16 Top Priorities for Healthcare Compliance Programs in 2013

Thirty-seven percent of compliance professionals in the healthcare provider industry ranked Medicare Recovery Auditors, or RACs, as their top priority for compliance programs in 2013, according to a survey from SAI Global and Compliance 360.

The survey is based on responses from 1,056 healthcare compliance professionals. Survey respondents were provided with a list of the top compliance program areas and were asked to indicate priority levels for each. Here are the 16 issues, ranked by the percentage of respondents who identified them as "top priority." Note: Respondents could also rank these issues as high, medium or low priority. Those priority levels weighted the rankings.

1. Medicare RACs — 37 percent
2. Demonstrating compliance effectiveness — 37 percent
3. Employee compliance training and education — 37 percent
4. Documenting and investigating incidents — 32 percent
5. Medicaid RACs — 31 percent
6. Meaningful use requirements — 28 percent
7. HIPAA and Office for Civil Rights audits — 26 percent
8. Other medical claims audits (government) — 26 percent
9. Stark law compliance — 25 percent
10. Managing and/or revising policies — 24 percent
11. Governance and board reporting — 21 percent
12. Medicaid Integrity Contractor audits — 20 percent
13. Ensuring compliance of vendors/business associates — 15 percent
14. Tracking and/or reporting conflicts of interest — 12 percent
15. Tracking and/or reporting gifts and entertainments — 9 percent
16. Tracking and/or reporting payments to public officials — 6 percent

More Articles on Hospital Compliance Programs:

Medicaid RACs May Have Different Standards Than Medicare RACs
CMS Issues FY 2011 Medicare RAC Report to Congress
Emerging Trends in Stark, False Claims and Anti-Kickback Cases for Health Systems

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