This report provides results from the eleventh annual Healthcare Compliance Benchmark Survey, conducted by SAI Global in collaboration with Strategic Management Services, LLC, and Richard Kusserow, former DHHS Inspector General, who led in the analysis of the results. The survey objectives were to gain a better understanding of the status and progress of compliance program development in the healthcare industry. Respondents were asked a variety of questions relating to the current state of healthcare compliance, including demographic data, resource levels, reporting relationships, compliance program operations, challenges, and priorities for 2020. Findings, along with an analysis of the significance of results, are based upon respondents from organizations that represented nearly every state, ranging from very small entities to large healthcare systems. Half of the respondents were from hospitals, and the remainder were from physician practices, clinics, ASCs, SNFs, home health, hospice, behavioral health, MCOs, among others.
Overview and Objectives
The 2020 Healthcare Compliance Benchmark Survey was designed to assist compliance officers in understanding how their compliance program relates to the industry at large. The Office of Inspector General (OIG) and the Department of Justice (DOJ) note that having an effective compliance program can be a mitigating factor when assessing culpability, potentially resulting in reduced penalties and/or more favorable settlement terms. This year respondents were participating in the survey from across the spectrum of provider and managed care organizations.
Richard P. Kusserow established Strategic Management Services, LLC to assist health care organizations develop, implement and assess compliance programs. Mr. Kusserow has worked with health care organizations to conduct compliance program effectiveness evaluations, deliver advisory s...