Despite naming compliance plans as a top priority, 39 percent of compliance professionals from payors and providers said they were not confident or moderately confident in their ability to demonstrate compliance effectiveness and ability to measure the quality of outcomes, according to a survey from Compliance 360.
The survey represents 846 compliance professionals from health insurance plans and healthcare providers, sharing their priorities for measuring and demonstrating compliance. Here are some of the survey’s key findings:
1. Seventy-nine percent of healthcare provider professionals said demonstrating compliance effectiveness is either number one priority or one of the top priorities in 2011.
2. Of those that named compliance effectiveness as a priority, 77 percent attributed it to an increasing focus from CMS. Other motivators included other regulatory pressures, external auditors and pressure from CEOs and boards.
3. Sixty-five percent of respondents are currently using internal audit/assessment results to demonstrate and measure compliance effectiveness. Only 12 percent said they were using automate scorecards.
Download a copy of the 2011 Compliance Effectiveness Study.
Read more about regulatory compliance programs:
– 5 Hospital Coding Errors Most Likely to Draw RAC Attention
– RAC Denials Based on Incorrect Dosages: Q&A With Elizabeth Lamkin
– As Denials Rise, Hospitals Working Harder to Fend Off RACs
