Results from the 2025 Compliance Benchmark Survey
The 2025 Compliance Benchmark Survey conducted by SAI Global and Strategic Management Services, LLC provides valuable insights into the current state and progress of compliance program development in the healthcare industry. One key area of focus was the challenges Compliance Officers are facing this year. Three primary concerns emerged as far more significant than others. The top concern was related to responding to new federal and states laws and regulations, highlighting the struggle to keep pace with rapidly changing requirements, particularly for those with very limited staff. In second place were concerns related to HIPAA and cyber security, which is not surprising given that the most common compliance problems facing organizations involves data breaches and failures in protecting health information. In third place was the challenge of ensuring accuracy in claims processing. After these, there was a major drop in concerns across other areas. In descending order, these were: (a) Meeting medical necessity standards; (b) Arrangements with referral sources; (c) The threat of “Whistleblowers”; (d) COI by members of management and/or board; and (e) Sunshine Act compliance.
For the full report download our pdf from the link above. For further information and questions about your own program, contact Richard Kusserow ([email protected]). You can also keep up-to-date with Strategic Management Services by following us on LinkedIn.
