year Independent compliance program evaluations by…
New Florida Law Requires Timely Refunding of Patient Overpayments
Retaining patient overpayments just got riskier for physicians in Florida. Effective January 1, 2026, new legislation imposes requirements on licensed…
How to Implement a HIPAA Cybersecurity Framework: A Guide for Compliance Leaders
The connection between HIPAA compliance and cybersecurity has never been stronger—from increased OCR enforcement action to national news coverage of…
Smaller Entity Outsourcing of Compliance and Privacy Programs
Outside experts are able to build and manage effective compliance and privacy programs at lower cost. Outsourcing compliance and privacy…