Top 10 compliance challenges

In the couple years a great many regulatory changes have impacted the inpatient care market, ranging from the revamping of the DRG system, to the introduction of recovery audit contactors.

With all of these changes, just what are the industry’s top 10 compliance challenges? To find out, two attorneys from the law firm Foley & Lardner LLP asked this question to 50 of their colleagues who work on compliance issues in private practice and as in-house counsel. The article, “What are the Top 10 Compliance Challenges for Hospitals?” appears in the March 26, 2008 issue of Report on Medicare Compliance.

Below is simply a listing of the challenges mentioned in the article, whereas the full article provides additional detail for each challenge. Access the full article here.

The Top 10 Compliance Challenges for Hospitals:

1. RACs
2. Supplemental and Certification Payments
3. Medicaid Compliance
4. Stark Self-Referral Ban
5. Present on Admission (POA)/Hospital-Acquired Conditions (HACs)
6. Medicare-Severity DRGs (MS-DRGs)
7. Clinical Trial Billing, Especially at Community Hospitals
8. Board Involvement
9. Data Mining
10. Quality